腰背痛神經(jīng)阻滯療法

1、腰背痛神經(jīng)阻滯療法腰背痛的原因椎間盤源性纖維環(huán)破裂髓核壓迫纖維環(huán)內(nèi)的c纖維炎性因子刺激神經(jīng)臨床特點(diǎn)腰背痛的原因小關(guān)節(jié)源性小關(guān)節(jié)功能紊亂小關(guān)節(jié)退行性變小關(guān)節(jié)的神經(jīng)支配脊神經(jīng)背支內(nèi)側(cè)支臨床表現(xiàn)小關(guān)節(jié)源性腰背疼痛的疼痛分布范圍腰背痛的神經(jīng)阻滯療法ESI椎間盤源性腰背痛腰椎小關(guān)節(jié)注射、內(nèi)側(cè)支阻滯腰椎小關(guān)節(jié)注射、內(nèi)側(cè)支阻滯骶髂關(guān)節(jié)綜合癥背痛臀部大腿部疼痛偶爾有類似坐骨神經(jīng)痛現(xiàn)象不能長(zhǎng)時(shí)間保持某一坐姿癥狀復(fù)雜，診斷困難骶髂關(guān)節(jié)體格檢查Gaenslens test is performed with the patient supine (on the back). The hip joint is max

2、imally flexed on one side and the opposite hip joint is extended. This maneuver stresses both sacroiliac joints simultaneously.骶髂關(guān)節(jié)體格檢查Yeomans test stresses the sacroiliac joint by extending the leg and rotating the ilium. A positive test produces pain over the back of the sacroiliac joint. 骶髂關(guān)節(jié)體格檢查

3、Patricks test stresses the hip and sacroiliac joints. A positive test produces back, buttocks, or groin pain. 骶髂關(guān)節(jié)阻滯腰腿痛的神經(jīng)阻滯治療椎間盤突出脊神經(jīng)根受刺激腰神經(jīng)根受壓的疼痛分布腰腿痛的神經(jīng)阻滯治療ESI椎旁神經(jīng)阻滯選擇性神經(jīng)根阻滯selective nerve root block選擇性神經(jīng)根阻滯selective nerve root blockS1block椎管狹窄、椎間孔狹窄椎體滑脫梨狀肌綜合癥Spinal RegionReferral AreaCondition M

4、imickedUpper Cervical Spine (neck) C1-C4Back of the head (occiput), back of the shoulders, angle of the jaw, faceHeadaches, migraines, jaw problems, trigeminal neuralgia, tension in the shouldersMiddle / Lower Cervical Spine (neck) C5-C8Arms, forearms, hands and fingersTrapped nerve in the neck, ten

5、nis elbow, golfers elbow, frozen shoulderUpper Thoracic Spine (above the bra-strap) T1-T4Pain in the arms, front of the upper chest, upper ribsTrapped nerve in the neck, angina, breathing difficulties and other chest complaintsMiddle Thoracic Spine (at the bra-strap) T5-T8Upper abdomen, middle ribsS

6、tomach ulcer, gall bladder problems, trapped wind, indigestion, breathing difficulties and other chest complaintsLower Thoracic Spine (below the bra-strap) T9-T12Lower abdomen, lower ribs, pelvis and sexual organsIrritable bowel disorder, pelvic pain, period pain, pain in the sexual organsUpper Lumb

7、ar Spine L1-L3Groin, front of the upper thighTrapped nerve in the back, groin and thigh problems, hip and knee problemsLower Lumbar Spine L4-L5Front of the inner and outer shin bone, top of the footSciatica, shin and foot problemsSacrum S1-S4Buttocks, perineumPelvic pain, coccydyniaPain TypeDiagnosi

8、sTreatmentSimple Spinal PainSimple Sprain, Muscle Spasm, Segmental Spinal DysfunctionAcupuncture, TENS, Exercises, ManipulationComplex Spinal Pain (in addition to those treatments for Simple Spinal Pain)The Bad SprainLigament SclerosantsFacet Joint SyndromeFacet Joint InjectionsSciaticaEpidural Inje

9、ctions, Nerve Root Blocks, Surgery, EpiduroscopySpondylolisthesisLigament Sclerosants, Facet Joint Injections, Epidural Injections, Nerve Root Blocks, SurgerySpinal StenosisEpidural Injections, SurgeryForaminal StenosisEpidural Injections, Nerve Root Blocks, SurgerySpinal OsteoporosisTrigger Point I

10、njections, VertebroplastyReferred Spinal PainTreatment for the cause of the painFailed Spinal SurgeryFacet Joint Injections, Ligament Sclerosants, Epidural Injections, Nerve Root Blocks, Epiduroscopy, IDET, Intrathecal Morphine PumpNerve PainPeripheral NeuralgiaPeripheral Nerve Blocks, Anti-convulsants, Anti-depressantsSympathetic PainChronic Regiona