Journal of Back and Musculoskeletal Rehabilitation - Volume 26, issue 1

Authors: Yavuz, Ferdi | Yasar, Evren | Ali Taskaynatan, Mehmet | Goktepe, Ahmet Salim | Tan, Arif Kenan

Article Type: Research Article

Abstract: Objectives: The aim of this retrospective study was to investigate the effectiveness of the nerve block of articular branches of obturator and femoral nerves in patients with intractable pain due to hip osteoarthritis. Material and Method: Twenty patients (8 female and 12 male; with a mean age 53.5 years) were retrospectively identified who had received nerve block of articular branches of obturator and femoral nerves for chronic hip joint pain due to hip osteoarthritis. The outcome measures (visual analogue pain scale, the level of patient satisfaction with nerve block, reduction rate of NSAID using) were assessed before the …treatment and at the 1st and 3rd months after injection. Results: Mean reduction in hip joint pain while walking and at night between the baseline and 1st month, and between the baseline and 3rd month were statistically significant (p < 0.05 ). At the 1st and 3rd months after treatment, the reduction rates of NSAID using were almost 67% and 71%; respectively. At the 1st and 3rd months after treatment, the level of patient satisfaction with nerve block were 73.00 ± 21.23 mm and 73.50 ± 18.14 mm; respectively. Conclusion: We found that nerve blocks of articular branches of obturator and femoral nerves were effective in short- and mid-term for reducing chronic hip joint pain. Show more

Keywords: Hip joint pain, articular branches, obturator and femoral nerves, pain reduction

DOI: 10.3233/BMR-2012-00353

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 26, no. 1, pp. 79-83, 2013

Authors: Beyaz, Serbülent Gökhan | Eman, Ali

Article Type: Research Article

Abstract: Objective: The objective of this retrospective study was to examine the efficacy of fluoroscopically guided cervical interlaminar epidural steroid injections (CILESI). Materials and Methods: Sixty-five patients who received their first fluoroscopically guided CILESI over a 12 months interval were retrospectively identified. Patients who had failed conservative non-surgical management and patients who were otherwise candidates of surgery were included in this trial of CILESI. The verbal numerical rating scales (VNRS) before the treatment, within one hour after the treatment, and upon follow-up, were analyzed. Results: The most preferred intervention level of CILESI was C5-C6. There was a …statistically significant improvement in the VNRS scores from before the injection to immediately after the injection, and upon follow-up. Fifty-one patients (80%) had perfect/good scores. No major complications were encountered after CILESI, but one patient (1.54%) had a vasovagal reaction and another patient (1.54%) had a transient increase of pain after injection. Conclusion: Fluoroscopy guided CILESI is a safe and an effective the treated of patients with cervical pain syndromes. The success rates show that a large percentage of the patients may obtain relief from radicular symptoms and avoid surgery for the follow-up period up to 12 months. Show more

Keywords: Cervical, epidural, steroid, injection, interlaminar, complication

DOI: 10.3233/BMR-2012-00354

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 26, no. 1, pp. 85-91, 2013

Authors: Kullich, W. | Overbeck, J. | Spiegel, H.U.

Article Type: Research Article

Abstract: Background and Objectives: Nuclear magnetic resonance (NMR) has been shown to stimulate repair processes and cartilage and to influence pain signalling. It represents an alternative therapy for patients suffering from osteoarthritis (OA). To prove the clinical success of this new therapeutical method, validated measuring parameters are important that are convincing for pain and function in a one-year-follow-up. Methods: During the course of its application over the last 10 years, over 4,500 protocols of a one-year-follow-up have been collected to record the outcome of NMR therapy. This report reflects the outcome of NMR therapy on patients with the following …degenerative rheumatic diseases: OA of the knee (n = 2.770 ), OA of the hip (n = 673 ), OA of the ankle joint (n = 420 ) and chronic low back pain (n = 655 ). Data were collected at baseline, 6–8 weeks and 6 and 12 months following NMR treatment. Results: Pain was reduced significantly 6 weeks after NMR treatment in the cases of all four examined indications and stayed measurably reduced up to 6 and 12 months. The improvements in all three forms of pain (pain on load, pain on motion, pain at rest) following NMR treatment were around 21–50% on average. Conclusions: Following therapy with NMR, patients with OA of all four types experienced a distinct improvement in their ability in functional parameters. Overall, the 10 years of a one-year-survey with multicenter data gathered on the effect of NMR therapy on patients verifiably proved its efficacy amongst patients with degenerative rheumatic diseases. Show more

Keywords: Nuclear magnetic resonance, osteoarthritis, outcome measurement

DOI: 10.3233/BMR-2012-00362

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 26, no. 1, pp. 93-104, 2013