关键词: PIVD Radiculopathy SLRT(STRAIGHT LEG RAISING TEST) SLRT, Straight Leg Raising Test SNRB, Selective Nerve Root Block Sciatica Sodium channel blockers VAS score VAS, Visual Analogue Score

来  源:   DOI:10.1016/j.jcot.2022.102049   PDF(Pubmed)

Abstract:
UNASSIGNED: The role of Sodium Channel Blocker and steroid is well established for pain relief in neuropathic pain by reducing inflamation and desensitization of nerve roots. Our study aims at analyzing the effectiveness of multimodal cocktail injections for redicular pain relief & functional outcome in patients with intervertebral disc herniation.
UNASSIGNED: This was a Mixed design (prospective & retrospective) cohort study; we included 113 patients between the age group of 18-70 years, diagnosed with Prolapse of intervertebral disc (PIVD) with lower limb radiculopathy with MRI finding L4-L5/L5-S1 vertebral disc involvement. Patients were injected with total 15 ml of cocktail injection in 3 divided doses at 3 identified sites in affected lower limb. . Patient was examined & evaluated clinically for VAS pain score, SLRT, Sensory, Motor Examination on day 2, day 7, day 15 & after 1 month.
UNASSIGNED: We found that the mean pre-VAS score was 7.83 followed by the mean VAS score on post 2 days was 1.05, post 7 days was 3.47, post 15 days was 3.9 and post 30 days was 3.81. There was a statistically significant difference in the mean VAS score (p-value<0.0001). After one month majority of patients (54.62%) had comfortable painless walk and comfortable walking distance increased up to 1 km in 45.37% of them.
UNASSIGNED: Use of cocktail multimodal injections for radiculopathy pain suggests that this non-operative,OPD based technique could be reasonable, efficient, and safe.
摘要:
未经证实:钠通道阻滞剂和类固醇在神经性疼痛中的作用是通过减少炎症和神经根脱敏来缓解疼痛。我们的研究旨在分析多模式鸡尾酒注射对椎间盘突出症患者椎弓根疼痛缓解和功能结局的有效性。
UNASSIGNED:这是一项混合设计(前瞻性和回顾性)队列研究;我们纳入了113名年龄在18-70岁之间的患者,诊断为椎间盘脱出(PIVD)伴下肢神经根病,MRI发现L4-L5/L5-S1椎间盘受累。在受影响的下肢的3个确定的部位,以3个分开的剂量向患者注射总共15ml的鸡尾酒注射液。.患者接受了VAS疼痛评分的临床检查和评估,SLRT,感官,在第2天,第7天,第15天和1个月后进行运动检查。
UNASSIGNED:我们发现VAS前的平均评分为7.83,其次是2天后的平均VAS评分为1.05,7天后为3.47,15天后为3.9,30天后为3.81。平均VAS评分存在统计学显著差异(p值<0.0001)。一个月后,大多数患者(54.62%)进行了舒适的无痛步行,其中45.37%的患者的舒适步行距离增加了1km。
UNASSIGNED:使用鸡尾酒式多模式注射治疗神经根病疼痛表明这种非手术,基于OPD的技术可能是合理的,高效,和安全。
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