Nichtmanuelle Schmerztherapie der Lenden-Becken-Hüft-Region

Manuelle Medizin - Tập 56 Số 1 - Trang 36-44 - 2018
Eisner, Wilhelm1
1Universitätsklinik für Neurochirurgie, Medizinische Universität Innsbruck, Innsbruck, Deutschland

Tóm tắt

Ziel der manuellen Medizin ist es, die Patienten von ihren Beschwerden zu befreien. Allerdings gibt es Schmerzen, die sich mit der manuellen Medizin nicht behandeln lassen. Daher werden im vorliegenden Beitrag nichtmanuelle Behandlungsverfahren und ihre Wirkungsweise dargestellt. Dabei ist zwischen nozizeptivem und neuropathischem Schmerz zu unterscheiden. Bei den Verfahren handelt es sich einerseits um pharmakologische Ansätze, die auf Empfehlungen der WHO und aktuellen Behandlungsrichtlinien basieren, andererseits um invasive Therapien, wie z. B. die Neuromodulation. Somit kann eine Brücke über beide schmerzmedizinische Herangehensweisen zum Wohle der Patienten geschlagen werden.

Tài liệu tham khảo

citation_journal_title=Man. Med.; citation_title=Manuelle Medizin – konservative Orthopädie; citation_author=H Tilscher, A Lechner; citation_volume=49; citation_publication_date=2011; citation_pages=446-448; citation_doi=10.1007/s00337-011-0877-0; citation_id=CR1 citation_journal_title=Orthop Prax; citation_title=Eine Analyse von klinisch-manualmedizinischen Untersuchungstechniken am Bewegungsapparat; citation_author=H Tilscher; citation_volume=46; citation_issue=4; citation_publication_date=2010; citation_pages=185-191; citation_id=CR2 citation_title=Lipsiae; citation_inbook_title=Aedibus; citation_publication_date=1887; citation_pages=121; citation_id=CR3; citation_author=L Scribonius; citation_author=HG Conpositiones citation_title=Erfolgreiche Schmerztherapie. Endlich wieder schmerzfrei leben. Neue Behandlungsmethoden und wirksame Medikamente gegen akute und chronische Schmerzen; citation_publication_date=2004; citation_isbn=3-517-06727-X; citation_id=CR4; citation_author=S Holst; citation_author=U Preußiger-Meiser; citation_publisher=Südwest citation_journal_title=Pharm Unserer Zeit; citation_title=Die Physiologie des Schmerzes; citation_author=RF Schmidt; citation_volume=31; citation_issue=1; citation_publication_date=2002; citation_pages=23-30; citation_doi=10.1002/1615-1003(200201)31:1<23::AID-PAUZ23>3.0.CO;2-B; citation_id=CR5 citation_title=Chemie der Psyche; citation_publication_date=1988; citation_id=CR6; citation_author=SH Snyder; citation_publisher=Spektrum Verlag citation_title=What have PET studies taught us about cerebral mechanisms involved in analgesic effect of DBS?; citation_inbook_title=Textbook of stereotactic and functional neurosurgery; citation_publication_date=2009; citation_pages=2217-2232; citation_id=CR7; citation_author=R Kupers; citation_author=J Gybels; citation_publisher=Springer citation_title=Diagnostik und Therapie neuropathischer Schmerzen; citation_inbook_title=Leitlinien für Diagnostik und Therapie in der Neurologie; citation_publication_date=2005; citation_pages=531-544; citation_id=CR8; citation_author=R Baron; citation_author=C Sommer; citation_author=TR Tölle; citation_publisher=Thieme citation_journal_title=Pain; citation_title=Prevalence of chronic pain with neuropathic characteristics in the general population; citation_author=D Bouhassira, M Lantéri-Minet, N Attal, B Laurent, C Touboul; citation_volume=136; citation_issue=3; citation_publication_date=2008; citation_pages=380-387; citation_doi=10.1016/j.pain.2007.08.013; citation_id=CR9 citation_journal_title=J Pain; citation_title=The epidemiology of chronic pain of predominantly neuropathic origin. Results from a general population survey; citation_author=N Torrance, BH Smith, MI Bennett, AJ Lee; citation_volume=7; citation_issue=4; citation_publication_date=2006; citation_pages=281-289; citation_doi=10.1016/j.jpain.2005.11.008; citation_id=CR10 citation_journal_title=Schmerz; citation_title=Risikoabschätzung in der Schmerztherapie; citation_author=D Schoeffel, HR Casser, M Bach, HC Kress, R Likar, H Locher, W Steinleitner, M Strohmeier, H Brunner, RD Treede, W Zieglgänsberger, J Sandkühler; citation_volume=22; citation_publication_date=2008; citation_pages=594-603; citation_doi=10.1007/s00482-008-0688-y; citation_id=CR11 