Treatment of two patients with chronic pain and drug dependence by psychotherapy in combination with nerve block

スポンサーリンク

概要

• 論文の詳細を見る

• We report on 2 patients with chronic pain and drug dependence who were treated successfully.A 38-year-old male who sustained a finger injury in a workplace accident suffered from stump pain and attacks of pain in the right hand associated with convulsions. After he was referred to this city hospital from the special hand surgery section of a university hospital, the pain attacks at night became more frequent. He was treated with injections of pentazosin by the doctors on night duty, and rapidly became dependent on analgesics. He was admitted to the hospital, and sympathetic nerve block was administered to control the chronic pain. Following the results of a drug challenge test, ketamine injection was used.A 56-year-old male suffering from pain in the back and both lower limbs caused by failed back surgery had severe pain attacks associated with generalized convulsions. He frequently visited the hospital at night and received analgesic injections to stop the convulsions, and had remained dependent on drugs for over ten years. His past history indicated that he had sustained a whiplash injury in a traffic accident several years ago. Total spinal block was administered, and the pain caused by the whiplash injury was relieved.While the sympathetic nerve block was continued, we also introduced psychotherapy for the treatment of drug-dependence condition. The cognitive behavioral approach employed was effective, in that it not only allowed the patients to accept their chronic pain condition, but also helped them to withdraw from the drug-dependent condition.We conclude that a cognitive behavioral approach is important to help patients withdraw from a drug-dependence.

• 一般社団法人 日本ペインクリニック学会の論文

一般社団法人 日本ペインクリニック学会 | 論文

• 神経障害性疼痛の症状から予測するガバペンチンの鎮痛効果
• 腰部硬膜外穿刺における各種画像検査による距離の予測
• くも膜下モルヒネに高用量のブピバカインを併用し良好な鎮痛が得られた2 症例
• 尖圭コンジローマ外科的切除時の痛み緩和目的でのリドカインテープ(ペンレス^【○!R】)使用経験
• 特発性脳脊髄液漏出症に対する経椎間孔的硬膜外自家血パッチの経験

もっと見る

スポンサーリンク