effect of trigger point injection on lumbosacral radiculopathy source

نویسندگان

seyed reza saeidian department of physical medicine and rehabilitation, imam khomeini hospital, ahvaz jundishapur university of medical sciences, ahwaz, iran

mohammad reza pipelzadeh department of anesthesia, imam khomeini hospital, ahvaz jundishapur university of medical sciences, ahwaz, iran; corresponding author: mohammad reza pipelzadeh, anesthesia department, imam khomeini hospital, ahvaz jundishapur university of medical sciences, ahwaz, iran. tel: + 98-9166167018, e-mail:

saleh rasras department of neurosurgery, golestan hospital, ahvaz jundishapur university of medical sciences, ahwaz, iran

masud zeinali department of neurosurgery, golestan hospital, ahvaz jundishapur university of medical sciences, ahwaz, iran

چکیده

conclusions results show that trigger point injection therapy in patients suffering from chronic lumbosacral radiculopathy with trigger points can significantly improve their recovery, and conservative therapy may not be adequate. results out of 98 patients, 64 had trigger points. thirty-two patients were assigned to each group. pain scores (mean ± sd) in tp group was 7.12 ± 1.13 and in n group was 6.7 ± 1.16, p = 0.196. following the treatment, pain scores were 2.4 ± 1.5 in tp group and 4.06 ± 1.76 in n group p = 0.008. slr test became negative in all patients in tp group but only in 6 (19%) patients in n group, p = 0.001. background active muscular trigger points (amtps) presenting with radiating pain can interfere in diagnosis and treatment of patients suffering from lumbosacral radiculopathy. objectives we aimed to diagnose and evaluate the trigger point therapy on the outcome of pain in patients with lumbosacral radiculopathy. materials and methods a total of 98 patients were enrolled suffered with chronic pain andlumbosacral radiculopathy at l4-l5 and l5-s1 who were candidates of non-surgical management. all patients received conservative modalities, including bed rest, non-steroidal anti-inflammatory agents (nsaid), and physiotherapy. these treatments continued for a week. patients were examined for the presence of trigger points in their lower extremities. those who had trigger points were divided into 2 groups (tp and n). patients in tp group underwent trigger point injection therapy. no further therapy was done for the n group. pain scores and straight leg raise (slr) test in both groups were collected and analyzed on the seventh and 10th days of the therapy. results were analyzed by paired t test and chi-square test.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Effect of Trigger Point Injection on Lumbosacral Radiculopathy Source

BACKGROUND Active muscular trigger points (aMTPs) presenting with radiating pain can interfere in diagnosis and treatment of patients suffering from lumbosacral radiculopathy. OBJECTIVES We aimed to diagnose and evaluate the trigger point therapy on the outcome of pain in patients with lumbosacral radiculopathy. MATERIALS AND METHODS A total of 98 patients were enrolled suffered with chroni...

متن کامل

Epidural Steroid Injection for Lumbosacral Radiculopathy

ow back pain combined with radicular pain remains as one of the most challenging musculoskeletal problems for its therapeutic management (1). This malady results from nerve root impingement and/or inflammation that causes neurologic symptoms in the distribution of the affected nerve root(s). Conservative treatment, percutaneous spine interventions and surgery have all been used as treatments; a...

متن کامل

Effect of transforaminal epidural polydeoxyribonucleotide injections on lumbosacral radiculopathy

RATIONALE Transforaminal epidural glucocorticoids administration is widely performed for the management of lumbosacral radiculopathy. However, it may worsen the condition of patients with type 2 diabetes mellitus (DM). Polydeoxyribonucleotide (PDRN) was recently noted as a substitute for glucocorticoids. PATIENT CONCERNS A 44-year-old male patient was admitted to our pain clinic with symptoms...

متن کامل

Two-Point Discrimination Test in the Treatment of Right-handed Females with Lumbosacral Radiculopathy

Non-somatic causes of pain may aggravate painful complaints and complicate the conservative management of diseases such as lumbo-sacral disk root disease. The two-point discrimination test has been used for assessment of diseases, which change patients' skin sensation. This study aims to find out how applicable is two-point discrimination test in the conservative treatment of lumbo-sacral disk ...

متن کامل

Lumbosacral radiculopathy--factors effects on it's severity.

Want to demonstrate factors which effect appearance and severity of lumbosacral radiculopathy. We analysed 100 electromyoneurographically examined patients. Patients were categorised on bases of their BMI (body mass index), sex, age, job type (physical or intellectual job), and chronic diseases (diabetes mellitus, arterial hypertension and hyperlipidemia). Data were evaluated using the chi2 tes...

متن کامل

Denervation hypertrophy in lumbosacral radiculopathy.

schwannoma in a patient with multiple intracranial aneurysms. Case report. J Neurosurg 1984;60:1089–94. 28. Lamas E, Diez Lobato R, Cabello A, et al. Multiple intracranial arterial occlusions (moyamoya disease) in patients with neurofibromatosis. One case report with autopsy. Acta Neurochir (Wien) 1978;45:133–45. 29. Malecha MJ, Rubin R. Aneurysms of the carotid arteries associated with von Rec...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
anesthesiology and pain medicine

جلد ۴، شماره ۴، صفحات ۰-۰

کلمات کلیدی

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023