scholarly journals Comment on "Efficacy of transforaminal epidural magnesium administration when combined with a local anesthetic and steroid in the management of lower limb radicular pain" by Awad et al.

2021 ◽  
Author(s):  
JP Thakur ◽  
J Punj ◽  
VK Mohan ◽  
Dl Singh ◽  
RK Yadav
Keyword(s):  
Local Anesthetic ◽  
Lower Limb ◽  
Radicular Pain

Subjective Nature of Lower Limb Radicular Pain

2005 ◽  
Vol 28 (1) ◽  
pp. 12-14 ◽  
Author(s):  
Geoffrey M. Bove ◽  
Asia Zaheen ◽  
Zahid H. Bajwa
Keyword(s):  
Lower Limb ◽  
Radicular Pain

Epidural Local Anesthetic Plus Corticosteroid for the Treatment of Cervical Brachial Radicular Pain: Single Injection Versus Continuous Infusion

2007 ◽  
Vol 23 (7) ◽  
pp. 551-557 ◽  
Author(s):  
Alberto Pasqualucci ◽  
Giustino Varrassi ◽  
Antonio Braschi ◽  
Vito Aldo Peduto ◽  
Andrea Brunelli ◽  
...  
Keyword(s):  
Continuous Infusion ◽  
Local Anesthetic ◽  
Single Injection ◽  
Radicular Pain

Efficacy of transforaminal epidural magnesium administration when combined with a local anaesthetic and steroid in the management of lower limb radicular pain

2021 ◽  
Author(s):  
Mohammed Awad ◽  
Mina M. Raouf ◽  
Hany K. Mikhail ◽  
Sohair A. Megalla ◽  
Tamer Y. Hamawy ◽  
...  
Keyword(s):  
Local Anaesthetic ◽  
Lower Limb ◽  
Radicular Pain

scholarly journals Lateral Supratrochanteric Approach to Sciatic and Femoral Nerve Blocks in Children: A Feasibility Study

2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Andrew A. Albokrinov ◽  
Ulbolhan A. Fesenko ◽  
Taras B. Huz ◽  
Valentyna M. Perova-Sharonova
Keyword(s):  
Local Anesthetic ◽  
Lower Limb ◽  
Femoral Nerve ◽  
Procedure Time ◽  
Sacral Plexus ◽  
Nerve Roots ◽  
Nerve Blocks ◽  
Alternative Approaches ◽  
Analgesic Technique ◽  
Fentanyl Administration

Background. Sciatic and femoral nerve blocks (SNB and FNB) result in effective lower limb analgesia. Classical SNB and FNB require patient repositioning which can cause pain and discomfort. Alternative approaches to sciatic and femoral nerve blocks in supine patients can be useful. Materials and Methods. Neurostimulator-guided SNB and FNB from the lateral supratrochanteric approach were performed. Local anesthetic spread in SNB and FNB after radiographic opacification was analyzed. Time and number of attempts to perform blocks, needle depth, and clinical efficacy were assessed. Results. Mean needle passes number and procedure time for SNB were 2.5 ± 0.3 and 2.4 ± 0.2 min, respectively. Mean needle passes number and procedure time for FNB were 2.7 ± 0.27 and 2.59 ± 0.23 min, respectively. Mean skin to nerve distance was 9.1 ± 0.45 cm for SNB and 8.8 ± 0.5 cm for FNB. Radiographic opacification of SNB showed local anesthetic spread close to the sacrum and involvement of sacral plexus nerve roots. Spread of local anesthetic in FNB was typical. Intraoperative fentanyl administration was required in 2 patients (9.5%) with mean dose 1.8 ± 0.2 mcg/kg. Mean postoperative pain score was 0.34 ± 0.08 of 10. Conclusion. The lateral supratrochanteric approach to SNB and FNB in children can be an effective lower limb analgesic technique in supine patients. The trial is registered with ISRCTN70969666.

