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Lumbar radiculopathy: reduced symptoms result from nerve root blocks without surgery
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Lumbar radiculopathy: reduced symptoms result from nerve root blocks without surgery .
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Nerve root blocks in the treatment of lumbar radicular pain. A minimum five-year follow-up.

J Bone Joint Surg Am. 2006 Aug;88(8):1722-5

21 patients with lumbar radiculopathy due to a herniated nucleus pulposus or spinal stenosis were included in a study investigating the effects of selective nerve root blocks in the lumbar spine on preventing the need for operative treatment. Patients had been randomized in a prior study, that included 55 patients, to receive bupivacaine alone or bupivacaine and betamethasone. 29 of these patient avoided surgey and 21 on were available to be followed up at 5 years. After 5 years, there was no difference between the two groups for the proportion of patients who did not require surgery. 17 of 21 patients receiving a nerve root injection who did not require surgery at 1 year continued to 5 years without needing operative intervention. All patients who did not receive surgery at 5 years demonstrated significant improvement in neurological symptoms and back pain.

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OrthoEvidence. Lumbar radiculopathy: reduced symptoms result from nerve root blocks without surgery. ACE Report. 2013;2(7):528. Available from: https://myorthoevidence.com/AceReport/Show/lumbar-radiculopathy-reduced-symptoms-result-from-nerve-root-blocks-without-surgery

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