DOI: https://doi.org/10.22141/2224-0713.7.69.2014.80906

Cervical Radiculopaties: Diagnostic and Treatment Possibilities

A.I. Kalbus

Abstract


The study of the effectiveness of different schemes of using lornoxicam, tolperisone, gabapentin for the treatment of acute pain syndrome in 121 patients with cervical radiculopathy was performed.
It was shown, that lornoxicam significantly reduces the severity of pain syndrome in patients with dominance of both nociceptive and neuropathic pain components. Thus, the combined use of lornoxicam and tolperisone was more effective in patients without neuropathic pain, and the combined use of lornoxicam and gabapentin — for neuropathic pain in patients with cervical radiculopathy (compared to lornoxicam monotherapy).


Keywords


cervical radiculopathies; lornoxicam; treatment

References


Fanuele J.C., Birkmeyer N.J., Abdu W.A., Tosteson T.D., Weinstein J.N. The impact of spinal problems on the health status of patients: have we underestimated the effect? // Spine 2000; 25: 1509-1514; doi: 10.1097/00007632-200006150-00009

Daffner S.D., Hilibrand A.S., Hanscom B.S., Brislin B.T., Vaccaro A.R., Albert T.J. Impact of neck and arm pain on overall health status // Spine 2003; 28: 2030-2035; doi: 10.1097/01.BRS.0000083325.27357.39

Radhakrishnan K., Litchy W.J., O’Fallon W.M., Kurland L.T. Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990 // Brain 1994; 117: 325-335; doi: 10.1093/brain/117.2.325

Shedid D., Benzel E.C. Cervical spondylosis anatomy: pathophysiology and biomechanics // Neurosurgery 2007; 60: S7-S13; doi: 10.1227/01.NEU.0000215430.86569.C4

Carette S., Fehlings M.G. Clinical practice. Cervical radiculopathy // New England Journal of Medicine 2005; 353: 392-399; doi: 10.1056/NEJMcp043887

Cyteval C., Thomas E., Decoux E. et al. Cervical radiculopathy: open study on percutaneous periradicular foraminal steroid infiltration performed under CT control in 30 patients // American Journal of Neuroradiology 2004; 25: 441-445.

Mochida K., Komori H., Okawa A., Muneta T., Haro H., Shinomiya K. Regression of cervical disc herniation observed on magnetic resonance images // Spine 1998; 23: 990-995; discussion 996-997; doi: 10.1097/00007632-199805010-00005

Narayan P., Haid R.W. Treatment of degenerative cervical disc disease // Neurologic Clinics 2001; 19: 217-229; doi: 10.1016/s0733-8619(05)70014-1

Slipman C.W., Plastaras C., Patel R. et al. Provocative cervical discography symptom mapping // The Spine Journal 2005; 5: 381-388; doi: 10.1016/j.spinee.2004.11.012

Birchall D., Connelly D., Walker L., Hall K. Evaluation of magnetic resonance myelography in the investigation of cervical spondylotic radiculopathy // The British Journal of Radiology 2003; 76: 525-531; doi: 10.1259/bjr/99259611

Van Rijn J.C., Klemetso N., Reitsma J.B. et al. Observer variation in the evaluation of lumbar herniated discs and root compression: spiral CT compared with MRI // The British Journal of Radiology 2006; 79: 372-377; doi: 10.1259/bjr/26216335

Levin K.H. Electrodiagnostic approach to the patient with suspected radiculopathy // Neurologic Clinics 2002; 20: 397-421, vi; doi: 10.1016/s0733-8619(01)00006-8

Vinas F.C., Wilner H., Rengachary S. The spontaneous resorption of herniated cervical discs // Journal of Clinical Neuroscience 2001; 8: 542-546; doi: 10.1054/jocn.2000.0894

Ellenberg M.R., Honet J.C., Treanor W.J. Cervical radiculopathy // Archives of Physical Medicine and Rehabilitation 1994; 75: 342-352; doi: 10.1016/0003-9993(94)90040-x

Persson L.C., Moritz U., Brandt L., Carlsson C.A. Cervical radiculopathy: pain, muscle weakness and sensory loss in patients with cervical radiculopathy treated with surgery, physiotherapy or cervical collar. A prospective, controlled study // European Spine Journal 1997; 6: 256-266; doi: 10.1007/bf01322448

British Association of Physical Medicine. Pain in the neck and arm: a multicentre trial of the effects of physiotherapy // British Medical Journal 1966; 1: 253-258; doi: 10.1136/bmj.1.5482.253

Kay T.M., Gross A., Goldsmith C., Santaguida P.L., Ho-ving J., Bronfort G. Exercises for mechanical neck disorders // Cochrane Database of Systematic Reviews 2005: CD004250.

Schliesser J.S., Kruse R., Fallon L.F. Cervical radiculopathy treated with chiropractic flexion distraction manipulation: A retrospective study in a private practice setting // Journal of Manipulative and Physiological Therapeutics 2003; 26: E19.

Mazanec D., Reddy A. Medical management of cervical spondylosis // Neurosurgery 2007; 60: S43-S50; doi: 10.1227/01.

Bush K., Chaudhuri R., Hillier S., Penny J. The pathomorphologic changes that accompany the resolution of cervical radiculopathy. A prospective study with repeat magnetic resonance imaging // Spine 1997; 22: 183-186; discussion 187; doi: 10.1097/00007632-199701150-00009

Anderberg L., Annertz M., Rydholm U., Brandt L., Saveland H. Selective diagnostic nerve root block for the evaluation of radicular pain in the multilevel degenerated cervical spine // European Spine Journal 2006; 15: 794-801; doi: 10.1007/s00586-005-0931-5




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