Aǧrı : Ağrı (Algoloji) Derneği'nin Yayın organıdır = The journal of the Turkish Society of Algology
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Epidural fibrosis and adhesions can have many causes. Postsurgical bleeding and the healing process frequently produce scarring. The associated irritation or inducement of epidural venous engorgement may contribute to pain production. Lysis of epidural adhesions could be performed after rest, drug therapies such as NSAID and muscle relaxants, physical therapy with activity programs and epidural steroid injections.
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Trigeminal neuralgia is a painful condition of the face characterized by paroxysmal lancinating, shock-like pain confined to the somatosensory distribution of the trigeminal nerve. The etiology of most cases of trigeminal neuralgia has been suggested to be vascular compression of the central axons of the trigeminal nerve at the level of pontocerebellar region, so called hyperactive dysfunctional syndrome. Trigeminal neuralgia is the one of the most known pain syndromes. Several neurosurgical procedures have been developed for the treatment of idiopathic trigeminal neuralgia and in this review, idiopathic trigeminal neuralgia was discussed in aspect of different surgical modalities.
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Interlaminary epidural steroid injections have been used in pain management for many years. However, either incomplete clinical recoveries or increase of anatomical knowledge and experience lead to investigation of different techniques. ⋯ So, investigators have started to search for how to decrease these complications and even started to investigate for more safe techniques. In this review, transforaminal epidural steroid injection techniques and their complications are examined.