citation_journal_title=Eur J Neurol; citation_title=EFNS guidelines on the pharmacological treatment of neuropathic pain: 2010 revision; citation_author=N Attal; citation_volume=17; citation_issue=9; citation_publication_date=2010; citation_pages=1113-e88; citation_doi=10.1111/j.1468-1331.2010.02999.x; citation_id=CR12 citation_journal_title=Curr Opin Neurol; citation_title=Painful neuropathies; citation_author=C Sommer; citation_volume=16; citation_publication_date=2003; citation_pages=623-628; citation_doi=10.1097/00019052-200310000-00009; citation_id=CR13 citation_journal_title=Life Sci; citation_title=Dissecting out mechanisms responsible for peripheral neuropathic pain: implications for diagnosis and therapy; citation_author=CJ Woolf; citation_volume=74; citation_publication_date=2004; citation_pages=2605-2610; citation_doi=10.1016/j.lfs.2004.01.003; citation_id=CR14 citation_journal_title=Neuron; citation_title=Mechanisms of neuropathic pain; citation_author=JN Campbell, RA Meyer; citation_volume=52; citation_issue=1; citation_publication_date=2006; citation_pages=77-92; citation_doi=10.1016/j.neuron.2006.09.021; citation_id=CR15 citation_journal_title=Nervenheilkunde; citation_title=Definition und Pathophysiologie neuropathischer Schmerzen; citation_author=S Schuh-Hofer, RD Treede; citation_volume=31; citation_publication_date=2012; citation_pages=115-122; citation_doi=10.1055/s-0038-1628269; citation_id=CR16 citation_title=Nationale VersorgungsLeitlinie Nicht-spezifischer Kreuzschmerz – Langfassung, 2. Auflage. Version 1; citation_publication_date=2017; citation_id=CR17 citation_journal_title=Anesth Analg; citation_title=Electrical inhibition of pain by stimulation of the dorsal column; citation_author=NC Shealy, TJ Mortimer, JB Reswick; citation_volume=46; citation_issue=4; citation_publication_date=1967; citation_pages=489-491; citation_doi=10.1213/00000539-196707000-00025; citation_id=CR18 citation_title=Evaluation of seven years’ experience with depth electrode studies in human patients; citation_inbook_title=Electrical studies on the unanesthetized human brain; citation_publication_date=1960; citation_pages=214-247; citation_id=CR19; citation_author=RG Heath; citation_author=WA Mickle; citation_publisher=Paul B. Hoeber citation_journal_title=Science; citation_title=Pain mechanism: a new theory; citation_author=R Melzack, PD Wall; citation_volume=150; citation_publication_date=1965; citation_pages=971-978; citation_doi=10.1126/science.150.3699.971; citation_id=CR20 citation_journal_title=Neurosurgery; citation_title=Long term results of periventricular gray self-stimulation; citation_author=DE Richardson, H Akil; citation_volume=1; citation_publication_date=1977; citation_pages=199-202; citation_doi=10.1097/00006123-197709000-00018; citation_id=CR21 citation_journal_title=Rev. Neurol. (Paris); citation_title=Intermittent analgesic thalamic stimulation. Preliminary note; citation_author=G Mazars, L Merienne, C Ciolocca; citation_volume=128; citation_publication_date=1973; citation_pages=273-279; citation_id=CR22 citation_journal_title=Neurochirurgie; citation_title=Treatment of certain types of pain with implantable thalamic stimulators; citation_author=G Mazars, L Merienne, C Cioloca; citation_volume=20; citation_publication_date=1974; citation_pages=117-124; citation_id=CR23 citation_journal_title=Surg Neurol; citation_title=Intermittent stimulation of nucleus ventralis posterolateralis for intractable pain; citation_author=GJ Mazars; citation_volume=4; citation_publication_date=1975; citation_pages=93-95; citation_id=CR24 citation_journal_title=Acta Neurochir Suppl (wien); citation_title=Radiofrequency electrical stimulation of the gasserian ganglion in patients with atypical trigeminal pain. Methods of percutaneous temporary test-stimulation and permant implantation of stimulation devices; citation_author=U Steude; citation_volume=33; citation_publication_date=1984; citation_pages=481; citation_id=CR25 citation_title=Percutaneous electrical stimulation of the gasserian ganglion in patients with atypical trigeminal neuralgia. A