Feasibility of Ultrasound-Guided Lumbar Transforaminal Epidural Steroid Injections for Management of Lumbar Radicular Back Pain

Ultrasonography shows feasibility as an imaging modality in localizing lumbar intervertebral foramina at higher lumbar levels in patients with normal BMI and no spinal deformities. However, ultrasonography was consistently unable to assist transforaminal needle placement at the L5 level due to poor final needle tip visualization and the requirement of fluoroscopy to advance needle tip transforaminally. While no complications were seen, further controlled trials with larger sample size are needed to investigate safety.

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Publication Details

Journal
Journal of Pain Research
Published
2025-02-01
DOI
https://doi.org/10.2147/jpr.s499091
Citations
4
Primary Topic
Spine and Intervertebral Disc Pathology
Type
article
Field-Weighted Citation Impact
5.89
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article

Feasibility of Ultrasound-Guided Lumbar Transforaminal Epidural Steroid Injections for Management of Lumbar Radicular Back Pain

Priya Agrawal, Naum Shaparin, Sarang Koushik, Sayed Emal Wahezi et al.
4 citations
Journal of Pain Research
Spine and Intervertebral Disc Pathology
5.89
article

Feasibility of Ultrasound-Guided Lumbar Transforaminal Epidural Steroid Injections for Management of Lumbar Radicular Back Pain

Priya Agrawal, Naum Shaparin, Sarang Koushik, Sayed Emal Wahezi, Amaresh Vydyanathan, Karina Gritsenko, Kateryna Slinchenkova, Khaled Donia
article en
4 citations

Abstract

Ultrasonography shows feasibility as an imaging modality in localizing lumbar intervertebral foramina at higher lumbar levels in patients with normal BMI and no spinal deformities. However, ultrasonography was consistently unable to assist transforaminal needle placement at the L5 level due to poor final needle tip visualization and the requirement of fluoroscopy to advance needle tip transforaminally. While no complications were seen, further controlled trials with larger sample size are needed to investigate safety.

Journal of Pain ResearchVol. Volume 18
Albert Einstein College of Medicine (US), CHI Health Creighton University Medical Center - Bergan Mercy (US), Alameda Health System (US), Menoufia University (EG)
Zero hunger
Openalex Percentile: Top 5%
Spine and Intervertebral Disc Pathology
5.89
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