Therapeutic Efficacy of Ultrasound-Guided Selective Nerve Block on Chronic Cervical Radiculopathy
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Study Design and Methodology
2.3. Intervention
2.4. Statistical Analysis
3. Results
3.1. Baseline Characteristics
3.2. Results of Statistical Analysis
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Factor | N (%) |
---|---|
Age | |
20–29 | 3 (3.3) |
30–39 | 4 (4.4) |
40–49 | 18 (19.6) |
50–59 | 25 (27.2) |
60–69 | 26 (28.3) |
≥70 | 16 (17.4) |
Gender | |
Female | 48 (52.2) |
Male | 44 (47.8) |
Presenting symptom | |
Neck pain | 11 (12.0) |
Radiating pain | 17 (18.5) |
Neck pain and Radiating pain | 64 (69.6) |
Diagnosis for cause of pain | |
Cervical disc herniation | 39 (42.4) |
Cervical disc herniation and Foraminal stenosis | 44 (47.8) |
Cervical disc herniation and Myelopathy | 9 (9.8) |
Pathology level | |
Cervical disc herniation | |
C3-C4 only | 1 (1.1) |
C4-C5 only | 10 (10.9) |
C5-C6 only | 14(15.2) |
C6-C7 only | 21 (25.0) |
C7-T1 only | 1 (1.1) |
Multiple level | 43 (46.7) |
Foraminal stenosis | |
C3-C4 only | 0 (0.0) |
C4-C5 only | 1 (2.3) |
C5-C6 only | 9 (20.5) |
C6-C7 only | 9 (20.5) |
C7-T1 only | 0 (0.0) |
Multiple level | 25 (56.8) |
Initial pain severity | |
Moderate pain (VAS: 5–6) | 70 (76.1) |
Severe pain (VAS: ≥7) | 22 (23.9) |
Improvement of symptoms | |
No | 23 (25.0) |
Yes a | 69 (75.0) |
Recurrence | |
No | 44 (47.8) |
Yes | 48 (52.2) |
Improvement of Symptoms (n = 69) | No Improvement of Symptoms (n = 23) | Chi Square p Value | Recurrence of Symptoms (n = 48) | No Recurrence of Symptoms (n = 44) | Chi Square p Value | |
---|---|---|---|---|---|---|
Presenting symptom, n (%) | 0.124 | 0.008 * | ||||
Neck pain | 11 (15.9) | 0 (0.0) | 2 (4.2) | 9 (20.5) | ||
Radiating pain | 12 (17.4) | 5 (21.7) | 6 (12.5) | 11 (25.0) | ||
Neck pain and Radiating pain | 46 (66.7) | 18 (78.5) | 40 (83.3) | 24 (54.5) | ||
Diagnosis for cause of pain, n (%) | 0.396 | 0.878 | ||||
Cervical disc herniation | 32 (46.4) | 7 (42.4) | 21 (43.8) | 18 (40.9) | ||
Cervical disc herniation and Foraminal stenosis | 31 (44.9) | 13 (47.8) | 23 (47.9) | 21 (47.7) | ||
Cervical disc herniation and Myelopathy | 6 (8.7) | 3 (9.8) | 4 (8.3) | 5 (11.4) |
Factor | Improvement of Symptoms | Recurrence of Symptoms | ||||
---|---|---|---|---|---|---|
OR | 95% CI | p Value | OR | 95% CI | p Value | |
Age | 1.022 | 0.982–1.063 | 0.285 | 0.984 | 0.951–1.017 | 0.333 |
Gender | 1.000 | 0.389–2.572 | 1.000 | 1.200 | 0.529–2.724 | 0.663 |
Initial pain severity a | 1.169 | 0.395–3.462 | 0.778 | 0.702 | 0.268–1.836 | 0.471 |
Motor weakness | 1.144 | 0.277–4.731 | 0.853 | 1.707 | 0.464–6.286 | 0.421 |
Sensory symptom (hypoesthesia) | 1.144 | 0.277–4.731 | 0.853 | 1.707 | 0.464–6.286 | 0.421 |
Spurling sign | 1.561 | 0.569–4.285 | 0.387 | 1.520 | 0.652–3.543 | 0.332 |
Shoulder abduction relief sign | 1.000 | 0.389–2.572 | 1.000 | 1.707 | 0.747–3.902 | 0.205 |
DTR (Biceps jerk) | 0.702 | 0.138–3.576 | 0.671 | 0.860 | 0.231–3.206 | 0.823 |
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Joo, H.J.; Choi, S.; Kim, B.H.; Kim, M.-S.; Shim, G.Y.; Chung, S.J.; Chon, J.; Yoo, M.C.; Soh, Y. Therapeutic Efficacy of Ultrasound-Guided Selective Nerve Block on Chronic Cervical Radiculopathy. Medicina 2024, 60, 1002. https://doi.org/10.3390/medicina60061002
Joo HJ, Choi S, Kim BH, Kim M-S, Shim GY, Chung SJ, Chon J, Yoo MC, Soh Y. Therapeutic Efficacy of Ultrasound-Guided Selective Nerve Block on Chronic Cervical Radiculopathy. Medicina. 2024; 60(6):1002. https://doi.org/10.3390/medicina60061002
Chicago/Turabian StyleJoo, Hyo Jin, Seongmin Choi, Byoung Hoon Kim, Min-Su Kim, Ga Yang Shim, Sung Joon Chung, Jinmann Chon, Myung Chul Yoo, and Yunsoo Soh. 2024. "Therapeutic Efficacy of Ultrasound-Guided Selective Nerve Block on Chronic Cervical Radiculopathy" Medicina 60, no. 6: 1002. https://doi.org/10.3390/medicina60061002