机构:[1]School of Medicine, Tsinghua University, Haidian District,[2]Department of Pain Management, Xuanwu Hospital of Capital Medical University,外科系统疼痛科首都医科大学宣武医院[3]Clinical Neuroscience Institute, Yuquan Hospital, Medical Center, Tsinghua University, Beijing, P.R. China.
Rationale: Coblation of intervertebral disc is an effective and safe minimally invasive technology for treating discogenic pain. The inactivation of neural ingrowth around annulus and tissue ablation and coagulation are currently considered to be the major causes for success of this treatment. However, it has been found by clinical researchers that its long-term clinical outcome is not optimistic. This report has given us favorable information that this situation can be improved with multimodal therapy. Patient concerns: A 61-year-old man presented with right severe neck and shoulder pain in 2014 which could not be relieved by medications. Diagnoses: According to his symptoms and signs, this patient was diagnosed with cervical discogenic pain. And discography confirmed the diagnosis. Interventions: The patient underwent coblation of cervical intervertebral disc 4-5 (C4-5) and got apparently pain relief after surgery. After 1 month, he began to perform active exercise at least 30 min every day. Outcomes: The right neck and shoulder pain completely relieved for 4 years. The cervical lordosis of this patient was restored in 2018 which was confirmed by MRI compared in 2014 and NDI (neck disability index) decreased from 58 to 10%. Lessons: This report demonstrated that it was important and essential for clinicians to educate patients with discogenic pain to perform active exercise after minimally invasive surgery.
第一作者机构:[1]School of Medicine, Tsinghua University, Haidian District,
通讯作者:
通讯机构:[3]Clinical Neuroscience Institute, Yuquan Hospital, Medical Center, Tsinghua University, Beijing, P.R. China.[*1]Clinical Neuroscience Institute, Yuquan Hospital, Medical Center, Tsinghua University, No. 5, Shijingshan Road, Shijingshan District, Beijing, 100040, P.R. China
推荐引用方式(GB/T 7714):
Li Xiuhua,Yang Liqiang,Ni Jiaxiang,et al.Four-year pain relief after coblation combined with active exercise for cervical discogenic pain Case report[J].MEDICINE.2019,98(28):-.doi:10.1097/MD.0000000000016409.
APA:
Li, Xiuhua,Yang, Liqiang,Ni, Jiaxiang&Zhang, Yuqi.(2019).Four-year pain relief after coblation combined with active exercise for cervical discogenic pain Case report.MEDICINE,98,(28)
MLA:
Li, Xiuhua,et al."Four-year pain relief after coblation combined with active exercise for cervical discogenic pain Case report".MEDICINE 98..28(2019):-