Department of Orthopaedics, University Medical Centre Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V-Allee 3, 93077, Bad Abbach, Germany.
Centre for Clinical Studies, University Medical Centre Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.
Sci Rep. 2017 Aug 11;7(1):7866. doi: 10.1038/s41598-017-08350-x.
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.
颈椎神经根病已成为全球日益严重的问题。许多关于颈椎神经根病的综述都推荐了保守治疗选择，从各种类型的物理疗法到等待自然病程缓解。目前尚未评估基于住院的多模式疼痛管理方案（MPM）。本研究旨在展示一种住院多模式疼痛管理方案的短期积极效果，该方案侧重于颈椎经椎间孔硬膜外类固醇注射治疗颈椎神经根病患者。对 54 名接受住院 MPM 治疗 10 天的患者进行了治疗前后的评估。手臂疼痛的 NRS（0-10）值从 6.0（IQR 5.7-6.8）降至 2.25（IQR 2.0-3.1），颈部疼痛从 5.9（IQR 4.8-6.0）降至 2.0（IQR 1.7-2.6）。颈部疼痛减轻了 57.4%，手臂疼痛减轻了 62.5%。硬膜外类固醇注射后 2 天，颈部疼痛减轻了 40.1%，手臂疼痛减轻了 43.4%。MPM 似乎是治疗颈椎神经根病的一种有效短期方法。颈椎经椎间孔硬膜外类固醇注射是该方案的重要组成部分。在没有明确手术指征的情况下，MPM 代表一种治疗选择。
