34 results match your criteria Cervical Discogenic Pain Syndrome


Epidural Interventions in the Management of Chronic Spinal Pain: American Society of Interventional Pain Physicians (ASIPP) Comprehensive Evidence-Based Guidelines.

Pain Physician 2021 Jan;24(S1):S27-S208

, Advanced Pain Institute, Covington, LA.

Background: Chronic spinal pain is the most prevalent chronic disease with employment of multiple modes of interventional techniques including epidural interventions. Multiple randomized controlled trials (RCTs), observational studies, systematic reviews, and guidelines have been published. The recent review of the utilization patterns and expenditures show that there has been a decline in utilization of epidural injections with decrease in inflation adjusted costs from 2009 to 2018. Read More

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January 2021

Static and Dynamic Changes of Amplitude of Low-Frequency Fluctuations in Cervical Discogenic Pain.

Front Neurosci 2020 14;14:733. Epub 2020 Jul 14.

Department of Radiology, The Affiliated Xi'an Central Hospital of Xi'an Jiaotong University, Xi'an, China.

Cervical discogenic pain (CDP) is a clinically common pain syndrome caused by cervical disk degeneration. A large number of studies have reported that CDP results in brain functional impairments. However, the detailed dynamic brain functional abnormalities in CDP are still unclear. Read More

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Cervical Interlaminar Epidural Injections in the Treatment of Cervical Disc Herniation, Post Surgery Syndrome, or Discogenic Pain: Cost Utility Analysis from Randomized Trials.

Pain Physician 2019 09;22(5):421-431

Massachusetts General Hospital and Harvard Medical School, Boston, MA.

Background: Neck pain is one of the major conditions attributing to overall disability in the United States. There have been multiple publications assessing clinical and cost effectiveness of multiple modalities of interventions in managing chronic neck pain. Even then, the literature has been considered sparse in relation to cervical interlaminar epidural injections in managing chronic neck pain. Read More

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September 2019

Efficacy of Epidural Injections in Managing Chronic Spinal Pain: A Best Evidence Synthesis.

Pain Physician 2015 11;18(6):E939-1004

Massachusetts General Hospital and Harvard Medical School, Boston, MA.

Background: Epidural injections have been used since 1901 in managing low back pain and sciatica. Spinal pain, disability, health, and economic impact continue to increase, despite numerous modalities of interventions available in managing chronic spinal pain. Thus far, systematic reviews performed to assess the efficacy of epidural injections in managing chronic spinal pain have yielded conflicting results. Read More

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November 2015

Do cervical epidural injections provide long-term relief in neck and upper extremity pain? A systematic review.

Pain Physician 2015 Jan-Feb;18(1):39-60

Pain Management Center of Paducah, Paducah, KY, and University of Louisville, Louisville, KY; New York University School of Medicine, New York, NY.

Background: The high prevalence of chronic persistent neck pain not only leads to disability but also has a significant economic, societal, and health impact. Among multiple modalities of treatments prescribed in the management of neck and upper extremity pain, surgical, interventional and conservative modalities have been described. Cervical epidural injections are also common modalities of treatments provided in managing neck and upper extremity pain. Read More

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November 2015

Cervical spine clearance in the traumatically injured patient: is multidetector CT scanning sufficient alone? Clinical article.

J Neurosurg Spine 2013 Nov 13;19(5):576-81. Epub 2013 Sep 13.

Departments of Neurosurgery.

Object: Clearance of the cervical spine in patients who have sustained trauma remains a contentious issue. Clinical examination alone is sufficient in neurologically intact patients without neck pain. Patients with neck pain or those with altered mental status or a depressed level of consciousness require further radiographic evaluation. Read More

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November 2013

Heterotopic ossification in vertebral interlaminar/interspinous instrumentation: report of a case.

Case Rep Surg 2012 24;2012:970642. Epub 2012 Jul 24.

Division of Neurosurgery, Department of Neuroscience and Rehabilitation, University-Hospital S. Anna, 8 Via Aldo Moro, 44124 Ferrara, Italy.

