Percutaneous epidural adhesiolysis using spring-guide catheter for axial low back pain without leg pain: a case report

DOI
  • NAGATA Takako
    Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine
  • YUBA Tomoo
    Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine
  • TAKAHASHI Ayako
    Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine Center for Pain Management, Osaka University Hospital
  • HAKATA Saya
    Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine
  • MATSUDA Yoichi
    Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine Center for Pain Management, Osaka University Hospital

Bibliographic Information

Other Title
  • 下肢痛のない慢性軸性腰痛にスプリングガイドカテーテルによる経皮的硬膜外腔癒着剥離術が著効した1例

Abstract

<p>Percutaneous epidural adhesiolysis (PEA) is performed to manage low back pain and leg pain due to degenerative lumbar disease including failed back surgery syndrome (FBSS). There are no detailed reports on its effectiveness in patients with axial low back pain lacking leg pain. We present a case of chronic axial low back pain that was completely cured by PEA using a spring-guide catheter. A 28-year-old Japanese man had a history of three-times surgery for L4/5 lumbar disc herniation, and although the pain in his lower extremities disappeared, the left low back pain did not improve and persisted for a long time. Transforaminal epidurography indicated adhesion of the left ventral epidural space at the lower border of the L4 vertebral body, then PEA with spring-guide catheter methods markedly relieved the pain immediately after the procedure without any recurrence. PEA following concurrent epidurography may be an effective treatment even for FBSS causing axial low back pain without leg pain.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390861228319670016
  • DOI
    10.11321/jjspc.23-0039
  • ISSN
    18841791
    13404903
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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