腰背痛神经阻滞疗法

1、腰背痛神经阻滞疗法腰背痛的原因椎间盘源性纤维环破裂髓核压迫纤维环内的c纤维炎性因子刺激神经临床特点腰背痛的原因小关节源性小关节功能紊乱小关节退行性变小关节的神经支配脊神经背支内侧支临床表现小关节源性腰背疼痛的疼痛分布范围腰背痛的神经阻滞疗法ESI椎间盘源性腰背痛腰椎小关节注射、内侧支阻滞腰椎小关节注射、内侧支阻滞骶髂关节综合症背痛臀部大腿部疼痛偶尔有类似坐骨神经痛现象不能长时间保持某一坐姿症状复杂，诊断困难骶髂关节体格检查Gaenslens test is performed with the patient supine (on the back). The hip joint is max

2、imally flexed on one side and the opposite hip joint is extended. This maneuver stresses both sacroiliac joints simultaneously.骶髂关节体格检查Yeomans test stresses the sacroiliac joint by extending the leg and rotating the ilium. A positive test produces pain over the back of the sacroiliac joint. 骶髂关节体格检查

3、Patricks test stresses the hip and sacroiliac joints. A positive test produces back, buttocks, or groin pain. 骶髂关节阻滞腰腿痛的神经阻滞治疗椎间盘突出脊神经根受刺激腰神经根受压的疼痛分布腰腿痛的神经阻滞治疗ESI椎旁神经阻滞选择性神经根阻滞selective nerve root block选择性神经根阻滞selective nerve root blockS1block椎管狭窄、椎间孔狭窄椎体滑脱梨状肌综合症Spinal RegionReferral AreaCondition M

4、imickedUpper Cervical Spine (neck) C1-C4Back of the head (occiput), back of the shoulders, angle of the jaw, faceHeadaches, migraines, jaw problems, trigeminal neuralgia, tension in the shouldersMiddle / Lower Cervical Spine (neck) C5-C8Arms, forearms, hands and fingersTrapped nerve in the neck, ten

5、nis elbow, golfers elbow, frozen shoulderUpper Thoracic Spine (above the bra-strap) T1-T4Pain in the arms, front of the upper chest, upper ribsTrapped nerve in the neck, angina, breathing difficulties and other chest complaintsMiddle Thoracic Spine (at the bra-strap) T5-T8Upper abdomen, middle ribsS

6、tomach ulcer, gall bladder problems, trapped wind, indigestion, breathing difficulties and other chest complaintsLower Thoracic Spine (below the bra-strap) T9-T12Lower abdomen, lower ribs, pelvis and sexual organsIrritable bowel disorder, pelvic pain, period pain, pain in the sexual organsUpper Lumb

7、ar Spine L1-L3Groin, front of the upper thighTrapped nerve in the back, groin and thigh problems, hip and knee problemsLower Lumbar Spine L4-L5Front of the inner and outer shin bone, top of the footSciatica, shin and foot problemsSacrum S1-S4Buttocks, perineumPelvic pain, coccydyniaPain TypeDiagnosi

8、sTreatmentSimple Spinal PainSimple Sprain, Muscle Spasm, Segmental Spinal DysfunctionAcupuncture, TENS, Exercises, ManipulationComplex Spinal Pain (in addition to those treatments for Simple Spinal Pain)The Bad SprainLigament SclerosantsFacet Joint SyndromeFacet Joint InjectionsSciaticaEpidural Inje

9、ctions, Nerve Root Blocks, Surgery, EpiduroscopySpondylolisthesisLigament Sclerosants, Facet Joint Injections, Epidural Injections, Nerve Root Blocks, SurgerySpinal StenosisEpidural Injections, SurgeryForaminal StenosisEpidural Injections, Nerve Root Blocks, SurgerySpinal OsteoporosisTrigger Point I

10、njections, VertebroplastyReferred Spinal PainTreatment for the cause of the painFailed Spinal SurgeryFacet Joint Injections, Ligament Sclerosants, Epidural Injections, Nerve Root Blocks, Epiduroscopy, IDET, Intrathecal Morphine PumpNerve PainPeripheral NeuralgiaPeripheral Nerve Blocks, Anti-convulsants, Anti-depressantsSympathetic PainChronic Regiona