Use of capsaicin in the treatment of radicular pain in spinal cord injury.
Use of capsaicin in the treatment of radicular pain in spinal cord injury.
复制标题
使用辣椒素治疗脊髓损伤的根性疼痛。
DOI：
10.1080/10790268.2000.11753532
复制
发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Benes,PS
中科院分区：
文献类型：
--
作者：
Sandford,PR;Benes,PS
一位36岁的男性，患有脊椎退行性疾病和颈椎脊髓空洞症（脊髓空洞症），表现为左上肢新发无力和麻木。检查显示左上肢活动度（ROM）减小、肿胀、无力、针刺感、振动感和本体感觉减弱。放射学检查显示严重的破坏性关节病;活检排除了恶性肿瘤。培养结果为感染阴性，重复磁共振成像（MRI）显示通畅的输卵管-腹膜分流，空洞大小无变化。他被诊断出患有夏科肩。治疗包括非甾体类抗炎药、被动运动训练和保护性吊带。脊髓灰质炎患者可能会出现感觉丧失，从而阻止正常的保护，导致重复性创伤和最终的关节破坏。适当的评估、诊断检查和治疗对于Charcot关节的治疗至关重要。必须包括患者教育，包括有关可能有害的活动的信息，因为这些知识可能会减缓或预防Charcot关节带来的损伤。
A 36-year-old man with degenerative disease of the spine and cervical syringomyelia (syrinx) presented with new weakness and numbness in his left upper extremity. Examination revealed decreased range of motion (ROM) , swelling, weakness, and diminished pinprick, vibratory, and proprioceptive sensation in the left upper extremity. Radiographic examination showed a severe destructive arthropathy; a biopsy ruled out malignancy. A culture was negative for infection, and a repeat magnetic resonance imaging (MRI) showed a patent syringa-peritoneal shunt with no change in syrinx size. He was diagnosed with a Charcot shoulder. Treatment consisted of nonsteroidal anti-inflammatory medication, passive motion exercises, and a protective sling.The patient with syringomyelia may experience sensory loss that prevents normal guarding, resulting in repetitive trauma and eventual joint destruction. Appropriate assessment, diagnostic work-up, and treatment are essential in the management of the Charcot joint. Patient education, including information on activities that may be harmful , must be included, as such knowledge may slow or prevent the impairment that comes with a Charcot joint.