Do thanh huy
Transcript of Do thanh huy
Bước Đầu Sử Dụng Các Kỹ Thuật Giảm Đau Can Thiệp
THE INITIAL USE OF INTERVENTIONAL THERAPIES IN PAIN MANAGEMENT
Dr. Do Thanh Huy
Can Tho University of Medicine and Pharmacy
Đặt vấn đềIntroduction
Classical ladder
Classical ladder is too short???
New WHO analgesic ladder
Phòng khám đau-cơ xương khớpPain-musculoskeletal unit
From october/2012. we follow up first 43 cases of interventional techniques in pain management in Can Tho
Tiêm steroid ngoài màng cứng-16 trường hợp
Epidural steroid injections-16 cases
Cervical epidural steroid injections for cervical radiculopathy
Thoracic epidural steroid injection for postherpetic neuralgia
1 case
Lumbar radiculopathy(11 cases)
Spinal stenosis(5cases)
Cervical radiculopathy(1case)
Postherpetic neuralgia(1case)
Cervical medial branch block for cervical facet syndrome(2cases)
Lumbar medial branch block for lumbar facet syndrome
Injection of the temporomandibular joint(1case)
Injection of trigger thumb(1case)
Injection for de Quervain’s tenosynovitis(3case)
Injection of trigger finger(2case)
Injection for tennis elbow(4cases)
Injection for the subdeltoid bursa
Hiệu quả đến đâu?Follow up effective: interview patients (by mobile phone or follow-up examination)
Before injection
After injection
Before injection
After two weeks injection lumbar radiculopathy
Bằng chứng?
Phân loại bằng chứngQuality of evidence
Evidence for cervical radicular pain
Pain free
Evidence for cervical facet
Pain free
Evidence for lumbar radiculopathy
1 patient with LR required surgery after two weeks and 3 patients with LR required second injection
Evidence for lumbar facet pain
3/43(7%) fair satisfaction
Evidence for post-herpetic neuralgiafair satisfaction
Evidence for musculoskeletal injections Pain free
100%
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