epidural injections

Summary

Summary: The injection of drugs, most often analgesics, into the spinal canal without puncturing the dura mater.

Top Publications

  1. ncbi Efficacy of epidural injections of Kenalog and Celestone in the treatment of lower back pain
    Jeffrey Stanczak
    Department of Radiology, Division of Musculoskeletal Imaging, University of Wisconsin Hospitals and Clinics, Clinical Science Center E3 311, 600 Highland Ave, Madison, WI 53792 3252, USA
    AJR Am J Roentgenol 181:1255-8. 2003
  2. ncbi Treatment of lumbosacral radicular pain with epidural steroid injections
    P J Papagelopoulos
    A' Department of Orthopedics, Athens University Medical School, Greece
    Orthopedics 24:145-9. 2001
  3. ncbi Lumbar epidural steroid injections
    Stuart M Weinstein
    Puget Sound Sports and Spine Physicians, 1600 E Jefferson, Suite 401, Seattle, WA 98122 5467, USA
    Spine J 3:37S-44S. 2003
  4. ncbi Spinal manipulation, epidural injections, and self-care for sciatica: a pilot study for a randomized clinical trial
    Gert Bronfort
    Wolfe Harris Center for Clinical Studies, Northwestern Health Sciences University, Bloomington, MN 55431, USA
    J Manipulative Physiol Ther 27:503-8. 2004
  5. ncbi CT fluoroscopy-guided epidural injections: technique and results
    Andrew L Wagner
    Department of Radiology, Rockingham Memorial Hospital, 235 Cantrell Avenue, Harrisonburg, FL 22801, USA
    AJNR Am J Neuroradiol 25:1821-3. 2004
  6. ncbi The effectiveness of fluoroscopic cervical interlaminar epidural injections in managing chronic cervical disc herniation and radiculitis: preliminary results of a randomized, double-blind, controlled trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:223-36. 2010
  7. ncbi Analysis of the growth of epidural injections and costs in the Medicare population: a comparative evaluation of 1997, 2002, and 2006 data
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:199-212. 2010
  8. ncbi Effective dose of CT- and fluoroscopy-guided perineural/epidural injections of the lumbar spine: a comparative study
    Gebhard Schmid
    Department of Radiology and Nuclear Medicine, Johanna Etienne Krankenhaus, Neuss, Germany
    Cardiovasc Intervent Radiol 29:84-91. 2006
  9. doi Injectate volumes needed to reach specific landmarks in lumbar transforaminal epidural injections
    Michael B Furman
    Orthopaedic and Spine Specialists, 1855 Powder Mill Road, York, PA 17403, USA
    PM R 2:625-35. 2010
  10. ncbi Epidural steroid injection for nerve root compression. A randomised, controlled trial
    J Wilson-MacDonald
    Nuffield Orthopaedic Hospital, Headington, Oxford, England, UK
    J Bone Joint Surg Br 87:352-5. 2005

Research Grants

Detail Information

Publications182 found, 100 shown here

  1. ncbi Efficacy of epidural injections of Kenalog and Celestone in the treatment of lower back pain
    Jeffrey Stanczak
    Department of Radiology, Division of Musculoskeletal Imaging, University of Wisconsin Hospitals and Clinics, Clinical Science Center E3 311, 600 Highland Ave, Madison, WI 53792 3252, USA
    AJR Am J Roentgenol 181:1255-8. 2003
    ..We retrospectively reviewed 597 patients who had epidural corticosteroid injections to determine any difference in Kenalog or Celestone efficacy...
  2. ncbi Treatment of lumbosacral radicular pain with epidural steroid injections
    P J Papagelopoulos
    A' Department of Orthopedics, Athens University Medical School, Greece
    Orthopedics 24:145-9. 2001
    ..Early pain relief may be anticipated after epidural steroid injections in 80% of patients with radicular symptoms due to disk herniation or spinal stenosis...
  3. ncbi Lumbar epidural steroid injections
    Stuart M Weinstein
    Puget Sound Sports and Spine Physicians, 1600 E Jefferson, Suite 401, Seattle, WA 98122 5467, USA
    Spine J 3:37S-44S. 2003
  4. ncbi Spinal manipulation, epidural injections, and self-care for sciatica: a pilot study for a randomized clinical trial
    Gert Bronfort
    Wolfe Harris Center for Clinical Studies, Northwestern Health Sciences University, Bloomington, MN 55431, USA
    J Manipulative Physiol Ther 27:503-8. 2004
    ..To assess the feasibility of recruiting sciatica patients and to evaluate their compliance in preparation for a full-scale randomized clinical trial. We also aimed to determine the responsiveness of key outcome measures...
  5. ncbi CT fluoroscopy-guided epidural injections: technique and results
    Andrew L Wagner
    Department of Radiology, Rockingham Memorial Hospital, 235 Cantrell Avenue, Harrisonburg, FL 22801, USA
    AJNR Am J Neuroradiol 25:1821-3. 2004
    Lumbar epidural injections are typically performed blindly or with fluoroscopic guidance...
  6. ncbi The effectiveness of fluoroscopic cervical interlaminar epidural injections in managing chronic cervical disc herniation and radiculitis: preliminary results of a randomized, double-blind, controlled trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:223-36. 2010
    ..Cervical epidural injections for managing chronic neck pain with disc herniation are one of the commonly performed non-surgical ..
  7. ncbi Analysis of the growth of epidural injections and costs in the Medicare population: a comparative evaluation of 1997, 2002, and 2006 data
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:199-212. 2010
    ..b>Epidural injections and facet joint interventions are the 2 most commonly utilized procedures in interventional pain management...
