Skip to main content
SpringerLink
Log in
Book cover

Wirbelsäule pp 129–136Cite as

Injektionstherapie bei pseudoradikulärem Schmerzsyndrom

  • Chapter

  • 111 Accesses

Part of the book series: Fortbildung Orthopädie ((FORTORTHO,volume 2))

Zusammenfassung

Die Prävalenz von Rückenschmerzen in der deutschen Bevölkerung wurde in verschiedenen Studien ermittelt. Für die Punktprävalenz wurden Werte zwischen 27,0% und 48,8%, für die Jahresprävalenz zwischen 62,7% und 76,9% und für die Lebenszeitprävalenz zwischen 68,5% und 84,3% angegeben. Bereits bei den 18- bis 29jährigen zeigten sich dabei Lebenszeitprävalenzen zwischen 60 und 70%. Ein Graduierungssystem bezifferte die Punktprävalenz starker Schmerzen mit 10% aller Probanden. Die direkten und indirekten Kosten durch Rückenschmerzen werden auf 33 Milliarden Mark geschätzt. Der Erkrankungsverlauf bei Rückenschmerzen wird nach neuesten epidemiologischen Studien als chronisch-remittierend klassifiziert. Nur 27% der Befragten waren innerhalb eines Jahres schmerzfrei. Von 64% derjenigen Probanden, die zunächst eine negative Punktprävalenz angaben, entwickelten 60% im Folgejahr Schmerzen [40, 42, 43].

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   49.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Bernard TN, Kirkaldy-Willis IH (1987) Recognizing specific characteristics of specific low back pain. Clin Orthop 217:266–280

    PubMed  Google Scholar 

  2. Bden SD, Davis DO, Dina TS, Patronas NJ, Wiesel S (1990) Abnormal magnetic resonance scans of the lumbar spine in asymptomatic subjects. J Bone Joint Surg 72A:403–408

    Google Scholar 

  3. Bradlöy KC (1974) The anatomy of backache. Aust N Z J Surg 44:227–232

    Article  Google Scholar 

  4. Brückle W, Suckfüll M, Fleckenstein W, Weiss C, Müller W (1990) Gewebe-pO2-Messung in der verspannten Rückenmuskulatur (M. erector spinae). Z Rheumatol 49:208–216

    PubMed  Google Scholar 

  5. Campbell AJ, Wells IP (1982) Pigmented villo-nodular synovitis of a lumbar vertebral facet joint. J Bone Joint Surg 64A:145–146

    Google Scholar 

  6. Cherkin DC, Deyo RA, Wheeler K, Ciol MA (1995) Physician views about treating low back pain: The results of a national survey. Spine 20:1–10

    Article  PubMed  CAS  Google Scholar 

  7. Dreyfuss PH, Dreyer SJ, Herring SA (1995) Contemporary concepts in spine care. Lumbar Cygapophysial (facet) joint injection. Spine 20:2040–2047

    Article  PubMed  CAS  Google Scholar 

  8. Esses I, Moro JK (1993) The value of facet blocks in patient selection for lumbar fusion. Spine 18:185–190

    Article  PubMed  CAS  Google Scholar 

  9. Fett H (1988) Persönliche Mitteilung über sonografisch gesteuerte Facetteninfiltration

    Google Scholar 

  10. Fine PG, Milano R, Hare BD (1988) The effects of myofascial trigger point injections are naloxone reversible. Pain:15–20

    Google Scholar 

  11. Fishbain DA, Goldberg M, Meagher BR, Steele R, Rosomoff H (1986) Male and female chronic pain patients categorized by DSM-III psychiatric diagnostic criteria. Pain 26:181–197

    Article  PubMed  CAS  Google Scholar 

  12. Friction JR, Kroening R, Haley D, Siegart R (1985) Myofascial pain syndrome of the head and neck: a review of clinical characteristics of 164 patients. Oral Surg 60:615–623

    Article  Google Scholar 

  13. Frost A (1986) Diclofenac versus lidocaine as injection therapy in myofascial pain. Scand J Rheumatol 15:153–156

    Article  PubMed  CAS  Google Scholar 

  14. Garrison DW, Foreman RD (1994) Decreased activity of spontaneous and noxiously evoked dorsal horn cells, ,during transcutaneous electrical nerve stimulation (TENS). Pain 58:309–315