We present here a rare case of heterotopic ossification in interspinous/interlaminar Coflex device. The classical surgical indications for these implants are degenerative canal stenosis, discogenic low back pain, disk herniations, facet syndrome, and instability. However, fractures of spinous processes are a potential risk after interspinous/interlaminar devices' implantation. Read More

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Effectiveness of cervical epidural injections in the management of chronic neck and upper extremity pain.

Pain Physician 2012 Jul-Aug;15(4):E405-34

The Spine and Pain Institute of New York, NY, USA.

Background: Chronic persistent neck pain with or without upper extremity pain is common in the general adult population with prevalence of 48% for women and 38% for men, with persistent complaints in 22% of women and 16% of men. Multiple modalities of treatments are exploding in managing chronic neck pain along with increasing prevalence. However, there is a paucity of evidence for all modalities of treatments in managing chronic neck pain. Read More

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November 2012

Spine injuries in dancers.

Curr Sports Med Rep 2011 Jan-Feb;10(1):40-4

Medical College of Wisconsin, Department of Community and Family Medicine, Milwaukee, WI 53266, USA.

Care of a dancer calls for a unique balance between athlete and artist. The physician must familiarize himself or herself with dance terminology, common moves, correct technique, and dancer's mentality. The goal is to work intimately with the dancer to care for the injury and, if possible, continue to participate in portions of dance class to limit anxiety and increase compliance to treatment. Read More

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An algorithmic approach for clinical management of chronic spinal pain.

Pain Physician 2009 Jul-Aug;12(4):E225-64

Pain Management Center of Paducah, Paducah, KY, USA.

Interventional pain management, and the interventional techniques which are an integral part of that specialty, are subject to widely varying definitions and practices. How interventional techniques are applied by various specialties is highly variable, even for the most common procedures and conditions. At the same time, many payors, publications, and guidelines are showing increasing interest in the performance and costs of interventional techniques. Read More

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October 2009

Comprehensive review of therapeutic interventions in managing chronic spinal pain.

Pain Physician 2009 Jul-Aug;12(4):E123-98

Pain ManagementCenter of Paducah, Paducah, KY, USA.

Background: Available evidence documents a wide degree of variance in the definition and practice of interventional pain management.

Objective: To provide evidence-based clinical practice guidelines for interventional techniques in the treatment of chronic spinal pain.

Design: Best evidence synthesis. Read More

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October 2009

Comprehensive evidence-based guidelines for interventional techniques in the management of chronic spinal pain.

Pain Physician 2009 Jul-Aug;12(4):699-802

Pain Management Center of Paducah, Paducah, KY, USA.

Background: Comprehensive, evidence-based guidelines for interventional techniques in the management of chronic spinal pain are described here to provide recommendations for clinicians.

Objective: To develop evidence-based clinical practice guidelines for interventional techniques in the diagnosis and treatment of chronic spinal pain.

Design: Systematic assessment of the literature. Read More

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October 2009

Cervical disc herniation and Brown-Sequard syndrome: a case report.

Afr J Med Med Sci 2008 Jun;37(2):193-7

Department of Medicine, Ladoke Akintola University of Technology, College of Health Sciences, Osogbo, Nigeria.

Brown-Sequard syndrome caused by herniated cervical disc is relatively rare. We report a 45 year old female patient who presented with weakness of the right extremities and absent pain and temperature sensation on the left below the C4 dermatome. CT myelogram revealed disc herniation between C3/C4, C4/C5 and C5/C6 disc spaces but was worst at C4/C5 with anterior cord compression and evidence of posterior osteophytes on the C5 and C6 cervical vertebrae. Read More

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Metastatic gastric cancer presenting with shoulder-hand syndrome: a case report.

J Med Case Rep 2008 Jul 24;2:240. Epub 2008 Jul 24.

Rheumatology Unit, IRCCS Humanitas Clinical Institute, University of Milan, Via Manzoni, 20089 Rozzano, Milan, Italy.

