Effectiveness of a multimodal pain management concept for patients with cervical radiculopathy with focus on cervical epidural injections

Abstract Cervical radiculopathy has become an increasing problem worldwide. Conservative treatment options have been recommended in many reviews on cervical radiculopathy, ranging from different types of physiotherapy to waiting for remission by natural history. No multimodal pain management concept...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Achim Benditz, Melanie Brunner, Florian Zeman, Felix Greimel, Völlner Florian, Daniel Boluki, Joachim Grifka, Markus Weber, Tobias Renkawitz
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3798c6785cfc4edd88feb62a6021e95e
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:3798c6785cfc4edd88feb62a6021e95e
record_format	dspace
spelling	oai:doaj.org-article:3798c6785cfc4edd88feb62a6021e95e2021-12-02T12:30:18ZEffectiveness of a multimodal pain management concept for patients with cervical radiculopathy with focus on cervical epidural injections10.1038/s41598-017-08350-x2045-2322https://doaj.org/article/3798c6785cfc4edd88feb62a6021e95e2017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-08350-xhttps://doaj.org/toc/2045-2322Abstract Cervical radiculopathy has become an increasing problem worldwide. Conservative treatment options have been recommended in many reviews on cervical radiculopathy, ranging from different types of physiotherapy to waiting for remission by natural history. No multimodal pain management concept (MPM) on an inpatient basis has been evaluated. This study aimed at showing the positive short-term effects of an inpatient multimodal pain management concept with focus on cervical translaminar epidural steroid injection for patients with cervical radiculopathy. 54 patients who had undergone inpatient MPM for 10 days were evaluated before and after 10-days treatment. The NRS (0–10) value for arm pain could be reduced from 6.0 (IQR 5.7–6.8) to 2.25 (IQR 2.0–3.1) and from 5.9 (IQR 4.8–6.0) to 2.0 (IQR 1.7–2.6) for neck pain. Neck pain was reduced by 57.4% and arm pain by 62.5%. 2 days after epidural steroid injection, pain was reduced by 40.1% in the neck and by 43.4% in the arms. MPM seems to be an efficient short-term approach to treating cervical radiculopathy. Cervical translaminar epidural steroid injection is an important part of this concept. In the absence of a clear indication for surgery, MPM represents a treatment option.Achim BenditzMelanie BrunnerFlorian ZemanFelix GreimelVöllner FlorianDaniel BolukiJoachim GrifkaMarkus WeberTobias RenkawitzNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-9 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Achim Benditz Melanie Brunner Florian Zeman Felix Greimel Völlner Florian Daniel Boluki Joachim Grifka Markus Weber Tobias Renkawitz Effectiveness of a multimodal pain management concept for patients with cervical radiculopathy with focus on cervical epidural injections
description	Abstract Cervical radiculopathy has become an increasing problem worldwide. Conservative treatment options have been recommended in many reviews on cervical radiculopathy, ranging from different types of physiotherapy to waiting for remission by natural history. No multimodal pain management concept (MPM) on an inpatient basis has been evaluated. This study aimed at showing the positive short-term effects of an inpatient multimodal pain management concept with focus on cervical translaminar epidural steroid injection for patients with cervical radiculopathy. 54 patients who had undergone inpatient MPM for 10 days were evaluated before and after 10-days treatment. The NRS (0–10) value for arm pain could be reduced from 6.0 (IQR 5.7–6.8) to 2.25 (IQR 2.0–3.1) and from 5.9 (IQR 4.8–6.0) to 2.0 (IQR 1.7–2.6) for neck pain. Neck pain was reduced by 57.4% and arm pain by 62.5%. 2 days after epidural steroid injection, pain was reduced by 40.1% in the neck and by 43.4% in the arms. MPM seems to be an efficient short-term approach to treating cervical radiculopathy. Cervical translaminar epidural steroid injection is an important part of this concept. In the absence of a clear indication for surgery, MPM represents a treatment option.
format	article
author	Achim Benditz Melanie Brunner Florian Zeman Felix Greimel Völlner Florian Daniel Boluki Joachim Grifka Markus Weber Tobias Renkawitz
author_facet	Achim Benditz Melanie Brunner Florian Zeman Felix Greimel Völlner Florian Daniel Boluki Joachim Grifka Markus Weber Tobias Renkawitz
author_sort	Achim Benditz
title	Effectiveness of a multimodal pain management concept for patients with cervical radiculopathy with focus on cervical epidural injections
title_short	Effectiveness of a multimodal pain management concept for patients with cervical radiculopathy with focus on cervical epidural injections
title_full	Effectiveness of a multimodal pain management concept for patients with cervical radiculopathy with focus on cervical epidural injections
title_fullStr	Effectiveness of a multimodal pain management concept for patients with cervical radiculopathy with focus on cervical epidural injections
title_full_unstemmed	Effectiveness of a multimodal pain management concept for patients with cervical radiculopathy with focus on cervical epidural injections
title_sort	effectiveness of a multimodal pain management concept for patients with cervical radiculopathy with focus on cervical epidural injections
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/3798c6785cfc4edd88feb62a6021e95e
work_keys_str_mv	AT achimbenditz effectivenessofamultimodalpainmanagementconceptforpatientswithcervicalradiculopathywithfocusoncervicalepiduralinjections AT melaniebrunner effectivenessofamultimodalpainmanagementconceptforpatientswithcervicalradiculopathywithfocusoncervicalepiduralinjections AT florianzeman effectivenessofamultimodalpainmanagementconceptforpatientswithcervicalradiculopathywithfocusoncervicalepiduralinjections AT felixgreimel effectivenessofamultimodalpainmanagementconceptforpatientswithcervicalradiculopathywithfocusoncervicalepiduralinjections AT vollnerflorian effectivenessofamultimodalpainmanagementconceptforpatientswithcervicalradiculopathywithfocusoncervicalepiduralinjections AT danielboluki effectivenessofamultimodalpainmanagementconceptforpatientswithcervicalradiculopathywithfocusoncervicalepiduralinjections AT joachimgrifka effectivenessofamultimodalpainmanagementconceptforpatientswithcervicalradiculopathywithfocusoncervicalepiduralinjections AT markusweber effectivenessofamultimodalpainmanagementconceptforpatientswithcervicalradiculopathywithfocusoncervicalepiduralinjections AT tobiasrenkawitz effectivenessofamultimodalpainmanagementconceptforpatientswithcervicalradiculopathywithfocusoncervicalepiduralinjections
_version_	1718394391734779904

Effectiveness of a multimodal pain management concept for patients with cervical radiculopathy with focus on cervical epidural injections

Ejemplares similares