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deleted79235
Have patient with previous L5-S1 diskectomy with persistent S1 radicular pain for 10 years. Has essentially dealt with pain but has become more bothersome over the last 2 yrs. Pain is burning, crampy pain in S1 distribution in left lower limb. No neurological deficits on exam. New MRI of L-spine with contrast show epidural scar in epidural space at L5-S1. No recurrent disk herniation. EMG of left lower limb demonstrates chronic S1 radiculopathy. Started him in PT with gabapentin 300 tid.
Wondering if any of you would employ epidural injection or other measures if above fails. Seems like lysis of adhensions with racz has fallen out of favor. Thanks.
Wondering if any of you would employ epidural injection or other measures if above fails. Seems like lysis of adhensions with racz has fallen out of favor. Thanks.