Table 4

Procedure-specific clinical variables associated with treatment outcome

Clinical variableProcedural failure (n=193)Procedural success (n=139)*P value
Epidural steroid injections9073
Physical exam
 Straight leg raising test (−)39 (43)32 (44)0.95
 Straight leg raising test (+)51 (57)41 (56)
Pathology
 Herniated disc42 (48)32 (45)0.13
 Spinal stenosis31 (35)28 (39)
 Herniated disc and spinal stenosis4 (5)8 (11)
 Spondylosis without compression11 (13)3 (4)
Facet interventions6833
 <50% pain relief from diagnostic block36 (53)1 (3)
 50%–79% pain relief from diagnostic block23 (34)15 (45)<0.001*
 ≥80% pain relief from diagnostic block9 (13)17 (52)<0.001†
Sacroiliac joint injection3333
Physical exam
 Gaenslen’s test (−)7 (21)10 (30)0.4
 Gaenslen’s test (+)26 (79)23 (70)
 Patrick’s test (−)9 (27)15 (45)0.12
 Patrick’s test (+)24 (73)18 (55)
 Positive Patrick’s & Gaenslen’s tests22 (67)15 (45)0.083
Prior surgery
 Prior back surgery7 (21)4 (13)0.35
 No prior back surgery26 (79)28 (88)
 <50% pain relief from diagnostic block15 (45)3 (9)
 50%–79% pain relief from diagnostic block9 (27)17 (52)<0.001*
 ≥80% pain relief from diagnostic block9 (27)13 (39)0.30†
  • *Comparison of procedural failure versus success based on ≥50% vs. < 50% pain relief threshold as definition of positive block.

  • †Comparison of procedural failure versus success based on ≥80% vs. < 80% pain relief threshold as definition of positive block.