What is the role of percutaneous adhesiolysis in the treatment of low back pain (LBP) and sciatica?

Updated: Aug 22, 2018
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Answer

Answer

There is strong evidence to support the use of percutaneous adhesiolysis for the management of postsurgical chronic lower back and leg pain. This procedure shows limited benefit in the treatment of lumbar spinal and radicular pain due to spinal stenosis or disk herniation that causes radiculopathy. Percutaneous adhesiolysis procedures are preferably limited to 2 interventions per year with a 3-day protocol and 4 interventions per year with a 1-day protocol. [136]

The supporting evidence for using adhesiolysis with spinal endoscopy is strong for short-term relief and moderate for long-term relief of refractory postsurgical lower back and radicular pain. These procedures are preferably limited to a maximum of 2 per year provided the relief is greater than 50% for more than 4 months. [136]


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