Factors Predicting Favorable Short-Term Response to Transforaminal Epidural Steroid Injections for Lumbosacral Radiculopathy

Overview

Journal Medicina (Kaunas)

Publisher MDPI

Specialty General Medicine

Date 2019 May 22

PMID 31109045

Citations 3

Authors

Dong Yoon Park

Seok Kang

Joo Hyun Park

Affiliations

Soon will be listed here.

Abstract

The purpose of this retrospective study was to identify predictors of short-term outcomes associated with a lumbosacral transforaminal epidural steroid injection (TFESI). The medical records of 218 patients, who were diagnosed with lumbosacral radiculopathy and treated with a TFESI, were reviewed in this retrospective study. A mixture of corticosteroid, lidocaine, and hyaluronidase was injected during TFESI. Patients with >50% pain relief on the numerical rating scale compared with the initial visit constituted the good responder group. Demographic, clinical, MRI, and electrodiagnostic data were collected to assess the predictive factors for short-term outcomes of the TFESI. A multivariate logistic regression analysis demonstrated that a shorter duration of symptoms and a positive sharp wave (PSW)/fibrillation (Fib) observed in electrodiagnostic study (EDx) increased the odds of significant improvement 2-4 weeks after the TFESI. Shorter duration of symptoms and PSW/Fib on EDx were predictors of favorable short-term response to TFESI.

Citing Articles

The role of psychosocial factors in mediating the treatment response of epidural steroid injections for low back pain with or without lumbosacral radiculopathy: A scoping review.

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Clinical and radiological predictors of response to lumbar transforaminal epidural steroid injection at 3 months: A retrospective study.

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Electromyography and Therapeutic Response to Lumbosacral Epidural Steroid Injections: A Systematic Review.

Meiling J, Moman R, Pagan-Rosado R, Kinzelman-Vesely E, Hunt C, Hooten W J Pain Res. 2021; 14:2851-2858.

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Effect of supraneural transforaminal epidural steroid injection combined with caudal epidural steroid injection with catheter in chronic radicular pain management: Double blinded randomized controlled trial.

Munjupong S, Kumnerddee W F1000Res. 2020; 9:634.

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