Ultrasound-guided lumbar multifidus block provides effective postoperative analgesia for lumbar spine surgery

Lj, Song; Ying, Shunwei; Wang, Zhijun; Yuan, Xunzhi

doi:10.1016/j.jclinane.2018.01.013

Cited by 7 publications

(7 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Radicular pain in facet joint syndrome is caused by inflammation or compression of the spinal nerve root, with disk herniation being the most prevalent cause [2,[4][5][6][7][8]. e injection of corticosteroids, lidocaine, 5% dextrose water, hyaluronic acid (HA), or autologous platelet rich plasma (PRP) into the facet joints has been recommended to treat back pain or axial pain and leg pain or radicular pain induced by facet joint syndrome [2,3,[9][10][11][12][13][14][15]. However, needle insertion into the facet joints can be challenging due to spur development and degenerative changes [3,8,13,16].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mechanical Needling with Sterile Water versus Steroids Injection for Facet Joint Syndrome: A Retrospective Observational Study

Suputtitada

Chen

Pongpirul

2022

Pain Research and Management

View full text Add to dashboard Cite

Objective. This present study aimed to explore the clinical effects of ultrasound-guided (USG) mechanical needling with sterile water injection for lumbar facet joint syndrome. Methods. This was a retrospective cohort study that assessed the clinical outcome of ageing patients who received USG mechanical needling with sterile water injection. In addition, the clinical outcome of age- and gender-matched patients randomly selected from patients who received mechanical needling with sterile water was compared to the patients injected with steroids in a 2 : 1 ratio. The data were extracted from the medical records of ageing patients with facet joint syndrome who received USG injection at the lumbosacral spine by the first author. Low back pain or axial pain, and leg pain or radicular pain were assessed by the visual analogue scale (VAS), and gait ability with walking distance was obtained at 6 different time points. Results. A total of 4,276 medical records were examined. Four thousand two hundred twenty-eight ageing patients received needling with sterile water injection and found that the efficacy lasted up to 6 months. Ninety-six patients were compared with 48 patients who received steroid injection. Those who received steroids had less back and leg pain at 1 week after injection; however, pain returned at 3 months and 6 months after injection. Conclusions. USG mechanical needling with sterile water could help relieve axial and radicular pain for at least 6 months. Reduced sensitization and removal of calcification and fibrosis were all possible mechanisms.Keywords: Mechanical needling, Sterile water, Ultrasound guided (USG) injection, Facet joint syndrome, Pain

show abstract

Section: Introductionmentioning

confidence: 99%

“…Several active chemical substances have tried to replace or reduce the need of steroids, such as local anesthetic agents [7,18]. Yet, powerful local anesthetics have central nervous system (CNS) toxicity which frequently results in cardiac toxicity [7,13,18].…”

Section: Introductionmentioning

confidence: 99%

Mechanical Needling with Sterile Water versus Steroids Injection for Facet Joint Syndrome: A Retrospective Observational Study

Suputtitada

Chen

Pongpirul

2022

Pain Research and Management

View full text Add to dashboard Cite

show abstract

“…4,14 To treat back pain or axial pain, as well as leg pain or radicular pain, injections of corticosteroids, lidocaine, 5% dextrose in water, hyaluronic acid (HA), or autologous platelet rich plasma (PRP) into the facet joints have been advocated. 9,[11][12][13][14][15][16][17][18] Due to spur growth and degenerative changes, needle entry into the facet joints can be difficult. 9,[11][12][13][14][15][16][17][18] The aim of this study was to see if using ultrasound-guided (USG) mechanical needling to clear calcification and fibrosis, then cleaning with sterile water around the facet joint, medial branch and nerve root, and multifidus muscles, could help relieve axial and radicular pain in aging with spinal stenosis.…”

Section: Introductionmentioning

confidence: 99%

“…9,[11][12][13][14][15][16][17][18] Due to spur growth and degenerative changes, needle entry into the facet joints can be difficult. 9,[11][12][13][14][15][16][17][18] The aim of this study was to see if using ultrasound-guided (USG) mechanical needling to clear calcification and fibrosis, then cleaning with sterile water around the facet joint, medial branch and nerve root, and multifidus muscles, could help relieve axial and radicular pain in aging with spinal stenosis. A low dose of lidocaine was administered to alleviate the pain of the procedure.…”

Section: Introductionmentioning

confidence: 99%

Mechanical Needling With Sterile Water Versus Lidocaine Injection for Lumbar Spinal Stenosis

Suputtitada

Chen

Pongpirul

2022

Global Spine Journal

View full text Add to dashboard Cite

Study Design: This was a retrospective observational study that assessed the clinical outcome of ageing patients who received ultrasound-guided (USG) mechanical needling with sterile water injection. In addition, the clinical outcome of age-and gender matched patients randomly selected from patients who received needling with sterile water was compared to the patients injected with lidocaine in a 1:1 ratio. Objective: This present study aimed to explore the clinical effects of USG mechanical needling with sterile water injection for lumbar spinal stenosis (LSS). Methods: The data was extracted from the medical records of ageing patients with LSS who received USG injection at the lumbosacral spine by the first author. Low back pain or axial pain, and leg pain or radicular pain were assessed by the visual analogue scale, and gait ability with walking distance were obtained at six different time points. Results: A total of 4328 medical records were examined. Four thousand two hundred and twenty-eight ageing patients received mechanical needling with sterile water injection and found the efficacy lasted up to 6 months. One hundred patients were compared with 100 patients who received lidocaine injection. Those who received lidocaine had pain returned at 3 months and 6 months post-injection. Conclusions: USG mechanical needling with sterile water injection could help relieve axial and radicular pain for at least 6 months. Removal of calcification and fibrosis as well as reduction of sensitization are all possible mechanisms.

show abstract

“…The authors performed a retrospective study on patients who underwent 5 classes of plastic and reconstructive procedures (nasal, eye, breast, abdomen, and soft tissue reconstruction) between January 1, 2007, and December 31, 2015, using IBM MarketScan Commercial and Medicare Supplemental research databases and concluded that, given the substantial risk of persistent opioid use after plastic and reconstructive procedures, it is imperative to develop best practices guidelines for postoperative opioid prescription practices in this population. The authors should be commended for performing a well-designed study in important topics (eg, acute pain and opioid use) in patients undergoing surgery . The need to tailor specific analgesic interventions to patients who will benefit the most is a very relevant topic in perioperative medicine …”

mentioning

confidence: 99%

Confounding Factors on Postoperative Opioid Use Following Plastic and Reconstructive Surgery

Pisano

2019

JAMA Facial Plast Surg

View full text Add to dashboard Cite

show abstract

Ultrasound-guided lumbar multifidus block provides effective postoperative analgesia for lumbar spine surgery

Cited by 7 publications

References 5 publications

Mechanical Needling with Sterile Water versus Steroids Injection for Facet Joint Syndrome: A Retrospective Observational Study

Mechanical Needling with Sterile Water versus Steroids Injection for Facet Joint Syndrome: A Retrospective Observational Study

Mechanical Needling With Sterile Water Versus Lidocaine Injection for Lumbar Spinal Stenosis

Confounding Factors on Postoperative Opioid Use Following Plastic and Reconstructive Surgery

Contact Info

Product

Resources

About