Báo cáo y học: " Evaluation of Lumbar Facet Joint Nerve Blocks in Managing Chronic Low Back Pain: A Randomized, Double-Blind, Controlled Trial with a 2-Year Follow-U"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Evaluation of Lumbar Facet Joint Nerve Blocks in Managing Chronic Low Back Pain: A Randomized, Double-Blind, Controlled Trial with a 2-Year Follow-Up. | Int. J. Med. Sci. 2010 7 124 International Journal of Medical Sciences 2010 7 3 124-135 Ivyspring International Publisher. All rights reserved Research Paper Evaluation of Lumbar Facet Joint Nerve Blocks in Managing Chronic Low Back Pain A Randomized Double-Blind Controlled Trial with a 2-Year Follow-Up Laxmaiah Manchikanti1 Vijay Singh2 Frank . Falco3 Kimberly A. Cash4 Vidyasagar Pampati5 1. Medical Director of the Pain Management Center of Paducah Paducah KY and Associate Clinical Professor Anesthesiology and Perioperative Medicine University of Louisville Louisville KY USA 2. Medical Director Pain Diagnostics Associates Niagara WI USA 3. Medical Director of the Mid Atlantic Spine Pain Physicians of Newark DE Director Pain Medicine Fellowship Temple University Hospital Philadelphia PA Associate Professor Department of PM R Temple University Medical School Philadelphia PA USA 4. Research Coordinator at the Pain Management Center of Paducah Paducah KY USA 5. Statistician at the Pain Management Center of Paducah Paducah KY USA ISI Corresponding author Laxmaiah Manchikanti MD 2831 Lone Oak Road Paducah Kentucky 42003. Phone 270-554-8373 Fax 270-554-8987 E-mail drlm@ Received Accepted Published Abstract Study Design A randomized double-blind controlled trial. Objective To determine the clinical effectiveness of therapeutic lumbar facet joint nerve blocks with or without steroids in managing chronic low back pain of facet joint origin. Summary of Background Data Lumbar facet joints have been shown as the source of chronic pain in 21 to 41 of low back patients with an average prevalence of 31 utilizing controlled comparative local anesthetic blocks. Intraarticular injections medial branch blocks and radiofrequency neurotomy of lumbar facet joint nerves have been described in the alleviation of chronic low back pain of facet joint origin. Methods The study included 120 patients with 60 patients in each group with local .

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