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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.1
- 수록면
- 254 - 257 (4page)
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초록· 키워드
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Background:Epidural steroid injection is an established treatment modality for intervertebral disc prolapse leading to radiculopathy. In cases where two levels of radiculopathy are present, two separate injections are warranted. Herein, we present our experience of management of such cases with a single epidural injection of local anaesthetic, tramadol and methylprednisolone, and table tilt for management of both radiculopathies.
Methods:50 patients of either sex aged between 35-65 years presenting with features of cervical and lumbar radiculopathic pain were included and were subjected to single lumbar epidural injection of local anaesthetic, tramadol and methylprednisolone, in the lateral position. The table was then tilted in the trendelberg position with a tilt of 25 degrees, and patients were maintained for 10 minutes before being turned supine. All patients were administered 3 such injections with an interval of 2 weeks between subsequent injections, and pain relief was assessed with a visual analogue scale. Immediate complications after the block were assessed.
Results:Immediate and post procedural complications observed were nausea and vomiting (20%), painful injection site (4%), hypotension (10%) and high block (4%). Pain relief was assessed after the three injections by three grades: 37 (74%) had complete resolution of symptoms; 18% had partial relief and 8 % did not benefit from the procedure.
Conclusions:This technique may be used as an alternative technique for pain relief in patients with unilateral cervical and lumbar radiculopathies. (Korean J Pain 2010; 23: 254-257)
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Abdi S / 2005 / Role of epidural steroids in the management of chronic spinal pain: a systematic review of effectiveness and complications / Pain Physician 8 : 127 ~ 143
Abdi S / 2007 / Epidural steroids in the management of chronic spinal pain: a systematic review / Pain Physician 10 : 185 ~ 212
Apostolou GA / 1981
Berman AT / 1984 / The effects of epidural injection of local anesthetics and corticosteroids on patients with lumbosciatic pain / Clin Orthop Relat Res 188 : 144 ~ 151
Bogduk N / 2002 / Monotherapy. In: Medical management of acute and chronic low back pain. 13th ed / Elsevier Science : 143 ~ 162
Abdi S / 2007 / Epidural steroids in the management of chronic spinal pain: a systematic review / Pain Physician 10 : 185 ~ 212
Apostolou GA / 1981
Berman AT / 1984 / The effects of epidural injection of local anesthetics and corticosteroids on patients with lumbosciatic pain / Clin Orthop Relat Res 188 : 144 ~ 151
Bogduk N / 2002 / Monotherapy. In: Medical management of acute and chronic low back pain. 13th ed / Elsevier Science : 143 ~ 162
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