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Updated: Feb 21, 2026

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[Radicular pain caused by Schmörl's node: a case report].

Saeyoung Kim1, Seungwon Jang1

  • 1Kyungpook National University, School of Medicine, Department of Anesthesiology and Pain Medicine, Daegu, República da Coréia.

Brazilian Journal of Anesthesiology (Elsevier)
|October 9, 2017
PubMed
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.

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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.
Keywords:
Analgesia epiduralCiáticaDor lombarEpidural analgesiaEsteroidesLow back painSciaticaSteroids

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Last Updated: Feb 21, 2026

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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.