Feasibility of Early and Repeated Low-dose Interscalene Brachial Plexus Block for Residual Pain in Acute Cervical Radiculopathy Treated with NSAIDS
The Korean Journal of Pain
;
: 125-132, 2014.
Article
in English
| WPRIM
| ID: wpr-188393
ABSTRACT
BACKGROUND:
To improve residual pain management in acute cervical radiculopathy treated with NSAIDs, the feasibility of early and repeated low-dose interscalene brachial plexus block (IS-BPB) needs to be assessed.METHODS:
This was a prospective study on patients receiving NSAIDs (loxoprofen) for cervical radiculopathy of or = 70 (severe pain; SE group) were compared to the controls receiving NSAIDs.RESULTS:
A total of 316 IS-BPBs were performed in the intervention group. There was a significant difference in the decline in the VAS from week 0 to week 3 in the MM and SE groups (P < 0.05); however, from week 3 to week 4, the therapeutic effect exhibited no significant difference. Thirteen patients at week 2 (15.5%; MM 27.7%; SE 0%), 43 at week 3 (51.2%; MM 83.0%; SE 10.8%), and 47 at week 4 (56.0%; MM 85.1%; SE 18.9%) achieved a VAS score of < or = 20. Patient satisfaction was high, and the decrease in VAS scores in both groups was significant (P < 0.05) compared to the controls.CONCLUSIONS:
Weekly, low-dose, USG-guided IS-BPB can be implemented for early pain relief in acute cervical radiculopathy, with high patient satisfaction.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Outpatients
/
Radiculopathy
/
Brachial Plexus
/
Anti-Inflammatory Agents, Non-Steroidal
/
Prospective Studies
/
Ultrasonography
/
Patient Satisfaction
/
Pain Management
/
Mepivacaine
/
Nerve Block
Type of study:
Diagnostic study
/
Observational study
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Pain
Year:
2014
Type:
Article
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