The Usefulness of Selective Spinal Nerve Root Block in Neuropathic Pain Patients with Radiculopathy.
10.4055/jkoa.2015.50.2.116
- Author:
Dae Moo SHIM
1
;
Tae Kun KIM
;
Seung Yeop SONG
;
Chang Su KIM
;
Byung Taek KWON
;
Young Dae JEON
Author Information
1. Department of Orthopaedic Surgery, Wonkwang University School of Medicine, Iksan, Korea.
- Publication Type:Original Article
- Keywords:
leg radiating pain;
neuropathic pain;
selective nerve root block
- MeSH:
Follow-Up Studies;
Humans;
Leg;
Neuralgia*;
Radiculopathy*;
Spinal Nerve Roots*;
Spinal Nerves;
Visual Analog Scale
- From:The Journal of the Korean Orthopaedic Association
2015;50(2):116-123
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was conducted in order to evaluate effect and efficiency of selective spinal nerve root block for neuropathic pain patients with lower leg radiating pain. MATERIALS AND METHODS: A total of 113 patients were evaluated and follow-up periods were a minimum of 12 months. They were divided into two groups: group A included 41 patients with neuropathic pain and group B included 72 patients with simple lower leg radiating pain. RESULTS: Fourteen (34.1%) patients in group A and 45 (62.5%) patients in group B had favorable results for selective spinal nerve block (p<0.05). Visual analog scale (VAS) was improved from 7.57 to 5.23 at 12 months in group A and from 7.11 to 3.49 at 12 months in group B. CONCLUSION: The initial treatment period for group A was significantly later than in group B. For patients with neuropathic pain and radiculopathy, early assessment was recommended and early selective spinal nerve block could be a good treatment option for neuropathic pain patients.