  8. ncbi Effective dose of CT- and fluoroscopy-guided perineural/epidural injections of the lumbar spine: a comparative study
    Gebhard Schmid
    Department of Radiology and Nuclear Medicine, Johanna Etienne Krankenhaus, Neuss, Germany
    Cardiovasc Intervent Radiol 29:84-91. 2006
    The objective of this study was to compare the effective radiation dose of perineural and epidural injections of the lumbar spine under computed tomography (CT) or fluoroscopic guidance with respect to dose-reduced protocols...
  9. doi Injectate volumes needed to reach specific landmarks in lumbar transforaminal epidural injections
    Michael B Furman
    Orthopaedic and Spine Specialists, 1855 Powder Mill Road, York, PA 17403, USA
    PM R 2:625-35. 2010
    To identify the volumes of contrast material needed to reach specific landmarks during lumbar transforaminal epidural injections (L-TFEIs).
  10. ncbi Epidural steroid injection for nerve root compression. A randomised, controlled trial
    J Wilson-MacDonald
    Nuffield Orthopaedic Hospital, Headington, Oxford, England, UK
    J Bone Joint Surg Br 87:352-5. 2005
    ..There was a significant reduction in pain early on in those having an epidural steroid injection but no difference in the long term between the two groups. The rate of subsequent operation in the groups was similar...
  11. ncbi Preliminary results of a randomized, equivalence trial of fluoroscopic caudal epidural injections in managing chronic low back pain: Part 3--Post surgery syndrome
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 11:817-31. 2008
    ..b>Epidural injections are most commonly used in post surgery syndrome...
  12. doi Efficacy of steroid and nonsteroid caudal epidural injections for low back pain and sciatica: a prospective, randomized, double-blind clinical trial
    Fares E Sayegh
    3rd Orthopaedic Department, Aristotle University of Thessaloniki Medical School, Papageorgiou General Hospital, Thessaloniki, Greece
    Spine (Phila Pa 1976) 34:1441-7. 2009
    ..Prospective, double-blind, randomized, case-control study...
  13. ncbi Complications of fluoroscopically guided interlaminar cervical epidural injections
    Kenneth P Botwin
    Florida Spine Institute, Clearwater, FL, USA
    Arch Phys Med Rehabil 84:627-33. 2003
    To assess the incidence of complications of fluoroscopically guided interlaminar cervical epidural injections.
  14. ncbi Preliminary results of a randomized, equivalence trial of fluoroscopic caudal epidural injections in managing chronic low back pain: Part 4--Spinal stenosis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 11:833-48. 2008
    ..the United States, one of the most commonly performed interventions for managing chronic low back pain are epidural injections, including their use for spinal stenosis...
  15. ncbi The preliminary results of a comparative effectiveness evaluation of adhesiolysis and caudal epidural injections in managing chronic low back pain secondary to spinal stenosis: a randomized, equivalence controlled trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 12:E341-54. 2009
    Lumbar surgery and epidural injections for spinal stenosis are the most commonly performed interventions in the United States. However, there is only moderate evidence to the effectiveness of surgery and caudal epidural injections...
  16. doi Intravascular flow patterns in transforaminal epidural injections: a comparative study of the cervical and lumbar vertebral segments
    Do Wan Kim
    Department of Anesthesiology and Pain Medicine, Pain Clinic, College of Medicine, Ajou University, Suwon, Korea
    Anesth Analg 109:233-9. 2009
    ..One of the presumptive reasons for this complication is inadvertent intravascular injection. We sought to identify the incidence of intravascular injections in cervical and lumbar spinal segments during TEI...
  17. ncbi Incidence of simultaneous epidural and vascular injection during lumbosacral transforaminal epidural injections
    Matthew Smuck
    Department of Physical Medicine and Rehabilitation, The Spine Program, University of Michigan, Suite 202, 325 E Eisenhower Pkwy, Ann Arbor, MI 48108 0744, USA
    Spine J 7:79-82. 2007
    ..of vascular penetration during contrast confirmed fluoroscopically guided transforaminal lumbosacral epidural injections has been reported as 8.9% to 21.3% depending on the level of injection...
  18. ncbi Preganglionic approach to transforaminal epidural steroid injections
    Henry L Lew
    Physical Medicine and Rehabilitation Service, VA Palo Alto Health Care System, Stanford University School of Medicine, Palo Alto, California, USA
    Am J Phys Med Rehabil 83:378. 2004
  19. ncbi Efficacy of transforaminal versus interspinous corticosteroid injectionin discal radiculalgia - a prospective, randomised, double-blind study
    E Thomas
    Lapeyronie Hospital, Montpellier, France
    Clin Rheumatol 22:299-304. 2003
    ..In recent discal radiculalgia, the efficacy of radio-guided transforaminal epidural corticosteroid injections was higher than that obtained with blindly-performed interspinous injections...
  20. pmc Transforaminal epidural steroid injection for lumbosacral radiculopathy: preganglionic versus conventional approach
    Joon Woo Lee
    Department of Radiology, Seoul National University Bundang Hospital, Gyeongi do, Korea
    Korean J Radiol 7:139-44. 2006
    ....
  21. doi Ultrasound as a screening tool for proceeding with caudal epidural injections
    Carl P Chen
    Department of Physical Medicine, Chang Gung Memorial Hospital at Linkou, and College of Medicine, Chang Gung University, Kwei Shan, Tao Yuan County, Taiwan
    Arch Phys Med Rehabil 91:358-63. 2010
    ..To study the anatomical structure of the sacral hiatus using ultrasound. Based on the sonographic images of the sacral hiatus, the feasibility of caudal epidural injection can then be assessed...
