1. Bước Đầu Sử Dụng Các Kỹ Thuật
Giảm Đau Can Thiệp
THE INITIAL USE OF INTERVENTIONAL THERAPIES
IN PAIN MANAGEMENT
Dr. Do Thanh Huy
Can Tho University of Medicine and Pharmacy

2. Đặt vấn đề
Introduction

3. Classical ladder

4. Classical ladder is too short???

5. New WHO analgesic ladder

6. Phòng khám đau-cơ xương khớp
Pain-musculoskeletal unit
From october/2012. we
follow up first 43 cases
of interventional
techniques in pain
management in Can Tho

7. Tiêm steroid ngoài màng cứng-16
trường hợp
Epidural steroid
injections-16
cases

8. Cervical epidural steroid injections for
cervical radiculopathy

9. Thoracic epidural steroid injection for
postherpetic neuralgia
1 case

10. Lumbar radiculopathy(11 cases)

11. Spinal stenosis(5cases)

12. Cervical radiculopathy(1case)

13. Postherpetic neuralgia(1case)

14. Cervical medial branch block for
cervical facet syndrome(2cases)

15. Lumbar medial branch block for
lumbar facet syndrome

16. Injection of the temporomandibular
joint(1case)

17. Injection of trigger thumb(1case)

18. Injection for de Quervain’s
tenosynovitis(3case)

19. Injection of trigger finger(2case)

20. Injection for tennis elbow(4cases)

21. Injection for the subdeltoid bursa

22. Hiệu quả đến đâu?
Follow up effective: interview patients (by mobile
phone or follow-up examination)

23. Before injection

24. After injection

25. Before injection

26. After two weeks injection lumbar
radiculopathy

27. Bằng chứng?

28. Phân loại bằng chứng
Quality of evidence

29. Evidence for cervical radicular pain
Pain free

30. Evidence for cervical facet
Pain free

31. Evidence for lumbar radiculopathy
1 patient with LR
required surgery
after two weeks
and 3 patients
with LR required
second injection

32. Evidence for lumbar facet pain
3/43(7%) fair satisfaction

33. Evidence for post-herpetic neuralgia
fair
satisfaction

34. Evidence for musculoskeletal
injections Pain free
100%

35. Kết luận