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Spinal Injections: A Narrative Review from a Surgeon’s Perspective

Spinal pain is one of most frequent complaints of the general population, which can cause decreased activities of daily living and absence from work. Among numerous therapeutic methods, spinal injection is one of the most effective treatments for spinal pain and is currently widely applied in the cl...

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Autores principales: Shin, Dong Ah, Choo, Yoo Jin, Chang, Min Cheol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10454431/
https://www.ncbi.nlm.nih.gov/pubmed/37628553
http://dx.doi.org/10.3390/healthcare11162355
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author Shin, Dong Ah
Choo, Yoo Jin
Chang, Min Cheol
author_facet Shin, Dong Ah
Choo, Yoo Jin
Chang, Min Cheol
author_sort Shin, Dong Ah
collection PubMed
description Spinal pain is one of most frequent complaints of the general population, which can cause decreased activities of daily living and absence from work. Among numerous therapeutic methods, spinal injection is one of the most effective treatments for spinal pain and is currently widely applied in the clinical field. In this review, spinal injection is discussed from a surgeon’s perspective. Recently, although the number of spinal surgeries has been increasing, questions are arising as to whether they are necessary. The failure rate after spinal surgery is high, and its long-term outcome was reported to be similar to spinal injection. Thus, spinal surgeries should be performed conservatively. Spinal injection is largely divided into diagnostic and therapeutic blocks. Using diagnostic blocks, such as the diagnostic selective nerve root block, disc stimulation test, and diagnostic medial branch block (MBB), the precise location causing the pain can be confirmed. For therapeutic blocks, transforaminal nerve root injection, therapeutic MBB, and percutaneous epidural neuroplasty are used. When unbearable spinal pain persists despite therapeutic spinal injections, spinal surgeries can be considered. Spinal injection is usefully used to identify the precise location prior to a patient undergoing injection treatment or surgery and can reduce pain and improve quality of life, and help to avoid spinal surgery. Pain physicians should treat patients with spinal pain by properly utilizing spinal injection.
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spelling pubmed-104544312023-08-26 Spinal Injections: A Narrative Review from a Surgeon’s Perspective Shin, Dong Ah Choo, Yoo Jin Chang, Min Cheol Healthcare (Basel) Review Spinal pain is one of most frequent complaints of the general population, which can cause decreased activities of daily living and absence from work. Among numerous therapeutic methods, spinal injection is one of the most effective treatments for spinal pain and is currently widely applied in the clinical field. In this review, spinal injection is discussed from a surgeon’s perspective. Recently, although the number of spinal surgeries has been increasing, questions are arising as to whether they are necessary. The failure rate after spinal surgery is high, and its long-term outcome was reported to be similar to spinal injection. Thus, spinal surgeries should be performed conservatively. Spinal injection is largely divided into diagnostic and therapeutic blocks. Using diagnostic blocks, such as the diagnostic selective nerve root block, disc stimulation test, and diagnostic medial branch block (MBB), the precise location causing the pain can be confirmed. For therapeutic blocks, transforaminal nerve root injection, therapeutic MBB, and percutaneous epidural neuroplasty are used. When unbearable spinal pain persists despite therapeutic spinal injections, spinal surgeries can be considered. Spinal injection is usefully used to identify the precise location prior to a patient undergoing injection treatment or surgery and can reduce pain and improve quality of life, and help to avoid spinal surgery. Pain physicians should treat patients with spinal pain by properly utilizing spinal injection. MDPI 2023-08-21 /pmc/articles/PMC10454431/ /pubmed/37628553 http://dx.doi.org/10.3390/healthcare11162355 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Shin, Dong Ah
Choo, Yoo Jin
Chang, Min Cheol
Spinal Injections: A Narrative Review from a Surgeon’s Perspective
title Spinal Injections: A Narrative Review from a Surgeon’s Perspective
title_full Spinal Injections: A Narrative Review from a Surgeon’s Perspective
title_fullStr Spinal Injections: A Narrative Review from a Surgeon’s Perspective
title_full_unstemmed Spinal Injections: A Narrative Review from a Surgeon’s Perspective
title_short Spinal Injections: A Narrative Review from a Surgeon’s Perspective
title_sort spinal injections: a narrative review from a surgeon’s perspective
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10454431/
https://www.ncbi.nlm.nih.gov/pubmed/37628553
http://dx.doi.org/10.3390/healthcare11162355
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