Fluoroscopically guided lumbar epidural steroid injections

In a retrospective study, Narozny and associates (2001) investigated the clinical effectiveness of nerve root blocks (., peri-radicular injection of bupivacaine and triamcinolone) for lumbar mono-radiculopathy in patients with a mild neurological deficit.  These researchers analyzed 30 patients (aged 29 to 82 years) with a minor sensory/motor deficit and an unequivocal MRI finding (20 disc herniations, 10 foraminal stenoses) treated with a SNRB.  Based on the clinical and imaging findings, surgery (decompression of the nerve root) was justifiable in all cases.  Twenty-six patients (87 %) had rapid (1 to 4 days) and substantial regression of pain, 5 required a repeat injection.  Furthermore, 60 % of the patients with disc herniation or foraminal stenosis had permanent resolution of pain, so that an operation was avoided over an average of 16 months (6 to 23 months) follow-up.  The authors concluded that SNRBs are very effective in the non-operative treatment of minor mono-radiculopathy and should be recommended as the initial treatment of choice for this condition.

Dr. Ward is a South Georgia native raised in nearby Mitchell County. He attended Valdosta State College graduating with honors in Biology and Chemistry. Dr. Ward received his Doctor of Medicine Degree from the Medical College of Georgia in Augusta, Georgia. His Internship and Residency in Anesthesiology was completed at Eugene Talmadge Memorial Hospital and University Hospital in Augusta. Dr. Ward had subspecialty training emphasis on regional anesthesia/pain managemet techniques. This subspecialty of Anesthesiology eventually became the recognized subspecialty of Pain Management with specialized training and certification in the late 1990's.

Fluoroscopically guided lumbar epidural steroid injections

fluoroscopically guided lumbar epidural steroid injections

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