Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study

<div>Magnetic resonance imaging (MRI) of a 35-year-old female patient who had suffered severe back pain and bilateral referred leg pain for more than 2 years. This patient’s symptom improved significantly after TEBLA at the L4-5 level. The preoperative VAS score of 8 decreased to 1 postoperatively. (a) Preoperative T2WI lumbar magnetic resonance imaging (MRI) sagittal views with Modic Type 1 changes. (b) Postoperative T2WI lumbar MRI sagittal views showing resolution of the Modic reaction.</div>

Pain Research and Management

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Figure 5: Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study 

Figure 5 | Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study 