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Paraspinous Lidocaine Injection for Chronic Nonspecific Low Back Pain: A Randomized Controlled Clinical Trial
| Content Provider | PubMed Central |
|---|---|
| Author | Imamura, Marta Imamura, Satiko Tomikawa Targino, Rosa Alves León, Morales-quezada Onoda, Tomikawa Luis C. Onoda, Tomikawa Luis G. Alfieri, Fabio M. Filippo, Thais R. Rocha, Ivan D. Da Neto, Raul Bolliger Felipe, Fregni Battistella, Linamara Rizzo |
| Abstract | In this large, sham-controlled, randomized trial, we examined the efficacy of the combination of standard treatment and paraspinous lidocaine injection compared with standard therapy alone in subjects with chronic low back pain. There is little research-based evidence for the routine clinical use of paraspinous lidocaine injection for low back pain. A total of 378 subjects with nonspecific chronic low back pain were randomized to 3 groups: paraspinous lidocaine injection, analgesics, and exercises (group 1, LID-INJ); sham paraspinous lidocaine injection, analgesics, and exercises (group 2, SH-INJ); and analgesics and exercises (group 3, STD-TTR). A blinded rater assessed the study outcomes at 3 time points: baseline, after treatment, and after 3 months of follow-up. There were increased frequency of pain responses and better low back functional scores in the LID-INJ group compared with the SH-INJ and STD-TTR groups. These effects remained at the 3-month follow-up but differed between all 3 groups. There were significant changes in pain threshold immediately after treatment, supporting the effects of this intervention in reducing central sensitization. Paraspinous lidocaine injection therapy is not associated with a higher risk of adverse effects compared with conventional treatment and sham injection. Its effects on hyperalgesia might correlate with changes in central sensitization. |
| Related Links | http://dx.doi.org/10.1016/j.jpain.2016.01.469 |
| Ending Page | 576 |
| Page Count | 8 |
| Starting Page | 569 |
| File Format | |
| ISSN | 15265900 |
| e-ISSN | 15288447 |
| Journal | The journal of pain : official journal of the American Pain Society |
| Issue Number | 5 |
| Volume Number | 17 |
| Language | English |
| Publisher Date | 2016-05-01 |
| Access Restriction | Open |
| Subject Keyword | Anesthesiology and Pain Medicine Neurology Clinical Neurology Research in Higher Education |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology Neurology (clinical) Anesthesiology and Pain Medicine |
