Perineural Therapy in Treatment of Chronic Degenerative Lumbosacral Lesions

Abstract

his study was carried to evaluate the efficacy of perineural injection of dextrose 5 % buffered with sodium bicarbonate subcutaneously in treating patients with chronic low back pain caused by degenerative lumbosacral disc diseases. It was a prospective randomized study that performed on forty patients with chronic low back pain; they were diagnosed clinically and radiologically. The exclusion criteria included diabetic patients or patients with metabolic syndrome, patients with history of previous back interventional procedures including surgery, injection or epidural anesthesia, obvious ongoing psychiatric illness to ensure objective feedback from the patient after each session, patient with skin pathology at site of injection such as infection or wound, patient with skin malignancy like malignant melanoma to avoid exacerbation of malignancy, history of back trauma within 3 months prior to study, history of coagulation disturbances to avoid hemorrhagic disorders and avoid bruises after needling, complete rupture of spinal or pelvic ligaments or a tendon, patients with inflammatory back pain and fibromyalgia patients. All patients were subjected to full history taking, full clinical examination including detailed back examination and neurological assessment of the lower limbs.