Concordant pressure paresthesia during interlaminar lumbar epidural steroid injections correlates with pain relief in patients with unilateral radicular pain

Pain Physician

Volumn 16, Issue 5, 2013, Pages 497-511

  Candido, Kenneth D ^a,b   Rana, Maunak V ^a,b   Sauer, Ruben ^a   Chupatanakul, Lalida ^a   Tharian, Antony ^a,b   Vasic, Vladimir ^c   Knezevic, Nebojsa Nick ^a,b  

^a ADVOCATE ILLINOIS MASONIC MEDICAL CENTER   (United States)

^b UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

^c Department of Statistics and Mathematics ^*  (Serbia)

Author keywords

Everyday functionality; Interlaminar injection; Lateral parasagittal interlaminar approach; Low back pain; Lumbar epidural steroid injection; Midline interlaminar approach; Pressure paresthesia; Quality of life; Unilateral radicular pain

Indexed keywords

LIDOCAINE; METHYLPREDNISOLONE ACETATE; NARCOTIC ANALGESIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT;

ADULT; AGED; ANALGESIC ACTIVITY; ARTICLE; CONTROLLED STUDY; FEMALE; FUNCTIONAL STATUS; HEADACHE; HUMAN; INJECTION SITE DISCOMFORT; INJECTION SITE PAIN; INTERMETHOD COMPARISON; INTERVERTEBRAL DISK DEGENERATION; INTERVERTEBRAL DISKECTOMY; LOW BACK PAIN; LUMBAR INTERLAMINAR EPIDURAL STEROID INJECTION; LUMBAR SPINE; MAJOR CLINICAL STUDY; MALE; NAUSEA; OSWESTRY DISABILITY INDEX; PAIN ASSESSMENT; PARESTHESIA; PATIENT SATISFACTION; PRESSURE PARESTHESIA; PROGNOSIS; PROSPECTIVE STUDY; QUALITY OF LIFE; RADICULAR PAIN; RANDOMIZED CONTROLLED TRIAL; SINGLE BLIND PROCEDURE; STEROID THERAPY; UNITED STATES;

ADULT; AGED; FEMALE; HUMANS; INJECTIONS, EPIDURAL; LOW BACK PAIN; MALE; MIDDLE AGED; PAIN MANAGEMENT; PARESTHESIA; PRESSURE; PROSPECTIVE STUDIES; RADICULOPATHY; STEROIDS; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84884683558     PISSN: 15333159     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (57)

