腰背痛神经阻滞疗法.ppt

小关节源性腰背疼痛的疼痛分布范围S1block梨状肌综合症Spinal RegionReferral AreaCondition MimickedUpper Cervical Spine(neck)C1-C4Back of the head(occiput),back of the shoulders,angle of the jaw,faceHeadaches,migraines,jaw problems,trigeminal neuralgia,tension in the shouldersMiddle/Lower Cervical Spine(neck)C5-C8Arms,forearms,hands and fingersTrapped nerve in the neck,tennis elbow,golfers elbow,frozen shoulderUpper Thoracic Spine(above the bra-strap)T1-T4Pain in the arms,front of the upper chest,upper ribsTrapped nerve in the neck,angina,breathing difficulties and other chest complaintsMiddle Thoracic Spine(at the bra-strap)T5-T8Upper abdomen,middle ribsStomach ulcer,gall bladder problems,trapped wind,indigestion,breathing difficulties and other chest complaintsLower Thoracic Spine(below the bra-strap)T9-T12Lower abdomen,lower ribs,pelvis and sexual organsIrritable bowel disorder,pelvic pain,period pain,pain in the sexual organsUpper Lumbar Spine L1-L3Groin,front of the upper thighTrapped nerve in the back,groin and thigh problems,hip and knee problemsLower Lumbar Spine L4-L5Front of the inner and outer shin bone,top of the footSciatica,shin and foot problemsPain Type Diagnosis Treatment Simple Spinal PainSimple Sprain,Muscle Spasm,Segmental Spinal DysfunctionAcupuncture,TENS,Exercises,ManipulationComplex Spinal Pain(in addition to those treatments for Simple Spinal Pain)The Bad SprainLigament SclerosantsFacet Joint SyndromeFacet Joint InjectionsSciaticaEpidural Injections,Nerve Root Blocks,Surgery,EpiduroscopySpondylolisthesisLigament Sclerosants,Facet Joint Injections,Epidural Injections,Nerve Root Blocks,SurgerySpinal StenosisEpidural Injections,SurgeryForaminal StenosisEpidural Injections,Nerve Root Blocks,SurgerySpinal OsteoporosisTrigger Point Injections,VertebroplastyReferred Spinal PainTreatment for the cause of the painFailed Spinal SurgeryFacet Joint Injections,Ligament Sclerosants,Epidural Injections,Nerve Root Blocks,Epiduroscopy,IDET,Intrathecal Morphine PumpNerve PainPeripheral NeuralgiaPeripheral Nerve Blocks,Anti-convulsants,Anti-depressantsChronic Regional Pain Syndromes,Sympathetically Maintained Pain Sympathetic Blocks,Anti-convulsants,Anti-depressants