    Article  PubMed  CAS  Google Scholar 

  15. Glover JR (1977) Arthrography of the joints of the lumbar vertebral arches. Orthop Clin N Am 8:37–42

    CAS  Google Scholar 

  16. Goldberg RP, Genant HK, Shimshak R, Shames D (1978) Applications and limitations of quantitative sacroiliac joint. Szintigraphy and Radiology 128:683–686

    CAS  Google Scholar 

  17. Gora A, Schwartz TA (1976) Relation between the low back syndrom and x-ray findings. Scand J Rehab 8:115–125

    Google Scholar 

  18. Hildebrandt J, Weyland A (1987) Die perkutane lumbale Facettenkoagulation. Z Orthop 125:154–159

    Article  PubMed  CAS  Google Scholar 

  19. Hirsch C, Ingelmark BE, Miller M (1963) The anatomical basis for low back pain. Acta Orthop Scand 33:1–17

    Article  PubMed  CAS  Google Scholar 

  20. Hockaday JM, Whitty CWM (1967) Patterns of referred pain in normal subjects. Brain 90:481–496

    Article  PubMed  CAS  Google Scholar 

  21. Hoffert M (1986) The gate control theory re-revisited. J Pain-Symptom-Manege 1986 Winter, 1 (1):39–41

    CAS  Google Scholar 

  22. Hopwood MB, Abram SE (1994) Factors associated with failure of trigger point injections. Clin J Pain 10:227–234

    Article  PubMed  CAS  Google Scholar 

  23. Jackson RP (1992) The facet syndrome: Myth or reality? Clin Orthop 279:110–121

    PubMed  Google Scholar 

  24. Jackson RP, Jacobs CRR, Montesano PX (1988) Facet joint injection in low back pain-a prospective statistical study. Spine 13:966–971

    Article  PubMed  CAS  Google Scholar 

  25. Jerosch J, Castro WHM (1994) Das Facettensyndrom. Enke, Stuttgart

    Google Scholar 

  26. Kellgren JH (1938) Observations on referred pain arising from muscle. Clin Sci 3:175–190

    Google Scholar 

  27. Kraft GL, Vevinthal DH (1951) Facet synovial impingement. Surg Gynecol Obstet 93:439–443

    PubMed  CAS  Google Scholar 

  28. Lawrence JS, Sharp J, Ball J, Beer F (1966) Osteoarthritis. Prevalence in the population and relationship between symptoms and x-rays changes. Ann Rheum 25:1–24

    CAS  Google Scholar 

  29. Lewit K (1981) Muskelfazilitations- und Inhibitionstechniken in der manuellen Medizin. Manuelle Med 19:12–17

    Google Scholar 

  30. Lilius G, Laasonen MM, Myyllinen, Lainen, Gronlund G (1989) Lumbar facet joint syndrome: A randomized clinical trial. J Bone Joint Surg 71B:681–684

    Google Scholar 

  31. Lynsch MC, Taylor JF (1986) Facet joint injection for low back pain. J Bone Joint Surg 68B:138–141

    Google Scholar 

  32. Melzack R (1981) Myofascial trigger point: relation to acupuncture and mechanism of pain. Arch Phys Med 62:114–119

    PubMed  CAS  Google Scholar 

  33. Mense S (1991) Considerations concerning the neurobiological basis of muscle pain. Can J Physiol Pharmacol 69:610–616

    Article  PubMed  CAS  Google Scholar 

  34. Mierau DR, Cassidy JD, Hamin T, Milne RA (1984) Sacroiliac joint dysfunction and low back pain in school aged children. J Manipulative Phys Ther 7:81–84

    CAS  Google Scholar 

  35. Mooney RV, Robertson J (1976) The facet syndrome. Clin Orthop 115:149–156

    PubMed  Google Scholar 

  36. Murtagh FR (1988) Computed tomography and fluoroscopic guided anaesthesia steroid injection in facet syndrome. Spine 13:686–689

    PubMed  CAS  Google Scholar 

  37. Norman GF (1968) Saroiliac disease and ist relationship to lower abdominal pain. Am J Surg 116:54–56

    Article  PubMed  CAS  Google Scholar 

  38. Pedersen HE, Lunck FJ, Garnd ERE (1956) The anatomy of lumbosacral posterior rami and meningeal branches of spinal nerves (Sino-vertebral nerves). J Bone Joint Surg 38A:377–391

