Primer on Adhesive Arachnoiditis

This article explores the resurgence of adhesive arachnoiditis (AA), a previously rare disorder, in the 21st century. Historically linked to tuberculosis and other infections, AA’s re-emergence is attributed to advancements in MRI technology, aiding in improved diagnosis and an increase in spinal procedures, possibly leading to iatrogenic cases. Complications of AA include chronic pain and motor dysfunction, significantly impacting quality of life. Treatment involves a multidisciplinary approach, including pharmacological and osteopathic treatments, possible surgical interventions, and psychological support. The article provides an in-depth look at AA’s epidemiology, clinical profile, causes, diagnosis, and treatment strategies, highlighting its complex nature and the necessity for heightened awareness among medical practitioners.