  22. ncbi A controlled study of caudal epidural injections of triamcinolone plus procaine for the management of intractable sciatica
    K Bush
    Department of Rheumatology, Royal Free Hospital, London
    Spine (Phila Pa 1976) 16:572-5. 1991
    ..This preliminary study assesses the efficacy of epidural injections of 80 mg triamcinolone acetonide plus 0...
  23. ncbi Distant skip level discitis and vertebral osteomyelitis after caudal epidural injection: a case report of a rare complication of epidural injections
    Wai Mun Yue
    Department of Orthopaedic Surgery, Singapore General Hospital, Singapore
    Spine (Phila Pa 1976) 28:E209-11. 2003
    ..A case report of distant discitis and vertebral osteomyelitis involving skip levels after caudal epidural steroid injection...
  24. ncbi Fluoroscopically guided interlaminar cervical epidural injections
    Ronald Lieberman
    Arch Phys Med Rehabil 84:1568-9; author reply 1569. 2003
  25. ncbi Preliminary results of a randomized, equivalence trial of fluoroscopic caudal epidural injections in managing chronic low back pain: Part 2--Disc herniation and radiculitis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 11:801-15. 2008
    ..The prevalence of sciatica or radiculitis ranges from 1.2% to 43%. Epidural injections are one of the most commonly performed interventions in the United States in managing chronic low back and ..
  26. doi Size and aggregation of corticosteroids used for epidural injections
    Richard Derby
    Spinal Diagnostics and Treatment Center, Daly City, California, USA
    Pain Med 9:227-34. 2008
    ..One might assume that corticosteroids with particles significantly smaller than red blood cells might be safer...
  27. doi Is the outcome of caudal epidural injections affected by patient positioning?
    Daoud Makki
    Department of Trauma and Orthopaedic Surgery, Princess Alexandra Hospital NHS Trust, Hamstel Road, Harlow, Essex, United Kingdom
    Spine (Phila Pa 1976) 35:E687-90. 2010
    ..A prospective, randomized controlled trial...
  28. doi Accuracy of intermittent fluoroscopy to detect intravascular injection during transforaminal epidural injections
    Matthew Smuck
    Department of Physical Medicine and Rehabilitation, The Spine Program, University of Michigan, Ann Arbor, Michigan, USA
    Spine (Phila Pa 1976) 33:E205-10. 2008
    ..Prospective validity study...
  29. ncbi [(Modic) signal alterations of vertebral endplates and their correlation to a minimally invasive treatment of lumbar disc herniation using epidural injections]
    J P Liphofer
    Institut für Diagnostische und Interventionelle Radiologie und Nuklearmedizin, St Josef Hospital Bochum
    Rofo 178:1105-14. 2006
    ..influence of (Modic) signal alterations (SA) of the cartilage endplate (CEP) of vertebrae L3-S1 on the outcome of an in-patient minimally invasive treatment (MIT) using epidural injections on patients with lumbar disc herniation (LDH).
  30. ncbi Anatomy of the cervical intervertebral foramina: vulnerable arteries and ischemic neurologic injuries after transforaminal epidural injections
    Marc A Huntoon
    Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
    Pain 117:104-11. 2005
    ..Critical arteries are located in the posterior aspect of the intervertebral foramen and may be vulnerable to injection or injury during transforaminal epidural steroid injection...
  31. ncbi Preliminary results of a randomized, equivalence trial of fluoroscopic caudal epidural injections in managing chronic low back pain: Part 1--Discogenic pain without disc herniation or radiculitis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 11:785-800. 2008
    ..Even though epidural injections are frequently administered in managing axial low back pain, the evidence is lacking.
  32. ncbi Interlaminar versus transforaminal epidural injections for the treatment of symptomatic lumbar intervertebral disc herniations
    Michael K Schaufele
    The Emory Spine Center, Emory University School of Medicine, Atlanta, Georgia 30329, USA
    Pain Physician 9:361-6. 2006
    ..Transforaminal epidural injections are believed to produce better clinical outcomes than interlaminar epidural injections.
  33. ncbi Transforaminal epidural steroid injections in lumbosacral radiculopathy: a prospective randomized study
    Vijay B Vad
    The Hospital for Special Surgery, New York, New York 10021, USA
    Spine (Phila Pa 1976) 27:11-6. 2002
    ..A prospective study randomized by patient choice from the private practice of a single physician affiliated with a major teaching hospital was conducted...
  34. ncbi Dural puncture and subdural injection: a complication of lumbar transforaminal epidural injections
    Bradly S Goodman
    University of Missouri, Columbia, Alabama Orthopedic Spine, and Sports Medicine Associates, Birmingham, AL 35235, USA
    Pain Physician 10:697-705. 2007
    ..The hazard of dural puncture during transforaminal epidural injections, the anatomy of the dural and thecal sac, the potential for subdural injections, and relevant literature ..
  35. ncbi Epidural injections for the treatment of symptomatic lumbar herniated discs
    Jeffrey C Wang
    UCLA Department of Orthopaedic Surgery, UCLA School of Medicine, Los Angeles, California 90095 6902, USA
    J Spinal Disord Tech 15:269-72. 2002
    ..Patients treated with injections may be able to avoid surgical treatment up to this period and perhaps even longer...
  36. ncbi Comparison of perioperative analgesic protocols for dogs undergoing tibial plateau leveling osteotomy
    Michael G Hoelzler
    Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN 37901, USA
    Vet Surg 34:337-44. 2005
    ....
