Abstract
Objective : to investigate the efficiency and safety of therapeutic blockades with anesthetics and GCs, or SIJ RFD in the combination therapy of chronic low back pain due to SIJ injury. Patients and methods . The investigation enrolled 51 patients (36 women and 15 men) aged 32 to 75 years (mean age, 56.4±2.1 years). Group 1 included 32 patients (mean age, 51.75±2.65 years) who used periarticular blockades with local anesthetics and GCs; Group 2 consisted of 19 patients (mean age, 64.1±2.8 years) who underwent SIJ RFD. Results and discussion . These treatments showed high efficiency and safety. Three months after a treatment cycle, there were reductions in the intensity of pain (by an average of 47%; p<0.0001) and in the degree of disability and improvements in the physical and psychological parameters of quality of life. There were no substantial differences in the health status of patients in the two groups treated with blockades with anesthetics and GCs or SIJ RFD. Conclusion . It has been shown that the incorporation of blockades with anesthetics and GCs or SIJ RFD into the treatment of patients with chronic low back pain can improve the results of therapy.
Highlights
Неспецифическая люмбалгия часто вызвана дисфункцией крестцово-подвздошного сочленения (КПС), при ее лечении обсуждается эффективность лечебных блокад с анестетиками и глюкокортикоидами (ГК), радиочастотной денервации (РЧД) КПС
Interventional medicine techniques in the treatment of nonspecific low back pain caused by sacroiliac joint dysfunction Kavelina A.V., Isaikin A.I., Ivanova M.A
Sacroiliac joint (SIJ) dysfunction often causes nonspecific low back pain; the efficiency of its treatment is discussed to be exhibited by therapeutic blockades with anesthetics and glucocorticoids (GCs) or by SIJ radiofrequency denervation (RFD)
Summary
Что включение блокад с анестетиками и ГК или РЧД КПС в комплексное лечение пациентов с хронической люмбалгией позволяет улучшить результаты терапии. It has been shown that the incorporation of blockades with anesthetics and GCs or SIJ RFD into the treatment of patients with chronic low back pain can improve the results of therapy. При хронической люмбалгии вследствие поражения КПС обсуждается применение интервенционных методов лечения, включая блокады с анестетиками и глюкокортикоидами (ГК) и радиочастотную денервацию (РЧД) [5,6,7,8]. Обследован 51 пациент (36 женщин и 15 мужчин) с хронической люмбалгией, обусловленной дисфункцией КПС, в возрасте от 32 до 75 лет (средний возраст – 56,4±2,1 года), средняя продолжительность боли в спине – 6,1±3,9 мес. При этом создается нагрузка на верхнюю часть КПС и в случае дисфункции возникает боль
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