Abstract:
BACKGROUND:There have been a number of recent studies showing the effectiveness of lumbosacral transforaminal steroid epidural injections used in the treatment of radicular pain. The studies include retrospective, prospective and randomized controlled studies. Thus, the data is valuable with regard to identifying evidence based recommendations that can be used for clinical practitioners. PURPOSE:To review and critically evaluate literature focusing on the efficacy of lumbosacral transforaminal steroid injections. The goal of this review is to identify pertinent journal information that aids in the improvement of clinical care and guides future research by increasing the awareness of the efficacy of this procedure. STUDY DESIGN:A comprehensive literature review of the efficacy of lumbar sacral transforaminal epidural steroid injections. METHODS:Medical databases were searched for key words of transforaminal lumbar sacral, anatomy, and efficacy of steroid injection using Pub Med, Medline, Cochrane databases and U.S. National Library of Medicine. Works cited lists were then searched and cross-referenced as well. Articles focusing solely on interlaminar and caudal steroid injections were excluded as were transforaminal studies focusing on the cervical spine. Also, articles were excluded that did not differentiate the type of technique with type of relief it produced. Papers focusing on the efficacy of lumbosacral transforaminal steroid injections were included in the data that followed the patient for three months or greater. RESULTS:In all there were 10 randomized trials, 4 retrospective studies and 8 prospective studies found. Among the 10 randomized control studies only 8 met inclusion criteria. All 8 of the randomized control studies included show a positive outcome in both the short term and long term results. There were a total of 9 prospective trials showing a positive short term and long term outcome and that used both CT guided injections as well as fluoroscopic injections. CONCLUSION:This systemic review included prospective, retrospective and randomized clinical trials showing that there was strong evidence for transforaminal injections in the treatment of lumbosacral radicular pain for both short term and long term relief.
journal_name
J Back Musculoskelet Rehabiljournal_title
Journal of back and musculoskeletal rehabilitationauthors
Benny B,Azari Pdoi
10.3233/BMR-2011-0279subject
Has Abstractpub_date
2011-01-01 00:00:00pages
67-76issue
2eissn
1053-8127issn
1878-6324pii
W73181G658034621journal_volume
24pub_type
杂志文章,评审abstract::Patients with neurological disorders present therapists with complex challenges for treatment, including weakness, hypertonicity, voluntary movement deficit, limited range of motion, sensory loss, incoordination, and postural instability. The presence of one or more of these impairments negatively influences these pat...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-1994-4409
更新日期:1994-01-01 00:00:00
abstract::Back extensor muscle fatigability and its relationship to body mass index (BMI) was measured in 12 chronic nonspecific low back pain (CNLBP) patients (7 women and 5 men) and 12 healthy age-and gender-matched controls. Subjects performed Sørensen back isometric endurance test until exhaustion while EMG spectral mean po...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/bmr-2002-16104
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Core-strength is vital for Greco-Roman wrestling, although studies have yet to establish the effectives of core-specific training in this sport. OBJECTIVE:To examine the effect of core-specific strength training on determinants of Greco-Roman wrestling performance in elite junior athletes. METHODS:Twenty s...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-181328
更新日期:2020-01-01 00:00:00
abstract::The pediatric hip changes through development, leading to a challenging evaluation of pain. Common problems noted in children include congenital dislocation of the hip, Legg-Calve-Perthes disease, slipped capital femoral epiphysis, and transient synovitis. Hip disorders are also seen secondary to other childhood disea...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-1994-4311
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The intervertebral disc degeneration changes and paraspinal muscles changes are believed to be risk factors for lumbar degenerative spondylolisthesis (LDS). But there is limited quantitative information about this progression. This study is to reveal their changes the in the progression of LDS....
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-140515
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Mechanical Diagnosis and Therapy (MDT) manages low back pain (LBP) with subgroup classifications. For a subgroup of the posterior derangement syndrome, postural education limiting lumbar flexion is included. However, it is not known if habitual posture in this subgroup actually changes through MDT management...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 临床试验,杂志文章
doi:10.3233/BMR-181263
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to compare the biochemical parameters of the urine and blood in spinal cord injury (SCI) patients and healthy subjects. METHODS:Thirty male patients with SCI were enrolled. Biochemical features of the urine and blood of the SCI patients were compared to healthy subjects. Extracted s...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-169747
更新日期:2017-09-22 00:00:00
abstract::This paper focuses on the special aspects of pelvic pain that make it a difficult area in which to work. This will be done by use of specific examples of certain chronic pelvic pain conditions. This will be followed by a general discussion of current diagnosis and treatment methods for common pain syndromes. Most of t...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-1996-7206
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:Cranio-cervical flexion exercise (CCFE) is a representative exercise that activates the deep muscles of neck pain patients. However, there is a lack of studies that propose specific exercise methods to examine the more effective activity level of the deep cervical flexor. OBJECTIVE:The objective of this stu...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-170860
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Femoral nerve injury is not a common complication of the abdominopelvic surgical procedures. OBJECTIVE:To present a case of femoral neuropathy after nephrectomy. METHODS:Case report. RESULTS:A 71-year-old female patient with a right-sided congenital hip dysplasia developed numbness, tingling and burning p...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-140566
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Lumbar degenerative kyphosis (LDK) is characterized by sagittal imbalance resulting from degenerative loss of lumbar lordosis. The ability of transcutaneous neuromuscular electrical stimulation (NMES) to activate deep lumbar stabilizing muscles has been demonstrated. OBJECTIVE:The aim of this study was to e...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-169638
更新日期:2018-01-01 00:00:00
abstract::We have presented a patient of 71-year-age with brucellar spondylodiscitis, involving the cervical spine, especially the C3-C4 segment. The patient had painful percussion of the cervical spine and passive mobilization of the neck, decreased range of motion, and cervical paravertebral tenderness; but no abnormalities o...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-2009-0216
更新日期:2009-01-01 00:00:00