Introduction: Shoulder-hand syndrome is a relatively rare clinical entity classified as a complex regional pain syndrome type 1 and consisting essentially of a painful 'frozen shoulder' with disability, swelling, vasomotor or dystrophic changes in the homolateral hand. The pathophysiology is not completely clear but a predominant 'sympathetic' factor affecting the neural and vascular supply to the affected parts seems to be involved. Shoulder-hand syndrome has been related to many surgical, orthopedic, neurological and medical conditions; it is more often seen after myocardial infarction, hemiplegia and painful conditions of neck and shoulder, such as trauma, tumors, cervical discogenic or intraforaminal diseases and shoulder calcific tendinopathy, but has also been associated with herpetic infections, brain and lung tumors, thoracoplasty and drugs including phenobarbitone and isoniazid. Read More

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Interventional techniques: evidence-based practice guidelines in the management of chronic spinal pain.

Pain Physician 2007 Jan;10(1):7-111

American Society of Interventional Pain Physicians, Paducah, KY 42001, USA.

Background: The evidence-based practice guidelines for the management of chronic spinal pain with interventional techniques were developed to provide recommendations to clinicians in the United States.

Objective: To develop evidence-based clinical practice guidelines for interventional techniques in the diagnosis and treatment of chronic spinal pain, utilizing all types of evidence and to apply an evidence-based approach, with broad representation by specialists from academic and clinical practices.

Design: Study design consisted of formulation of essentials of guidelines and a series of potential evidence linkages representing conclusions and statements about relationships between clinical interventions and outcomes. Read More

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January 2007

Interventional techniques in the management of chronic spinal pain: evidence-based practice guidelines.

Pain Physician 2005 Jan;8(1):1-47

Department of Anesthesiology, University Hospitals of Cleveland Case School of Medicine, Cleveland, Ohio 44106, USA.

Background: The lifetime prevalence of spinal pain has been reported as 54% to 80%, with as many as 60% of patients continuing to have chronic pain five years or longer after the initial episode. Spinal pain is associated with significant economic, societal, and health impact. Available evidence documents a wide degree of variance in the definition and the practice of interventional pain management. Read More

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January 2005

[Role of surgery in spinal degenerative disease. Analysis of systematic reviews on surgical and conservative treatments from an evidence-based approach].

Neurocirugia (Astur) 2005 Apr;16(2):142-57

Servicio de Neurocirugía, Hospital General Yagüe, Avda. del Cid 96, 09005 Burgos.

Introduction: The lifetime prevalence of invalidating back pain in general population caused by Spinal Degenerative Disease (SDD) is about 70-80%. Global costs related to this disease are enormous (1-2% gross domestic product). From an Evidence-based point of view, there is a striking discrepancy between the use of many available surgical techniques (especially for spinal fusion) and the lack of scientific support. Read More

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[Mid-term clinical results of in-patient conservative treatment of cervicobrachialgia syndromes].

Z Orthop Ihre Grenzgeb 2004 Jul-Aug;142(4):428-34

Orthopädische Universitätsklinik Bochum.

Aim: The aim of this study was to evaluate the mid-term results of an in-patient conservative therapy regimen for discogenic cervicobrachialgia.

Methods: A retrospective follow-up of 100 patients after an average of 4.01 years with clinical examination and a questionnaire was performed. Read More

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November 2004

Brown-Sèquard syndrome produced by cervical disc herniation: report of two cases and review of the literature.

Spine J 2003 Nov-Dec;3(6):530-3

Department of Neurosurgery, Tokyo Metropolitan Ebara Hospital, Tokyo, Japan.

Background Context: Brown-Sèquard syndrome is most commonly seen with spinal trauma and extramedullary spinal neoplasm. A herniated cervical disc has rarely been considered to be a cause of Brown-Sèquard syndrome.

Purpose: To report and discuss two cases of Brown-Sèquard syndrome produced by herniated cervical disc. Read More

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Nonendoscopic Nd-YAG 1064 nm PLDN in the treatment of thoracic discogenic pain syndromes.

J Clin Laser Med Surg 2003 Apr;21(2):61-6

Novamed Hospital, Munich, Germany.