  37. ncbi Procedure-based nonsurgical management of lumbar zygapophyseal joint cyst-induced radicular pain
    Steven R Sabers
    Department of Physical Medicine and Rehabilitation, Mayo Medical School, Rochester, MN 55905, USA
    Arch Phys Med Rehabil 86:1767-71. 2005
    ....
  38. ncbi Interaoperative use of epidural methylprednisolone or bupivacaine for postsurgical lumbar discectomy pain relief: a randomized, placebo-controlled trial
    Iraj Lotfinia
    Department of Neurosurgical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
    Ann Saudi Med 27:279-83. 2007
    ..The present study was meant to compare the effects of the intraoperative administration of epidural methylprednisolone and bupivacaine with that of normal saline (placebo) in lumbar disc surgery for postoperative pain control...
  39. ncbi Successful treatment of phantom radiculopathy with fluoroscopic epidural steroid injections
    Steve M Aydin
    New York University Pain Management Center, New York, New York 10016, USA
    Pain Med 6:266-8. 2005
    ..We present a patient who experienced new-onset lumbar radiculopathy superimposed on her phantom pain that was successfully treated with fluoroscopic interlaminar and transforaminal epidural steroid injections...
  40. ncbi Role of psoas compartment and caudal epidural steroid injection in spinal stenosis patients associated with low back pain and lower limb radiculopathy
    Mueen Ullah Khan
    Department of Anaesthesia and Intensive Care, Aga Khan University
    J Pak Med Assoc 58:490-3. 2008
    ..To study the efficacy, safety and patient satisfaction of psoas compartment and caudal epidural steroid injection in patients with spinal stenosis and lumbosaccral radiculopathy...
  41. ncbi Epidural local anesthetic plus corticosteroid for the treatment of cervical brachial radicular pain: single injection versus continuous infusion
    Alberto Pasqualucci
    Department of Anesthesiology and Intensive Care, University of Perugia, Italy
    Clin J Pain 23:551-7. 2007
    ..Efficacy of epidural local anesthetics plus steroids for the treatment of cervicobrachial pain is uncertain...
  42. doi The effect of thoracic epidural bupivacaine and an intravenous adrenaline infusion on gastric tube blood flow during esophagectomy
    Omar Y Al-Rawi
    Department of Anaesthesia, Cardiothoracic Centre, Thomas Drive, Liverpool L14 3PE, UK
    Anesth Analg 106:884-7, table of contents. 2008
    ..Gastric tube necrosis is a major cause of anastomotic leak after esophagectomy. A correlation has been shown between reduced flux at the anastomotic end of the gastric tube and anastomotic leaks...
  43. ncbi Assessment: use of epidural steroid injections to treat radicular lumbosacral pain: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology
    Laxmaiah Manchikanti
    Neurology 69:1190; author reply 1190-1. 2007
  44. ncbi [Advantage of ropivacaine for postoperative epidural analgesia following leg orthopedic surgery]
    Akifumi Kanai
    Department of Anesthesiology, Kitasato University School of Medicine, Sagamihara 228 8555
    Masui 54:8-13. 2005
    ..The present study was therefore performed to investigate the analgesic effect of continuous postoperative epidural infusion of ropivacaine with fentanyl in comparison with that of bupivacaine or ropivacaine alone...
  45. ncbi Priapism--a rare complication following continuous epidural morphine and bupivacaine infusion
    Xiulu Ruan
    Physicians, Pain Specialists of Alabama, Mobile, AL 36607, USA
    Pain Physician 10:707-11. 2007
    ....
  46. ncbi The use of electromyography to predict functional outcome following transforaminal epidural spinal injections for lumbar radiculopathy
    David E Fish
    Department of Orthopedics, UCLA School of Medicine, Los Angeles, California 90404, USA
    J Pain 9:64-70. 2008
    ..diagnostic evaluation can predict functional outcome in patients undergoing transforaminal lumbar spine epidural injections. In this retrospective study, functional outcome by Oswestry Disability Index (ODI) and verbal rating scale ..
  47. ncbi [Comparison of clinical effectiveness of thoracic epidural and intravenous patient-controlled analgesia for the treatment of rib fractures pain in intensive care unit]
    Ismet Topcu
    Department of Anesthesiology and Reanimation, Medicine Faculty of Celal Bayar University, Manisa, Turkey
    Ulus Travma Acil Cerrahi Derg 13:205-10. 2007
    ..The results of thoracic epidural and systemic patient controlled analgesia practice were evaluated retrospectively in patients with thoracic trauma...
  48. ncbi Spinal manipulation postepidural injection for lumbar and cervical radiculopathy: a retrospective case series
    Paul Dougherty
    New York Chiropractic College, Seneca Falls, NY 13148, USA
    J Manipulative Physiol Ther 27:449-56. 2004
    ..To describe the safety and potential therapeutic benefit of spinal manipulation postepidural injection in the nonsurgical treatment of patients with cervical and lumbar radiculopathy...
  49. ncbi Fluoroscopically guided caudal epidural steroid injections in degenerative lumbar spine stenosis
    Kenneth Botwin
    Florida Spine Institute, Clearwater, FL 33765, USA contactus floridaspineinstitute com
    Pain Physician 10:547-58. 2007
    ..Search revealed no prospective studies evaluating the effectiveness of fluoroscopically guided caudal epidural injections on patients with bilateral radicular pain from degenerative lumbar spinal stenosis.
