J Korean Pain Soc.  1997 Nov;10(2):270-273.

Treatment of Rediculopathy with Flexible Fiberoptic Epiduroscope Inserted through the Sacral Canal

• Park JW
• Lee JS
• Lee JC
• Kim YI
• Hwang KH
• Park W

Abstract

Caudal epiduroscopy has been introduced as an altemative technique for direct injection of epidural steroid and lysis of adhesion. Futher, it gives a better understanding of the role of epidural adhesion in recurrence of sciatica and low back disorder after surgery. We experienced a clinical application of flexible fiberoptic epiduroscope inserted through the sacral canal. A 37-year-old woman was suffering from right lumbar radiculopathy after an operation for a herniated disc. A series of volumetric caudal steroid injections and physical therapy had little effect on her symptoms. Patient was thought to be a good candidate for epiduroscopy. Flexible fiberoptic epiduroscopy was as follows: 60 ml of normal saline irrigation and epidurogram, 40 mg of triamcinolone in 10ml of normal saline was directed around right LS nerve root. The following morning, patient reported reduced pain in her leg.

Keyword

Pain, radiculopathy; Technique, epiduroscopy, caudal approach

MeSH Terms

Adult
Female
Humans
Intervertebral Disc Displacement
Leg
Radiculopathy
Recurrence
Sciatica
Triamcinolone
Triamcinolone