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KMID : 0361620150500020116
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Journal of the Korean Orthopaedic Association
2015 Volume.50 No. 2 p.116 ~ p.123
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The Usefulness of Selective Spinal Nerve Root Block in Neuropathic Pain Patients with Radiculopathy
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Shim Dae-Moo
Kim Tae-Kyun
Song Seung-Yeop
Kim Chang-Su
Kwon Byoung-Tack
Jeon Young-Dae
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Abstract
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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.
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KEYWORD
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leg radiating pain, neuropathic pain, selective nerve root block
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