• Corpus ID: 21100403

The tissue origin of low back pain and sciatica: a report of pain response to tissue stimulation during operations on the lumbar spine using local anesthesia.

@article{Kuslich1991TheTO,
  title={The tissue origin of low back pain and sciatica: a report of pain response to tissue stimulation during operations on the lumbar spine using local anesthesia.},
  author={Stephen D. Kuslich and Cynthia L. Ulstrom and Coppes Oscar Jim Michael},
  journal={The Orthopedic clinics of North America},
  year={1991},
  volume={22 2},
  pages={
          181-7
        }
}
In an effort to define the origin of low back pain and sciatica, 193 patients were carefully studied using progressive local anesthesia. These patients had surgery for herniated discs, spinal stenoses, or both. Various tissues were stimulated during the performance of these lumbar spinal operations. This article discusses our observations and the results of that study. 

Selective spinal injections for lower back pain

Originally performed as a single-catheter technique using the caudal approach, this technique now features a number of variations that include emphasis on anterior placement of the catheter tip, use of a transforaminal approach, and use of one or two catheters.

Diagnosis of the Vertebral Level from Which Low Back or Leg Pain Originates. A Comparison of Clinical Evaluation, MRI and Epiduroscopy

  • H. BosscherJ. Heavner
  • Medicine, Psychology
    Pain practice : the official journal of World Institute of Pain
  • 2012
The aim of the study reported here was to determine and compare the spinal segment(s) where pain was elicited via endoscopic evaluation vs. the vertebral level from where the pain was thought to originate as determined by clinical evaluation and by MRI.

A New Approach to Neuroplasty

  • J. Shin
  • Medicine
    The Korean journal of pain
  • 2013
Parke and Watanabe dissected the cadavers of patients with chronic low back pain and reported that a number of anterior epidural adhesions, which were not detached even when pulled with threads of about 60 g, were found between L4 and S1, indicating that the adhesion might have been the cause of chronicLow back pain.

15. Discogenic Low Back Pain

An estimated 40% of chronic lumbosacral spinal pain is attributed to the discus intervertebralis. Degenerative changes following loss of hydration of the nucleus pulposus lead to circumferential or

Incidence and Severity of Epidural Fibrosis after Back Surgery: An Endoscopic Study

Using spinal endoscopy to view the lumbosacral epidural cavity, the incidence, severity, and appearance of epidural fibrosis was evaluated in patients with FBSS.

The Nature of Radicular Pain and Related Conditions

Sciatica, or pain in the distribution of the sciatic nerve due to a condition afflicting the nerve itself, is a fairly common occurrence with a yearly incidence of 1–5% (Frymoyer 1988). Clinical

Lumbar herniated disks.

  • I. McCall
  • Medicine
    Radiologic clinics of North America
  • 2000

Special techniques in pain management: lysis of adhesions.

Indications and Outcomes of Reconstructive Surgery in Chronic Pain of Spinal Origin

A successful arthrodesis is the fundamental surgical goal for patients with chronic pain of spinal origin, however, a successful fusion does not always correlate with a successful clinical result.

Spinal Cord Stimulation for the Treatment of Failed Neck Surgery Syndrome: Outcome of a Prospective Case Series

Data from a prospective registry is analyzed to support the use of SCS in the cervical spine for pain after spine surgery.
...