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Review Article

Korean J Pain 2019; 32(3): 147-159

Published online July 1, 2019 https://doi.org/10.3344/kjp.2019.32.3.147

Copyright © The Korean Pain Society.

Lumbar foraminal neuropathy: an update on non-surgical management

Young Kook Choi

New Jersey Pain Medicine for the Difficult and Failed Pain, Robert Wood Johnson University Hospital Rahway, Rahway, NJ, USA

Correspondence to:Young Kook Choi
New Jersey Pain Medicine for the Difficult and Failed Pain, Robert Wood Johnson University Hospital Rahway, 865 Stone Street, Rahway, NJ 07065, USA
Tel: +1-732-754-0369, Fax: +1-855-492-5768, E-mail: choiyomd@hotmail.com
ORCID: https://orcid.org/0000-0002-9572-011X

Received: May 10, 2019; Revised: June 11, 2019; Accepted: June 11, 2019

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Lumbar foraminal pathology causing entrapment of neurovascular contents and radicular symptoms are commonly associated with foraminal stenosis. Foraminal neuropathy can also be derived from inflammation of the neighboring lateral recess or extraforaminal spaces. Conservative and interventional therapies have been used for the treatment of foraminal inflammation, fibrotic adhesion, and pain. This update reviews the anatomy, pathophysiology, clinical presentation, diagnosis, and current treatment options of foraminal neuropathy.

Keywords: Constriction, Pathologic, Decompression, Electric Stimulation, Fibrosis, Foraminotomy, Ganglia, Spinal, Inflammation, Lumbosacral Region, Pain Management, Radiculopathy, Spinal Nerve Roots