abstract::Understanding the principles of cross-training and periodization will assist the coach and team physician in designing training programs that maximize performance while minimizing risk of injury. Cross-training is defined as simultaneous training for two or more sports or the use of multiple modes of training to enhan...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-1996-6106
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The aim of this prospective, randomized controlled 6-month interventional trial was to investigate the effects of strengthening and high-impact exercise training on bone mineral density (BMD), bone turnover markers and health-related quality of life (HRQoL) in postmenopausal women. MATERIAL AN...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-130402
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Firefighters have a high incidence of low back pain and injury. OBJECTIVE:To describe lumbar multifidus and abdominal muscle size characteristics in firefighters and to compare these characteristics to normative reference ranges. METHODS:In career firefighters without current low back pain (62 males, 7 fem...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-140463
更新日期:2014-01-01 00:00:00
abstract::Alterations in body composition in chronic rhematologic disorders have been associated with decreased strength, altered energy metabolism and immunologic compromise and may provide a useful indicator of the severity of the disease. However, results of anthropometric parameter studies have been equivocal. The purpose o...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/bmr-2002-162-302
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVES:To summarize the current knowledge relating to diagnosing and treating Scheuermann's disease. Scheuermann's disease is the most common cause of structural kyphosis in adolescence. METHODS:A literature-based narrative review of English language medical literature. RESULTS AND CONCLUSIONS:Recent studies have...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,评审
doi:10.3233/BMR-140483
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Vitamin B12 and alpha lipoic acid (ALA) are known to promote functional and morphological recovery after peripheral nerve injury. OBJECTIVE:To compare the regenerative and neuroprotective effects of vitamin B12 and ALA treatment after sciatic nerve injury. METHODS:A total of 40 rats were randomly assigned ...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-150386
更新日期:2017-09-22 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Shortened hamstring muscle length has been noted in persons with low back pain (LBP). Prolonged sitting postures, such as those adopted during different work settings and sedentary lifestyle has been associated with hamstring shortness and LBP. The purpose of this study was to investigate the ...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-130420
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Exercises are usually prescribed in association with orthotic intervention for management of idiopathic scoliosis, however the role of these exercises on the efficacy of brace and/or balance is not clear yet. OBJECTIVES:To investigate the role of exercise (the Blount and Moe protocol) on static balance and ...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-181128
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Tension tests or neurodynamic techniques assess the mobility of the peripheral nerves and provide a guide for planning and managing physiotherapy treatments of entrapment syndromes such as carpal tunnel syndrome (CTS). One of the upper limb tension tests (ULTT) is ULTT1 that evaluates the effic...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-2012-0330
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Sensitive muscle strength tests are needed to measure muscle strength in the diagnosis and management of sciatica patients. OBJECTIVE:The aim of this study was to assess the isokinetic muscle strength in sciatica patients' and control subjects' ankles that exhibited normal ankle muscle strength when measure...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-130392
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:There is a growing need to identify patient pre-treatment characteristics that could predict adherence and outcome following specific interventions. OBJECTIVE:To identify predictors of adherence and outcome to outpatient multimodal rehabilitation in chronic low back pain (CLBP). METHODS:A total of 273 CLBP...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-181125
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Kinesio taping (KT) is a new taping modality frequently used in the clinical setting. However there is contradictory evidence about its effectiveness in patients with neck pain. OBJECTIVE:To determine the effectiveness of KT as a supplementary treatment in addition to conventional rehabilitation in patients...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-170835
更新日期:2018-01-01 00:00:00
abstract::The article describes the case of 35 year old female who was admitted to the department with saddle type hypoesthesia, anal incontinence without muscle weakness of lower extremities and sciatica. Central lumbar disc herniation (LDH) was determined on level L5-S1 level and the patient was operated thereafter. In the po...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-2011-0303
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:The Flexi-Bar and Bodyblade are oscillatory tools used in rehabilitation centers worldwide to enhance muscle activity. Because of a lack of reports on the Flexi-Bar, this study focused on erector spinae (ES) muscle activation under different conditions. METHODS:Twelve university students (age 21 ± 2.5 years...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 临床试验,杂志文章
doi:10.3233/BMR-171011
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:This study aims to evaluate the effect of high intensity laser therapy (HILT) in patients with lumbar disc protrusion (LDP). METHODS:This study included 63 patients suffering from protrusion of lumbar intervertebral disc; they were divided into Groups 1 (n= 32) and 2 (n= 31). Group 1 was treated with HILT an...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-170793
更新日期:2018-02-06 00:00:00
abstract:BACKGROUND:Spinal accessory nerve (SAN) injury can be an overlooked cause of scapular winging and shoulder dysfunction. The most common etiology is iatrogenic injury following surgical procedures at the posterior triangle of the neck. We present three cases of isolated injury to the SAN following trauma. OBJECTIVE:To ...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-160674
更新日期:2016-11-21 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Spinal canal stenosis is the most common reason for spinal surgeries in patients over 65 years of age. The aim of the study was to assess static balance in patients prior to and after surgical decompression of lumbar spinal canal stenosis. MATERIAL AND METHODS:The study population consisted o...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-150646
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to compare the plantar foot pressure and the center of pressure (COP) pathway of normal and flat feet while crossing an obstacle at different heights. METHODS:Nineteen subjects (10 normal feet, 9 flat feet) participated in this study. The plantar foot surface was divided into the...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-130449
更新日期:2015-01-01 00:00:00