Summary of recommendations of pain intervention for low back pain with radiculopathy
To aid in the selection of rationalized pain intervention modalities for low back pain (LBP), treatment guidelines were identified through a systematic search of the MEDLINE electronic database. Structured guidelines from four groups (North American Spine Society [NASS], American Society of Interven...
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| Format: | Article |
| Language: | English |
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Institute for Medical Science, Jeju National University
2025-01-01
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| Series: | Journal of Medicine and Life Science |
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| Online Access: | http://e-jmls.org/upload/pdf/jmls-2025-22-1-16.pdf |
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| author | Jisoon Huh Yun Suk Choi You-Nam Chung |
| author_facet | Jisoon Huh Yun Suk Choi You-Nam Chung |
| author_sort | Jisoon Huh |
| collection | DOAJ |
| description | To aid in the selection of rationalized pain intervention modalities for low back pain (LBP), treatment guidelines were identified through a systematic search of the MEDLINE electronic database. Structured guidelines from four groups (North American Spine Society [NASS], American Society of Interventional Pain Physicians [ASIPP], American Pain Society/American College of Physicians [APS/ACP], and European), were selected for their detailed reviews of each pain intervention technique. Current popular intervention techniques and their supporting evidence based on recommendations for LBP with radiculopathy were summarized and compared. All guidelines, except those from the European group, endorsed the effectiveness of epidural injections for radicular pain caused by herniated discs and spinal stenosis. Lumbar epidural adhesiolysis was found to be effective for managing spinal stenosis and failed back surgeries. However, intradiscal electrothermal therapy and coblation nucleoplasty showed weak evidence for recommendation. Furthermore, the APS/ACP and European groups advised against the use of intradiscal steroid or glycerol injections for lumbar disc herniation. It is important to select an effective pain intervention technique, because LBP with radiculopathy is a prevalent condition in clinical practice. Consequently, referring to evidence-based guidelines and recommendations is essential to ensure rationalized and effective treatment choices. |
| format | Article |
| id | doaj-art-c2d98bf1f52248ca9fddce3f798e10d1 |
| institution | OA Journals |
| issn | 2671-4922 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Institute for Medical Science, Jeju National University |
| record_format | Article |
| series | Journal of Medicine and Life Science |
| spelling | doaj-art-c2d98bf1f52248ca9fddce3f798e10d12025-08-20T01:47:55ZengInstitute for Medical Science, Jeju National UniversityJournal of Medicine and Life Science2671-49222025-01-01221162110.22730/jmls.2025.22.1.16558Summary of recommendations of pain intervention for low back pain with radiculopathyJisoon Huh0Yun Suk Choi1You-Nam Chung2 Department of Neurosurgery, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of Korea Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of Korea Department of Neurosurgery, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of KoreaTo aid in the selection of rationalized pain intervention modalities for low back pain (LBP), treatment guidelines were identified through a systematic search of the MEDLINE electronic database. Structured guidelines from four groups (North American Spine Society [NASS], American Society of Interventional Pain Physicians [ASIPP], American Pain Society/American College of Physicians [APS/ACP], and European), were selected for their detailed reviews of each pain intervention technique. Current popular intervention techniques and their supporting evidence based on recommendations for LBP with radiculopathy were summarized and compared. All guidelines, except those from the European group, endorsed the effectiveness of epidural injections for radicular pain caused by herniated discs and spinal stenosis. Lumbar epidural adhesiolysis was found to be effective for managing spinal stenosis and failed back surgeries. However, intradiscal electrothermal therapy and coblation nucleoplasty showed weak evidence for recommendation. Furthermore, the APS/ACP and European groups advised against the use of intradiscal steroid or glycerol injections for lumbar disc herniation. It is important to select an effective pain intervention technique, because LBP with radiculopathy is a prevalent condition in clinical practice. Consequently, referring to evidence-based guidelines and recommendations is essential to ensure rationalized and effective treatment choices.http://e-jmls.org/upload/pdf/jmls-2025-22-1-16.pdfbackguidelinepainradiculopathytherapeutics |
| spellingShingle | Jisoon Huh Yun Suk Choi You-Nam Chung Summary of recommendations of pain intervention for low back pain with radiculopathy Journal of Medicine and Life Science back guideline pain radiculopathy therapeutics |
| title | Summary of recommendations of pain intervention for low back pain with radiculopathy |
| title_full | Summary of recommendations of pain intervention for low back pain with radiculopathy |
| title_fullStr | Summary of recommendations of pain intervention for low back pain with radiculopathy |
| title_full_unstemmed | Summary of recommendations of pain intervention for low back pain with radiculopathy |
| title_short | Summary of recommendations of pain intervention for low back pain with radiculopathy |
| title_sort | summary of recommendations of pain intervention for low back pain with radiculopathy |
| topic | back guideline pain radiculopathy therapeutics |
| url | http://e-jmls.org/upload/pdf/jmls-2025-22-1-16.pdf |
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