1. Freynhagen R, Baron R. The evaluation of neuropathic components in low back pain. Curr Pain Headache Rep 2009; 13:185-190.
2. Manchikanti L, Singh V, Pampati V, Smith HS, Hirsch JA. Analysis of growth of interventional techniques in managing chronic pain in the Medicare population: A 10-year evaluation from 1997 to 2006. Pain Physician 2009; 12:9-34.
3. Deyo RA, Mirza SK, Turner JA, Martin BI. Overtreating chronic back pain: Time to back off? J Am Board Fam Med 2009; 22:62-68.
4. Manchikanti L, Boswell MV, Singh V, Benyamin RM, Fellows B, Abdi S, Buenaventura RM, Conn A, Datta S, Derby R, Falco FJ, Erhart S, Diwan S, Hayek SM, Helm S, Parr AT, Schultz DM, Smith HS, Wolfer LR, Hirsch JA. Comprehensive evidence-based guidelines for interventional techniques in the management of chronic spinal pain. Pain Physician 2009; 12:699-802.
5. Manchikanti L, Boswell MV, Datta S, Fellows B, Abdi S, Singh V, Benyamin RM, Falco FJ, Helm S, Hayek SM, Smith HS. Comprehensive review of therapeutic interventions in managing chronic spinal pain. Pain Physician 2009; 12:E123-E198.
6. Manchikanti L, Pampati V, Boswell MV, Smith HS, Hirsch JA. Analysis of the growth of epidural injections and costs in the Medicare population: A comparative evaluation of 1997, 2002, and 2006 data. Pain Physician 2010; 13:199-212.
7. Manchikanti L, Pampati V, Falco FJ, Hirsch JA. Growth of spinal interventional pain management techniques: Analysis of utilization trends and Medicare expenditures 2000 to 2008. Spine (Phila Pa 1976) 2013; 38:157-168.
8. Daffner SD, Hymanson HJ, Wang JC. Cost and use of conservative management of lumbar disc herniation before surgical discectomy. Spine J 2010; 10:463-468.
9. Manchikanti L, Buenaventura RM, Manchikanti KN, Ruan X, Gupta S, Smith HS, Christo PJ, Ward SP. Effectiveness of therapeutic lumbar transforaminal epidural steroid injections in managing lumbar spinal pain. Pain Physician 2012; 15:E199-E245.
10. Cooper G, Lutz GE, Boachie-Adjei O, Lin J. Effectiveness of transforaminal epidural steroid injections in patients with degenerative lumbar scoliotic stenosis and radiculopathy. Pain Physician 2004; 7:311-317.
11. Benyamin RM, Manchikanti L, Parr AT, Diwan S, Singh V, Falco FJ, Datta S, Abdi S, Hirsch JA. The effectiveness of lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain. Pain Physician 2012; 15:E363-E404.
12. Parr AT, Diwan S, Abdi S. Lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain: A systematic review. Pain Physician 2009; 12:163-188.
13. Conn A, Buenaventura RM, Datta S, Abdi S, Diwan S. Systematic review of caudal epidural injections in the management of chronic low back pain. Pain Physician 2009; 12:109-135
14. Buenaventura RM, Datta S, Abdi S, Smith HS. Systematic review of therapeutic lumbar transforaminal epidural steroid injections. Pain Physician 2009; 12:233-251.
15. Schaufele MK, Hatch L, Jones W. Interlaminar versus transforaminal epidural injections for the treatment of symptomatic lumbar intervertebral disc herniations. Pain Physician 2006; 9:361-366.
16. Lee JH, Moon J, Lee SH. Comparison of effectiveness according to different approaches of epidural steroid injection in lumbosacral herniated disk and spinal stenosis. J Back Musculoskelet Rehabil 2009; 22:83-89.
17. Ackerman WE, 3rd, Ahmad M. The efficacy of lumbar epidural steroid injections in patients with lumbar disc herniations. Anesth Analg 2007; 104:1217-1222.
18. Manchikanti L, Malla Y, Wargo BW, Cash KA, Pampati V, Fellows B. A prospective evaluation of complications of 10,000 fluoroscopically directed epidural injections. Pain Physician 2012; 15:131-140.
19. Huntoon MA, Martin DP. Paralysis after transforaminal epidural injection and previous spinal surgery. Reg Anesth Pain Med 2004; 29:494-495.
20. Chang-Chien GC, Candido KD, Knezevic NN. Digital subtraction angiography does not reliably prevent paraplegia associated with lumbar transforaminal epidural steroid injection. Pain Physician 2012; 15:515-523.
