RESULTS The results of this review confirm and help quantify the significant differences that existed in the terminology and all the areas of diagnosis and treatment of presumed discogenic pain .
Our findings show that suspected discogenic pain , despite its extensive affirmation in the literature and enormous re sources regularly devoted to it , currently lacks clear diagnostic criteria and uniform treatment or terminology
BACKGROUND CONTEXT Pain innate to intervertebral disc , often referred to as discogenic pain , is suspected by some authors to be the major source of chronic low back and neck pain .
Current management of suspected discogenic pain lacks st and ardized diagnosis , treatment , and terminology .
PURPOSE In an attempt to determine whether patterns existed that may facilitate st and ardization of care , we sought to analyze the terminologies used and the various modes of diagnosis and treatment of suspected discogenic pain .
Two-year follow-up of a controlled trial of intradiscal electrothermal anuloplasty for chronic low back pain resulting from internal disc disruption.
BACKGROUND On the basis of observational data , intradiscal electrothermal anuloplasty ( IDETA ) has been implemented as a treatment for back pain result ing from internal disc disruption . PURPOSE To assess the efficacy of IDETA . STUDY DESIGN Prospect i ve cohort study with comparison group and 2-year follow-up . PATIENT SAMPLE Of 53 patients who satisfied the diagnostic criteria for internal disc disruption , 36 were allocated to a treatment group and 17 to a comparison group , according to whether their insurer approved treatment with IDETA . OUTCOME MEASURES Outcomes were assessed in terms of relief of pain , return to work and use of opioids to treat persisting pain . METHODS The treatment group underwent IDETA . The comparison group underwent a conventional rehabilitation program . Outcomes were assessed at 3 months , 12 months and 2 years after treatment . RESULTS As a group , the comparison patients exhibited no significant improvement in their pain at any time . One was partially relieved , but no patient was completely relieved at either 12 or 24 months . The patients treated with IDETA exhibited significant improvements in their median pain scores , which were sustained at 12 and 24 months . At 24 months , 54 % of these patients had achieved at least 50 % relief of their pain , no longer used opioids and were at work . Seven patients ( 20 % ) were totally free of pain and at work at 24 months . CONCLUSIONS The long-term results of IDETA are stable and enduring . It is not universally successful , but 54 % of patients can reduce their pain by half , and one in five patients can expect to achieve complete relief of their pain
RESULTS The results of this review confirm and help quantify the significant differences that existed in the terminology and all the areas of diagnosis and treatment of presumed discogenic pain .
Our findings show that suspected discogenic pain , despite its extensive affirmation in the literature and enormous re sources regularly devoted to it , currently lacks clear diagnostic criteria and uniform treatment or terminology
BACKGROUND CONTEXT Pain innate to intervertebral disc , often referred to as discogenic pain , is suspected by some authors to be the major source of chronic low back and neck pain .
Current management of suspected discogenic pain lacks st and ardized diagnosis , treatment , and terminology .
PURPOSE In an attempt to determine whether patterns existed that may facilitate st and ardization of care , we sought to analyze the terminologies used and the various modes of diagnosis and treatment of suspected discogenic pain .