Clinical results and combined medication of epiduroscopy

AbstractIn chronic radiculopathic pain and back pain associated with epidural fibrosis, spinal endoscopy is potentially a powerful weapon. Its usefulness in diagnosis has not been realised but its therapeutic role is effective. The generation of radiculopathic pain is complex and there are a number of manoeuvres within this technique that are potentially beneficial. Recent evidence has shown that the most important component is safe and effective adhesiolysis. Recent outcomes of three prospective case series, two retrospective evaluations and a randomized, double-blind controlled trial have been positive for improvements in pain and physical function in patients who had previously obtained inadequate pain relief with traditionally placed caudal or lumbar epidural steroids. Saline is used in spinal endoscopy in order for direct vision to be achieved but also to aid with an adhesiolytic distension effect. Inflammatory chemicals leaking from degenerate intervertebral discs or zygapophysial joints may be wash...