Benditz, Achim and Brunner, Melanie and Zeman, Florian and Greimel, Felix and Florian, Voellner and Boluki, Daniel and Grifka, Joachim and Weber, Markus and Renkawitz, Tobias (2017) Effectiveness of a multimodal pain management concept for patients with cervical radiculopathy with focus on cervical epidural injections. SCIENTIFIC REPORTS, 7: 7866. ISSN 2045-2322,
Full text not available from this repository. (Request a copy)Abstract
Cervical radiculopathy has become an increasing problem worldwide. Conservative treatment options have been recommended in many reviews on cervical radiculopathy, ranging from different types of physiotherapy to waiting for remission by natural history. No multimodal pain management concept (MPM) on an inpatient basis has been evaluated. This study aimed at showing the positive short-term effects of an inpatient multimodal pain management concept with focus on cervical translaminar epidural steroid injection for patients with cervical radiculopathy. 54 patients who had undergone inpatient MPM for 10 days were evaluated before and after 10-days treatment. The NRS (0-10) value for arm pain could be reduced from 6.0 (IQR 5.7-6.8) to 2.25 (IQR 2.0-3.1) and from 5.9 (IQR 4.8-6.0) to 2.0 (IQR 1.7-2.6) for neck pain. Neck pain was reduced by 57.4% and arm pain by 62.5%. 2 days after epidural steroid injection, pain was reduced by 40.1% in the neck and by 43.4% in the arms. MPM seems to be an efficient short-term approach to treating cervical radiculopathy. Cervical translaminar epidural steroid injection is an important part of this concept. In the absence of a clear indication for surgery, MPM represents a treatment option.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | RANDOMIZED-CLINICAL-TRIAL; NECK-SPECIFIC EXERCISE; UPPER EXTREMITY PAIN; 2-YEAR FOLLOW-UP; STEROID INJECTIONS; LUMBAR RADICULOPATHY; BEHAVIORAL-APPROACH; VERTEBRAL ARTERY; DISABILITY INDEX; UNITED-STATES; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:16 |
| Last Modified: | 25 Feb 2019 14:16 |
| URI: | https://pred.uni-regensburg.de/id/eprint/1390 |
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