Bibliographic Details
| Main Author: |
Rocha, Ivan Dias da |
| Publication Date: |
2014 |
| Other Authors: |
Cristante, Alexandre Fogaça,
Marcon, Raphael Martus,
Oliveira, Reginaldo Perilo,
Letaif, Olavo Biraghi,
Barros Filho, Tarcisio Eloy Pessoa de |
| Format: |
Article
|
| Language: |
eng |
| Source: |
Clinics |
| Download full: |
https://www.revistas.usp.br/clinics/article/view/83970
|
Summary: |
OBJECTIVES: To verify the incidence of facetary and low back pain after a controlled medial branch anesthetic block in a three-month follow-up and to verify the correlation between the positive results and the demographic variables. METHODS: Patients with chronic lumbar pain underwent a sham blockade (with a saline injection) and then a controlled medial branch block. Their symptoms were evaluated before and after the sham injection and after the real controlled medial branch block; the symptoms were reevaluated after one day and one week, as well as after one, two and three months using the visual analog scale. We searched for an association between the positive results and the demographic characteristics of the patients. RESULTS: A total of 104 controlled medial branch blocks were performed and 54 patients (52%) demonstrated >;50% improvements in pain after the blockade. After three months, lumbar pain returned in only 18 individuals, with visual analogue scale scores >;4. Therefore, these patients were diagnosed with chronic facet low back pain. The three-months of follow-up after the controlled medial branch block excluded 36 patients (67%) with false positive results. The results of the controlled medial branch block were not correlated to sex, age, pain duration or work disability but were correlated with patient age (p |