13 results match your criteria: "Thoracic Discogenic Pain Syndrome"
Article Synopsis
- * The aim of the updated guidelines is to provide evidence-based guidance for various therapeutic epidural procedures across the lumbar, cervical, and thoracic regions of the spine.
- * A comprehensive literature review, including 47 systematic reviews and 43 randomized controlled trials, has been conducted to inform recommendations regarding the efficacy and safety of epidural interventions, especially for conditions like disc herniation.
Article Synopsis
- Epidural injections have been used since 1901 to treat low back pain and sciatica, but the effectiveness of these injections for managing chronic spinal pain remains debated despite various treatment options available.
- The study aims to systematically review randomized controlled trials evaluating the efficacy of epidural injections in addressing chronic spinal pain, focusing on pain relief and functional improvement.
- A total of 52 trials were included in the review, showing that epidural injections provide moderate evidence for long-term pain relief in conditions like lumbar and cervical disc herniation, but no considerable differences in results were found between various injection methods.
An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations.
Pain Physician
April 2013
American Society of Interventional Pain Physicians.
Article Synopsis
- The objective of the text is to create evidence-based clinical guidelines for diagnosing and treating chronic spinal pain using various interventional techniques.
- The methodology involves a systematic review of existing literature to evaluate the effectiveness of these procedures.
- Key findings highlight varying levels of evidence for different techniques, such as good evidence for lumbar facet joint nerve blocks and caudal epidural injections, but limited evidence for others like transforaminal epidural injections and certain intradiscal procedures.
A systematic evaluation of thoracic interlaminar epidural injections.
Pain Physician
November 2012
Millennium Pain Center, Bloomington, IL, USA.
Article Synopsis
- There is limited research on the efficacy of epidural injections for chronic mid and upper back pain stemming from various conditions like disc herniation, radiculitis, and spinal stenosis.
- A systematic review was conducted to evaluate the impact of thoracic interlaminar epidural injections, both with and without steroids and imaging guidance, on pain relief and functional outcomes.
- The review found 17 relevant studies, assessing outcomes such as pain relief duration, improvement in functional abilities, and reduction in opioid use.
An algorithmic approach for clinical management of chronic spinal pain.
Pain Physician
October 2009
Pain Management Center of Paducah, Paducah, KY, USA.
Article Synopsis
- * A proposed algorithmic approach aims to standardize the diagnosis and management of chronic spinal pain by following evidence-based guidelines, focusing on thorough patient history, examination, and medical decision-making.
- * The algorithm emphasizes assessing common sources of chronic low back pain, prioritizing facet joints and considering interventions like epidural injections or sacroiliac joint blocks, before resorting to more invasive measures.
Comprehensive review of therapeutic interventions in managing chronic spinal pain.
Pain Physician
October 2009
Pain ManagementCenter of Paducah, Paducah, KY, USA.
Article Synopsis
- There is significant variability in how interventional pain management is defined and practiced, with a need for clear clinical guidelines for treating chronic spinal pain.
- The strength of evidence for various interventional techniques was assessed using U.S. Preventive Services Task Force criteria, with most recommended treatments falling between Level I and Level II-2.
- The evidence supports certain interventions like caudal epidural steroid injections and percutaneous adhesiolysis, but the overall guidelines are limited due to insufficient literature and outdated information.
Article Synopsis
- Comprehensive guidelines for interventional techniques aimed at managing chronic spinal pain are developed based on evidence to assist clinicians in their practice.
- The study involved a systematic review of existing literature and categorized the strength of evidence using U.S. Preventive Services Task Force criteria.
- Key findings include high-level evidence supporting diagnostic and therapeutic procedures like facet joint nerve blocks and epidural steroid injections for effective pain management.
Interventional techniques: evidence-based practice guidelines in the management of chronic spinal pain.
Pain Physician
January 2007
American Society of Interventional Pain Physicians, Paducah, KY 42001, USA.
Article Synopsis
- The guidelines aim to provide evidence-based recommendations for managing chronic spinal pain using interventional techniques, designed for clinicians in the U.S.
- The guideline development involved thorough literature reviews, consensus evaluations, and a structured method for assessing the quality of evidence, ranging from conclusive to indeterminate.
- Findings show strong accuracy for certain diagnostic interventions, such as facet joint nerve blocks and lumbar discography, while evidence for others, like cervical discography and diagnostic sacroiliac joint injections, is more limited or moderate.
Article Synopsis
- Anterior surgical decompression and fusion procedures for spine-related issues are becoming more common, addressing conditions like trauma, infections, and degenerative diseases.
- Many complications during these surgeries arise not from the actual procedures, but from the unfamiliar anatomy encountered during exposure, which poses risks to critical structures in the abdominal and retroperitoneal areas.
- A study involving dissections of six cadaveric specimens identified and documented key anatomical relationships of vital structures at risk, leading to a detailed discussion of complications related to anterior lumbar surgery based on these findings and literature reviews.
Interventional techniques in the management of chronic spinal pain: evidence-based practice guidelines.
Pain Physician
January 2005
Department of Anesthesiology, University Hospitals of Cleveland Case School of Medicine, Cleveland, Ohio 44106, USA.
Article Synopsis
- * The study aimed to create evidence-based clinical practice guidelines for managing chronic spinal pain, involving a thorough review and consensus from specialists across various fields.
- * Results indicated that facet joint nerve blocks are reliable for diagnosing lumbar and cervical pain, while lumbar discography shows strong evidence, but less certainty exists for cervical cases.
Nonendoscopic Nd-YAG 1064 nm PLDN in the treatment of thoracic discogenic pain syndromes.
J Clin Laser Med Surg
April 2003
Novamed Hospital, Munich, Germany.
Article Synopsis
- The study aimed to find new minimally invasive treatments for thoracic pain due to disc issues using a nonendoscopic Nd-YAG 1064 nm laser technique.
- Conducted on 42 patients with verified disc problems, the procedure showed significant improvements in pain and neurological function within six weeks post-treatment, with a high success rate.
- The findings suggest that Nd-YAG laser therapy effectively relieves pain and decompresses spinal structures, making it a preferred option before considering more invasive surgeries.
Lumbar and Sacral Nerve Root Stimulation (NRS) in the Treatment of Chronic Pain: A Novel Anatomic Approach and Neuro Stimulation Technique.
Neuromodulation
January 1999
Pain and Health Management Center, Houston, Texas; North Shore Pain Management Center, Huntington, New York; Department of Neurosurgery, University of Tennessee, Memphis, Memphis, Tennessee; and Swiss Pain Center, Rheinfelden, Switzerland.
Article Synopsis
- This study explores a new method of pain management by stimulating nerve roots in the lumbar region, as traditional spinal cord stimulation (SCS) has limitations.
- Five patients with chronic pain issues, who did not respond to standard treatments, underwent nerve root stimulation trials, achieving over 75% paresthesia coverage and significant pain reduction.
- All participants reported satisfaction, with four opting for permanent implantation, highlighting the need for further research on long-term effectiveness and safety of this approach.