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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 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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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftScientific Reports
Verlag:Nature
Ort der Veröffentlichung:LONDON
Band:7
Nummer des Zeitschriftenheftes oder des Kapitels:7866
Seitenbereich:S. 1-9
Datum11 August 2017
InstitutionenMedizin > Lehrstuhl für Orthopädie
Medizin > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Identifikationsnummer
WertTyp
10.1038/s41598-017-08350-xDOI
Stichwörter / 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-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-364122
Dokumenten-ID36412

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