Corpus ID: 41553553

Concordant provocation as a prognostic indicator during interlaminar lumbosacral epidural steroid injections.

@article{Sinofsky2014ConcordantPA,
  title={Concordant provocation as a prognostic indicator during interlaminar lumbosacral epidural steroid injections.},
  author={Alexander H Sinofsky and Steve M. Aydin and Eric Kim and Christopher G. Gharibo},
  journal={Pain physician},
  year={2014},
  volume={17 3},
  pages={
          247-53
        }
}
BACKGROUND Interlaminar epidural steroid injection is a well-established intervention for the treatment of radicular pain. Pain is commonly reported during the injection into the epidural space; this provocation is typically either concordant or discordant with the patient's baseline pain. It is not well known how this provocation pain relates to treatment outcomes. OBJECTIVE To determine the relationship between concordant versus discordant provocation during interlaminar epidural steroid… Expand
Concordant pain provocation during transforaminal epidural steroid injection for lumbosacral radiculopathy: effect on pain outcome and predictive factors.
TLDR
Provocation of concordant radicular pain does not predict pain relief at short-term follow-up after a transforaminal ESI, and foraminal stenosis, nerve root impingement, and lack of a medial-superior contrast flow pattern are associated with pain during the transfor AMSI. Expand
Clinical Effectiveness and Prognostic Indicators of Parasagittal Interlaminar Epidural Injection.
TLDR
Parasagittal interlaminar ESI significantly improved the NRS and ODI scores after 2 weeks compared to those measured pretreatment and prognostic indicators, and was a prognostic indicator for the ODI (%) score. Expand
Comparison of clinical efficacy in epidural steroid injections through transforaminal or parasagittal approaches
TLDR
ESI under fluoroscopic guidance with PIL or TF approach were effective in reducing the NRS and ODI and PIL ESI was a technically easier and simple method compared to TF ESI. Expand
No difference in pain reduction after epidural steroid injections in diabetic versus nondiabetic patients: A retrospective cohort study
TLDR
There was no difference in pain reduction after ESIs comparing diabetic with nondiabetic patients; however, for diabetic patients, pain reduction may decrease with uncontrolled diabetes determined by high HbA1c values, suggesting pain physicians to take an active role in guiding their patients to have their blood glucose levels better regulated to improve outcomes of their ESIs. Expand
Lumbar Epidural Steroid Injections.
  • Carlos E. Rivera
  • Medicine
  • Physical medicine and rehabilitation clinics of North America
  • 2018
TLDR
The indications, evidence, and safety considerations for 2 different techniques-namely, interlaminar and transforaminal-are discussed. Expand

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TLDR
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