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Persistent radiculopathy after surgical treatment for lumbar disc herniation: causes and treatment options
Ashley Rogerson1, Jessica Aidlen2, Louis G Jenis3,4
1Department of Orthopaedic Surgery, Tufts Medical Center, Boston, MA, 02111, USA.
Purpose:
Lumbar disc surgery is a common procedure in the USA. It is frequently performed with good or excellent results in most patients. This article reviews common causes of persistent radiculopathy after surgical intervention.
Methods:
We performed an extensive review of the literature as well as applying our own experience.
Results:
Common causes of persistent leg pain following operative intervention include re-herniation, epidural fibrosis, biochemical/physiologic changes in the nerve root, and psychosocial issues.
Conclusions:
Patients with persistent leg pain after surgical treatment of lumbar disc herniation can pose a challenging clinical problem. Summary of these topics and available treatment options are reviewed.
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