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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European spine journal 6 (1997), S. 357-361 
    ISSN: 1432-0932
    Keywords: Epidural perineural injection ; Local injection therapy ; Lumbar radicular syndrome ; Conservative treatment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Two controlled studies for a new epidural, perineural, singleshot, selective nerve root injection with a double-needle approach to the anterior epidural space of the lumbar spinal canal are presented. The results were analysed to determine the effectiveness of the new epidural perineural injection technique. The trial comprised two controlled studies on 182 patients. One study compared prospectively randomized results of patients with lumbar radicular syndromes who received epidural perineural injections (n = 47), conventional posterior epidural injections (n = 40) and, as a control group, paravertebral local anaesthetic (n = 46). A second, prospective, double-blind study compared the effect of epidural perineural injections with triamcinolone (n = 24) and pure saline (n = 25). Epidural perineural injections were more effective than conventional posterior epidural injections. Both epidural groups had better results than the paravertebral local injection group. Epidural perineural injections with steroids (10 mg triamcinolone) were more effective than saline alone. A systemic steroid effect was excluded by additional intramuscular steroid injections in the saline group. There were no severe complications or side effects in any of the three groups. The studies concluded that single-shot epidural perineural injection is effective in the treatment of lumbar radicular pain. It is a “one drop only” therapy to the source of pain.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Der Schmerz 10 (1996), S. 269-275 
    ISSN: 1432-2129
    Keywords: Schlüsselwörter Orthopädische Schmerztherapie ; Lokale Injektionen ; Epidural ; Wurzelblockade ; Kortikosteroide ; Lokalanästhetika ; Key words Orthopaedic pain treatment ; Local injections ; Low back pain ; Epidural ; Corticosteroid ; Local anaesthetic
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract Besides the treatment of postoperative pain, working together with the anaesthesiologist, orthopaedic doctors are mostly involved in diseases of the locomotor system where pain is a leading feature. Painful orthopaedic diseases are very frequent. They afford a special diagnostic procedure. The pain treatment consists of special orthopaedic therapy and local injections with low doses of local anaesthetics and steroids at the site of pain. This treatment helps to avoid the use of high-dose systemic analgesics and perhaps avoids the need for operations.
    Notes: Zusammenfassung Neben postoperativen Schmerzzuständen, die der Orthopäde in der Klinik im allgemeinen in Zusammenarbeit mit dem Anästhesisten behandelt, haben es Orthopäden vor allem in der Praxis mit Erkrankungen der Stütz- und Bewegungsorgane zu tun, bei denen Schmerzen im Vordergrund stehen. Für den gezielten schmerztherapeutischen Ansatz ist eine spezielle orthopädische Diagnostik erforderlich. Die orthopädische Schmerztherapie besteht in der Ursachenbeseitigung und einer lokalen Schmerzbehandlung in Form von Injektionen mit niedrig dosierten Lokalanästhetika und Glukokortikosteroiden.
    Type of Medium: Electronic Resource
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