Epidural Neuroplasty for the Treatment of Herniated Lumbar Disk
Epidural Neuroplasty for the Treatment of Herniated Lumbar Disk
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