Faber F, Benditz A, Boluki D, Grifka J
Orthopädische Universitätsklinik Regensburg, Asklepios Klinikum Bad Abbach, Kaiser Karl V. Allee 3, 93077, Bad Abbach, Deutschland.
Orthopädische Klinik, Universität Regensburg, Bad Abbach, Deutschland.
Z Rheumatol. 2020 May;79(4):367-378. doi: 10.1007/s00393-020-00776-5.
The X‑ray image-guided injection methods are an important tool for the treatment of cervical and lumbar pain syndromes. For the application of these methods it is necessary to have a differentiated consideration of cervical and lumbar pain syndromes. This leads to a decoding of complaints to assignable pain generators, which enables a targeted injection method. Depending on the origin of pain, injections are placed at the nerve root or the joints. Thus, the vicious cycle of pain can be stopped. A correct technical procedure is of enormous importance. Particular attention must be paid to the pharmacological effects and special complications. A monitoring and precautionary measures are mandatory.
X线图像引导注射方法是治疗颈腰椎疼痛综合征的重要工具。对于这些方法的应用,有必要对颈腰椎疼痛综合征进行差异化考量。这会对主诉进行解码,以确定可归因的疼痛根源,从而实现有针对性的注射方法。根据疼痛的起源,注射部位可在神经根或关节处。这样,疼痛的恶性循环就可以被阻断。正确的技术操作至关重要。必须特别关注药理作用和特殊并发症。监测和预防措施是必不可少的。