|
KMID : 1040020220130020055
|
|
International Journal of Pain
2022 Volume.13 No. 2 p.55 ~ p.70
|
|
|
Intradiscal Procedures in Chronic Spinal Pain: A Narrative Review
|
|
Park Hong-Bum
Kim Nack-Hwan
|
|
|
Abstract
|
|
|
|
Discogenic back pain is a disease involving degenerative changes in the intervertebral disc. These structural changes cause biomechanical instability and inflammation. In particular, various interventional treatment methods have been proposed for discogenic pain that does not improve with drugs, physical therapy, or rest. Steroid administration in the intervertebral disc is performed based on research results that promote stabilization of the vertebral segment through degeneration of the intervertebral disc. Steroid injections in the intervertebral disc have shown various treatment results. Various minimally invasive intradiscal procedures are also being introduced. Thermal annular procedures transfer heat to the damaged annulus, resulting in denervation and pain relief. Intradiscal electrothermal therapy, radiofrequency annuloplasty, and intradiscal biacuplasty have been tried. Percuataneous disc decompression is a treatment method that improves pain by relieving intra-disc pressure. Percutaneous disc decompression, percutaneous laser disc decompression, and automated percutaneous lumbar discectomy have been tried. These various procedures report various results due to differences in each procedure method, patient selection, etc., and a small number. Through a literature review, we intend to investigate a more effective and safe procedure.
|
|
|
KEYWORD
|
|
|
complication, discogenic pain, effect, intradiscal procedure, review
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|