  50. ncbi Increases in lumbosacral injections in the Medicare population: 1994 to 2001
    Janna Friedly
    Department of Rehabilitation Medicine, University of Washington, Harborview Medical Center, Seattle, WA 98127, USA
    Spine (Phila Pa 1976) 32:1754-60. 2007
    ..Anecdotal reports and limited data suggest that the use of spinal injections is increasing, despite equivocal evidence about efficacy...
  51. ncbi Comparison of two doses of ropivacaine for lumbosacral epidural analgesia in buffalo calves (Bubalus bubalis)
    P Kinjavdekar
    Division of Surgery, Indian Veterinary Research Institute, Izatnagar 243122 UP, India
    Vet Rec 160:766-9. 2007
    ..05) below the baseline in the animals given 10 ml ropivacaine, but the rectal temperature, heart rate, mean arterial pressure, central venous pressure and acid-base and electrolyte parameters did not change significantly in either group...
  52. ncbi The efficacy of epidural analgesia after video-assisted thoracoscopic surgery: a randomized control study
    Masakazu Yoshioka
    Department of Thoracic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan
    Ann Thorac Cardiovasc Surg 12:313-8. 2006
    ..However, it has not yet been established whether epidural anesthesia/analgesia (EA) is necessary after VATS. We therefore conducted a randomized control study to examine whether or not EA is necessary for pain control after VATS...
  53. ncbi Influence of needle position on lumbar segmental nerve root block selectivity
    André P Wolff
    Pain Centre, Department of Anesthesiology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Reg Anesth Pain Med 31:523-30. 2006
    ..Study aims include assessment of epidural local anesthetic spread and its relationship to needle position during fluoroscopy-assisted blocks...
  54. ncbi The effect of injection of two vs 10 mL saline on the subsequent spread and quality of epidural analgesia in parturients
    Sahar M Siddik-Sayyid
    Department of Anesthesiology, American University of Beirut Medical Center, POB 11 0236, Beirut, Lebanon
    J Clin Anesth 18:575-9. 2006
    ..To determine whether two vs 10 mL of saline injected into the epidural space affects the subsequent spread and quality of epidural analgesia in parturients...
  55. ncbi Epidural lidocaine induces dose-dependent neurologic injury in rats
    Tomoko Muguruma
    Department of Anesthesiology, Shimane University School of Medicine, Izumo City, Japan
    Anesth Analg 103:876-81. 2006
    ..In conclusion, these results suggest that epidural lidocaine causes dose-dependent neurotoxicity after continuous infusion in rats...
  56. ncbi Injectate temperature and discomfort during epidural injection
    J P Stone
    Int J Obstet Anesth 15:342-3. 2006
  57. ncbi [Treatment of degenerative chronic low back pain with fluoroscopically guided epidural procaine-corticosteroid injection]
    Slobodan Culafić
    Vojnomedicinska akademija, Institut za radiologiju, Beograd, Srbija
    Vojnosanit Pregl 65:507-11. 2008
    ..The aim of this study was to find out if fluoroscopically, guided epidural procaine-corticosteroid injection is effective in the treatment of degenerative chronic low back pain...
  58. ncbi Comparison of the temporary diagnostic relief of transforaminal epidural steroid injection approaches: conventional versus posterolateral technique
    I S Lee
    Department of Radiology, Seoul National University Bundang Hospital, Seongnam si, Korea
    AJNR Am J Neuroradiol 28:204-8. 2007
    ..The purpose of this study was to compare the temporary diagnostic relief and advantages of TFESI performed using the conventional and posterolateral approaches...
  59. ncbi Cauda equina syndrome after epidural steroid injection: a case report
    Ayten Bilir
    Department of Anaesthesiology and Reanimation, Osmangazi University Medical Faculty, Eskisehir, Turkey
    J Manipulative Physiol Ther 29:492.e1-3. 2006
    ..Cauda equina syndrome is a rare complication of epidural anesthesia. The following case is a report of cauda equina syndrome possibly caused by epidural injection of triamcinolone and bupivacaine...
  60. ncbi Peridural methylprednisolone and wound infiltration with bupivacaine for postoperative pain control after posterior lumbar spine surgery: a randomized double-blinded placebo-controlled trial
    Kitti Jirarattanaphochai
    Department of Orthopaedic, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
    Spine (Phila Pa 1976) 32:609-16; discussion 617. 2007
    ..A randomized, double-blind placebo controlled trial in multimodal analgesia for postoperative pain was conducted...
  61. ncbi Inadvertent discogram during epidural steroid injection: a case report
    Thomas E Schultz
    Frances Mahon Deaconess Hospital, Glasgow, Montana, USA
    AANA J 76:189-91. 2008
    ..This case study presents a situation in which a loss-of-resistance technique resulted in an inadvertent discogram...
  62. ncbi The efficacy of lumbar epidural steroid injections in patients with lumbar disc herniations
    William E Ackerman
    Pain Medicine Consultants P A, Little Rock, Arkansas 72223, USA
    Anesth Analg 104:1217-22, tables of contents. 2007
    ..In this study we sought to determine the efficacy of these techniques for the management of radicular pain associated with lumbar disk herniations...
  63. ncbi The effects of preoperative extradural bupivacaine and morphine on the stress response in dogs undergoing femoro-tibial joint surgery
    Sithembile Sibanda
    Department of Veterinary Surgery, University College Dublin, Dublin, Ireland
    Vet Anaesth Analg 33:246-57. 2006
    ..To evaluate the efficacy of preoperative extradural bupivacaine and morphine in attenuating the stress response in dogs undergoing femoro-tibial joint surgery...
