30 results match your criteria Cervical Discogenic Pain Syndrome

  • Page 1 of 1

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

Pain Physician 2015 Nov;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

View Article

Download full-text PDF

Source
November 2015
19 Reads
3.542 Impact Factor

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

View Article

Download full-text PDF

Source
November 2015
17 Reads

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3171/2013.8.SPINE12925DOI Listing
November 2013
17 Reads

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

View Article

Download full-text PDF

Source
http://downloads.hindawi.com/journals/cris/2012/970642.pdf
Web Search
http://www.hindawi.com/journals/cris/2012/970642/
Publisher Site
http://dx.doi.org/10.1155/2012/970642DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3409525PMC
August 2012
5 Reads

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

View Article

Download full-text PDF

Source
November 2012
18 Reads

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1249/JSR.0b013e318205e08bDOI Listing
May 2011
10 Reads

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

View Article

Download full-text PDF

Source
http://www.painphysicianjournal.com/2009/july/2009;12;E225-E
Web Search
October 2009
18 Reads
3 Citations
3.540 Impact Factor

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

View Article

Download full-text PDF

Source
http://almacen-gpc.dynalias.org/publico/Intervencionismo%20D
Web Search
October 2009
16 Reads
14 Citations
3.540 Impact Factor

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

View Article

Download full-text PDF

Source
October 2009
20 Reads
48 Citations
3.540 Impact Factor

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

View Article

Download full-text PDF

Source
June 2008
2 Reads

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/1752-1947-2-240DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2516525PMC
July 2008
2 Reads

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

View Article

Download full-text PDF

Source
January 2007
30 Reads

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

View Article

Download full-text PDF

Source
http://asipp.org/documents/Jan05journal.pdf
Web Search
January 2005
23 Reads

[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

View Article

Download full-text PDF

Source
April 2005
3 Reads

[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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-2004-820431DOI Listing
November 2004
3 Reads

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

View Article

Download full-text PDF

Source
March 2004
7 Reads

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/104454703765035475DOI Listing
April 2003
2 Reads

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

View Article

Download full-text PDF

Source
October 1999
2 Reads

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1046/j.1525-1403.1999.00023.xDOI Listing
January 1999
2 Reads

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

View Article

Download full-text PDF

Source
August 1995
2 Reads

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

View Article

Download full-text PDF

Source
December 1994
2 Reads

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

View Article

Download full-text PDF

Source
November 1994
2 Reads

[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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-2008-1040231DOI Listing
September 1993
2 Reads

Neck pain in the elderly: common causes and management.

Authors:
R Moskovich

Geriatrics 1988 Apr;43(4):65-70, 77, 81-2 passim

Department of Orthopaedic Surgery, University of California, Davis, Sacramento.

Neck pain is common in the elderly. An outline of the relevant anatomy and pathological conditions which affect the cervical spine and an approach to diagnosis are presented. Intrinsic causes of pain arise in the vertebral column itself--arthritis, discogenic disorders, trauma, tumors, and infection; in the cervical musculature--myofascial pain syndrome, torticollis, and whiplash; and in the spinal cord from tumors. Read More

View Article

Download full-text PDF

Source
April 1988
2 Reads

Cervical analgesic discography. A test for diagnosis of the painful disc syndrome.

Authors:
G E Osler

S Afr Med J 1987 Mar;71(6):363

The cervical discogenic (painful disc) syndrome consists of scapular pain radiating to the head, shoulder and upper arm, often associated with paraesthesiae but without neurological deficit. Analgesic discography confirms the diagnosis and more accurately locates the pain-producing disc. In this series of patients analgesic discography followed by anterior cervical fusion with or without discectomy resulted in an 81% excellent or good result. Read More

View Article

Download full-text PDF

Source
March 1987
2 Reads

Management of cervical radiculopathy.

Authors:
W E Hunt C A Miller

Clin Neurosurg 1986 ;33:485-502

Cervical monoradiculopathy occurs most commonly at C5-6 and C6-7. It is due mostly to acute herniation of nuclear material. The syndrome often responds to conservative prescription but when surgery is indicated, the results are good. Read More

View Article

Download full-text PDF

Source
February 1987
3 Reads

Cervical analgesic discography. A new test for the definitive diagnosis of the painful-disk syndrome.

Authors:
D A Roth

JAMA 1976 Apr;235(16):1713-4

The cervical discogenic (painful-disk) syndrome consists of scapular pain radiating into the head, shoulder, and upper arm, often associated with paresthesias but without neurologic deficit. Plain roentgenograms or myelograms are normal or show degenerative changes. Positive-contrast discography has been useful but is subject to a high percentage of false-positive results roentgenographically and nonspecific pain patterns clinically. Read More

View Article

Download full-text PDF

Source
April 1976
2 Reads
  • Page 1 of 1