A new technique for controlling intractable pain in lumbar spinal stenosis using steroid injection to ligamentum flavum: A case series

Jeong Ho Rho, Chung Dae Yoon, Gahee Kim, Hee Yong Kang

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Lumbar spinal stenosis is a common degenerative disease that causes low back and lower-extremity pain that increases with age. The treatment of lumbar spinal stenosis is either conservative or surgical. ESI is a commonly performed conservative treatment, but evidence of its effectiveness in lumbar spinal stenosis is limited. Case series: We encountered the three patients with back pain and claudication due to lumbar spinal stenosis, which could not be controlled by conservative therapy including ESIs. Trimacinolone acetonide was injected into the patients' ligamentum flavum. All patients experienced dramatic improvement in their symptoms. Conclusions: Trimacinolone acetonide injection into the ligamentum flavum may be effective for lumbar spinal stenosis that does not improve with ESIs.

Original languageEnglish
Pages (from-to)123-126
Number of pages4
JournalPain Practice
Volume23
Issue number1
DOIs
Publication statusPublished - Jan 2023

Keywords

  • epidural steroid injection
  • ligamentum flavum
  • lumbar spinal stenosis
  • triamcinolone acetonide

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