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1.
Orthopadie (Heidelb) ; 53(2): 147-160, 2024 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-38078937

RESUMO

Minimally invasive injection treatment is indicated particularly in cases of treatment-resistant, painful degenerative alterations of the cervical and lumbar spine, intervertebral disc displacement and radicular syndrome. Through the injections and the supplementation with further conservative, e.g., physical therapy and activating measures, the vicious circle of neural irritation and muscle tension and sympathetic nerve reactions can be interrupted.


Assuntos
Deslocamento do Disco Intervertebral , Radiculopatia , Humanos , Deslocamento do Disco Intervertebral/terapia , Radiculopatia/tratamento farmacológico , Injeções , Região Lombossacral , Pescoço
2.
Orthopadie (Heidelb) ; 52(12): 1017-1024, 2023 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-38015212

RESUMO

An intensive conservative treatment that exhausts all treatment options should fundamentally be carried out before every surgical intervention in the region of the spinal column. The therapeutic measures are determined by the extent of the cervical or lumbar syndrome. As a rule, in cases of local complaints symptomatic measures with physiotherapy or digital healthcare applications are indicated. In cases of referred cervical and lumbar syndromes targeted injections can be employed. Before targeted injection treatment a detailed orthopedic clarification with respect to the intensity of local, radicular or pseudoradicular complaints must be carried out. When carrying out minimally invasive injection treatment specific prerequisites with respect to spatial, personnel and technical conditions must be fulfilled. The indications and contraindications must be strictly controlled.


Assuntos
Injeções , Coluna Vertebral , Humanos , Pescoço , Vértebras Lombares
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