Adhesiolysis and targeted steroid/local anesthetic injection during epiduroscopy alleviates pain and reduces sensory nerve dysfunction in patients with chronic sciatica.
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概要
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The original publication is available at www.springerlink.comPURPOSE: The aim of this study was to evaluate the effect of adhesiolysis followed by the injection of steroid and local anesthetic during epiduroscopy on sensory nerve function, pain, and functional disability in patients with chronic sciatica. METHODS: Epidural adhesiolysis, using epiduroscopy, followed by the injection of steroid and local anesthetic, was scheduled in 19 patients with chronic sciatica refractory to lumbar epidural block. Sensory nerve function in the legs was tested with a series of 2000-Hz (Abeta-fiber), 250-Hz (Adelta-fiber), and 5-Hz (C-fiber) stimuli, using the current perception threshold (CPT), and CPT values and intensity of pain and Roland Morris Disability Questionnaire (RMDQ) scores were assessed before and 1 and 3 months after the epiduroscopy. RESULTS: At all frequencies, the CPT values in the affected legs of patients before the epiduroscopy were significantly higher than those in the unaffected legs. Epidural adhesiolysis was successfully performed in 16 of the 19 patients. In these patients, the CPT values at 2000 and 250 Hz, and the pain and RMDQ scores 1 and 3 months after the epiduroscopy were significantly lower than those before the epiduroscopy, while the CPT value at 5 Hz did change. CONCLUSION: Epidural adhesiolysis followed by the injection of steroid and local anesthetic during epiduroscopy alleviated pain, and functional disability, and reduced dysfunction of Abeta and Adelta fibers in patients with chronic sciatica.
- Springer Japanの論文
- 2008-08-20
著者
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SAKAI Tetsuya
Department of Industrial Engineering and Management, College of Industrial Technology
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MURATA Hiroaki
Department of Gastroenterology and Metabolism, Osaka Prefectural Hospital
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Sumikawa Koji
長崎大学 医学部麻酔学教室
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Sumikawa Koji
Department Of Anesthesiology Nagasaki University School Of Medicine
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Sumikawa Koji
長崎労災病院 麻酔科
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AOKI Hiroshi
Department of Urology Tohoku University Graduate School of Medicine, Sendai
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HOJO MINORU
Department of Anesthesiology, Nagasaki University School of Medicine
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TAKADA Masafumi
Department of Anesthesiology, Nagasaki University Graduate School of Biomedical Sciences
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Sumikawa Koji
Department Of Anesthesiology Nagasaki University
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Hojo Minoru
Department Of Anesthesiology Nagasaki University School Of Medicine
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Murata Hiroaki
Department Of Anesthesiology Nagasaki University School Of Medicine
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Takada Masafumi
Department Of Anesthesia Nagasaki Rosai Hospital
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Takada Masafumi
Department Of Anesthesiology Nagasaki University School Of Medicine
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Aoki Hiroshi
Department Of Internal Medicine Toho University Sakura Medical Center
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Sakai Tetsuya
Department Of Anesthesiology Nagasaki University School Of Medicine
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Aoki Hiroshi
Department Of Anesthesiology Nagasaki University School Of Medicine
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Aoki Hiroshi
Department Of Anesthesiology Kyoto Prefectual University Of Medicine
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Sumikawa Koji
Division Of Anesthesiology Department Of Translational Medical Science Nagasaki University School Of
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