Caudal epidural blockades for chronic pain in the lower back in working age
Introduction. Chronic back pain syndrome, which significantly restricts a person’s daily activity, can cause the formation of depressive states and is a significantly more difficult task for treatment compared to acute pain.Aim. To evaluate the efficacy and safety of caudal epidural catheterization...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Remedium Group LLC
2022-01-01
|
| Series: | Медицинский совет |
| Subjects: | |
| Online Access: | https://www.med-sovet.pro/jour/article/view/6647 |
| _version_ | 1797841622872883200 |
|---|---|
| author | I. I. Litvinov I. V. Lokhovinin V. V. Savgachev |
| author_facet | I. I. Litvinov I. V. Lokhovinin V. V. Savgachev |
| author_sort | I. I. Litvinov |
| collection | DOAJ |
| description | Introduction. Chronic back pain syndrome, which significantly restricts a person’s daily activity, can cause the formation of depressive states and is a significantly more difficult task for treatment compared to acute pain.Aim. To evaluate the efficacy and safety of caudal epidural catheterization (CEC) and local therapy with anesthetics and glucocorticoids for chronic nonspecific discogenic and chronic radicular low back pain (LBP) in young and middle-aged patients.Materials and methods. 42 patients aged from 29 to 59 years, who in the neurosurgical department of the Vologda City Hospital No. 1 in 2017–2019 underwent an operation to install a caudal epidural catheter and prolonged injection therapy of local anesthetics and glucocorticosteroids for chronic nonspecific discogenic and chronic radicular LBP.Results. There were no purulent-septic complications, hematomas of the spinal canal. In the group of patients with radicular syndrome the average values of LBP according to VAS were as follows: before CEC – 78.5 mm; 5 days after CEC – 24.1 mm; 6 months after CEC – 19.6 mm; after 12 months – 17.9 mm. In the group of patients with nonspecific discogenic LBP the average pain estimates for VAS were as follows: before CEC – 78.1 mm; 5 days after CEC – 21.7 mm; 6 months after CEC – 20.9 mm; after 12 months – 23.4 mm.Сonclusion. Our experience indicates a high long-term efficacy and safety of treatment with caudal epidural catheterization and local prolonged therapy with anesthetics and glucocorticoids for chronic radicular and chronic nonspecific discogenic pain in the lower back in young and middle-aged patients selected on the basis of a special system of criteria. |
| first_indexed | 2024-04-09T16:34:17Z |
| format | Article |
| id | doaj.art-45711a305c2d41b19a1370ef80f0da0f |
| institution | Directory Open Access Journal |
| issn | 2079-701X 2658-5790 |
| language | Russian |
| last_indexed | 2024-04-09T16:34:17Z |
| publishDate | 2022-01-01 |
| publisher | Remedium Group LLC |
| record_format | Article |
| series | Медицинский совет |
| spelling | doaj.art-45711a305c2d41b19a1370ef80f0da0f2023-04-23T06:56:58ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902022-01-01021-214315110.21518/2079-701X-2021-21-2-143-1516002Caudal epidural blockades for chronic pain in the lower back in working ageI. I. Litvinov0I. V. Lokhovinin1V. V. Savgachev2Yaroslavl State Medical UniversityVologda Regional Clinical HospitalYaroslavl State Medical UniversityIntroduction. Chronic back pain syndrome, which significantly restricts a person’s daily activity, can cause the formation of depressive states and is a significantly more difficult task for treatment compared to acute pain.Aim. To evaluate the efficacy and safety of caudal epidural catheterization (CEC) and local therapy with anesthetics and glucocorticoids for chronic nonspecific discogenic and chronic radicular low back pain (LBP) in young and middle-aged patients.Materials and methods. 42 patients aged from 29 to 59 years, who in the neurosurgical department of the Vologda City Hospital No. 1 in 2017–2019 underwent an operation to install a caudal epidural catheter and prolonged injection therapy of local anesthetics and glucocorticosteroids for chronic nonspecific discogenic and chronic radicular LBP.Results. There were no purulent-septic complications, hematomas of the spinal canal. In the group of patients with radicular syndrome the average values of LBP according to VAS were as follows: before CEC – 78.5 mm; 5 days after CEC – 24.1 mm; 6 months after CEC – 19.6 mm; after 12 months – 17.9 mm. In the group of patients with nonspecific discogenic LBP the average pain estimates for VAS were as follows: before CEC – 78.1 mm; 5 days after CEC – 21.7 mm; 6 months after CEC – 20.9 mm; after 12 months – 23.4 mm.Сonclusion. Our experience indicates a high long-term efficacy and safety of treatment with caudal epidural catheterization and local prolonged therapy with anesthetics and glucocorticoids for chronic radicular and chronic nonspecific discogenic pain in the lower back in young and middle-aged patients selected on the basis of a special system of criteria.https://www.med-sovet.pro/jour/article/view/6647low back painlocal therapycaudal epidural injection therapyanestheticsglucocorticoids |
| spellingShingle | I. I. Litvinov I. V. Lokhovinin V. V. Savgachev Caudal epidural blockades for chronic pain in the lower back in working age Медицинский совет low back pain local therapy caudal epidural injection therapy anesthetics glucocorticoids |
| title | Caudal epidural blockades for chronic pain in the lower back in working age |
| title_full | Caudal epidural blockades for chronic pain in the lower back in working age |
| title_fullStr | Caudal epidural blockades for chronic pain in the lower back in working age |
| title_full_unstemmed | Caudal epidural blockades for chronic pain in the lower back in working age |
| title_short | Caudal epidural blockades for chronic pain in the lower back in working age |
| title_sort | caudal epidural blockades for chronic pain in the lower back in working age |
| topic | low back pain local therapy caudal epidural injection therapy anesthetics glucocorticoids |
| url | https://www.med-sovet.pro/jour/article/view/6647 |
| work_keys_str_mv | AT iilitvinov caudalepiduralblockadesforchronicpaininthelowerbackinworkingage AT ivlokhovinin caudalepiduralblockadesforchronicpaininthelowerbackinworkingage AT vvsavgachev caudalepiduralblockadesforchronicpaininthelowerbackinworkingage |