Deyo LESI for LSS predictors

[lobelsteve]

http://www.thespinejournalonline.com/article/S1529-9430(15)00637-3/abstract

21 predictors for success of LESI all failed for LSS. But check out the NR chart. Clinically significant reductions in pain for legs in all, and most subcategories also had same for LBP.

Reduction of 2 for legs, 3 for back.

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[Pacman27]

Thanks

Do you have the article on PDF

 

[lobelsteve]

Thanks

Do you have the article on PDF

Nope, get hard copy mailed from NASS.

 

[dmk5n]

Here is a pdf. I have access to Med School Library

 

[deleted185747]

http://www.thespinejournalonline.com/article/S1529-9430(15)00637-3/abstract

21 predictors for success of LESI all failed for LSS. But check out the NR chart. Clinically significant reductions in pain for legs in all, and most subcategories also had same for LBP.

Reduction of 2 for legs, 3 for back.

Would you ever do a LESI for LSS? I think a balanced approach is best.

 

[lobelsteve]

Would you ever do a LESI for LSS? I think a balanced approach is best.

I would almost always do an epidural for neurogenic claudication with leg pain. And i think this study strongly supporys that from a pain scale rating.

 

[Pacman27]

I agree

I tend to get results that surprise me 3 to 6 months of excellent relief.

I tend to use high volume 6 to 8 ml of PFNS and 40 to 80 of depo. I use this formula since one of my patients two years ago brought in his notes from another provider in another state that he went to every 6 months with good relief. I hate to put this way but I tell my patients its like an oil change.

In any case better then any alternative

What formulations do others use

 

[deleted185747]

3cc PFNS, 40-80 depo

 

[clubdeac]

I get good results typically for mild to moderate stenosis. If it's too severe they may not respond as well. I use low volume at the level of stenosis, 80mg kenalog and 1cc 0.25% marcaine. Never had a problem and typically good results, better than when I did them at an adjacent level.