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Benditz, Achim ; Madl, M. ; Loher, M. ; Grifka, Joachim ; Boluki, Daniel ; Linhardt, O.

Prospective medium-term results of multimodal pain management in patients with lumbar radiculopathy

Benditz, Achim, Madl, M., Loher, M., Grifka, Joachim, Boluki, Daniel und Linhardt, O. (2016) Prospective medium-term results of multimodal pain management in patients with lumbar radiculopathy. Scientific Reports 2016 (28187), S. 1-7.

Veröffentlichungsdatum dieses Volltextes: 21 Jun 2016 15:53
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.33905


Zusammenfassung

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 ...

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.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftScientific Reports
Verlag:Nature
Ort der Veröffentlichung:LONDON
Band:2016
Nummer des Zeitschriftenheftes oder des Kapitels:28187
Seitenbereich:S. 1-7
Datum16 Juni 2016
InstitutionenMedizin > Lehrstuhl für Orthopädie
Identifikationsnummer
WertTyp
10.1038/srep28187DOI
Article-ID: 28187Andere
Stichwörter / KeywordsLOW-BACK-PAIN; INTERLAMINAR EPIDURAL INJECTIONS; SPINAL STENOSIS; PRIMARY-CARE; THERAPY; SCIATICA; EFFICACY;
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-339055
Dokumenten-ID33905

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