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Research ArticleLumbar Spine

Temporal Pattern of Pain and Disability Following the Administration of a Selective Nerve Root Block in Lumbar Disc Herniation With Radiculopathy

Hamza Shaikh, Apoorv Kumar and Thomas J. Kishen
International Journal of Spine Surgery December 2021, 15 (6) 1090-1095; DOI: https://doi.org/10.14444/8195
Hamza Shaikh
Spine Care Centre, Manipal Hospital, Bangalore, India
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Apoorv Kumar
Spine Care Centre, Manipal Hospital, Bangalore, India
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Thomas J. Kishen
Spine Care Centre, Manipal Hospital, Bangalore, India
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    Figure 1

    Temporal pattern of change in back pain intensity (numerical rating scale [NRS] score) in patients who avoided surgery and those who eventually underwent surgery after the administration of a selective nerve root block.

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    Figure 2

    Temporal pattern of change in leg pain intensity (numerical rating scale [NRS] score) in patients who avoided surgery and those who eventually underwent surgery after the administration of a selective nerve root block.

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    Figure 3

    Graph showing temporal pattern of change in disability (Oswestry Disability Index [ODI] score) in patients who avoided surgery and those who eventually underwent surgery after the administration of a selective nerve root block.

Tables

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    Table 1

    Effect of nerve root block on the need of the surgery by patient sex (N = 50).

    Patient SexSurgery AvoidedTotal
    YesNo
    Female13 (38.1%)2 (25.0%)15
    Male29 (69.9%)6 (75.0%)35
    Total42850
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    Table 2

    Age and duration of symptoms among patients who avoided surgery and those who eventually underwent surgery after the administration of a selective nerve root block (N = 50).

    VariableSurgery Avoided
    YesNo
    n MinMaxMedian n MinMaxMedian
    Age, y42196943.08277236.0
    Duration of symptoms, d4216014.0873015.0
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    Table 3

    Average depression, anxiety, and stress levels (DASS–21 score) among patients who avoided surgery and those who eventually underwent surgery after administration of a selective nerve root block (N = 50).

    DASS-21Surgery AvoidedSurgery
    Not Avoided
    CI LowerCI Upper P Value
    Depression5.3 ± 4.8310.8 ± 7.251.379.520.010
    Anxiety3.3 ± 3.565.3 ± 4.27−0.884.810.172
    Stress8.2 ± 7.0212.5 ± 7.07−1.129.780.116
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International Journal of Spine Surgery
Vol. 15, Issue 6
1 Dec 2021
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Temporal Pattern of Pain and Disability Following the Administration of a Selective Nerve Root Block in Lumbar Disc Herniation With Radiculopathy
Hamza Shaikh, Apoorv Kumar, Thomas J. Kishen
International Journal of Spine Surgery Dec 2021, 15 (6) 1090-1095; DOI: 10.14444/8195

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Temporal Pattern of Pain and Disability Following the Administration of a Selective Nerve Root Block in Lumbar Disc Herniation With Radiculopathy
Hamza Shaikh, Apoorv Kumar, Thomas J. Kishen
International Journal of Spine Surgery Dec 2021, 15 (6) 1090-1095; DOI: 10.14444/8195
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More in this TOC Section

  • Comparison of Stand-Alone Anterior Lumbar Interbody Fusion, 360° Anterior Lumbar Interbody Fusion, and Arthroplasty for Recurrent Lumbar Disc Herniation: Focus on Nerve Decompression and Painful Spinal Instability Resolution
  • Recovery Trajectories After Lumbar Fusion Stratified by Baseline Patient-Reported Outcomes Measurement Information System Physical Function Disability Levels
  • Association Between Nonsteroidal Anti-inflammatory Drugs Use and Surgical Outcomes Following Posterior Lumbar Fusion: A Medical Claims Database Analysis
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Keywords

  • lumbar disc herniation
  • lumbar radiculopathy
  • transforaminal steroid injection
  • selective nerve root block

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