Evaluation der konservativ-multimodalen Therapie lumbaler radikulärer Schmerzsyndrome

 

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Zusammenfassung

Anliegen: Die vorläufigen Ergebnisse der Therapieevaluation lumbaler radikulärer Schmerzsyndrome werden dargestellt. Methoden: Unter Verwendung des „Lumboischialgie-Scores” wurde die stationäre konservativ-multimodale Therapie bei 183 Patienten untersucht. Bei weiteren 116 Patienten wurde mittels Fragebogen die vorausgegangene ambulante Behandlung erfasst. Ergebnisse: Es konnte eine signifikante Rückbildung der Radikulopathie und der Schmerzen unter der Therapie nachgewiesen werden. Ein Einfluss der ambulanten Therapie auf den Behandlungserfolg bestand nicht. Schlussfolgerungen: Die multimodale Therapie hat einen hohen Stellenwert bei der Behandlung lumbaler Radikulopathien.

Abstract

Objective: In this summary, the preliminary results of studies evaluating medical therapy of radicular low back pain are reported. Methods: In two prospective cohorts (183 patients) the conservative multimodal inpatient treatment was examined, using the newly developed „Radicular Low Back Pain Score” for the standardized measurement of the radiculopathy. In another sample of 116 patients the preceeding outpatient treatment was documented. Results: A significant short-term improvement with regard to the pain intensity and the radiculopathy was observed after approximately two weeks of therapy. The preceeding outpatient treatment did not comply with recent guidelines. Moreover, it did not influence the outcome of the multimodal inpatient therapy. Conclusions: The „Radicular Low Back Pain Score” seems to be a suitable instrument for measuring therapy effectiveness. Multimodal medical treatment is an important treatment approach for sciatica, especially after failed outpatient therapy.

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Dr. med. Stephan A. L. Frisch

Bezirkskrankenhaus Günzburg · Akademisches Krankenhaus für die Universität Ulm · Klinik für Neurologie und Neurologische Rehabilitation

Ludwig-Heilmeyer-Straße 2

89312 Günzburg

Email: stephan.frisch@bkh-guenzburg.de