Literature DB >> 25982996

Clinical management of radicular pain.

Laxmaiah Manchikanti1, Joshua A Hirsch.   

Abstract

This review provides an overview of the diagnosis and treatment strategies for the management of radicular pain. While it is not as common as axial spinal pain, radicular pain combines the advantage of leveraging appropriate diagnostic strategies and definitive treatments with well-informed outcome measures. Multiple diagnostic measures include not only history and physical examination, but also imaging. The treatment modalities include pharmacologic management, physical and rehabilitation measures, interventional techniques and surgical treatments. Here, the authors describe the prevalence and pathophysiology of radicular pain, risk factors, diagnostic strategies, treatment modalities and the evidence for these management strategies. Finally, the authors show the efficacy of conservative management, despite surgical management being the gold standard.

Entities:  

Keywords:  cervical disc herniation; cervical radicular pain; cervical spondylosis; discectomy; epidural steroids; fusion; lumbar disc herniation; lumbar radicular pain; thoracic radicular pain

Mesh:

Year:  2015        PMID: 25982996     DOI: 10.1586/14737175.2015.1048226

Source DB:  PubMed          Journal:  Expert Rev Neurother        ISSN: 1473-7175            Impact factor:   4.618


  9 in total

1.  Resolvin D2 Relieving Radicular Pain is Associated with Regulation of Inflammatory Mediators, Akt/GSK-3β Signal Pathway and GPR18.

Authors:  Lan-Yu Zhang; Zhi-Hua Liu; Qing Zhu; Shuang Wen; Cong-Xian Yang; Zhi-Jian Fu; Tao Sun
Journal:  Neurochem Res       Date:  2018-11-15       Impact factor: 3.996

2.  Maresin 1 Attenuates Radicular Pain Through the Inhibition of NLRP3 Inflammasome-Induced Pyroptosis via NF-κB Signaling.

Authors:  Yi-Hao Wang; Yan Li; Jun-Nan Wang; Qing-Xiang Zhao; Jin Jin; Shuang Wen; Si-Cong Wang; Tao Sun
Journal:  Front Neurosci       Date:  2020-08-26       Impact factor: 4.677

3.  Management of lumbar zygapophysial (facet) joint pain.

Authors:  Laxmaiah Manchikanti; Joshua A Hirsch; Frank Je Falco; Mark V Boswell
Journal:  World J Orthop       Date:  2016-05-18

Review 4.  Ten Important Tips in Treating a Patient with Lumbar Disc Herniation.

Authors:  Farzad Omidi-Kashani; Hamid Hejrati; Shahrara Ariamanesh
Journal:  Asian Spine J       Date:  2016-10-17

5.  Correlation between paravertebral spread of injectate and clinical efficacy in lumbar transforaminal block.

Authors:  Yu Jeong Bang; Hue Jung Park; Woo Seog Sim; Dae Won Lee; Jin Young Lee
Journal:  Sci Rep       Date:  2020-07-13       Impact factor: 4.379

Review 6.  Chinese Association for the Study of Pain: Expert consensus on diagnosis and treatment for lumbar disc herniation.

Authors:  Zhi-Xiang Cheng; Yong-Jun Zheng; Zhi-Ying Feng; Hong-Wei Fang; Jin-Yuan Zhang; Xiang-Rui Wang
Journal:  World J Clin Cases       Date:  2021-03-26       Impact factor: 1.337

7.  A Randomized Controlled Trial Evaluating the Effects of Diosmin in the Treatment of Radicular Pain.

Authors:  Yinhe Wang; Xin Fang; Lei Ye; Yishan Li; Hongfei Shi; Yang Cao
Journal:  Biomed Res Int       Date:  2017-10-08       Impact factor: 3.411

8.  Effectiveness of pulsed radiofrequency treatment on cervical radicular pain: A meta-analysis.

Authors:  Sang Gyu Kwak; Dong Gyu Lee; Min Cheol Chang
Journal:  Medicine (Baltimore)       Date:  2018-08       Impact factor: 1.817

9.  Effect of subcutaneous needling on visual analogue scale, IgG and IgM in patients with lumbar disc herniation: Study protocol clinical trial (SPIRIT Compliant).

Authors:  Jiangxia Yang; Chen Yang; Yajie Wang; Ning Li; Xingzhang Yao; Bowen Yang; Xia Xu; Xingyong Li
Journal:  Medicine (Baltimore)       Date:  2020-02       Impact factor: 1.889

  9 in total

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