Thermal Annuloplasty for the Treatment of Discogenic Low Back Pain With a High-Intensity Zone After Full Endoscopic Discectomy DOI Open Access

Tatsuya Maegawa,

Kotaro Kohara,

Eitaro Okumura

и другие.

Cureus, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 16, 2024

Discogenic low back pain (DLBP) is difficult to diagnose. We performed full endoscopic spinal surgery (FESS) with thermal annuloplasty for DLBP and achieved good results. Here, we report a case in which resulted outcomes refractory accompanied by residual high-intensity zone (HIZ) after discectomy (FED). The patient was 22-year-old female (LBP) that worsened on bending forward. Magnetic resonance imaging (MRI) revealed bulging at the L4/L5 level lumbar disc herniation (LDH) L5/S1 level. condition but then improved over time. However, since she began working as nurse year prior presentation, her symptoms again, has experienced severe LBP left sciatica. Since MRI showed slight increase LDH, FED (interlaminar approach level) performed, lower limb quickly disappeared. also improved, when returned work, worsened. Oral medications had little effect; therefore, underwent periodic block injections. LDH disappeared, small HIZ lesion remained. discography block. diagnosed HIZ. Thermal resulting immediate disappearance of LBP. An indicates inflammation; cauterization can suppress this inflammation improve discogenic pain. histopathological findings included angiogenesis inflammatory cell infiltration. an may develop (transforaminal approach), effective usual To our knowledge, first treatment postoperative

Язык: Английский

Effects of Xuefu Zhuyu Decoction on Inflammatory Factors and the NF-kappaB Signaling Pathway in Rats Model of Radicular Pain DOI Creative Commons
Xing Liu, Tao Jiang, Bing Lu

и другие.

Journal of Pain Research, Год журнала: 2025, Номер Volume 18, С. 735 - 742

Опубликована: Фев. 1, 2025

To investigate the therapeutic effects and mechanisms of Xuefu Zhuyu Decoction (XFZYD) on radicular pain in rats with lumbar disc herniation (LDH). Rat models were established randomly divided into five groups: a control group, model three groups receiving low, medium, high doses XFZYD, 12 per group. The treatment received different XFZYD via oral administration, while an equal volume normal saline once daily for 7 days. Pain thresholds measured, including paw withdrawal threshold (PWT) thermal latency (PWL). levels inflammatory factors spinal dorsal horn tissue, tumor necrosis factor α (TNF-α), transforming growth factor-β (TGF-β), interleukin-1β (IL-1β), interleukin-6 (IL-6), assessed using enzyme-linked immunosorbent assay (ELISA). Additionally, expression phosphorylated NF-κB tissue was analyzed by Western blotting. Compared to PWT PWL group significantly decreased (p < 0.05), TNF-α, TGF-β1, IL-1β, IL-6, elevated 0.05). dose showed significant increases 0.05) compared reduced across all groups. effectively reduces release rats, enhances thresholds, alleviates neuropathic pain. underlying mechanism may involve inhibition signaling pathway.

Язык: Английский

Процитировано

0

Two Acute Stroke Patients Whose Lower Back and Lower Limb Pain Hampered Their Rehabilitation: The Effectiveness of Peripheral Nerve Blocks DOI Open Access

Hiroyuki Dan,

Kyongsong Kim,

Tadahiro Ishiwada

и другие.

Cureus, Год журнала: 2024, Номер unknown

Опубликована: Авг. 29, 2024

Lower back and lower limb pain can hamper the rehabilitation of cerebral stroke patients. We report that peripheral nerve blocks enabled two patients to continue rehabilitation. Case 1 was an 83-year-old female with left hemiparesis due infarction right basal ganglia. Rehabilitation started on day after onset. On 7

Язык: Английский

Процитировано

0

Thermal Annuloplasty for the Treatment of Discogenic Low Back Pain With a High-Intensity Zone After Full Endoscopic Discectomy DOI Open Access

Tatsuya Maegawa,

Kotaro Kohara,

Eitaro Okumura

и другие.

Cureus, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 16, 2024

Discogenic low back pain (DLBP) is difficult to diagnose. We performed full endoscopic spinal surgery (FESS) with thermal annuloplasty for DLBP and achieved good results. Here, we report a case in which resulted outcomes refractory accompanied by residual high-intensity zone (HIZ) after discectomy (FED). The patient was 22-year-old female (LBP) that worsened on bending forward. Magnetic resonance imaging (MRI) revealed bulging at the L4/L5 level lumbar disc herniation (LDH) L5/S1 level. condition but then improved over time. However, since she began working as nurse year prior presentation, her symptoms again, has experienced severe LBP left sciatica. Since MRI showed slight increase LDH, FED (interlaminar approach level) performed, lower limb quickly disappeared. also improved, when returned work, worsened. Oral medications had little effect; therefore, underwent periodic block injections. LDH disappeared, small HIZ lesion remained. discography block. diagnosed HIZ. Thermal resulting immediate disappearance of LBP. An indicates inflammation; cauterization can suppress this inflammation improve discogenic pain. histopathological findings included angiogenesis inflammatory cell infiltration. an may develop (transforaminal approach), effective usual To our knowledge, first treatment postoperative

Язык: Английский

Процитировано

0