Premium
Physical Medicine and Rehabilitation (89)
Author(s) -
Slipman Curtis W.,
Lipetz Jason S.,
Herzog Richard J.,
Vresilovic Edward J.
Publication year - 2001
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/j.1533-2500.2001.1011-89.x
Subject(s) - medicine , radicular pain , lateral recess , nerve root , magnetic resonance imaging , thigh , lumbar , rehabilitation , surgery , cyst , anatomy , radiology , physical therapy
Nonsurgical treatment for radicular pain of zygoapophyseal joint cyst origin: therapeutic selective nerve root block. (Hospital of the University of Pennsylvania, Philadelphia, PA) Arch Phys Med Rehabil 2000;81;1119–1122. This report discusses the first case of zygoapophyseal joint cyst‐induced radicular pain successfully treated with therapeutic selective nerve root block. A 56‐year‐old dentist presented with pain involving the lateral thigh, lateral calf, and foot dorsum that worsened with standing and walking. Magnetic resonance imaging of the lumbar spine showed a cyst emanating from the right L4‐L5 zygoapophyseal joint, resulting in central canal and lateral recess stenosis. The patient was treated with 2 fluoroscopically guided therapeutic L5 selective nerve root blocks. The patient remained pain free at 18‐month follow‐up.