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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 und 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), S. 1-9.Veröffentlichungsdatum dieses Volltextes: 05 Dez 2017 14:17
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.36412
Zusammenfassung
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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| Dokumentenart | Artikel | ||||
| Titel eines Journals oder einer Zeitschrift | Scientific Reports | ||||
| Verlag: | Nature | ||||
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| Ort der Veröffentlichung: | LONDON | ||||
| Band: | 7 | ||||
| Nummer des Zeitschriftenheftes oder des Kapitels: | 7866 | ||||
| Seitenbereich: | S. 1-9 | ||||
| Datum | 11 August 2017 | ||||
| Institutionen | Medizin > Lehrstuhl für Orthopädie Medizin > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien | ||||
| Identifikationsnummer |
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| Stichwörter / 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-Dezimal-Klassifikation | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||
| Status | Veröffentlicht | ||||
| Begutachtet | Ja, diese Version wurde begutachtet | ||||
| An der Universität Regensburg entstanden | Ja | ||||
| URN der UB Regensburg | urn:nbn:de:bvb:355-epub-364122 | ||||
| Dokumenten-ID | 36412 |
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