%0 Journal Article
%T COMPARATIVE EARLY PERIOD RESULTS OF TWO DIFFERENT NEURALTHERAPY APPLICATIONS IN CHRONIC THORACIC PAIN PATIENTS: A RETROSPECTIVE STUDY
%A Mehmet Ali ELMACIO£¿LU
%J -
%D 2018
%X Thoracic pain is an important problem in the practice of neural therapy, because of the sympathetic innervation of the thoracic region, multiple joint involvement both on the posterior and anterior of the thorax, and for functional anatomy of this part of the body. In this retrospective study, we evaluate the treatment modalities and their results that applied to patients with chronic dorsal pain. We evaluate the records of the patients with chronic dorsal pain that admitted to our clinic between March 2017 and 2018 in one year period of time. We reach the records of 89 patient with chronic dorsal pain. The patients with malignancy, vertebral compression fracture, active degeneration, autoimmune diseases, and infection were not included in the study. 28 patients with chronic dorsal pain were included who were out of these criteria.Patients were divided into two groups according to the type of neural therapy injection. For Group 1; the paients were choosen from who applied trigger point injections and post-isometric stretching in musculus rhomboideus, musculus iliocostalis thoracis and paravertebral muscles, thoracic facet and costotransversal joint injections according to neural therapy technique and segmental quadel injections subcutaneusly to C3-5 and T2-8 levels. For Group 2; the paients were choosen from who applied trigger point injections and post-isometric stretching in musculus rhomboideus, musculus iliocostalis thoracis and paravertebral muscles, thoracic facet and costotransversal joint injections according to neural therapy technique, segmental quadel injections subcutaneusly to C3-5 and T2-8 levels, intercostal nerve blockage at the level of painful facet joints, injections of the painful sternocostal joints and tender points in the costal arc area. The treatment outcomes of these patients were evaluated and compared comparatively according to their VAS (Visual Analogue Scale), QOLS (Quality of Life Score) and the number of treatment sessions during the 3 months of follow-up. The lack of prospective study planning with larger number of patients were considered limitations of this study. In both groups of patients who were treated for complaints of dorsal pain, were effectively treated. With the comparison result between the groups; injection of anterior region connections and intercostal nerve block treatment that add to group 1 injections, prolongs the duration of painlessness and less treatment sessions in the patients, further decreases in VAS values, and higher quality of life scores were determined in group 2 patients. It is believed
%K Torakal A£¿r£¿
%K kronik
%K N£¿ralterapi
%K Lokal anestezik
%U http://dergipark.org.tr/barnat/issue/42857/518323