EVALUATION OF ADDING HYALURONIDASE TO INJECTATE IN TRANSFORAMINAL EPIDURAL BLOCKADE IN THE MANAGEMENT OF CHRONIC LOW BACK PAIN

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IMANI FARNAD; RAHIMZADEH POUPAK; FAIZ SEYED HAMID REZA; AKHAVAN AKBARI GHODRAT

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Journal: Journal of Anesthesiology and Pain Year:2011 | Volume:1 | Issue:3 Page(s): 24-31

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Title

EVALUATION OF ADDING HYALURONIDASE TO INJECTATE IN TRANSFORAMINAL EPIDURAL BLOCKADE IN THE MANAGEMENT OF CHRONIC LOW BACK PAIN

Author(s)

IMANI FARNAD | RAHIMZADEH POUPAK | FAIZ SEYED HAMID REZA | AKHAVAN AKBARI GHODRAT | Issue Writer Certificate

Keywords

TRANSFORAMINAL EPIDURALQ2

HYALURONIDASEQ2

FAILED BACK SURGERY SYNDROMEQ2

PAIN SCOREQ2

Abstract

Background and aims: Maintaining low back pain after spinal surgeries is one of the pretty challenging problems in treating patients. Various modalities have been introduced for treatment and one of the most effective ways between them, is steroid and other drugs injection into epidural space.Materials and methods: In a double blind RCT study, 25 patient from pain clinic with low back pain due to FAILED BACK SURGERY SYNDROME were candidate for epidural transforaminal block and divided into case and control groups randomly. The selected drug regimens were as follow: in case group bupivacaine %0.5, triamcinolone 40 mg, hypertonic saline 5%, HYALURONIDASE 1500 IU, and in control group stilled water instead of HYALURONIDASE was used per each nerve root. PAIN SCORE, analgesic consumption, neurological examinations and satisfaction were evaluated in recovery and 1, 2, and 4 weeks later.Results: There was no difference in demographic data between 2 groups. PAIN SCORE and total analgesic consumption in case group was meaningfully higher 2 and 4 weeks after blockade (p<0.01). Patient satisfaction was higher in case group.Discussion: Adding HYALURONIDASE to transforaminal injectate should be an effective for managing chronic low back pain in FAILED BACK SURGERY SYNDROME.

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APA: Copy

IMANI, FARNAD, RAHIMZADEH, POUPAK, FAIZ, SEYED HAMID REZA, & AKHAVAN AKBARI, GHODRAT. (2011). EVALUATION OF ADDING HYALURONIDASE TO INJECTATE IN TRANSFORAMINAL EPIDURAL BLOCKADE IN THE MANAGEMENT OF CHRONIC LOW BACK PAIN. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), 1(3), 24-31. SID. https://sid.ir/paper/216241/en

Vancouver: Copy

IMANI FARNAD, RAHIMZADEH POUPAK, FAIZ SEYED HAMID REZA, AKHAVAN AKBARI GHODRAT. EVALUATION OF ADDING HYALURONIDASE TO INJECTATE IN TRANSFORAMINAL EPIDURAL BLOCKADE IN THE MANAGEMENT OF CHRONIC LOW BACK PAIN. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN)[Internet]. 2011;1(3):24-31. Available from: https://sid.ir/paper/216241/en

IEEE: Copy

FARNAD IMANI, POUPAK RAHIMZADEH, SEYED HAMID REZA FAIZ, and GHODRAT AKHAVAN AKBARI, “EVALUATION OF ADDING HYALURONIDASE TO INJECTATE IN TRANSFORAMINAL EPIDURAL BLOCKADE IN THE MANAGEMENT OF CHRONIC LOW BACK PAIN,” JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), vol. 1, no. 3, pp. 24–31, 2011, [Online]. Available: https://sid.ir/paper/216241/en

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