do thanh huy
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Bước Đầu Sử Dụng Các Kỹ Thuật Giảm Đau Can Thiệp
THE INITIAL USE OF INTERVENTIONAL THERAPIES IN PAIN MANAGEMENT
Dr. Do Thanh Huy
Can Tho University of Medicine and Pharmacy
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Đặt vấn đềIntroduction
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Classical ladder
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Classical ladder is too short???
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New WHO analgesic ladder
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Phòng khám đau-cơ xương khớpPain-musculoskeletal unit
From october/2012. we follow up first 43 cases of interventional techniques in pain management in Can Tho
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Tiêm steroid ngoài màng cứng-16 trường hợp
Epidural steroid injections-16 cases
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Cervical epidural steroid injections for cervical radiculopathy
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Thoracic epidural steroid injection for postherpetic neuralgia
1 case
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Lumbar radiculopathy(11 cases)
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Spinal stenosis(5cases)
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Cervical radiculopathy(1case)
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Postherpetic neuralgia(1case)
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Cervical medial branch block for cervical facet syndrome(2cases)
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Lumbar medial branch block for lumbar facet syndrome
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Injection of the temporomandibular joint(1case)
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Injection of trigger thumb(1case)
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Injection for de Quervain’s tenosynovitis(3case)
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Injection of trigger finger(2case)
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Injection for tennis elbow(4cases)
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Injection for the subdeltoid bursa
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Hiệu quả đến đâu?Follow up effective: interview patients (by mobile phone or follow-up examination)
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Before injection
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After injection
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Before injection
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After two weeks injection lumbar radiculopathy
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Bằng chứng?
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Phân loại bằng chứngQuality of evidence
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Evidence for cervical radicular pain
Pain free
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Evidence for cervical facet
Pain free
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Evidence for lumbar radiculopathy
1 patient with LR required surgery after two weeks and 3 patients with LR required second injection
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Evidence for lumbar facet pain
3/43(7%) fair satisfaction
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Evidence for post-herpetic neuralgiafair satisfaction
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Evidence for musculoskeletal injections Pain free
100%
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