How and when are the blockades in osteochondrosis of the lumbar and cervical spine
low back pain is destructive and degenerative disease affecting the intervertebral discs, characterized by loss of moisture and disc glycosaminoglycans and its subsequent destruction.
The Pathology most frequently occurs in old age, a sedentary lifestyle, excessive exercise, accompanied by weight lifting, the spinal column.
The disease can affect the beginning of a certain section of the vertebral column (cervical, lumbar, sacral, thoracic or departments), then extend to full height.
The Main clinical syndrome in this pathology is pain. The pain is associated primarily with the impairment of the roots (radix) and cords (funiculus) of spinal nerves.
Relief of pain in osteochondrosis is possible by the introduction of pain medications orally (tablets, capsules, powders), intravenously and intramuscularly (injection drugs), paravertebral (nerve blockage), and epidurally.
Types and features of the procedure
The Paravertebral block is characterized by the introduction of drugs in the vicinity of the spine by intradermal, subcutaneous, intramuscular, perineural or intraneural injection.
Intraneural injection is carried out in the sphere of the spinal ganglion, nerve root or cord, the anterior (sensory) branches of the spinal nerve. This procedure is shown only when a precise definition of the specific affected nerve.
Often uses the following groups of drugs:
- non-steroidal anti-inflammatory drugs – diclofenac sodium, dicloberl, meloxicam, newmaximum, celecoxib, etc.;
- systemic hormones (glucocorticoids) hydrocortisone, dexamethasone;
- local anesthetics – procaine, bupivacaine, ropivacaine.