圣关节疼痛:什么治疗和什么时候治疗
Federico Cocconi1, Nicola Maffulli2,3,4, Andreas Bell5
1Department of Orthopaedic and Trauma Surgery, Academic Hospital of Bolzano (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical University, Bolzano, Italy.
Expert review of neurotherapeutics
|September 12, 2024
概括
审查了神经关节 (SIJ) 疼痛管理选择,包括保守和手术治疗. 虽然手术是有效的,但像注射和射频剥离这样的保守方法为SIJ疼痛缓解提供了替代方案.
科学领域:
- 疼痛管理 疼痛管理
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
背景情况:
- 腰部疼痛可以源于脊柱或非脊柱来源,包括神经关节 (SIJ) 和部.
- 对SIJ疼痛的管理策略目前在有限的支持证据下进行辩论.
研究的目的:
- 提供专家意见并更新有关SIJ疼痛的保守和手术治疗的现有证据.
主要方法:
- 对SIJ疼痛的保守和外科手术模式的现有证据的审查.
- 讨论非侵入性治疗方法,如关节内注射 (皮质类固醇,PRP,干细胞) 和射频切除.
- 对外科SIJ融合技术的评估.
主要成果:
- 对SIJ疼痛的手术治疗是有效的,但具有手术风险.
- 保守的选择适用于中度SIJ疼痛,症状持续时间较短或手术不合格.
- 关节内注射可以提供中期缓解 (长达9个月).
- 射频除显示了缓解疼痛的良好结果.
- 最佳的SIJ聚变技术仍在争论中.
结论:
- 无论是保守的还是手术的干预都能控制SIJ疼痛.
- 治疗的选择取决于疼痛的严重程度,症状的持续时间和患者接受手术的资格.
- 需要进一步的研究,以制定SIJ聚变技术的明确建议.
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