Recent Advances in Treatment of Back Pain with Interventional Radiology

Author

Interventional Radiologist Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences- Tehran- IRAN

10.22034/icrj.2023.179269

Abstract

Introduction:
Back pain is a common problem that can significantly impact a person›s quality of life. Interventional radiology has become an increasingly important field in the management of back pain, as it offers a range of minimally invasive therapies with high success rates. In this abstract, we will discuss recent advances in interventional radiology for the treatment of back pain.
Epidural Steroid Injections:
Epidural steroid injections (ESI) are a common interventional radiology treatment for back pain. ESIs are typically used to treat conditions such as herniated discs, spinal stenosis, and degenerative disc disease. By reducing inflammation and swelling around these nerves, ESIs can provide significant pain relief to patients with these conditions.
Recent advances in ESI techniques have improved their accuracy and effectiveness. Image guidance, such as fluoroscopy or ultrasound, is now commonly used during the procedure to ensure precise placement of the injection. This has led to higher success rates while minimizing the risk of complications.
Spinal Cord Stimulation
Involves the placement of electrodes along the spinal cord, which emit electrical impulses to disrupt pain signals. Recent developments in spinal cord stimulation technology, such as the use of high-frequency stimulation, have shown promising results in providing long-term pain relief for patients with chronic back pain who have not responded to other treatments.
Nerve Ablation Procedures:
Nerve ablation procedures use radiofrequency energy to target and destroy nerves that are causing pain in the back. This treatment is particularly effective for patients with arthritis or degenerative disc disease. Recent advancements in nerve ablation techniques, such as the use of cooled radiofrequency ablation, have increased the precision and safety of this treatment.
Conclusion:
Interventional radiology has made significant strides in the treatment of back pain, offering patients a range of minimally invasive options that can provide long-lasting relief. Spinal cord stimulation, epidural steroid injections, and nerve ablation procedures are all effective therapies that have seen recent advancements in their techniques. With ongoing research and development, interventional radiology will continue to play a critical role in the management of back pain.