Objective: The purpose of the present study was to discover new minimal invasive treatments of discogenic thoracic pain caused by protrusions or extrusions using the promising method of nonendoscopic Nd-YAG 1064 nm PLDN in the lumbar and cervical regions. Because early symptoms of chronic thoracic discogenic pain syndromes have not been characterized, interventional therapy is usually started late and involves a high complication rate.

Materials And Methods: A prospective controlled clinical study was undertaken by neurologists using Nd-YAG 1064 nm PLDN to treat 42 patients with thoracic disc protrusions and extrusions. Read More

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Syndrome of cervical spondylosis in Blantyre, Malawi.

Authors:
A Adeloye

East Afr Med J 1999 Oct;76(10):575-9

College of Medicine, University of Malawi, Chichiri, Malawi.

Objective: To define the spectrum of clinical and radiological presentations of cervical spondylosis in Malawians.

Design: A prospective study.

Setting: The Queen Elizabeth Central Hospital, Blantyre which is the main referral hospital in Malawi and the teaching hospital of Malawi College of Medicine. Read More

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October 1999

Lumbar and Sacral Nerve Root Stimulation (NRS) in the Treatment of Chronic Pain: A Novel Anatomic Approach and Neuro Stimulation Technique.

Neuromodulation 1999 Jan;2(1):23-31

Pain and Health Management Center, Houston, Texas; North Shore Pain Management Center, Huntington, New York; Department of Neurosurgery, University of Tennessee, Memphis, Memphis, Tennessee; and Swiss Pain Center, Rheinfelden, Switzerland.

Objective. The conventional technique used to stimulate the lumbar dermatomes is by stimulation of the dorsal columns of the spinal cord. Until recently, stimulation of nerve roots had not been successfully accomplished. Read More

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January 1999

Cervical discogenic syndrome: a cause of chronic head and neck pain.

Authors:
B S Senter

J Miss State Med Assoc 1995 Aug;36(8):231-4

Mississippi Spine Clinic in Jackson, USA.

In patients with persistent pain of the neck, head, shoulder, and periscapular area, the diagnosis of cervical discogenic syndrome should be considered. The intervertebral disc can be a source of persistent pain and the severity of the symptoms should dictate the treatment. Surgical intervention should only be considered as a last resort in someone with significant pain who has failed prolonged conservative therapy. Read More

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A correlation of cervical magnetic resonance imaging and discography/computed tomographic discograms.

Spine (Phila Pa 1976) 1994 Dec;19(24):2819-25

Medical College of Georgia, Section of Orthopaedics, Augusta.

Study Design: The morphology of sagittal T2-weighted magnetic resonance imaging (MRI) of the cervical spine was correlated with provocative discography and subsequent computed tomography (CT) discograms in 52 patients with discogenic pain.

Objectives: The authors determined if the morphology of cervical spine discs, as seen on MRI, correlates with discography/CT discograms in patients with discogenic pathology.

Summary Of Background Data: Several studies have demonstrated a correlation between MRI and discography in the lumbar spine. Read More

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December 1994

Cervical discography in discogenic pain syndrome and its predictive value for cervical fusion.

Arch Orthop Trauma Surg 1994 ;113(4):199-203

Department of Orthopaedic Surgery, University of Berne, Inselspital, Switzerland.

We have reviewed 27 patients who underwent fusion of a total of 39 cervical levels for discogenic pain syndrome. All patients were diagnosed by positive discography defined as provocation of their characteristic pain on a Adams type 3-5 contrast distribution pattern. The mean age of the patients was 46. Read More

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November 1994

[The value of diskography in disk-related pain syndrome of the cervical spine for evaluation of indications for spondylodesis].

Z Orthop Ihre Grenzgeb 1993 May Jun;131(3):220-4

Klinik für Orthopädische Chirurgie, Universität Bern.

In this study the postoperative results of patients with cervical spondylodesis for "discogenic pain syndrome" were evaluated. The diagnosis "discogenic pain syndrome" as well as the pathologic segments were confirmed by cervical discography. However interpretation of the discogram as "positive" was only considered reliable when typical pain provocation through discography correlated with pathologic disc pattern ("functional test"). Read More

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September 1993