RATIONAL APPROACH TO USE OF EPIDURAL MEDICATION IN TREATMENT OF SCIATIC PAIN
RATIONAL APPROACH TO USE OF EPIDURAL MEDICATION IN TREATMENT OF SCIATIC PAIN
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DOI：
10.3109/17453677809050089
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发表时间：
1978-01-01
期刊：
影响因子：
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通讯作者：
HEYSEMOORE, GH
中科院分区：
文献类型：
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作者：
HEYSEMOORE, GH
The results of a series of 120 epidural injections given as treatment for backache and sciatica using methylprednisolone and local anesthetic, performed in the Gloucestershire area [United Kingdom], were presented and compared with other published results. Wide variations in the results of this treatment were found and these might in part be explained on the basis of the variable severity of histological changes which occur in and around nerve roots in cases of sciatica. The pathogenesis of sciatica in lumbar disc disease was discussed in relation to its treatment by epidural injections of a long-acting steroid. The treatment was more successful in acute onset cases and cases that had epidurals within 6 mo. of the onset of symptoms and earlier epidurals might be given in cases that did not respond to the usual conservative measures. Manipulation of the spine and sciatic stretch should not be carried out at the same time as the epidural, as these procedures might adversely affect the results in some cases.
