지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 456 - 464 (9page)
이용수
초록· 키워드
오류제보하기
Objective : Although little is known about its origins, neck pain may be related to several associated anatomical pathologies. We aimed to characterize the incidence and features of chronic neck pain and analyze the relationship between neck pain severity and its affecting factors. Methods : Between March 2012 and July 2013, we studied 216 patients with chronic neck pain. Initially, combined tramadol (37.5 mg) plus acetaminophen (325 mg) was administered orally twice daily (b.i.d.) to all patients over a 2-week period. After two weeks, patients were evaluated for neck pain during an outpatient clinic visit. If the numeric rating scale of the patient had not decreased to 5 or lower, a cervical medial branch block (MBB) was recommended after double-dosed previous medication trial. We classified all patients into two groups (mild vs. severe neck pain group), based on medication efficacy. Logistic regression tests were used to evaluate the factors associated with neck pain severity. Results : A total of 198 patients were included in the analyses, due to follow-up loss in 18 patients. While medication was successful in reducing pain in 68.2% patients with chronic neck pain, the remaining patients required cervical MBB. Lateral cervical curvature, such as a straight or sigmoid type curve, was found to be significantly associated with the severity of neck pain. Conclusion : We managed chronic neck pain with a simple pharmacological management protocol followed by MBB. We should keep in mind that it may be difficult to manage the patient with straight or sigmoid lateral curvature only with oral medication.
목차
등록된 정보가 없습니다.
참고문헌 (42)
참고문헌 신청
Alperovitch-Najenson D / 2015 / Rehabilitation versus nursing home nurses’ low back and neck-shoulder complaints / Rehabil Nurs 40:286~293
American Society of Anesthesiologists Task Force on Chronic Pain Management / 2010 / Practice guidelines for chronic pain management: an updated report by the American Society of Anesthesiologists Task Force on Chronic Pain Management and the American Society of Regional Anesthesia and Pain Medicine / Anesthesiology 112:810~833
Barnsley L / 2005 / Percutaneous radiofrequency neurotomy for chronic neck pain: outcomes in a series of consecutive patients / Pain Med 6:282~286
Benyamin RM / 2010 / A perfect storm in interventional pain management: regulated, but unbalanced / Pain Physician 13:109~116
Bogduk N / 2004 / Practice guidelines: spinal diagnostic and treatment procedures / International Spine Intervention Society
American Society of Anesthesiologists Task Force on Chronic Pain Management / 2010 / Practice guidelines for chronic pain management: an updated report by the American Society of Anesthesiologists Task Force on Chronic Pain Management and the American Society of Regional Anesthesia and Pain Medicine / Anesthesiology 112:810~833
Barnsley L / 2005 / Percutaneous radiofrequency neurotomy for chronic neck pain: outcomes in a series of consecutive patients / Pain Med 6:282~286
Benyamin RM / 2010 / A perfect storm in interventional pain management: regulated, but unbalanced / Pain Physician 13:109~116
Bogduk N / 2004 / Practice guidelines: spinal diagnostic and treatment procedures / International Spine Intervention Society
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