Interventional approaches to low back pain

Ariana M. Nelson, Geeta Nagpal*

*Corresponding author for this work

Research output: Contribution to journalReview article

2 Scopus citations

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 languageEnglish (US)
Pages (from-to)188-196
Number of pages9
JournalClinical Spine Surgery
Volume31
Issue number5
DOIs
StatePublished - Jan 1 2018

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

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