PMID- 36326376
OWN - NLM
STAT- MEDLINE
DCOM- 20221107
LR  - 20230802
IS  - 1303-6165 (Electronic)
IS  - 1300-0144 (Print)
IS  - 1300-0144 (Linking)
VI  - 52
IP  - 4
DP  - 2022 Aug
TI  - Factors associated with treatment success after combined transforaminal epidural 
      steroid injection and dorsal root ganglion pulsed radiofrequency treatment in 
      patients with chronic lumbar radicular pain.
PG  - 1241-1248
LID - 10.55730/1300-0144.5429 [doi]
AB  - BACKGROUND: The aim of the study is to identify predictors of treatment success 
      with combined transforaminal epidural steroid injection (TFESI) and dorsal root 
      ganglion pulsed radiofrequency (DRG-PRF) in patients with lumbar radicular pain 
      (LRP) associated with lumbar disc herniation. METHODS: The study included 48 
      patients with herniation-related LRP who underwent TFESI and DRG-PRF treatment 
      between November 1, 2020 and April 30, 2021. Patient age, sex, symptom duration, 
      history of lumbar surgery, and numeric rating scale (NRS) pain scores before and 
      at 10 days, 1 month, and 3 months after treatment were evaluated retrospectively. 
      Treatment success was defined as >/=50% improvement or a 4-point decrease in NRS 
      score at 3 months. RESULTS: Twenty-nine female and 19 male patients with a mean 
      age of 51.54 +/- 13.31 years were analyzed. The median symptom duration was 6 
      (interquartile range: 8.50) months. Symptom duration did not affect treatment 
      success (p = 0.105). History of spinal surgery was more common among patients 
      with failed treatment but was not statistically associated with treatment 
      success. A 1-unit increase in pre-treatment NRS score was associated with 72% 
      lower odds of treatment success (p = 0.022), while a 1-unit increase in NRS score 
      on post-treatment day 10 compared to the pre-treatment value was associated with 
      95% lower odds of treatment success (p = 0.008). DISCUSSION: Symptom duration and 
      history of spinal surgery were not predictive of treatment success with combined 
      TFESI and DRGPRF for herniation-related LRP. However, the 3-month prognosis was 
      significantly better for patients with a marked reduction in NRS score at 10 
      days.
FAU - Turkyilmaz, Gulcin Gazioglu
AU  - Turkyilmaz GG
AD  - Department of Pain Medicine, Bursa City Hospital, Bursa, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20220810
PL  - Turkey
TA  - Turk J Med Sci
JT  - Turkish journal of medical sciences
JID - 9441758
RN  - 0 (Steroids)
SB  - IM
MH  - Humans
MH  - Male
MH  - Female
MH  - Adult
MH  - Middle Aged
MH  - Infant, Newborn
MH  - *Pulsed Radiofrequency Treatment
MH  - Ganglia, Spinal
MH  - *Radiculopathy/therapy/complications
MH  - Retrospective Studies
MH  - *Low Back Pain/therapy
MH  - Back Pain
MH  - Treatment Outcome
MH  - Steroids/therapeutic use
MH  - Injections, Epidural
MH  - Lumbar Vertebrae
PMC - PMC10387851
OTO - NOTNLM
OT  - Transforaminal epidural steroid injection
OT  - dorsal root ganglion
OT  - numeric rating scale
OT  - pulsed radiofrequency treatment
OT  - umbar radicular pain
EDAT- 2022/11/04 06:00
MHDA- 2022/11/08 06:00
PMCR- 2022/06/26
CRDT- 2022/11/03 09:24
PHST- 2021/10/31 00:00 [received]
PHST- 2022/06/26 00:00 [accepted]
PHST- 2022/11/03 09:24 [entrez]
PHST- 2022/11/04 06:00 [pubmed]
PHST- 2022/11/08 06:00 [medline]
PHST- 2022/06/26 00:00 [pmc-release]
AID - turkjmedsci-52-4-1241 [pii]
AID - 10.55730/1300-0144.5429 [doi]
PST - ppublish
SO  - Turk J Med Sci. 2022 Aug;52(4):1241-1248. doi: 10.55730/1300-0144.5429. Epub 2022 
      Aug 10.