scholarly journals Spinal anesthesia and infraclavicular brachial plexus block for upper extremity reconstruction requiring grafting

2020 ◽  
Vol 24 (4) ◽  
Author(s):  
Mustafa Turan ◽  
Suleyman Kaya ◽  
Suleyman Tas ◽  
Atakan Bas ◽  
Handan Gulec ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Epidural Anesthesia ◽  
Local Anesthetic ◽  
Lower Limb ◽  
Local Anesthetics ◽  
Brachial Plexus Block ◽  
Combined Use ◽  
Extremity Reconstruction ◽  
Infraclavicular Brachial Plexus Block ◽  
Plexus Block

Combined use of upper limb blocks in the same surgery with lower limb central blocks is rarely performed due to the risk of systemic toxicity of local anesthetics. Therefore, general anesthesia is generally preferred in such surgeries. However, the use of ultrasound provides reliable anesthetic accumulation around the nerves, thereby reducing the need for local anesthetics, furthermore local anesthetic is used in spinal anesthesia compared to epidural anesthesia is much less.

scholarly journals CT-Guided Transforaminal Epidural Injections with Local Anesthetic, Steroid, and Tramadol for the Treatment of Persistent Lumbar Radicular Pain

2012 ◽  
Vol 2;15 (2;3) ◽  
pp. 153-159 ◽  
Author(s):  
Mathias Wewalka
Keyword(s):  
Pain Relief ◽  
Local Anesthetic ◽  
Nerve Root ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Reduction ◽  
Radicular Pain ◽  
Ct Guided ◽  
Numerical Rating ◽  
Serial Ct

Background: A substantial number of patients with persistent lumbar radicular pain are treated with a multimodal spectrum of conservative therapies without lasting effect. The duration of pain is certainly a risk factor for chronification. There is evidence that guided periradicular infiltrations are a valid option in the treatment of radiculopathies. Usually a combination of local anesthetic and/or corticosteroid is injected. Tramadol is being used for perioperative analgesia and has been shown to provide effective, long-lasting pain relief after epidural administration. Objective: The aim of this pilot study was to evaluate the efficacy of serial CT-guided transforaminal nerve root infiltrations with a supplement of tramadol for patients with persistent, radicular pain. Study Design: Interventional cohort study. Setting: Outpatient department for interdisciplinary pain medicine. Methods: 37 patients who had radicular leg pain for over 9 weeks received up to 3 CTguided transforaminal nerve root infiltrations at intervals of 2 weeks as long as their level of pain was over 3 on a numerical rating scale from 0 to 10. 50 mg of Tramadol were added to a combination of local anesthetic (Ropivacain, 2 mg) and corticosteroid (Triamcinolon, 40 mg). Evaluations were carried out 24 hours after the Infiltration as well as 2 weeks, 3 and 6 months after the treatment series. The intensity of their radicular pain was measured by a numerical rating scale (NRS). Pain reduction of at least 50% was defined as successful outcome. Results: In total, 65 infiltrations were carried out with pain relief in more than 90% of the patients within 24 hours and an average pain reduction of 64%. Six months post-injection 23 of 34 patients available for follow-up (67.6%) had a successful pain reduction of 84% on average. No adverse effects ascribable to the use of tramadol were noted. Limitations: Due to the lack of a control group we cannot make any statement if tramadol improves short-term pain reduction. Conclusion: Fast and lasting pain relief is the key to optimize rehabilitation for patients with radicular pain. There is a physiological rationale that the opioid receptors at the spinal level could be used to optimize the analgetic effect of guided periradicular injections. In our case series, serial CT-guided selective nerve root infiltrations with the supplement of tramadol were found to be highly effective in the treatment of persistant radiculopathies. Randomized controlled trials will be necessary to clarify the possible benefit of the supplement of an opioid. Key words: Serial, nerve root infiltration, tramadol, chronic pain, outcome.

Sign in / Sign up

Export Citation Format

Share Document