CONSIDER THE Unmet Needs in the Treatment of RADICULAR LEG PAIN DUE TO Lumbar Disc Herniation

Patients who do not respond well to conservative treatment can get caught in a treatment cycle that may not resolve the underlying problem^1,2

The Journey Begins With Conservative Therapy

Your members with radiculopathy due to their lumbar disc herniation typically start with conservative treatment, which may not address their radicular leg pain³

Approximately 23% of adults with this condition do not find pain relief with conservative treatments⁴

Members can cycle between conservative therapy and multiple ESIs without resolving the underlying problem

Members Can Get Caught in the Cycle of Epidural Steroid Injections (ESIs)

Many members opt for ESIs in an effort to resolve the issue before considering surgery¹

Unfortunately, over 50% of patients receive multiple ESIs; 22% eventually undergo surgery, with 12% requiring multiple surgeries.⁴

Surgery May Not Be the Best Solution for Many Members

Unfortunately, ESIs cannot address the root cause of the pain or permanently resolve it¹

Nearly half of members undergo surgery without ever being treated with epidural steroid injections⁴

Although surgery can target the root cause of the pain, it is expensive and carries the risk of potential complications^3,5

With only 7% of members undergoing surgery, a significant number may continue to endure persistent, unresolved pain, highlighting a critical gap in effective pain management and resolution^4,6

Nearly 25% of patients who receive at least one ESI will go on to receive 3 or more total injections, and over 18% of patients who receive ESIs will still undergo surgery.⁴

Surgeries can cost your plan as much as $26,000 on average per patient for the procedure alone or $35,000 inclusive of postoperative care and potential complications.^5,7

To learn more about the burden of radicular leg pain due to lumbar disc herniation, download the disease education brochure

References:
1. Manchikanti L, et al. Pain Physician. 2021;24(S1):S27-S208. 2. Oliveira CB, et al. Cochrane Database Syst Rev. 2020;4(4):CD013577. 3. Kreiner DS, et al. Spine J. 2014;14(1):180-191. 4. Bhandutia A, et al. Poster presented at: American Society of Interventional Pain Physicians (ASIPP) 2024 Annual Meeting, April 4-6, 2024; Dallas, TX. 5. Thaci B, et al. Clinicoecon Outcomes Res. 2019;11:191-197. 6. Weinstein JN, et al. Med Care. 2014;52(12):1055-1063. 7. Data on file, 2024.