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Reg Anesth Pain Med · Jul 1999
Case ReportsLumbar spine pain originating from vertebral osteophytes.
- T J Lamer.
- Division of Pain Medicine, Mayo Clinic Jacksonville, Florida 32224, USA.
- Reg Anesth Pain Med. 1999 Jul 1;24(4):347-51.
Background And ObjectivesAxial spine pain originates from a number of structures. Putative pain generators include facet joints, intervertebral disks, sacroiliac joints, and myofascial structures. Osteophytes originating from lumbar vertebral bodies in the area of the intervertebral disks may be a source of nociceptive low back pain which may respond to local injection.MethodsFive patients with axial low back pain unresponsive to traditional treatment modalities were treated with fluoroscopic guided injection of local anesthetic and corticosteroid near large intervertebral osteophytes.ResultsAll 5 patients experienced relief.ConclusionVertebral osteophytes may be a source of axial spine pain. Injection of painful osteophytes with a local anesthetic and corticosteroid solution may produce pain relief.
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