METHOD FOR LUMBAR SPINE DEPARTMENT RADICULAR PAIN SYNDROME TREATMENT (VERSIONS) Russian patent published in 2017 - IPC A61K31/167 A61K31/245 A61K31/573 A61P25/02 A61H39/08 

FIELD: medicine.

SUBSTANCE: for treatment of radicular pain in the lumbar spine under outpatient conditions by neuroorthopedic examination of the patient, lumbar spine magnetic resonance imaging and pain syndrome (PS) intensity assessment by means of a visually analogue scale (VAS) and patient's functional activity determination according to Table 1, diagnosis is established, and treatment is carried out taking into account the patient's physical status according to the ASA classification. A mixture of local anesthetics in doses for spinal anesthesia is injected epidurally diluted to the required volume for the type of access used and the level of intervertebral disc changes and corticosteroids with high glucocorticoid activity. Epidural administration is performed by caudal access in a position on the abdomen. Then the patient is turned on the affected side for 15-20 minutes and returned to the initial position for 10-15 minutes. During the second visit (2-3 days later), PS intensity is evaluated and, depending on the result obtained, further treatment, including pharmacopuncture, is carried out until the PS disappears completely. At PS intensity during the initial visit of 8 points or more, epidural injection of a mixture of local anesthetics and corticosteroids with high glucocorticoid activity is carried out by central median access in the position from the side intervertebral disc changes, wherein the epidural space is punctured one intervertebral space above the set level intervertebral disc changes, followed by patient posture retaining for 15-20 min and turning to the stomach for 20-25 min, then during the repeated visit (2-3 days), pain intensity is evaluated, as described above, and further treatment is performed depending on the result including pharmacopuncture, until the pain syndrome disappears completely.

EFFECT: method allows to reduce treatment time with its effectiveness, reliability, safety and economy.

48 cl, 2 tbl, 8 ex