Lumbar Spinal Nerve Analgesia (LSPA)
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Lumbar Spinal Nerve Analgesia (LSPA)

Lumbar spinal nerve analgesia is a minimally invasive technique involving injection of a local anesthetic, with or without corticosteroid, near the nerve responsible for pain in the lower back or leg.


Technical procedure

The technique involves injection of a local anesthetic, with or without corticosteroid, close to the affected nerve, aiming to reduce inflammation and relieve irritated neural structures.

Therapeutic goal

  • Desensitization of neural structures
  • Pain relief
  • Facilitation of safe mobilization and rehabilitation without inducing complete anesthesia

Indications

  • Acute or chronic lumbar pain syndromes
  • Sciatica
  • L2, L3, L4, L5 and S1 lumbar radiculopathy
  • Herniated intervertebral disc
  • Spinal stenosis
  • Degenerative spine diseases

Benefits

  • Immediate pain relief
  • Improved mobility and quality of life
  • Safe technique

Clinical approach

In most cases, the procedure is performed using anatomical landmarks or ultrasound guidance. In rare cases, fluoroscopic guidance may be required.