• Adel Ahmed, Ahn Kang, and Jhun Hyung-Joon.
• From the Department of Radiology, Faculty of Medicine, Kuwait University, Kuwait.
• Ann Saudi Med. 2019 Nov 1; 39 (6): 417-421.

BackgroundLumbar disc herniation (LDH) is the most common cause of back and leg pain. We developed a specially designed needle and a minimally invasive interventional procedure to treat LDH.ObjectivesAssess outcomes of procedure and describe our methodology and clinical application.DesignCase series.SettingA chronic pain management center.Patients And MethodsPatients with LDH underwent fluoroscopically guided interventional interlaminar needling using a specially designed curved round needle. The outcome measures were evaluated three times: before the intervention and at 6 and 12 months after the intervention.Main Outcome MeasuresVisual analog scale (VAS) pain score, Oswestry Disability Index (ODI).Sample Size43 patients.ResultsSix months after the intervention, the VAS pain score decreased by 5.1 (2.2) points and the ODI decreased by 30.7% (16.6%) compared to baseline. Twelve months after the intervention, the VAS pain score decreased by 6.2 (1.7) points and the ODI decreased by 36.9% (15.2%) compared to baseline.ConclusionsThis study suggests that fluoroscopically guided interventional interlaminar needling has clinical significance in managing pain resulting from LDH.LimitationsThis was an exploratory case series study. Additional studies and randomized clinical trials are needed to evaluate the efficacy of the technique compared to other treatments.Conflict Of InterestNone.

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