Effectiveness of local injective therapy use for lumbosacral pain syndromes
https://doi.org/10.24884/1607-4181-2019-26-3-70-77
Abstract
The objective of the study was to assess the effectiveness of local injection therapy in patients with lumbosacral pain during medical blockades.
Methods and materials. The results of treatment of compressive lumbosacral radiculoischemia were studied in prospective trial with placebo control. One of the most valuable criteria of medical effectiveness was decrease of pain intensity by visual analog scale and McGill’s questionnaire. 58 patients were included in the study. Comparison between the groups was carried out depending on the treatment: first group was treated with combination of anesthetic with corticosteroids (diprospan), second group – only anesthetic. Rate of pain decrease was assessed during the first day and for 14 days.
Results. In patients with lumbosacral pain treated with combination of anesthetic with corticosteroids, decrease of pain intensity was obtained by visual analog scale and McGill’s questionnaire point. Local corticosteroids use was the most effective with effect in a short time – during the first 24 hours.
Conclusion. Short course of local injection therapy had high effectiveness in patients with lumbosacral pain syndrome.
About the Authors
V. V. Andreev
Pavlov University
Russian Federation
Competing Interests: Авторы заявили об отсутствии потенциального конфликта интересов.
Russian Federation
6-8, L. Tolstoy str., Saint Petersburg, 197022.
Competing Interests: Авторы заявили об отсутствии потенциального конфликта интересов.
E. R. Barantsevich
Pavlov University
Russian Federation
Competing Interests: Авторы заявили об отсутствии потенциального конфликта интересов.
Russian Federation
6-8, L. Tolstoy str., Saint Petersburg, 197022.
Competing Interests: Авторы заявили об отсутствии потенциального конфликта интересов.
A. I. Sychev
Pavlov University
Russian Federation
Competing Interests: Авторы заявили об отсутствии потенциального конфликта интересов.
Russian Federation
6-8, L. Tolstoy str., Saint Petersburg, 197022.
Competing Interests: Авторы заявили об отсутствии потенциального конфликта интересов.
References
1. Levin O. S. Diagnostika i lechenie nevrologicheskikh proyavlenii osteokhondroza pozvonochnika. Consilium-medicum. 2004;6:547–554. (In Russ.).
2. Bromm K., Herrmann W. M., Schulz H. Do the B vitamins exhibit antinociceptive efficacy in men? Results of a placebo-controlled study. Neuropsychobiology. 1995;31:156–165.
3. Ambrozaitis K.-V. K. Povtornye khirurgicheskie vmeshatel’stva pri diskogennykh poyasnichno-kresttsovykh sindromakh. Aktual’nye voprosy neirokhirurgii. 1986;1:175–181. (In Russ.).
4. Vishnevskii A. A., Posokhina O. V., Ivanova T. A. et al. Rol’ somatosensornykh vyzvannykh potentsialov v otsenke lecheniya bol’nykh s degenerativno-distroficheskimi zabolevaniyami poyasnichno-kresttsovogo otdela. Voprosy neirokhirurgii. 2000;3:14–20. (In Russ.).
5. Danilov A. B. Primenenie vitaminov gruppy V pri bolyakh v spine: novye anal’getiki? Russkii meditsinskii zhurnal. Spetsvypusk. 2008;16:35–39. (In Russ.).
6. Pavlenko S. S. Epidemiologiya boli. Bol’ i ee lechenie. 1998;9:12–19. (In Russ.).
7. Popelyanskii Ya. Yu., Shtul’man D. R. Boli v shee, spine i konechnostyakh. Bolezni nervnoi sistemy. Eds. N. N. Yakhno, D. R. Shtul’man. Moscow, Meditsina, 2001:293–316. (In Russ.).
8. Fursova L. A. Retsidiviruyushchie sindromy u bol’nykh posle udaleniya gryzh poyasnichnykh mezhpozvonkovykh diskov: avtoref. dis. … kand. med. nauk. Minsk, 1989. (In Russ.).
9. Galer B. S., Jensen M. P. Development and preliminary validation of a pain measure specific to neuropathic pain: neuropathic pain scale. Neurology. 1997;48:332–338.
10. Jensen M. P., Dworkin R. H., Gammaitoni A. R. et al. Assessment of pain quality in chronic neuropathic and nociceptive pain clinical trials with neuropathic pain scale. J Pain. 2005;6:98–106.
11. Baron R., Binder A. How neuropathic is sciatica? The mixed pain concept. Orthopade. 2004;33:568–575.
12. Veselovskii V. P. Prakticheskaya vertebronevrologiya i manual’naya terapiya. Riga, 1991:30–145. (In Russ.).
13. Gnezditskii V. V. Vyzvannye potentsialy mozga v kliniches koi praktike. Taganrog, 1997. (In Russ.).
14. Andreev V. V., Barantsevich E. R., Kodzaev Yu. K. Vertebrogennaya poyasnichno-kresttsovaya radikulopatiya. Novye Sankt-Peterburgskie vrachebnye vedomosti. 2016; 3(77):64–69. (In Russ.).