21. Candido KD, Raghavendra MS, Chinthagada M, Badiee S, Trepashko DW. A prospective evaluation of iodinated contrast flow patterns with fluoroscopically guided lumbar epidural steroid injecions: the lateral parasagittal interlaminar epidural approach versus the transforaminal epidural approach. Anesth Analg 2008; 106:638-644.
22. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007; 39:175-191.
23. Korff MV, Saunders K, Thomas Ray G, Boudreau D, Campbell C, Merrill J, Sullivan MD, Rutter CM, Silverberg MJ, Banta-Green C, Weisner C. De facto long-term opioid therapy for noncancer pain. Clin J Pain 2008; 24:521-527.
24. Radcliff K, Hilibrand A, Lurie JD, Tosteson TD, Delasotta L, Rihn J, Zhao W, Vaccaro A, Albert TJ, Weinstein JN. The impact of epidural steroid injections on the outcomes of patients treated for lumbar disc herniation: A subgroup analysis of the SPORT trial. J Bone Joint Surg Am 2012; 94:1353-1358.
25. Smith CC, Booker T, Schaufele MK, Weiss P. Interlaminar versus transforaminal epidural steroid injections for the treatment of symptomatic lumbar spinal stenosis. Pain Med 2010; 11:1511-1515.
26. Rados I, Sakic K, Fingler M, Kapural L. Efficacy of interlaminar vs transforaminal epidural steroid injection for the treatment of chronic unilateral radicular pain: Prospective, randomized study. Pain Med 2011; 12:1316-1321.
27. Gharibo CG, Varlotta GP, Rhame EE, Liu EC, Bendo JA, Perloff MD. Interlaminar versus transforaminal epidural steroids for the treatment of subacute lumbar radicular pain: A randomized, blinded, prospective outcome study. Pain Physician 2011; 14:499-511.
28. Koes BW, Scholten RJ, Mens JM, Bouter LM. Efficacy of epidural steroid injections for low-back pain and sciatica: A systematic review of randomized clinical trials. Pain 1995; 63:279-288.
29. McGrath JM, Schaefer MP, Malkamaki DM. Incidence and characteristics of complications from epidural steroid injections. Pain Med 2011; 12:726-731.
30. Scanlon GC, Moeller-Bertram T, Romanowsky SM, Wallace MS. Cervical transforaminal epidural steroid injections: More dangerous than we think? Spine (Phila Pa 1976) 2007; 32:1249-1256.
31. Baker R, Dreyfuss P, Mercer S, Bogduk N. Cervical transforaminal injection of corticosteroids into a radicular artery: A possible mechanism for spinal cord injury. Pain 2003; 103:211-215.
32. Carette S, Leclaire R, Marcoux S, Morin F, Blaise GA, St-Pierre A, Truchon R, Parent F, Levesque J, Bergeron V, Montminy P, Blanchette C. Epidural corticosteroid injections for sciatica due to herniated nucleus pulposus. N Engl J Med 1997; 336:1634-1640.
33. Whitlock EL, Bridwell KH, Gilula LA. Influence of needle tip position on injectate spread in 406 interlaminar lumbar epidural steroid injections. Radiology 2007; 243:804-811.
34. Botwin KP, Natalicchio J, Hanna A. Fluoroscopic guided lumbar interlaminar epidural injections: A prospective evaluation of epidurography contrast patterns and anatomical review of the epidural space. Pain Physician 2004; 7:77-80.
35. Blomberg RG, Jaanivald A, Walther S. Advantages of the paramedian approach for lumbar epidural analgesia with catheter technique. A clinical comparison between midline and paramedian approaches. Anaesthesia 1989; 44:742-746.
36. Boon JM, Prinsloo E, Raath RP. A paramedian approach for epidural block: An anatomic and radiologic description. Reg Anesth Pain Med 2003; 28:221-227.
37. Kim HJ, Park JH, Shin KM, Kang SS, Kim IS, Hong SJ, Song CK, Park JC, Yeom JS. The efficacy of transforaminal epidural steroid injection by the conventional technique in far-lateral herniation of lumbar disc. Pain Physician 2012; 15:415-420.
38. Whitworth ML, de Cordoba J. Is it finally time to abandon the use of blind interlaminar epidural steroid injections? Interventional Spine 2009; 6:16-29.
