Minimally invasive treatments for chronic low back pain

Chelsey M Hoffmann; Ryan Mattie; Samir J Sheth; Ryan S D'Souza

doi:10.1097/01.JAA.0000000000000150

Minimally invasive treatments for chronic low back pain

JAAPA. 2024 Dec 1;37(12):18-23. doi: 10.1097/01.JAA.0000000000000150. Epub 2024 Dec 21.

Authors

Chelsey M Hoffmann¹, Ryan Mattie, Samir J Sheth, Ryan S D'Souza

Affiliation

¹ At the time this article was written, Chelsey M. Hoffmann was academic co-director of the PA program at the Mayo Clinic School of Health Science in Rochester, Minn. She now practices in the Department of Pain Medicine, Division of Anesthesiology, at the Mayo Clinic in Rochester, Minn. Ryan Mattie practices at Total Spine Institute in Los Angeles, Calif. Samir J. Sheth practices at Sutter Health in Roseville, Calif. Ryan S. D'Souza is director of neuromodulation and a consultant in the Department of Pain Medicine, Division of Anesthesiology, at the Mayo Clinic. Ms. Hoffmann discloses that she provides general consulting for SPR Therapeutics and Nalu Medical. Dr. Sheth is a consultant for SPR, Medtronic, Boston Scientific, and Vertos. Dr. D'Souza has an investigator-initiated grant with Nevro Corp. The authors have disclosed no other potential conflicts of interest, financial or otherwise.

PMID: 39508376
DOI: 10.1097/01.JAA.0000000000000150

Abstract

This article describes minimally invasive treatments for managing chronic low back pain (LBP) related to lumbar spinal stenosis, facetogenic LBP, vertebrogenic LBP, or discogenic LBP. We also propose a clinical decision-making tool to guide clinicians in appropriate patient selection for various treatments.

Publication types

Review

MeSH terms

Chronic Pain* / etiology
Chronic Pain* / therapy
Clinical Decision-Making
Humans
Low Back Pain* / etiology
Low Back Pain* / therapy
Lumbar Vertebrae
Minimally Invasive Surgical Procedures / methods
Spinal Stenosis* / complications
Spinal Stenosis* / therapy