Prospective and Observation Study of Selective Nerve Root Block on Patients with PIVD

2021 ◽  
pp. 25
Author(s):  
Vikas Singh
Keyword(s):  
Back Pain ◽  
Prospective Study ◽  
Lower Back Pain ◽  
Nerve Root ◽  
Common Site ◽  
Observation Study ◽  
Common Cause ◽  
Nerve Root Block ◽  
Lower Back ◽  
Selective Nerve Root Block

Introduction: PIVD is the most common cause of lower back pain in old age. The most common site is L4 L5 to L5 S1 in about 95% cases, and about 90% cases are associated with radiculopathy. Methodology: This prospective study was conducted on 150 patients at the Jawahar Lal Nehru Hospital and Research Center between 2019 and 2021. We used 2–3 ml xylocaine and methylprednisolone. Results were assessed through clinical examination. Result: Of the 150 patients, 130 experienced excellent results with no pain for more than six months. Conclusion: We conclude that for mild cases, patients with PIVD have an alternative option of selective nerve root block other than surgery.

scholarly journals Back pain is a common cause of treatment to a neurologist

2016 ◽  
pp. 39-41 ◽  
Author(s):  
N. Svyrydova
Keyword(s):  
Nervous System ◽  
Back Pain ◽  
Sensory Neurons ◽  
Lower Back Pain ◽  
Common Cause ◽  
Electrical Signals ◽  
Lower Back ◽  
Wide Range ◽  
Potential Damage ◽  
Peripheral Sensory

Pain - one of the most common reasons for handling to a neurologist. Approximately 80% of the population is plagued at one time or another by back pain, especially lower back pain. Nervous system detects and interprets a wide range of endogenous and environmental irritants. Pain mediated by nociceptors, through the peripheral sensory neurons that signal potential damage to the skin via stimulus conversion into electrical signals that are relayed to higher brain centers.

scholarly journals The reliability of motion palpation versus a traditional chiropractic method for the analysis of chronic mechanical sacroiliac joint syndrome

2000 ◽  
Author(s):  
◽  
Paul Craig Birdsey
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Sacroiliac Joint ◽  
Reliable Method ◽  
Common Cause ◽  
Sacroiliac Joint Dysfunction ◽  
Lower Back

Sacroiliac joint syndrome represents a common cause of lower back pain (Cassidy and Burton 1992:3). However, much controversy exists regarding the most reliable method used to diagnose and determine sacroiliac joint dysfunction (Wiles and Faye 1992).

scholarly journals Therapeutic effects of selective nerve root block in cases of lumber PIVD - A prospective study

2019 ◽  
Vol 5 (1) ◽  
pp. 42-45
Author(s):  
Sanjiv Kumar ◽  
◽  
Reetu Verma ◽  
Gaurav Chahal ◽  
Ashish Kumar ◽  
...  
Keyword(s):  
Prospective Study ◽  
Nerve Root ◽  
Therapeutic Effects ◽  
Nerve Root Block ◽  
Selective Nerve Root Block ◽  
A Prospective Study

Acute Lower Back Pain

2015 ◽  
Author(s):  
John W. Martel ◽  
Caitlin Hynes
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Nerve Root ◽  
Epidural Abscess ◽  
The United States ◽  
Magnetic Resonance Images ◽  
Disk Herniation ◽  
Lower Back ◽  
Acute Back Pain ◽  
Acute Lower Back Pain

Lower back pain is common, with up to 8% of the adult population in the United States reporting at least one episode of acute back pain within the last year. This is associated with considerable burden to the health care system. The majority of patients who experience back pain have no clear etiology for their symptoms; although symptoms tend to improve within 4 to 6 weeks, they also tend to recur. This review covers the pathophysiology, diagnosis and treatment, and disposition and outcomes of acute lower back pain. Figures show magnetic resonance images of L4/L5 disk herniation, spinal neoplasm, and epidural abscess; schematics of cauda equina syndrome associated with central disk herniation and disk herniation causing unilateral radicular symptoms due to nerve root compression; and dermatomal symptoms associated with L4-S1 nerve root compromise. Tables list red flag signs and symptoms of acute back pain, emergent causes of acute back pain, Waddell signs suggestive of nonorganic back pain, neurologic examination findings associated with L1-S1 nerve roots, pros and cons of treatment options for musculoskeletal and radicular back pain, and indications for surgery for patients with spinal epidural abscess and vertebral osteomyelitis. This review contains 5 highly rendered figures, 6 tables, and 98 references.

scholarly journals Human assumed central sensitisation (HACS) in patients with chronic low back pain radiating to the leg (CLaSSICO study)

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e052703
Author(s):  
Ingrid Schuttert ◽  
Hans Timmerman ◽  
Gerbrand J Groen ◽  
Kristian Kjær Petersen ◽  
Lars Arendt-Nielsen ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Healthy Volunteers ◽  
Chronic Low Back Pain ◽  
Nerve Root ◽  
Pain Clinic ◽  
Low Back ◽  
Central Sensitisation ◽  
Nerve Root Block ◽  
Selective Nerve Root Block

IntroductionPatients with chronic low back pain radiating to the leg (CLBPr) are sometimes referred to a specialised pain clinic for a precise diagnosis based, for example, on a diagnostic selective nerve root block. Possible interventions are therapeutic selective nerve root block or pulsed radiofrequency. Central pain sensitisation is not directly assessable in humans and therefore the term ‘human assumed central sensitisation’ (HACS) is proposed. The possible existence and degree of sensitisation associated with pain mechanisms assumed present in the human central nervous system, its role in the chronification of pain and its interaction with diagnostic and therapeutic interventions are largely unknown in patients with CLBPr. The aim of quantitative sensory testing (QST) is to estimate quantitatively the presence of HACS and accumulating evidence suggest that a subset of patients with CLBPr have facilitated responses to a range of QST tests.The aims of this study are to identify HACS in patients with CLBPr, to determine associations with the effect of selective nerve root blocks and compare outcomes of HACS in patients to healthy volunteers.Methods and analysisA prospective observational study including 50 patients with CLBPr. Measurements are performed before diagnostic and therapeutic nerve root block interventions and at 4 weeks follow-up. Data from patients will be compared with those of 50 sex-matched and age-matched healthy volunteers. The primary study parameters are the outcomes of QST and the Central Sensitisation Inventory. Statistical analyses to be performed will be analysis of variance.Ethics and disseminationThe Medical Research Ethics Committee of the University Medical Center Groningen, Groningen, the Netherlands, approved this study (dossier NL60439.042.17). The results will be disseminated via publications in peer-reviewed journals and at conferences.Trial registration numberNTR NL6765.

scholarly journals A study of the relative effectiveness of the lumbar roll and the spinous push technique in the treatment of facet syndrome in the lumbar spine

1996 ◽  
Author(s):  
◽  
Petrus C. Jansen
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Lower Back Pain ◽  
Relative Effectiveness ◽  
Common Cause ◽  
Lower Back ◽  
Facet Syndrome ◽  
Cause Of Pain

Lower back pain due to mechanical dysfunction is a common cause of pain and disability in mankind. Lumbar spine facet syndrome is a major aetiology in mechanical lower back pain

Sign in / Sign up

Export Citation Format

Share Document