    Google Scholar 

  39. Percell-Jones G (1989) Paravertebral nerve block: A clinical radiographic and computed tomographic study in chronic pain patients. Anesth Analg 68:32–39

    Google Scholar 

  40. Pförringer W (1997) Rückenschmerz-„Cost-of-Illness“-Studie. Z Orthop 135:Oa10–11

    PubMed  Google Scholar 

  41. Pitkin HC, Pheasant H C (1936) Sacrarthrogenetic telalgia. A study of referred pain. J Bone Joint Surg 18:111–133

    Google Scholar 

  42. Raspe HH, Kohlmann T (1994) Die aktuelle Rükkenschmerzepidemie. Therapeutische Umschau 51:367–374

    PubMed  CAS  Google Scholar 

  43. Raspe HH, Kohlmann T (1993) Rückenschmerzen - eine Epidemie unserer Tage? Dt Ärzteblatt 90:2929–2925

    Google Scholar 

  44. Revell ME, Listrat RVM, Chevalier X J et al. (1992) Facet joint block for a low back pain: Identifying predictors for a good response. Arch Phys Med Rehabil 73:824–828

    Google Scholar 

  45. Rush J, Griffiths J (1989) Suppurative arthritis of a lumbar facet joint. J Bone Joint Surg 71B:161–162

    Google Scholar 

  46. Ryan LM, Carrera GF, Lightfoot RW, Hoffman RG, Kozinka NF (1983) The radiographic diagnosis of sacroilitis. A comparison of different views with computed tomograms of the sacroiliac joint. Arthritis Rheum 26:760–763

    Article  PubMed  CAS  Google Scholar 

  47. Schmidt RR, Thews D (1987) Physiologie des Menschen. Springer-Verlag, Berlin, Heidelberg New York

    Google Scholar 

  48. Schwarzer AC, April CN, Derby R, Fortin J, Bogduk N (1994) Clinical features of patients with pain stemming from the lumbar facet joints. Spine 19:1232–1237

    Google Scholar 

  49. Schwarzer AC, Wang S, Laurent R, Mc Naught P, Brooks PM (1992) The role of the cygapophysial joint in chronic low back pain. Aust N Z J Med 22:185

    Google Scholar 

  50. Schwarzer AC, Wang S, O’Driscoll D et al (1995) The ability of computed tomography to identify a painful cygapophysial joint in patients with chronic low back pain. Spine 20:907–912

    Article  PubMed  CAS  Google Scholar 

  51. Simons DG (1988) Myofascial pain syndromes of head, neck and low back. In: Dubner R, Gebhart GF, Bond MR (eds) Proceedings of the Vth World Congess on Pain, pp 186–200. Elsevier New York, Amsterdam

    Google Scholar 

  52. Solonen KA (1957) The sacroiliac joint in the light of anatomical, roentgenological and clinical studies. Acta Orthop Scand Suppl 27

    Google Scholar 

  53. Steindler A, Luck V (1938) Differential diagnosis of pain in the low back. A location of the source of pain by the procaine, hydrochloride method JAMA 110:106–113

    Google Scholar 

  54. Travell J, Simons DG (1983) Myofascial Pain and Dysfunction: The Trigger Point Manual, Vol. 1. Williams and Wilkins, Baltimore

    Google Scholar 

  55. Travell J, Simons DG (1992) Myofascial Pain and Dysfunction: The Trigger Point Manual, Vol. 2. Williams and Wilkins, Baltimore

    Google Scholar 

  56. Tsang IK (1993) Perspective on low back pain. Curr Opin Rheumatol 5:219–223

    Article  PubMed  CAS  Google Scholar 

  57. Winnie A (1989) The gate control theory of pain - revisited [editorial]. Reg Anesth 14:207

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. C. Plafki
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. Steffen
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. Ludwig
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. R. H. Wittenberg
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Abteilung und Poliklinik für Sportorthopädie, TU München, Connollystraße 32, 80809, München, Germany

    Andreas B. Imhoff

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Plafki, C., Steffen, R., Ludwig, J., Wittenberg, R.H. (1999). Injektionstherapie bei pseudoradikulärem Schmerzsyndrom. In: Imhoff, A.B. (eds) Wirbelsäule. Fortbildung Orthopädie, vol 2. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-58705-4_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-58705-4_17

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-7985-1149-1

  • Online ISBN: 978-3-642-58705-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation