Diagnostic blockade under sonographic control in patients with lumbosacral ligamentoses
https://doi.org/10.51523/2708-6011.2020-17-2-9
Abstract
Objective: to develop standardized methods for performing diagnostic blockades increasing their effectiveness in lumbosacral ligamentoses. Material and methods. The study included the results of sonographically controlled blockades of the iliolumbar (66 patients), posterior long sacroiliac (126 patients), and sacrotuberal ligaments (25 patients). All of the patients had manifestations of low back pain syndrome. Results. The use of the standardized method of therapeutic and diagnostic blockades in all the patients with ligament-induced low back pain syndrome led to a marked decrease in the intensity of the pain syndrome and allowed verification of its cause. Conclusion. Sonographically controlled blockade of the iliolumbar, posterior long sacroiliac, and sacrotuberal ligaments is an effective way to verify and treat low back pain syndrome in lumbosacral ligamentoses.
About the Authors
A. M. Yurkovskiy
Gomel State Medical University
Belarus
Belarus
Alexei М. Yurkovskiy – Candidate of Medical Sciences, Associate Professor, Head of the Course of Radiation Diagnostics of the EI «Gomel State Medical University»
e-mail: yurkovsky@mail.ru
I. V. Nazarenko
Gomel State Medical University
Belarus
Belarus
Irina V.Nazarenko – Assistane lecturer at the Course of Radiation Diagnostics of the EI «Gomel State Medical University»
S. L. Achinovich
Gomel Regional Clinical Oncology Center
Belarus
Belarus
Sergei L. Achinovich – Candidate of Medical Sciences, Head of the Pathoanatomical Department of Gomel Regional Clinical Oncology Center
References
1. Cook CE, Learman KE, O'Halloran BJ, Showalter CR, Kabbaz VJ, Goode AP, Wright AA. Which prognostic factors for low back pain are generic predictors of outcome across a range of recovery domains? Phys. Ther. 2013;93(1):32-40. doi: 10.2522/ptj.20120216
2. Бурмакова ГМ. Пояснично-крестцовый болевой синдром у спортсменов и артистов балета: дифференциальная диагностика. Вестн Трав-матологии и Oртопедии им НН Приорова. 2004;1:84-92.
3. Миронов СП, Бурмакова ГМ, Салтыкова ВГ. Диагностические возможности сонографии при пояснично-крестцовых болях. Вестн Травма-тологии и Oртопедии им НН Приорова. 2011;2:24-31.
4. Sims JA, Moorman SJ. The role of the iliolumbar ligament in low back pain. Med Hypotheses. 1996;46(6):511-15.
5. Ammer K. Schmerzhaftes Iliolumbalband: physi-ologische Grundlagen. Man Med. 2010;48(2):141-44.
6. Peeters L. The iliolumber ligaments: a literature study. The AAO J. 2011;21(2):23-29.
7. Vleeming А, DeVries HJ, Mens JMA., VanWing-erden J-P. Possible role of the long dorsal sacroil-iac ligament in women with peripartum pelvic pain. Acta Obstet et Gynecol Scand. 2002;81(5):430-36.
8. Moore АЕ, Jeffery R, Gray A, Stringer MD. An anatomical ultrasound study of the long posterior sacro-iliac ligament. Clin Anat. 2010;23(8):971-77.
9. Le Goff В, Berthelot JM, Maugars Y. Ultrasound assessment of the posterior sacroiliac ligaments. Clin and Exp Rheumatol. 2011;29(6):1014-17.
10. Михайлов АН, Назаренко ИВ. Лучевая диагно-стика лигаментоза задней длинной крестцово-подвздошной связки. Новости Медико-Биологических Наук. 2019;19(1):74-80.
11. Юрковский, А. М. Комплексная лучевая диа-гностика лигаментозов при синдроме боли в нижней части спины. Мед Новости. 2019;8:47-51.
12. Юрковский АМ, Назаренко ИВ. Сонография в диагностике синдрома боли в нижней части спины. Здравоохранение. 2018;11:50-54.
13. Naeim F, Froetscher L, Hirschberg GG. Treat-ment of the chronic iliolumbar syndrome by infil-tration of the iliolumbar ligament. The West J of Med. 1982;136(4):372-74.
14. Nakamura К, Matsumoto S, Enomoto T, Hara A, Mitsuhata H. Usefulness of ultrasound sonogra-phy in performing posterior sacroiliac ligament in-jection in elderly patients. Masui. 2014;63(12):1324-28.
15. Matsumoto S, Nakamura К, Ifuku М, Komatsu S, Morita Y, Imai M, Mitsuhata H. Effect of the sa-croiliac ligament block on intractable low back pain in elderly patients. Masui. 2012;61(9):993-97.
Review
For citations:
Yurkovskiy A.M., Nazarenko I.V., Achinovich S.L. Diagnostic blockade under sonographic control in patients with lumbosacral ligamentoses. Health and Ecology Issues. 2020;(2):64-69. (In Russ.) https://doi.org/10.51523/2708-6011.2020-17-2-9
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