39. Hameed F, Hunter DJ, Rainville J, Li L, Suri P. Prevalence of anatomic impediments to interlaminar lumbar epidural steroid injection. Arch Phys Med Rehabil 2012; 93:339-343.
40. Harrast MA. Epidural steroid injections for lumbar spinal stenosis. Curr Rev Musculoskelet Med 2008; 1:32-38.
41. Kawakami M, Weinstein JN, Chatani K, Spratt KF, Meller ST, Gebhart GF. Experimental lumbar radiculopathy. Behavioral and histologic changes in a model of radicular pain after spinal nerve root irritation with chromic gut ligatures in the rat. Spine (Phila Pa 1976) 1994; 19:1795-1802.
42. Kawakami M, Weinstein JN, Spratt KF, Chatani K, Traub RJ, Meler ST, Gebhart GF. Experimental lumbar radiculopathy. Immunohistochemical and quantitative demonstrations of pain induced by lumbar nerve root irritation of the rat. Spine (Phila Pa 1976) 1994; 19:1780-1794.
43. Katz WA, Rothenberg R. Section 3: The nature of pain: Pathophysiology. J Clin Rheumatol 2005; 11:S11-S15.
44. Byrod G, Otani K, Brisby H, Rydevik B, Olmarker K. Methylprednisolone reduces the early vascular permeability increase in spinal nerve roots induced by epidural nucleus pulposus application. J Orthop Res 2000; 18:983-987.
45. Lee HM, Weinstein JN, Meller ST, Hayashi N, Spratt KF, Gebhart GF. The role of steroids and their effects on phospholipase A2. An animal model of radiculopathy. Spine (Phila Pa 1976) 1998; 23:1191-1196.
46. Tachihara H, Sekiguchi M, Kikuchi S, Konno S. Do corticosteroids produce additional benefit in nerve root infiltration for lumbar disc herniation? Spine (Phila Pa 1976) 2008; 33:743-747.
47. Scuderi GJ, Cuellar JM, Cuellar VG, Yeomans DC, Carragee EJ, Angst MS. Epidural interferon gamma-immunoreactivity: A biomarker for lumbar nerve root irritation. Spine (Phila Pa 1976) 2009; 34:2311-2317.
48. Cuellar JM, Golish SR, Reuter MW, Cuellar VG, Angst MS, Carragee EJ, Yeomans DC, Scuderi GJ. Cytokine evaluation in individuals with low back pain using discographic lavage. Spine J 2010; 10:212-218.
49. Manchikanti L, Cash KA, McManus CD, Pampati V, Benyamin R. Fluoroscopic lumbar interlaminar epidural injections in managing chronic lumbar axial or discogenic pain. J Pain Res 2012; 5:301-311.
50. Manchikanti L, Singh V, Falco FJ, Cash KA, Pampati V. Evaluation of the effectiveness of lumbar interlaminar epidural injections in managing chronic pain of lumbar disc herniation or radiculitis: a randomized, double-blind, controlled trial. Pain Physician 2010; 13:343-355.
51. Manchikanti L, Singh V, Cash KA, Pampati V, Falco FJ. The role of fluoroscopic interlaminar epidural injections in managing chronic pain of lumbar disc herniation or radiculitis: A randomized, double-blind trial. Pain Pract 2012; doi: 10.1111/papr.12023. [Epub ahead of print].
52. Manchikanti L, Cash KA, McManus CD, Damron KS, Pampati V, Falco FJ. Lumbar interlaminar epidural injections in central spinal stenosis: Preliminary results of a randomized, double-blind, active control trial. Pain Physician 2012; 15:51-63.
53. Cassuto J, Sinclair R, Bonderovic M. Anti-inflammatory properties of local anesthetics and their present and potential clinical implications. Acta Anaesthesiol Scand 2006; 50:265-282.
54. Onda A, Yabuki S, Kikuchi S, Satoh K, Myers RR. Effects of lidocaine on blood flow and endoneurial fluid pressure in a rat model of herniated nucleus pulposus. Spine (Phila Pa 1976) 2001; 26:2186-2191.
55. Evans W. Intrasacral epidural injection therapy in the treatment of sciatica. The Lancet 1930; 2:1225-1229.
56. Schwarzer AC, Derby R, Aprill CN, Fortin J, Kine G, Bogduk N. The value of the provocation response in lumbar zygapophyseal joint injections. Clin J Pain 1994; 10:309-313.
57. Palastaras C, Heller D, Sorosky B, Houle T. Pain reproduction during lumbosacral transforaminal epidural steroid injection does not affect outcome. J Back Musculoskelet Rehabil 2006; 19:57-60