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The effectiveness of ultrasound-guided cervical transforaminal epidural steroid injections in cervical radiculopathy: A prospective pilot study

Journal of Pain Research Jan 06, 2019

Zhang X, et al. - Researchers sought to determine the immediate and long-term effectiveness of ultrasound-guided cervical transforaminal epidural steroid injection (CTFESI) in patients with cervical radiculopathy in an academic pain-management center with prospective clinic experiments. They administered ultrasound-guided CTFESI to 15 patients with cervical radiculopathy who were resistant to conservative therapies and ultrasound-guided selective cervical spinal nerve-root injections. Real-time fluoroscopy indicated that the injection solution outlined the spinal nerve root and spread into the epidural space during the procedures in most cases (14 of 15). Pain relief was achieved in all patients reported within 10 minutes after the injection. Improvement in pain relief and neck-disability index-score was reported in the majority of patients (eleven of 15) throughout the 6-month study period with no complication. Findings thus suggest that for patients with cervical radiculopathy who have failed previous conservation therapies, ultrasound-guided CTFESI is an effective, safe, and simple procedure free of radiation or magnetization and provides sustained pain relief.
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