What is epidural fibrosis?
epidural fibrosis is one of the most common causes of unsuccessful lumbar back and back surgery. Symptoms include mild to severe back pain, including seating nerve problems, without recognizable herniation or other medical causes. Effective treatment to treat the condition was elusive. Treatment objectives reduce the level of pain.
pain caused by epidural fibrosis is significant and can proceed sufficiently over time to become deactivation. The pain is chronic and usually does not respond to the usual treatment of back pain. Physical therapies and prescribed medicines provide small to any relief for this condition. Movement worsens the condition and leads to patients to reduce daily activities. In some cases, the patient becomes completely in bed.
The type of surgery required patients requires a phase for their risk of developing epidural fibrosis. Three to 14 percent of patients undergoing surgery for prolamed intervertebral disc will continue to grind back pain after surgery, which can lead to the diagnosis of epidural fibrosis. The condition develops only 1 to 2 percent of patients undergoing disccectomy.
No long -term effective treatment of epidural fibrosis has been developed. The treatment protocol focuses on reducing pain unless complete relief is achievable. Research has shown the degree of success using antioxidants, namely vitamin E. drugs of narcotic pain usually do not provide complete relief; Sometimes, however, they are useful in reducing the severity of pain.
The development of scar tissue in patients with postoperative surgery has proven to be insignificant for the development of epidural fibrosis. Many patients develop scars along the nerve roots after surgery and do not know. The exception is when the tissue of the scar binds around the nerve root to the lumbar and also develops fibrous lesions. Overall, 90 percent of the operations are successful, with 10 percent evolving after surgical back pain.
In most cases epiduralThe patient has six to 12 weeks after the pain relief before starting the problem. It begins slowly developing with pain in the leg or back. The continuing pain three months after the surgery suggests that epidural fibrosis may be present, and if so, the pain is likely to increase the intensity and become chronic. In other cases, the pain is caused by the original incorrect diagnosis of back injury. A condition called arachnoiditis is often wrong with epidural fibrosis, which is important to introduce the correct diagnosis and treatment plan.