  64. doi Spinal injection procedures: a review of concepts, controversies, and complications
    Manraj K S Heran
    Division of Neuroradiology, Vancouver General Hospital, University of British Columbia, 899 West 12th Avenue, Vancouver, BC, Canada
    Radiol Clin North Am 46:487-514, v-vi. 2008
    ..In this article, we attempt to highlight the biologic concepts on which these therapies are based, controversies that have arisen with their increasing use, and a description of complications that have been reported...
  65. ncbi An injection from the past: fluoroscopic evidence of remote injections of radiopaque substances
    Annu Navani
    Division of Pain Medicine, Department of Anesthesiology, Stanford University School of Medicine, Stanford, CA 94539, USA
    Reg Anesth Pain Med 31:82-5. 2006
    ..Although uncommon, residual effects from contrast agents used more than 2 decades ago are possible. This case report is to alert clinicians to the implications of residual oil-based ionic contrast agents in the intrathecal space...
  66. ncbi A randomized controlled trial of the anticatabolic effect of epidural analgesia and hypocaloric glucose
    Ralph Lattermann
    Department of Anesthesia, Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada
    Reg Anesth Pain Med 32:227-32. 2007
    ..The goal of the present study was to investigate whether epidural analgesia exerts a protein-sparing effect after colorectal surgery in the presence of hypocaloric glucose supply initiated with surgical skin incision...
  67. ncbi Incorrect needle position during lumbar epidural steroid administration: inaccuracy of loss of air pressure resistance and requirement of fluoroscopy and epidurography during needle insertion
    Walter S Bartynski
    Department of Radiology, Division of Neuroradiology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA
    AJNR Am J Neuroradiol 26:502-5. 2005
    ..Studies assessing efficacy of lumbar epidural steroid injection and individual patient treatments should ensure location of administration with epidurogram to enhance the validity of results...
  68. ncbi H-reflex latency and nerve root tension sign correlation in fluoroscopically guided, contrast-confirmed, translaminar lumbar epidural steroid-bupivacaine injections
    Michael F Stretanski
    Surgical Neurology of North Central Ohio, Mansfield, OH, USA
    Arch Phys Med Rehabil 85:1479-82. 2004
    ....
  69. ncbi Paralysis after transforaminal epidural injection and previous spinal surgery
    Marc A Huntoon
    Department of Anesthesiology, Division of Pain Medicine, Mayo Clinic, Rochester, MN 55905, USA
    Reg Anesth Pain Med 29:494-5. 2004
    ..This case discusses a rare but devastating complication of transforaminal epidural injection. Elements in the patient's history that may be risk factors are discussed...
  70. ncbi Epidural infusion pressure in degenerative spinal disease before and after epidural steroid therapy
    Stuart A Dunbar
    Department of Anestesia, Tufts University School of Medicine, Baystate Medical Center, Springfield, Massachusetts 01199, USA
    Anesth Analg 94:417-20, table of contents. 2002
    ..A significant decrease in inline epidural infusion pressure was observed after epidural steroid treatment. This change in pressure may indicate efficacy from epidural steroid injection...
  71. ncbi Nonaromatic hydroxylation of bupivacaine during continuous epidural infusion in man
    Robin Ledger
    School of Pharmacy, University of Otago, P O Box 913, Dunedin, New Zealand
    J Biochem Biophys Methods 57:105-14. 2003
    ..The metabolite previously identified as (S)-4'-hydroxybupivacaine was not hydroxylated on the xylyl group...
  72. ncbi Results of preemptive epidural administration of morphine with or without bupivacaine in dogs and cats undergoing surgery: 265 cases (1997-1999)
    Eric Troncy
    Faculte de Medecine Veterinaire, Universite de Montreal, Saint Hyacinthe, QC, Canada
    J Am Vet Med Assoc 221:666-72. 2002
    ....
  73. ncbi [Epidural analgesia during labor: intermittent bolus or patient controlled administration?]
    L De Eccher
    Dipartimento di Anestesia e Rianimazione Terapia Intensiva e Antalgica, U O Anestesia e Rianimazione Baroncini, Policlinico S Orsola Malpighi, Bologna, Italy
    Minerva Anestesiol 68:83-7. 2002
    ..The aim of the study was to compare efficacy and side effects produced by two techniques of epidural analgesia during labor: intermittent bolus and patient-controlled epidural analgesia...
  74. ncbi Fluoroscopically guided lumbar transformational epidural steroid injections in degenerative lumbar stenosis: an outcome study
    Kenneth P Botwin
    Florida Spine Institute, Clearwater, Florida 33765, USA
    Am J Phys Med Rehabil 81:898-905. 2002
    ..To identify the short- and long-term therapeutic benefit of fluoroscopically guided lumbar transforaminal epidural steroid injections in patients with radicular leg pain from degenerative lumbar stenosis...
  75. ncbi Image-guided epidural steroid injections
    Alyssa T Watanabe
    Deparment of Radiology, Long Beach Memorail Medical Center, Long Beach Memorial Hospital, Long Beach, CA 90806, USA
    Tech Vasc Interv Radiol 5:186-93. 2002
    ..The technique of performing these injections, including translaminar approach, is described in this article. Necessary precautions and potential risks are also described...
  76. ncbi The technical aspects of epidural steroid injections: a national survey
    Robert Cluff
    MGH Pain Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Anesth Analg 95:403-8, table of contents. 2002
    ..The study results indicate that there is no consensus, and that there is a wide variation in current practices...
