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Benditz, Achim ; Brunner, Melanie ; Zeman, Florian ; Greimel, Felix ; Völlner, Florian ; Boluki, Daniel ; Grifka, Joachim ; Weber, Markus ; Renkawitz, Tobias

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.



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Details

Item typeArticle
Journal or Publication TitleScientific 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
Date11 August 2017
InstitutionsMedicine > Lehrstuhl für Orthopädie
Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Identification Number
ValueType
10.1038/s41598-017-08350-xDOI
KeywordsRANDOMIZED-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 Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-364122
Item ID36412

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