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[Radicular pain caused by Schmörl's node: a case report].
1Kyungpook National University, School of Medicine, Department of Anesthesiology and Pain Medicine, Daegu, República da Coréia.
Brazilian Journal of Anesthesiology (Elsevier)
|October 9, 2017
Summary
Schmörl's nodes, though usually asymptomatic, can cause rare radicular pain. Transforaminal epidural blocks offer an effective non-surgical treatment option for this condition.
Area of Science:
- Orthopedics
- Neurosurgery
- Pain Medicine
Context:
- Schmörl's nodes represent focal herniation of intervertebral discs into vertebral bodies.
- While often asymptomatic, these nodes can cause pain by irritating neural structures.
- Radicular pain secondary to Schmörl's nodes is an uncommon presentation.
Purpose:
- To report a rare case of radicular pain caused by a Schmörl's node.
- To evaluate the efficacy of transforaminal epidural blocks in managing this specific type of pain.
Summary:
- A patient presented with radicular pain attributed to a Schmörl's node on the inferior surface of the L5 vertebra.
- Serial L5 transforaminal epidural blocks successfully alleviated the patient's radicular pain.
- This case supports transforaminal epidural block as a primary conservative treatment for radicular pain from intervertebral disc herniation.
Impact:
- Highlights a rare cause of radicular pain.
- Establishes transforaminal epidural block as a viable conservative treatment for Schmörl's node-induced radicular pain.
- May influence clinical decision-making towards non-surgical interventions for similar cases.