腰背痛神经阻滞疗法讲述

Middle Thoracic Spine (at the bra-strap) T5-T8
Upper abdomen, middle ribs
Stomach ulcer, gall bladder problems, trapped wind, indigestion, breathing difficulties and other chest complaints
Condition Mimicked
Upper Cervical Spine (neck) C1-C4
Back of the head (occiput), back of the shoulders, angle
of the jaw, face
Headaches, migraines, jaw problems, trigeminal
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
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
Peripheral Neuralgia
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,
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
பைடு நூலகம்
椎管狭窄、椎间孔狭窄
椎体滑脱
梨状肌综合症
Spinal Region
Referral Area
neuralgia, tension in the shoulders
Middle / Lower Cervical Spine Arms, forearms, hands and
(neck) C5-C8
fingers
Trapped nerve in the neck, tennis elbow, golfer's elbow,
骶髂关节体格检查
▪ Yeoman's 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.
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
▪ Gaenslen's test is performed with the patient supine (on the back). The hip joint is maximally flexed on one side and the opposite hip joint is extended. This maneuver stresses both sacroiliac joints simultaneously.
Lower Thoracic Spine (below the bra-strap) T9-T12
Lower abdomen, lower ribs, pelvis and sexual organs
Irritable bowel disorder, pelvic pain, period pain, pain in the
sexual organs
Upper Lumbar Spine L1-L3
Trapped nerve in the back, Groin, front of the upper thigh groin and thigh problems, hip
and knee problems
Lower Lumbar Spine L4-L5 Front of the inner and outer
Sciatica, shin and foot
Pain Type Simple Spinal Pain
Complex Spinal Pain (in addition to those treatments for Simple Spinal Pain)
Nerve Pain
Diagnosis Simple Sprain, Muscle Spasm, Segmental Spinal
Dysfunction The Bad Sprain Facet Joint Syndrome
Sciatica
Spondylolisthesis
Spinal Stenosis Foraminal Stenosis Spinal Osteoporosis Referred Spinal Pain
Failed Spinal Surgery
frozen shoulder
Upper Thoracic Spine (above Pain in the arms, front of the
the bra-strap) T1-T4
upper chest, upper ribs
Trapped nerve in the neck, angina, breathing difficulties and other chest complaints
骶髂关节体格检查
▪ Patrick's 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