15. Kamchatnov P. R., Kazakov A. Yu. Patogeneticheskoe obosnovanie primeneniya vysokikh doz vitaminov gruppy V pri khronicheskoi spondilogennoi dorsopatii. Effektivnaya farmakoterapiya. Nevrologiya i psikhiatriya. 2011;1:3–6. (In Russ.).
16. Paimre R. I., Raudam E. I. Povtornye operatsii diskogennykh poyasnichno-kresttsovykh sindromov. Aktual’nye voprosy nevrologii i neirokhirurgii. 1984;6:107–108. (In Russ.).
17. Podchufarova E. V. Bol’ v poyasnichno-kresttsovoi oblasti: diagnostika i lechenie. Russkii meditsinskii zhurnal. 2004;10:581–584. (In Russ.).
18. Drivotinov B. V. Rezul’taty khirurgicheskogo lecheniya klinicheskikh proyavlenii poyasnichnogo osteokhondroza. Etapnoe vosstanovitel’noe lechenie vertebrogennykh za bo levanii nervnoi sistemy. Stavropol’, 1987:162–165. (In Russ.).
19. Khabirov F. A. Rukovodstvo po klinicheskoi nevrologii pozvonochnika. Kazan’, Meditsina, 2006:135–217. (In Russ.).
20. Shostak N. A., Nasonova V. A., Shemetov D. A. et al. Bol’ v nizhnej chasti spiny kak mnogodisciplinarnaja problema. Terapevticheskij arhiv. 2000;10:57–60. (In Russ.).
21. Davis R. A long-term outcome analysis of 984 surgically treated herniated lumbar discs. J. Neurosurg. 1994; 80(3):415–421.
22. Lewis P., Weir B., Broad R. et al. Long-term prospective study of lumbosacral discectomy. J. Neurosurg. 1987;67(1):49–53.
23. Bruggemann G., Koehler C. O., Koch E. M. Results of a double-blind study of diclofenac + vitamin B1, B6, B12 versus diclofenac in patients with acute pain of the lumbar vertebrae. A multicenter study. Klin Wochenschr. 1990; 19:116–120.
24. Freynhagen R., Baron R. The evaluation of neuropathic components in low back pain. Curr. Pain Headache Rep. 2009;13(3):185–190.
25. Mall J., Kaiser J., Heithoff K. Computed Tomography of the Spine end Spinal Cord. Eds. T. Newton, D. Potts. San Anselmo, 1983:187–204.
26. Dordain G., Aumaitre O., Eschalier A., Decamps A. Vitamin B12, an analgesic vitamin? Critical examination of the literature. Acta Neurol Belg. 1984;84:5–11.
27. Franca D. S., Souza A. L., Almeida K. R. et al. B vitamins induce an antinociceptive eff ect in the acetic acid and formaldehyde models of nociception in mice. Eur. J. Pharmacol. 2001;421:157–64.
28. Fu Q.-G., Carstens E., Stelzer B., Zimmermann M. B vitamins suppress spinal dorsal horn nociceptive neurons in the cat. Neurosci Lett. 1988;95:192–197.
29. Jurna I., Carlsson K. H., Komen W., Bonke D. Acute effects of vitamin B6 and fixed combinations of vitamin B1, B6 and B12 on nociceptive activity evoked in the rat thalamus: dose-response relationship and combinations with morphine and paracetamol. Klin Wochenschr. 1990;68:129–135.
30. Lettko M. Additive clinical efficacy of B-vitamins orally co-administered with NSAID diclofenac. In: B-Vitamins in Pain. Eds. H. U. Gerbershagen, M. Zimmermann. Frankfurt, PMI Verlag, 1988:50–54.
31. Prodan A. I., Gruntovskii G. Kh., Volkov E. B. et al. Prichiny neudach khirurgicheskogo lecheniia poiasnichnogo osteokhondroza i analiz rezultatov povtornykh operatsii. Ortopediia, travmatologiia i protezirovanie. 1987;8:39–44. (In Russ.).
32. Samatokin B. A., Verkhovskii A. I. Posleoperatsionnye retsidivy nevrologicheskikh sindromov poyasnichnogo osteokhondroza i ikh khirurgicheskoe lechenie. Voprosy neirokhirurgii. 1993;6:30–34. (In Russ.).
33. Dowd G., Rusich G., Conolly E. Herniated lumbar disc evaluation and management. Neurosurg. Qart. 1998;8(2): 140–160.
Review
For citations:
Andreev V.V., Barantsevich E.R., Sychev A.I. Effectiveness of local injective therapy use for lumbosacral pain syndromes. The Scientific Notes of the Pavlov University. 2019;26(3):70-77. (In Russ.) https://doi.org/10.24884/1607-4181-2019-26-3-70-77
Views:
772
Email this article 