腰背痛神经阻滞疗法

Spinal Region Upper Cervical Spine (neck) C1-C4 Middle / Lower Cervical Spine (neck) C5-C8 Upper Thoracic Spine (above the bra-strap) T1-T4
Referral Area Back of the head (occiput), back of the shoulders, angle of the jaw, face Arms, forearms, hands and fingers Pain in the arms, front of the upper chest, upper ribs
Middle Thoracic Spine (at the bra-strap) T5-T8
Upper abdomen, middle ribs
Lower Thoracic Spine (below the bra-strap) T9-T12 Upper Lumbar Spine L1-L3 Lower Lumbar Spine L4-L5
Spondylolisthesis Complex Spinal Pain (in addition to those treatments for Simple Spinal Pain) Spinal Stenosis Foraminal Stenosis Spinal Osteoporosis Referred Spinal Pain
Failed Spinal Surgery
Nerve Pain
Peripheralቤተ መጻሕፍቲ ባይዱNeuralgia
Chronic Regional Pain
神经损毁
目的 外周神经损毁
物理损毁
射频
化学损毁
无水酒精、 无水酒精、酚
PAIN
Thank You
骶髂关节体格检查
Yeoman's test stresses the sacroiliac joint by extending the leg and rotating the ilium. A ilium. positive test produces pain over the back of the sacroiliac joint. joint.
骶髂关节体格检查
Patrick's test stresses the hip and sacroiliac joints. joints. A positive test produces back, buttocks, or groin pain. pain.
骶髂关节阻滞
腰腿痛的神经阻滞治疗
Condition Mimicked Headaches, migraines, jaw problems, trigeminal neuralgia, tension in the shoulders Trapped nerve in the neck, tennis elbow, golfer's elbow, frozen shoulder Trapped nerve in the neck, angina, breathing difficulties and other chest complaints Stomach ulcer, gall bladder problems, trapped wind, indigestion, breathing difficulties and other chest complaints Irritable bowel disorder, pelvic pain, period pain, pain in the sexual organs Trapped nerve in the back, groin and thigh problems, hip and knee problems Sciatica, shin and foot problems
腰椎小关节注射、内侧支阻滞 腰椎小关节注射、
腰椎小关节注射、内侧支阻滞 腰椎小关节注射、
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， 症状复杂，诊断困难
骶髂关节体格检查
Gaenslen's test is performed with the patient supine (on the back). The back). hip joint is maximally flexed on one side and the opposite hip joint is extended. extended. This maneuver stresses both sacroiliac joints simultaneously. simultaneously.
Diagnosis Simple Sprain, Muscle Spasm, Segmental Spinal Dysfunction The Bad Sprain Facet Joint Syndrome Sciatica
Treatment Acupuncture, TENS, Exercises, Manipulation Ligament Sclerosants Facet Joint Injections Epidural Injections, Nerve Root Blocks, Surgery, Epiduroscopy Ligament Sclerosants, Facet Joint Injections, Epidural Injections, Nerve Root Blocks, Surgery Epidural Injections, Surgery Epidural Injections, Nerve Root Blocks, Surgery Trigger Point Injections, Vertebroplasty Treatment for the cause of the pain Facet Joint Injections, Ligament Sclerosants, Epidural Injections, Nerve Root Blocks, Epiduroscopy, IDET, Intrathecal Morphine Pump Peripheral Nerve Blocks, Anticonvulsants, Anti-depressants Sympathetic Blocks, Anti-convulsants, Anti-depressants
腰背痛
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 髓核压迫纤维环内的c 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
Lower abdomen, lower ribs, pelvis and sexual organs Groin, front of the upper thigh Front of the inner and outer shin bone, top of the foot
Pain Type Simple Spinal Pain
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
选择性神经根阻滞selective nerve
root block
椎旁神经阻滞
选择性神经根阻滞selective nerve root
block
S1block
椎管狭窄、椎间孔狭窄 椎管狭窄、
椎体滑脱
梨状肌综合症