Is It Radiculopathy or Referred Pain? Buttock Pain in Spinal Stenosis Patients
| Autor: | Chang Su Kim, Tae Gyun Kim, Jun Sung Koo, Dae Moo Shim, Young Ho Kwon |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Nerve root Visual analogue scale Spinal stenosis Nerve block medicine.medical_treatment Pain Spinal disease Zygapophyseal Joint Facet joint 03 medical and health sciences 0302 clinical medicine Spinal Stenosis medicine Humans Orthopedics and Sports Medicine Prospective Studies Radiculopathy Aged Pain Measurement Aged 80 and over 030222 orthopedics Referred pain business.industry Buttock Pain 030229 sport sciences Middle Aged medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Buttocks Female Original Article Pain Referred business Spinal Nerve Roots |
| Zdroj: | Clinics in Orthopedic Surgery |
| ISSN: | 2005-4408 |
| Popis: | Background Buttock pain is common, and there are no fixed guidelines for its diagnosis and treatment. This study compared a selective nerve root block and a facet joint block for patients with degenerative spinal disease and buttock pain. Methods Patients with degenerative spinal disease who presented with buttock pain, received a selective nerve root block (group A) or a facet joint block (group B) from June 2017 to September 2017, and were able to be followed up for more than 3 months were prospectively enrolled. Clinical results were assessed using a visual analog scale for comparative analysis. Results One day after the procedure, an excellent response was found in 7% and 6% of groups A and B, respectively; a good response was found in 41% and 13% of groups A and B, respectively. Two weeks later, an excellent response was found in 11% and 4% of groups A and B, respectively; a good response was found in 41% and 20% of groups A and B, respectively. Six weeks later, an excellent response was found in 11% and 7% of groups A and B, respectively, and a good response was found in 41% and 20% of groups A and B, respectively. At the final follow-up, more than 47% and 46% of patients showed a good response in groups A and B, respectively. In group A, the visual analog scale score improved compared to the pre-procedure value of 5.01 to 2.74 on day 1, 2.51 at week 2, 2.38 at week 6, and 2.39 at week 12. In group B, the visual analog scale score improved compared to the preprocedure value of 5.24 to 3.94 on day 1, 3.99 at week 2, 3.24 at week 6, and 2.59 at week 12. On day 1 and at weeks 2 and 6, group A showed a significantly better outcome than group B (p < 0.05). Conclusions The selective nerve root block showed superior results up to 6 weeks post-procedure. Considering that the selective nerve root block is effective for treating radiculopathy, the primary cause of buttock pain can be thought to be radiculopathy rather than degenerative changes of the facet joint. |
| Databáze: | OpenAIRE |
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