Minimally invasive treatment and small needle knife treatment are mainly used. This is a treatment method that does not require incision, is less invasive, less painful, faster recovery, more effective, and safer and simpler. Minimally invasive intervention is the application of a compound drug acting on the innervated area to produce analgesic effects beyond the duration of the local anesthetic effect, and to obtain therapeutic effects such as elimination of inflammation and improvement of function, without any side effects. It also includes physical and chemical nerve disruption. Small needle knife refers to the use of a needle knife with a diameter of less than 0.8 mm to achieve the effect of loosening nerve entrapment and adhesions. Bu Xiaoyu, Department of Pain, Yang Yuan County People’s Hospital
Common diseases and their treatment methods.
Cervical spine pain and cervicogenic headache: dull pain or soreness in the occipital, top, temporal, frontal or orbital areas of the head and the above areas at the same time, accompanied by upper neck pain, neck pressure, neck stiffness, or upper neck pain and restricted movement when moving. Degeneration of the cervical spine, degenerative herniation of the cervical disc and muscle spasm are the direct causes of its development. Our department adopts the elimination of inflammation of nerves and the release of nerve and vascular compression to achieve the purpose of treatment, and most patients can be cured without hospitalization.
Intervertebral disc herniation: Targeted radiofrequency ablation and analgesia technology, radiofrequency plastic surgery of the fibrous ring, ozone ablation and decompression, and collagenase lysis of the disc are used. They are minimally invasive interventional treatments that do not require incision, have short treatment time, little damage and good efficacy, and are increasingly popular among patients. Except for the bony stenosis of the spinal canal, 80% of the patients with herniated discs can be cured through minimally invasive surgery, and minimally invasive interventional treatment of discs is the direction of modern medical development.
Frozen shoulder: It is a chronic inflammation of soft tissues such as muscles, tendons, bursa and joint capsule around the shoulder, and a disease with extensive adhesions of the tissues around the shoulder. The method of using small needle knife to loosen adhesions and eliminate sterile inflammation requires only 1-3 sessions of treatment, and the patient satisfaction rate can reach more than 90%.
Knee arthritis: This is a kind of degenerative change in the joint due to long-term strain of the ligaments around the knee joint, resulting in imbalance of the joint stress and uneven stress on the joint surface. Through comprehensive treatment, the pathological changes inside and outside the joint are effectively blocked, thus achieving a better treatment effect, with a cure rate of 85% or more.
Heel pain: this disease is due to the abnormal high pressure stress of the metatarsal tendon membrane, resulting in inflammatory pathological changes in the keys and surrounding tissues attached to the heel nodes, we achieve the purpose of treatment by eliminating the rising force and aseptic inflammation, the curative effect is definite.
Tenosynovitis, tennis elbow: local injection is used to eliminate sterile inflammation, and the same combination of small needle knife can achieve immediate results.
Lumbar muscle strain, supraspinous interspinous ligamentitis, lumbar dorsal myofasciitis, sciatica: using nerve block combined with physical therapy can achieve very good results without side effects.
Trigeminal neuralgia: treatment with radiofrequency selective neurothermal coagulation disruption at the trigeminal nerve hemimelia has a cure rate of more than 95% and a small recurrence rate.
Herpes zoster and postherpetic neuralgia: Our department adopts minimally invasive neurointerventional surgery, which can effectively treat herpes zoster postherpetic neuralgia by using intra-vertebral micro-continuous drug delivery combined with selective neurodesis under the navigation guidance of CT.
Advanced cancer: about 85% of patients have severe pain, which seriously affects the quality of survival and treatment of primary disease. 10-20% of them are intractable cancer neuralgia that cannot be relieved by morphine and other drugs, and our department uses combined imaging-neurophysiology-guided neurointerventional minimally invasive cancer pain treatment technology to relieve pain and improve the quality of life for cancer patients.
Allergic rhinitis: cervical sympathetic nerve block is used to reduce the patient’s metamorphic reaction to allergenic substances, and the patient can achieve the effect of long-term non-relapse.
Diabetic neuralgia: This disease is caused by long-term hyperglycemia resulting in glycosylation of various tissue proteases, significant increase in glycosylation of nerve sheath proteins and microtubule proteins, and impairment of retrograde axonal transport, resulting in axonal degeneration and atrophy, and destruction of myelin integrity, which impairs the nutritional effect of some intracellular matrix proteins on peripheral nerves. We use sympathetic nerve block and oral medication can improve the function of the nerve and achieve pain relief.
Coldness of both lower limbs, diabetic foot, thrombo-occlusive vasculitis: using lumbar sympathetic block can reduce arterial tone, dilate arteries and increase blood flow. It can cut off the vascular pain conduction, relieve pain, block the vicious cycle of “pain-sympathetic excitation-vasoconstriction-ischemia-pain”, and promote the establishment of collateral circulation.
The purpose of our treatment is to release the compression of the nerve and eliminate its aseptic inflammation, restore the original function of the nerve or block the malignant conduction of the nerve.