Abstract
Chronic low back pain (LBP) places a tremendous economic burden on society due to both direct and indirect costs. Health care costs for adults with chronic LBP have steadily increased over the past 20 years, coinciding with a large increase in the utilization of spinal injections, surgical interventions, opioid medications, and physical therapy. The treatment of LBP is best approached by a multimodal and even multidisciplinary approach with a combination of physical rehabilitation, pharmacologic management, psychological intervention, spinal injections, and surgical intervention with a goal of improving the functional status of the patient. In this review, we discuss the interventional management of LBP secondary to herniated nucleus pulposus, spinal stenosis, facet mediated pain, sacroiliitis, and discogenic pain.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 188-196 |
| Number of pages | 9 |
| Journal | Clinical Spine Surgery |
| Volume | 31 |
| Issue number | 5 |
| DOIs | |
| State | Published - Jan 1 2018 |
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Keywords
- Low back pain
- discography
- epidural steroid injection
- herniated nucleus pulposus
- radiofrequency ablation
- sacroiliac joint injection
- spinal stenosis
- spondylosis
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
- Clinical Neurology
Cite this
}
Interventional approaches to low back pain. / Nelson, Ariana M.; Nagpal, Geeta.
In: Clinical Spine Surgery, Vol. 31, No. 5, 01.01.2018, p. 188-196.Research output: Contribution to journal › Review article
TY - JOUR
T1 - Interventional approaches to low back pain
AU - Nelson, Ariana M.
AU - Nagpal, Geeta
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Chronic low back pain (LBP) places a tremendous economic burden on society due to both direct and indirect costs. Health care costs for adults with chronic LBP have steadily increased over the past 20 years, coinciding with a large increase in the utilization of spinal injections, surgical interventions, opioid medications, and physical therapy. The treatment of LBP is best approached by a multimodal and even multidisciplinary approach with a combination of physical rehabilitation, pharmacologic management, psychological intervention, spinal injections, and surgical intervention with a goal of improving the functional status of the patient. In this review, we discuss the interventional management of LBP secondary to herniated nucleus pulposus, spinal stenosis, facet mediated pain, sacroiliitis, and discogenic pain.
AB - Chronic low back pain (LBP) places a tremendous economic burden on society due to both direct and indirect costs. Health care costs for adults with chronic LBP have steadily increased over the past 20 years, coinciding with a large increase in the utilization of spinal injections, surgical interventions, opioid medications, and physical therapy. The treatment of LBP is best approached by a multimodal and even multidisciplinary approach with a combination of physical rehabilitation, pharmacologic management, psychological intervention, spinal injections, and surgical intervention with a goal of improving the functional status of the patient. In this review, we discuss the interventional management of LBP secondary to herniated nucleus pulposus, spinal stenosis, facet mediated pain, sacroiliitis, and discogenic pain.
KW - Low back pain
KW - discography
KW - epidural steroid injection
KW - herniated nucleus pulposus
KW - radiofrequency ablation
KW - sacroiliac joint injection
KW - spinal stenosis
KW - spondylosis
UR - http://www.scopus.com/inward/record.url?scp=85048210251&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85048210251&partnerID=8YFLogxK
U2 - 10.1097/BSD.0000000000000542
DO - 10.1097/BSD.0000000000000542
M3 - Review article
VL - 31
SP - 188
EP - 196
JO - Clinical Spine Surgery
JF - Clinical Spine Surgery
SN - 2380-0186
IS - 5
ER -