Epidural Neuroplasty for the Treatment of Herniated Lumbar Disk

Comparison of the Efficacy Between Transforaminal Steroid Epidural Injection and Epidural Neuroplasty for the Treatment of Herniated Lumbar Disc：A Single Center, Controlled Clinical Trial

The purpose of this study is to determine whether epidural neuroplasty has better efficacy than epidural steroid injection for the treatment of lumbar disc herniation.

One hundred patients diagnosed as herniated lumbar disc will be recruited and divided into two groups. One group will be treated with Transforaminal steroid injection, the other with epidural neuroplasty. The VAS and ODI scores obtained at one month, three months and six months post-treatment will be analysed statistically.

Inclusion Criteria:

• clinical diagnosis of herniated lumbar disc
• written informed consent obtained

Exclusion Criteria:

• Lumbar instability
• Piriformis syndrome
• Diabetes mellitus with uncontrolled blood glucose
• Severe osteoporosis
• Impaired function of cauda equina
• Severe sacral hiatus variation
• Interspinous ligament inflammation
• Myofascitis on lumbar and legs
• The third lumbar transverse process syndrome