  77. ncbi A comparison of the analgesic effects of caudal epidural methadone and lidocaine in the horse
    Veronika H Olbrich
    Clinic of Internal Medicine for Ungulates and Small Animals, University of Veterinary Medicine, Vienna, Austria
    Vet Anaesth Analg 30:156-64. 2003
    ..To evaluate and compare the effects of caudal epidural administration of methadone (METH) and lidocaine (LIDO) on tolerance to thermal stimulation over the dermatomes of the perineal, sacral, lumbar and thoracic regions in the horse...
  78. ncbi Caudal bupivacaine supplemented with caudal or intravenous clonidine in children undergoing hypospadias repair: a double-blind study
    T G Hansen
    Department of Anaesthesia and Intensive Care, Odense University Hospital, DK 5000 Odense C, Denmark
    Br J Anaesth 92:223-7. 2004
    ..Which route of administration of clonidine is the most beneficial remains unknown. We compared the effects of caudal and i.v. clonidine on postoperative analgesia produced by caudal bupivacaine after hypospadias repair...
  79. ncbi Morphofunctional changes in spinal cord neurons after epidural lidocaine
    N V Boikova
    Pathomorphology Laboratory, Science Research Center
    Neurosci Behav Physiol 34:597-601. 2004
    ..The changes recorded varied within the limits of physiological variation and provided evidence predominantly of the functional response of these nerve tissue structures to epidural injections of both sodium chloride and lidocaine.
  80. ncbi Lysis of adhesions and epidural injection of steroid/local anaesthetic during epiduroscopy potentially alleviate low back and leg pain in elderly patients with lumbar spinal stenosis
    T Igarashi
    Department of Anaesthesiology and Critical Care Medicine, Jichi Medical School, Kawachi, Tochigi, Japan
    Br J Anaesth 93:181-7. 2004
    ..We investigated the epiduroscopic findings and immediate and long-term changes in back and leg pain after epiduroscopy in elderly patients with spinal stenosis...
  81. ncbi The role of caudal epidural injections in the management of low back pain
    Paul A Banaszkiewicz
    Elective Orthopaedic Unit, Woodend Hospital, Aberdeen, United Kingdom
    Bull Hosp Jt Dis 61:127-31. 2003
    ..We found that the outcome of CEI was unpredictable. The clinical value of CEI remains unproven. The decision to perform the procedure may well remain a matter of personal choice and experience...
  82. ncbi [Epidural injections. What is certain?]
    J Dvorak
    Abteilung für Neurologie Spine Unit der Schulthess Klinik Zürich, Switzerland
    Orthopade 33:591-3. 2004
    ..The indication for therapeutic peridual or epidural injections are radicular symptoms as a result of disc herniation, foraminal stenosis as well as neurogenic ..
  83. ncbi Preemptive analgesia for postoperative pain relief in lumbosacral spine surgeries: a randomized controlled trial
    C Sekar
    Department of Orthopedics and Spine Surgery, Ganga Hospital, Swarnambika Layout, Ramnagar, Coimbatore 641 009, India
    Spine J 4:261-4. 2004
    ..This is the principle of preemptive analgesia. Although it is often considered superior to other forms of analgesia, its role in postoperative pain relief after lumbosacral spinal surgery has not been fully investigated...
  84. pmc Perineal analgesia and hemodynamic effects of the epidural administration of meperidine or hyperbaric bupivacaine in conscious horses
    Rafael DeRossi
    Department of Veterinary Medicine Surgery and Anaesthesiology, Faculty of Veterinary Medicine, Federal University of Mato Grosso do Sul State, Caixa Postal 549, Campo Grande, CEP 79070 900, Brazil
    Can Vet J 45:42-7. 2004
    ..To conclude, both bupivacaine and meperidine induced long-lasting perineal analgesia, with minimal cardiovascular effects. Analgesia was induced faster and lasted longer with bupivacaine...
  85. ncbi Intrathecal opioids versus epidural local anesthetics for labor analgesia: a meta-analysis
    Brenda A Bucklin
    Department of Anesthesiology, University of Nebraska Medical Center, Omaha, Nebraska 98198 4455, USA
    Reg Anesth Pain Med 27:23-30. 2002
    ..This meta-analysis compared the analgesic efficacy, side effects, and obstetric outcome of single-injection intrathecal opioid techniques versus epidural local anesthetics in laboring women...
  86. ncbi Prospective comparative study of the effectiveness of epidural morphine and ropivacaine for management of pain after spinal operations
    B Al-Khalaf
    Department of Neurosurgery, Clinicum Plau am See, Germany
    Acta Neurochir (Wien) 145:11-6. 2003
    ..Critical review of the literature about the possibilities of management of postoperative pain after spinal operations...
  87. ncbi Interventional techniques: evidence-based practice guidelines in the management of chronic spinal pain
    Mark V Boswell
    American Society of Interventional Pain Physicians, Paducah, KY 42001, USA
    Pain Physician 10:7-111. 2007
    ..The evidence-based practice guidelines for the management of chronic spinal pain with interventional techniques were developed to provide recommendations to clinicians in the United States...
  88. ncbi Review of occupational medicine practice guidelines for interventional pain management and potential implications
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 11:271-89. 2008
    ..interlaminar epidural steroid injections, caudal epidural steroid injections, and lumbar transforaminal epidural injections; caudal percutaneous adhesiolysis; abd spinal cord stimulation were found to be moderate with strong ..
  89. ncbi Systematic review of caudal epidural injections in the management of chronic low back pain
    Ann Conn
    Premier Pain Center, Covington, LA, USA
    Pain Physician 12:109-35. 2009
    ..has been a lack of well-designed randomized, controlled studies to determine the effectiveness of caudal epidural injections in various conditions - disc herniation and radiculitis, post-lumbar laminectomy syndrome, spinal stenosis, ..
