書誌事項
- タイトル別名
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- <b>The effect of IDET (Intradiscal ElectroThermal Therapy) </b><b>on discogenic pain in a patient with failed back </b><b>syndrome: A case report </b>
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It is estimated that almost 20% of chronic low back pain (LBP) patient of failed back syndrome (FBS) originates from a painful degenerative intervertebral disc. We present a chronic discogenic LBP patient whose ongoing pain after surgical descectomy was resolved after intradiscal electrothermal therapy (IDET).<br> A 29-year-old woman underwent suffered from severe LBP for almost 2 years after surgical descectomy to the herniation of the L5/S1 disc.Visual analogue scale (VAS) levels of pre-IDET pain severity was rated 80 mm. She could not work for 2 years. The patient was referred to the pain clinic of the Department of Anesthesiology in Shiga University of Medical Science, and diagnosed as L5/S1 discogenic pain by physical examination and discography.<br> The patient underwent L5/S1 IDET.There was a progressive lessening of pain after the IDET. VAS levels reduced from 80 mm to 10 - 30 mm, and the RMDQ (Roland-Morris Disability Questionnaire) score improved from 15 to 1, six month after IDET. L5 - S1 disc protrusion, which was found on the first MRI scan, were resolved in the follow-up MRI scan, 6 months after IDET. The patient reported almost complete pain relief and was able to return to work 12 months after IDET.<br> In our case, IDET alleviated post-surgical chronic discogenic LBP. Although patients who have had prior surgery at the symptomatic level, is not considered to be a indication of IDET, our case suggests that some chronic discogenic pain patients after surgical descectomy to the disc herniation may be successfully treated with IDET.
収録刊行物
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- PAIN RESEARCH
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PAIN RESEARCH 21 (1), 5-9, 2006
日本疼痛学会
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キーワード
詳細情報 詳細情報について
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- CRID
- 1390001204366652160
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- NII論文ID
- 130004651871
- 10017332583
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- NII書誌ID
- AN10195934
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- ISSN
- 21874697
- 09158588
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可