Whiplash-Associated Disorders

被引:7
作者
van Suijlekom, Hans [2 ]
Mekhail, Nagy [3 ]
Patel, Nileshkumar [4 ]
Van Zundert, Jan [5 ,6 ]
van Kleef, Maarten [1 ]
Patijn, Jacob [1 ]
机构
[1] Maastricht Univ Med Ctr, Dept Anesthesiol & Pain Management, NL-6202 AZ Maastricht, Netherlands
[2] Catharina Hosp, Dept Anesthesiol & Pain Management, Eindhoven, Netherlands
[3] Inst Anesthesiol, Pain Management Dept, Cleveland, OH USA
[4] Cleveland Clin, Bradenton, FL USA
[5] Ziekenhuis Oost Limburg, Dept Anesthesiol, Genk, Belgium
[6] Ziekenhuis Oost Limburg, Ctr Multidisciplinary Pain, Genk, Belgium
关键词
evidence-based medicine; pain; facet joint; whiplash; interventional management; CERVICAL RADIOFREQUENCY NEUROTOMY; BOTULINUM-TOXIN-A; CHRONIC NECK PAIN; TASK-FORCE; DOUBLE-BLIND; JOINT PAIN; TRIAL;
D O I
10.1111/j.1533-2500.2009.00356.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Whiplash-associated disorders are comprised of a range of symptoms of which neck complaints and headaches are the most significant spine related. In the acute and sub-acute stage of the disorder, conservative treatment for minimally 6 months is recommended, active mobilization is slightly better than passive treatment. Thereafter, interventional treatment may be considered. The available evidence for injection of Botulinum toxin A (2 B-) and intra-articular corticosteroid injections (2 C-) supports a negative recommendation. Radiofrequency treatment of the ramus medialis (medial branch) of the ramus dorsalis is recommended (2 B+).
引用
收藏
页码:131 / 136
页数:6
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