  90. ncbi Reassessment of evidence synthesis of occupational medicine practice guidelines for interventional pain management
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 11:393-482. 2008
    ....
  91. doi A best-evidence review of diagnostic procedures for neck and low-back pain
    Sidney M Rubinstein
    EMGO Institute, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
    Best Pract Res Clin Rheumatol 22:471-82. 2008
    ..accuracy of facet joint blocks in evaluating spinal pain, and moderate evidence for transforaminal epidural injections, as well as sacroiliac joint injections for diagnostic purposes...
  92. ncbi Incidence of intravascular penetration in transforaminal cervical epidural steroid injections
    Michael B Furman
    The Center for Pain Management and Rehabilitation, KDV Orthopaedics and Rehabilitation, York, Pennsylvania, USA
    Spine (Phila Pa 1976) 28:21-5. 2003
    ..published study demonstrates a high incidence of intravascular injections in transforaminal lumbosacral epidural injections. No studies so far have evaluated the incidence of vascular injections in transforaminal cervical epidural ..
  93. ncbi Lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain: a systematic review
    Allan T Parr
    Premier Pain Center, Covington, LA 70433, USA
    Pain Physician 12:163-88. 2009
    ..b>Epidural injections are one of the most commonly performed interventions in the United States in managing chronic low back pain...
  94. ncbi Protocol for evaluation of the comparative effectiveness of percutaneous adhesiolysis and caudal epidural steroid injections in low back and/or lower extremity pain without post surgery syndrome or spinal stenosis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:E91-E110. 2010
    ..In patients resistant to fluoroscopically directed epidural injections, percutaneous epidural adhesiolysis and percutaneous targeted delivery of injections with or without ..
  95. ncbi Contrast flow characteristics in the cervical epidural space: an analysis of cervical epidurograms
    Amitabh Goel
    Department of Orthopedics, Wichita Clinic, Wichita, KS 67208, USA
    Spine (Phila Pa 1976) 31:1576-9. 2006
    ..A single-center prospective analysis of cervical epidurograms, using a crossover design...
  96. ncbi Accuracy of blind versus fluoroscopically guided caudal epidural injection
    M Y Stitz
    Department of Medicine, University of Manitoba, Winnipeg, Canada
    Spine (Phila Pa 1976) 24:1371-6. 1999
    ..OBJECTIVES: To evaluate the accuracy of caudal epidural injections performed without the use of fluoroscopic guidance and to determine the value of specific clinical tests ..
  97. ncbi Systematic review of therapeutic lumbar transforaminal epidural steroid injections
    Ricardo M Buenaventura
    Pain Relief of Dayton, Centerville, OH, USA
    Pain Physician 12:233-51. 2009
    ..However, there are few well-designed randomized, controlled studies to determine the effectiveness of epidural injections. The role and value of transforaminal lumbar epidural steroid injections is still questioned.
  98. ncbi Outbreak of Serratia marcescens infections following injection of betamethasone compounded at a community pharmacy
    Rachel Civen
    Los Angles County Department of Health Services, Acute Communicable Disease Control Program, Los Angeles, CA 90012, USA
    Clin Infect Dis 43:831-7. 2006
    In June 2001, following the report of 4 patients with Serratia marcescens meningitis who received epidural injections of betamethasone compounded at a community pharmacy, we initiated an outbreak investigation.
  99. pmc Comparison of the caudal and lumbar approaches to the epidural space
    C M Price
    Department of Pain Management, Portsmouth Hospitals NHS Trust, UK
    Ann Rheum Dis 59:879-82. 2000
    To investigate the accuracy of placement of epidural injections using the lumbar and caudal approaches. To identify which factors, if any, predicted successful placement.
  100. ncbi Predicting outcomes of transforaminal epidural injections for sciatica
    Henry C Tong
    University of Michigan, Department of Physical Medicine and Rehabilitation, Spine Program, Ann Arbor, MI 48109, USA
    Spine J 3:430-4. 2003
    Previous studies on epidural injections have focused on efficacy and have not evaluated factors predicting outcomes of epidural injections.
  101. ncbi Chronic catheterization of the epidural space in rabbits: a model for behavioural and histopathological studies. Examination of meptazinol neurotoxicity
    J B Madsen
    Danish Laboratory for Pain Research, Herlev Hospital, University of Copenhagen
    Acta Anaesthesiol Scand 37:307-13. 1993
    ..neurotoxicological examinations following epidural catheterization, without any injections (three rabbits), epidural injections of saline (four rabbits) and meptazinol (five rabbits) once a day for 14 days...

Research Grants8

  1. Chiropractic, Medication, and Self-care for Neck Pain
    Gert Bronfort; Fiscal Year: 2005
    ..It will also provide clinically useful information for health care practitioners, policy makers and, most importantly, those who suffer from this painful and costly condition. ..
  2. Perineural Anesthetic Infusion After Joint Replacement
    BRIAN ILFELD; Fiscal Year: 2006
    ..Secondary outcomes include the relationship between analgesic technique administered in the immediate postoperative period and subsequent pain, stiffness and functional disability. ..
  3. PHARMACOLOGY OF COMBINED EPHEDRINE/CAFFEINE SUPPLEMENTS
    Christine Haller; Fiscal Year: 2004
    ..The long-term objective for the proposed studies is to develop Dr. Haller into an independent career clinical researcher in this field of study. ..