Autor: |
BORGHI, BATTISTA, Aurini, L, White, P. F, Rossi, B, Fini, G, Mosca, M, Borghi, R, Tognù, A. |
Přispěvatelé: |
Borghi, B, Aurini, L, White, P F, Rossi, B, Fini, G, Mosca, M, Borghi, R, Tognù, A |
Jazyk: |
angličtina |
Rok vydání: |
2016 |
Předmět: |
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Popis: |
Background: Cervicobrachial pain (CBP) is often resistant to conventional oral analgesics. We hypothesized that periradicular injection of meloxicam would produce a significant reduction in intractable CBP. The secondary objective was to assess the impact on functional recovery. Methods: 48 patients with persistent CBP despite multimodal analgesic therapy received 1-3 periradicular injections of meloxicam, 5-20 mg, at the dermatomal level(s) corresponding to their pain symptoms. Pain level (0=none to 10=severe), rescue analgesics and functional activity were recorded at baseline for 90 days after the last injection. The injection was repeated if the pain score remained >3 or paraesthesia persisted. Results: The mean pain score was reduced from a baseline of 8.9 (±1, SD) to 1.7 (±2.2, SD) at 90 days after the last meloxicam injection. After the meloxicam treatment(s), only 13% of the patients required oral analgesics as rescue medication. All patients increased their functional activity level. Conclusion: Cervical periradicular injection of meloxicam reduced CBP by 81% at 90d and improved functional recovery. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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