Современная Методика Инъекционного Лечения Вертеброгенной Боли Под Контролем Компьютерной Томографии

Barysh, А.Ye.

doi:10.22141/2224-1507.1-2.13-14.2014.80060

PJS

2022

DOI: 10.22141/2224-1507.1-2.13-14.2014.80060

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Современная Методика Инъекционного Лечения Вертеброгенной Боли Под Контролем Компьютерной Томографии

А.Ye. Barysh

Abstract: Резюме. В данной работе исследована клиническая эффективность и безопасность 4070 трансфораминальных эпидуральных блокад стероидными препаратами под прерывистым контролем компьютерной томографии для лечения вертеброгенной боли всех локализаций у 1258 больных. В 93,5 % случаев был достигнут положительный результат лечения. Незначительные транзиторные осложнения, успешно купированные или не потребовавшие специфического лечения, имели место у 4,1 % пациентов. Анализ результатов применения прерывистых КТ-контролир… Show more

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Epidural Injections in the Treatment of Radicular Syndrome and Chronic Lumbar Pain in Degenerative-Dystrophic Spine Damage

Kvasnitskyi

2022

Clin. and prev. med.

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Aim. To investigate the methodology and effectiveness of epidural steroid injection for radicular syndrome and lower back pain caused by degenerative-dystrophic process. Research methods: bibliosemantic, comparative, systemic. Results. A literature review and our study proved a high efficacy of both monotherapy and combined epidural steroid injections in treatment of chronic lumbar pain and radicular syndrome caused by degenerative-dystrophic spine damage. Epidural steroid injections are indicated for intervertebral disc herniation, spondyloarthritis, spinal canal stenosis, spondylolisthesis, which cause chronic lumbar pain, radicular syndrome. Epidural steroid blockades with stable remission were proved to have positive result in 20 to 100% of cases, averaging more than 80%. Anesthetics, corticosteroids, enzymes, and vitamins are administered to the epidural cavity to relieve pain and inflammation, but most authors still prefer steroids. Corticosteroids reduce the inflammatory response and oedema by inhibiting the synthesis and release of numerous anti-inflammatory mediators and cause the reverse local anaesthetic effect. Different approaches are used to introduce drugs into the epidural cavity: interlaminar, caudal and transforaminal; the method of long-term local pharmacotherapy is used. Interlaminar epidural steroid injection is as effective as transforaminal epidural injection. The middle interlaminar access is less traumatic. The choice of the administration technique depends on specialist experience and preferences. Epidural injections are performed both by a “blind method” (without imaging) and under control (fluoroscopy, ultrasound and CT) in order to improve the safety and carefulness of pharmacological drug administration. The equivalence of fluoroscopic, ultrasound and CT control of epidural injection in terms of treatment efficacy has been proved. Conclusions. Taking into account the high effectiveness of epidural steroid injections, the possibility of outpatient treatment in the absence of complications, makes it the method of choice in the treatment of radicular and lumbar pain caused by degenerative damage of the lumbar spine, after ineffective treatment.

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Epidural Injections in the Treatment of Radicular Syndrome and Chronic Lumbar Pain in Degenerative-Dystrophic Spine Damage

Kvasnitskyi

2022

Clin. and prev. med.

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Manifestations and Treatment of Lower Back Pain Syndrome in Wartime

Kvasnitskyi

2023

Wiad Lek

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The aim: To improve treatment of patients with lower back pain through identification of pathogenetic factors in its formation. Materials and methods: The early results of treatment of 84 patients with lower back pain (main group) were analysed. Patients of the main group were divided into two subgroups: one group involved patients with mental disorders, the other – patients not suffering from such disorders (the Spielberger-Hanin Anxiety Test used). The patients of the main group with mental disorders (49 patients) were administered with epidural steroid injections and antidepressants. The patients with no mental disorders (35 patients) were administered with epidural steroid injections only. The control group involved 36 patients with lower back pain who did not undergo any psychological testing and were administered with epidural steroid injections only. The Visual Analog Scale (VAS) and the Oswestry Disability Index questionnaire were used to assess pain syndrome. The assessment was carried out twice: in the pre-operative period and in three months after the treatment. Results: A significant difference in the early treatment results between the main and control groups was established according to both the Visual Analog Scale and the Oswestry Disability Index in favour of the main group patients, who were differentiated by pathogenetic factors of the pain syndrome formation. Conclusions: Lower back pain syndrome necessitates clarification of its components in order to develop pathogenically based treatment.

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Современная Методика Инъекционного Лечения Вертеброгенной Боли Под Контролем Компьютерной Томографии

Cited by 2 publications

References 35 publications

Epidural Injections in the Treatment of Radicular Syndrome and Chronic Lumbar Pain in Degenerative-Dystrophic Spine Damage

Epidural Injections in the Treatment of Radicular Syndrome and Chronic Lumbar Pain in Degenerative-Dystrophic Spine Damage

Manifestations and Treatment of Lower Back Pain Syndrome in Wartime

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