2023 Volume 30 Issue 11 Pages 261-265
Percutaneous epidural adhesiolysis (PEA) is performed to manage low back pain and leg pain due to degenerative lumbar disease including failed back surgery syndrome (FBSS). There are no detailed reports on its effectiveness in patients with axial low back pain lacking leg pain. We present a case of chronic axial low back pain that was completely cured by PEA using a spring-guide catheter. A 28-year-old Japanese man had a history of three-times surgery for L4/5 lumbar disc herniation, and although the pain in his lower extremities disappeared, the left low back pain did not improve and persisted for a long time. Transforaminal epidurography indicated adhesion of the left ventral epidural space at the lower border of the L4 vertebral body, then PEA with spring-guide catheter methods markedly relieved the pain immediately after the procedure without any recurrence. PEA following concurrent epidurography may be an effective treatment even for FBSS causing axial low back pain without leg pain.
