DÄ internationalArchive47/2008Degenerative Lumbar Spinal Stenosis – Current Strategies in Diagnosis: Effective Measure

Correspondence

Degenerative Lumbar Spinal Stenosis – Current Strategies in Diagnosis: Effective Measure

Dtsch Arztebl Int 2008; 105(47): 823. DOI: 10.3238/arztebl.2008.0823a

Henneberg, C

LNSLNS The article ends where the excitement begins for patients with inoperable lumbar spinal stenosis and for pain therapists. Analgesics as needed are not an option in this scenario. In my opinion, epidural therapy using water soluble corticoids and low dose local anesthetics (sequentially injected in a sterile manner at the level of the sacral cornua, provided that the patient's clotting mechanisms are intact). The postulated effective mechanism entails reduction of edema and creation of intraspinal space. This is a painless effective measure that I learnt from other anesthesiological pain therapists. I recommend evaluating this treatment in patients with lumbar spinal stenosis. We may need it ourselves one day! DOI: 10.3238/arztebl.2008.0823a

Dr. med. Claudia Henneberg
Bahnhofstr. 18
69469 Weinheim, Germany
dr.c.henneberg@t-online.de