The possibilities of combined block for the relief of vertebrogenic radicular pain syndrome
https://doi.org/10.56618/2071-2693_2023_15_3_21
Abstract
SUMMARY: Back pain in degenerative-dystrophic diseases of the spine is one of the most common causes of patients seeking medical help. The occurrence of radicular syndrome in various age groups of patients during life varies with a frequency of 12.2 to 43.0 %. Drug therapy is not always effective. The short duration and low effectiveness of the analgesic effect of certain types of blockades makes us think about using their optimal combination to achieve the best analgesic effect.
PURPOSE OF THE STUDY: to propose a new type of blockade and demonstrate its effectiveness in exacerbation of radicular syndrome.
MATERIALS AND METHODS: a new combined injection method for the treatment of vertebrogenic lumboishialgia in degenerative-dystrophic diseases of the spine is proposed. A comparative analysis of the effectiveness of treatment of pharmacoresistant vertebrogenic radicular syndrome using classical paravertebral blockade and combined blockade was carried out. The effectiveness was evaluated based on the dynamics of the pain radicular syndrome, estimated in points according to VAS (visual analog pain scale) — after the blockades, after 3 days, 14 days, 1 month, 3 months. ь и
RESULTS: VAS scores in patients of the 1st (control) group after the blockade were 3.5± 0.8, after 3 days — 5.6± 1.1, after 14 days — 4.8± 1.2, after 30 days — 4.2± 0.7, after 3 months — 4.1± 0.9. In patients of the 2nd (main) group: after the blockade — 0, after 3 days — 1.8 ± 0.2, 14 days — 2.1± 0.9, after 30 days — 1.8 ± 0.5, after 3 months — 1.2± 0.4.
CONCLUSION: the use of combined blockade can significantly reduce the level of residual radicular pain in patients with lumboishialgia (p<0.05).
About the Authors
M. Yu. Goncharov
Sverdlovsk Regional Hospital for War Veterans
Russian Federation
Russian Federation
Goncharov Maksim Yurevich
21, Narodnaya st., Yekaterinburg, 620036
Ia. A. Kniazeva
Ural state medical university
Russian Federation
Russian Federation
Kniazeva Iana Alekseevna
3, Repina st., Yekaterinburg, 620028
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Review
For citations:
Goncharov M.Yu., Kniazeva I.A. The possibilities of combined block for the relief of vertebrogenic radicular pain syndrome. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2023;15(3):21-25. (In Russ.) https://doi.org/10.56618/2071-2693_2023_15_3_21
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