| Download ( PDF | 1MB) | License: Creative Commons Attribution 4.0 |
Effectiveness of a multimodal pain management concept for patients with cervical radiculopathy with focus on cervical epidural injections
Benditz, Achim, Brunner, Melanie, Zeman, Florian, Greimel, Felix, Völlner, Florian, Boluki, Daniel, Grifka, Joachim, 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), pp. 1-9.Date of publication of this fulltext: 05 Dec 2017 14:17
Article
DOI to cite this document: 10.5283/epub.36412
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 ...
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.
Involved Institutions
Details
| Item type | Article | ||||
| Journal or Publication Title | Scientific Reports | ||||
| Publisher: | Nature | ||||
|---|---|---|---|---|---|
| Open Access Type: | Gold (with APC) | ||||
| Place of Publication: | LONDON | ||||
| Volume: | 7 | ||||
| Number of Issue or Book Chapter: | 7866 | ||||
| Page Range: | pp. 1-9 | ||||
| Date | 11 August 2017 | ||||
| Institutions | Medicine > Lehrstuhl für Orthopädie Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien | ||||
| Identification Number |
| ||||
| 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; | ||||
| Dewey Decimal Classification | 600 Technology > 610 Medical sciences Medicine | ||||
| Status | Published | ||||
| Refereed | Yes, this version has been refereed | ||||
| Created at the University of Regensburg | Yes | ||||
| URN of the UB Regensburg | urn:nbn:de:bvb:355-epub-364122 | ||||
| Item ID | 36412 |
Download Statistics
Download Statistics