Spinal pain is a symptom caused by changes of the vertebral column or its adnexa. Sometimes spinal pain cannot be treated, especially in case of multiple pain lesions, because of its difficulty in evaluating original causes which contributes to the symptoms. Thus, the precise localization of the lesion causing symptoms is very important for targeted treatment. However, the diagnosis based on limited screening test including physical evaluation and radiological finding may lead to misdiagnosis of the actual lesion causing symptoms, failure of treatment, and unnecessary surgery. From this point of view, nonsurgical interventional for spinal pain can be helpful to diagnose the precise cause of spinal pain. We report several cases that nonsurgical interventional therapy which diagnosed the precise lesion that cause the spinal pain and treated successfully with nonsurgical interventional therapy for diagnostic purposes with therapeutic purpose.

Spontaneous intracranial hypotension (SIH) causes headache in the absence of tissue injury such as trauma, spinal cord injury, surgery, or epidural anesthesia. Epidural blood patch in the epidural space where CSF leakage occurs is effective for treatment of SIH. However, when the leakage site is unknown, administration of autologous blood into the lumbar epidural space could be effective. Here we report on patients who suffered from headache by SIH and could not confirm the leakage site, however, treatment by lumbar epidural blood patch was administered successfully.