MINIMALLY INVASIVE METHODS OF TREATMENT IN THE SYSTEM OF INTEGRATIVE MEDICINE FOR VERTEBROGENIC PAIN
https://doi.org/10.14531/ss2017.3.62-66
Abstract
Objective. Comparative evaluation of the effectiveness of epidural pharmacotherapy and epidural laser therapy of dorsalgia.
Material and Methods. Sixty patients with dorsalgia (Group A) were treated using epidural pharmacotherapy with non-steroidal anti-inflammatory drugs, and 20 patients (Group B) – using epidural laser therapy with apparatus of low-intensity laser radiation.
Results. In both groups, epidural therapy resulted in a significant (p < 0.05) improvement. Positive results were noted including a decrease in the severity of motor, sensory and vegetative-trophic disorders, ranging from minor changes in the pain character and in the area over which sensitivity disorders and paresthesias spread to complete regression of dorsalgia manifestations. However, clinical and neurological examination at discharge showed more significant improvement in Group A patients.
Conclusion. Positive results and absence of negative consequences allow recommending epidural therapy of dorsalgia for wide use in public health practice
About the Authors
Maksim V. Shpagin
Nizhny Novgorod State Medical Academy
Russian Federation
MD, PhD, teaching assistant, Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia
Russian Federation
MD, PhD, teaching assistant, Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia
Oleg Yu. Gordeev
Nizhny Novgorod Regional Clinical Hospital n.a. N.А. Semashko;
Nizhny Novgorod State Medical Academy
Russian Federation
internship doctor, Nizhny Novgorod Regional Clinical Hospital n.a. N.А. Semashko, Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia
Russian Federation
internship doctor, Nizhny Novgorod Regional Clinical Hospital n.a. N.А. Semashko, Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia
Timur R. Dnishev
Nizhny Novgorod Regional Clinical Hospital n.a. N.А. Semashko;
Nizhny Novgorod State Medical Academy
Russian Federation
internship doctor, Nizhny Novgorod Regional Clinical Hospital n.a. N.А. Semashko, Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia
Russian Federation
internship doctor, Nizhny Novgorod Regional Clinical Hospital n.a. N.А. Semashko, Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia
Denis N. Nikitin
City Clinical Hospital № 39
Russian Federation
head of the Neurosurgical Department, City Clinical Hospital No. 39, Nizhny Novgorod, Russia
Russian Federation
head of the Neurosurgical Department, City Clinical Hospital No. 39, Nizhny Novgorod, Russia
Aleksandr G. Suslov
Nizhny Novgorod State Medical Academy
Russian Federation
MD, PhD, teaching assistant, Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia
Russian Federation
MD, PhD, teaching assistant, Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia
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Review
For citations:
Shpagin M.V., Gordeev O.Yu., Dnishev T.R., Nikitin D.N., Suslov A.G. MINIMALLY INVASIVE METHODS OF TREATMENT IN THE SYSTEM OF INTEGRATIVE MEDICINE FOR VERTEBROGENIC PAIN. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2017;14(3):62-66. https://doi.org/10.14531/ss2017.3.62-66
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