ABSTRACT
Lumbar radiculopathy is one of the most common diseases of modern civilisation. Multimodal pain management (MPM) represents a central approach to avoiding surgery. Only few medium-term results have been published in the literature so far. This study compared subjective and objective as well as anamnestic and clinical parameters of 60 patients who had undergone inpatient MPM because of lumbar radiculopathy before and 1 year ±2 weeks after treatment. The majority of patients were very satisfied (35%) or satisfied (52%) with the treatment outcome. Merely 8 patients commented neutrally and none negatively. The finger-floor distance had decreased significantly (p < 0.01), and 30 patients (50%) had shown improved mobility of the spine after therapy. The need for painkillers had also been significantly reduced after 1 year. The arithmetical average of pain on a visual analogue scale was 7.21 before treatment, which had significantly decreased to 3.58 at follow-up (p < 0.01). MPM is an effective approach for treating lumbar radiculopathy by mechanical nerve root irritation. Therefore, in the absence of an absolute indication for surgery or an absolute contradiction for MPM, patients should first be treated with this minimally invasive therapy.
Subject(s)
Analgesics/therapeutic use , Low Back Pain/therapy , Lumbar Vertebrae/pathology , Pain Management/methods , Physical Therapy Modalities , Psychotherapy, Group , Radiculopathy/therapy , Adult , Aged , Combined Modality Therapy/methods , Female , Humans , Male , Middle Aged , Pain Measurement/methods , Patient Satisfaction , Prospective Studies , Range of Motion, Articular/physiology , Surveys and Questionnaires , Treatment OutcomeABSTRACT
BACKGROUND: There are few studies on minimally invasive injection therapy (MIT) combined with multimodal conservative therapeutic options. Here, we evaluate the results of MIT in a clinical study. METHODS: A total of 61 patients with radicular lumbar symptoms treated with MIT were examined before and 14.5 months after treatment. Subjective, objective, clinical and anamnestic parameters were considered. RESULTS: In most cases, protrusions and prolapses were seen. Radicular pain, sensible and motoric deficits and also functionality of the spine could be rectified after MIT. No major complications were seen during treatment. CONCLUSION: MIT is an effective approach with few complications for the treatment of patients with radicular syndromes.
Subject(s)
Analgesics/therapeutic use , Low Back Pain/drug therapy , Radiculopathy/drug therapy , Adult , Aged , Aged, 80 and over , Analgesics/administration & dosage , Humans , Injections , Low Back Pain/physiopathology , Lumbar Vertebrae , Middle Aged , Prospective Studies , Radiculopathy/physiopathology , Sciatica/therapyABSTRACT
Minimally invasive injection therapy is an effective approach for the treatment of sciatica with less complications. This therapy is a sufficient option in cases without absolute indications for operation.The paper describes in detail the different injection techniques like spinal nerve analgesia, epidural dorsal/perineural injections, vertebral joint infiltrations, and radiculographies.