Comparison of conventional radiofrequency thermocoagulation to femoral and obturatory nerve articular branches with intra-articular steroid injection and PENG block in chronic hip pain.

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Bilgenur Ergün Demiröz, Sinem Sarı, Yusufcan Ekin, Hüseyin Alp Ertuğrul, Osman Nuri Aydın
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引用次数: 0

Abstract

Introduction: Radiofrequency thermocoagulation(RFT), intra-articular steroid-injection(IAI) and PENG block application to the articular branches of the femoral and obturator nerves are the methods used in the treatment of pain in patients with chronic hip pain. We aimed to investigate the effectiveness of these methods.

Methods: Randomization was performed as conventional RFT applied to the articular branches of the femoral and obturator nerves with fluoroscopy(Group1), IAI of corticosteroids with ultrasonography(Group2) and PENG block with ultrasonography Group3).Pain intensity was evaluated with the (NRS) or Verbal Pain Scale(VPS) before the procedure and 2 h, 1 and 3 months after the procedure, and functional capacity was evaluated with the (WOMAC) scale before the procedure, 1 and 3 months after the procedure.

Results: In Group1, NRS/VPS and WOMAC scores were significantly higher before the procedure. NRS/VPS before the procedure and at the 3rd month were significantly higher in Group2 and Group3.In Group3, 1st month scores were significantly higher than 2nd hour scores. In Group2, pre-procedure WOMAC scores were significantly higher than 1st and 3rd Months, and 3rd Month scores were significantly higher than 1st Month.The 1st month WOMAC scores of Group 3 were significantly higher than the other groups and the 3rd month scores of Group 1 were significantly lower than the other groups.

Conclusion: In our study, PENG Block, RFT and IAI applications were effective on short-time pain in patients with chronic hip pain.IAI and RFT were effective on chronic pain until the 1st month, and only RFT was effective at the 3rd month follow-up.

股骨和闭孔神经关节支常规射频热凝与关节内类固醇注射和PENG阻滞治疗慢性髋关节疼痛的比较。
简介:射频热凝(RFT)、关节内类固醇注射(IAI)和股骨和闭孔神经关节分支应用PENG阻滞是治疗慢性髋关节疼痛患者疼痛的方法。我们的目的是调查这些方法的有效性。方法:随机分组,采用常规RFT对股神经和闭孔神经关节分支进行透视(组1)、皮质激素超声(组2)和彭阻滞(组3)。术前、术后2 h、1、3个月分别采用NRS或言语疼痛量表(VPS)评估疼痛强度,术前、术后1、3个月分别采用WOMAC量表评估功能能力。结果:第一组患者术前NRS/VPS评分和WOMAC评分均显著高于对照组。组2、组3术前及术后第3个月NRS/VPS均显著增高。第3组患者第1个月评分显著高于第2小时评分。第2组术前WOMAC评分显著高于第1、3个月,第3个月评分显著高于第1个月。第3组患者第1个月WOMAC评分显著高于其他组,第3个月评分显著低于其他组。结论:在我们的研究中,PENG阻滞、RFT和IAI应用对慢性髋关节疼痛患者的短期疼痛有效。直到第1个月,IAI和RFT对慢性疼痛有效,而在第3个月随访时,只有RFT有效。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
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