Dynamics of neurological interrelation of lumbar pains in patients with degenerative diseases of the spine with use of algorithm of regional blockades in process of treatment
The main goal of the study was to rise efficiency of treatment lumbar pains with use of algorithm of regional medical blockades in the process of composite treatment of lumbar pains in patients with degenerative diseases of the spine, and also to estimate dynamics of neurological interrelation of lumbar pains and efficiency in system of medical-rehabilitation measure. According to the goal of the study the patients were divided in two groups: the first group patients (88 people) received treatment with use of method of regional blockades, the second group patients (40 people) got standard treatment with use of NSAID and local injection therapy. Method of regional medical blockades was used in the composite treatment of the first group patients: epidural pharmacotherapy or paravertebral radicular blockades with use of glucocorticosteroids and anesthetics; the second group patients received standard treatment with NSAID and local injection therapy with use of glucocorticosteroids and anesthetics. It was used algorithm of regional medical blockades in patients with vertebrogenetic lumbar pains in which epidural pharmacotherapy and paravertebral radicular blockades occupied intermediate position between surgical treatment and standard methods of therapy. The results of study permit to consider regional blockades raise the efficiency of treatment of lumbar pains and allow to use pathogenetic therapy of various vertebrogenetic neurological syndromes.