new technique for percutaneous test stimulation and permanent implantation of a stimulation device; citation_inbook_title=The Pain Clinic I; citation_publication_date=1985; citation_pages=239; citation_id=CR26; citation_author=U Steude; citation_publisher=VNU Science Press citation_journal_title=J Neurosurg; citation_title=Pain reduction by electrical brain stimulation in man. Part 1. Acute administration in periaqueductal and periventricular sites; citation_author=DE Richardson, H Akil; citation_volume=47; citation_publication_date=1977; citation_pages=178-183; citation_doi=10.3171/jns.1977.47.2.0178; citation_id=CR27 citation_journal_title=Science; citation_title=Pain relief by electrical stimulation of the central gray matter in humans and its reversal by naloxone; citation_author=Y Hosobuchi, JE Adams, R Linchitz; citation_volume=197; citation_publication_date=1977; citation_pages=183-186; citation_doi=10.1126/science.301658; citation_id=CR28 citation_journal_title=Appl Neurophysiol; citation_title=Initial and long-term results of deep brain stimulation for chronic intractable pain; citation_author=G Dieckmann, A Witzmann; citation_volume=45; citation_publication_date=1982; citation_pages=167-172; citation_id=CR29 citation_journal_title=Acta Neurochir. Suppl. (Wien); citation_title=Chronic motor cortex stimulation for the treatment of central pain; citation_author=T Tsubokawa, Y Katayama, T Yamamoto; citation_volume=52; citation_publication_date=1991; citation_pages=137-139; citation_doi=10.1007/978-3-7091-9160-6_37; citation_id=CR30 citation_journal_title=J Neurosurg; citation_title=Chronic motor cortex stimulation in patients with thalamic pain; citation_author=T Tsubokawa, Y Katayama, T Yamamoto; citation_volume=78; citation_publication_date=1993; citation_pages=393-401; citation_doi=10.3171/jns.1993.78.3.0393; citation_id=CR31 citation_journal_title=Acta Neurochir. Suppl. (Wien); citation_title=Motor cortex stimulation as treatment of neuropathic trigeminal pain; citation_author=BA Meyerson, U Lindblom, B Linderoth; citation_volume=58; citation_publication_date=1993; citation_pages=150-153; citation_id=CR32 citation_journal_title=Stereotact Funct. Neurosurg.; citation_title=Chronic motor cortex stimulation for central deafferentation pain: experience with bulbar pain secondary to Wallenberg syndrome; citation_author=Y Katayama, T Tsubokawa, T Yamamoto; citation_volume=34; citation_publication_date=1995; citation_pages=42-48; citation_id=CR33 citation_journal_title=N Engl J Med; citation_title=NS: A randomized trial of deep-brain stimulation for Parkinson’s disease; citation_author=G Deuschl, C Schade-Brittinger, P Krack, J Volkmann, H Schafer, K Botzel, C Daniels, A Deutschlander, U Dillmann, W Eisner, D Gruber, W Hamel, J Herzog, R Hilker, S Klebe, M Kloss, J Koy, M Krause, A Kupsch, D Lorenz, S Lorenzl, HM Mehdorn, JR Moringlane, W Oertel, MO Pinsker, H Reichmann, A Reuss, GH Schneider, A Schnitzler, U Steude, V Sturm, L Timmermann, V Tronnier, T Trottenberg, L Wojtecki, E Wolf, W Poewe, J Voges; citation_volume=355; citation_issue=9; citation_publication_date=2006; citation_pages=896-908; citation_doi=10.1056/NEJMoa060281; citation_id=CR34 citation_journal_title=Schmerznachrichten; citation_title=Neurochirurgische Methoden in der Schmerztherapie Teil 1; citation_author=; citation_volume=2; citation_publication_date=2016; citation_pages=16-18; citation_id=CR35 citation_journal_title=Schmerznachrichten; citation_title=Neurochirurgische Methoden in der Schmerztherapie Teil 2 – SCS; citation_author=; citation_volume=3; citation_publication_date=2016; citation_pages=32-33; citation_id=CR36 citation_journal_title=Schmerznachrichten; citation_title=Stellenwert intrazerebraler Verfahren bei der Schmerzbehandlung; citation_author=; citation_volume=4; citation_publication_date=2016; citation_pages=26-28; citation_id=CR37 citation_journal_title=Arch Neurol; citation_title=Chronic thalamic stimulation for the control of facial anesthesia dolorosa; citation_author=Y Hosobuchi, JE Adams, B Rutkin; citation_volume=29; citation_publication_date=1973; citation_pages=158-161; citation_doi=10.1001/archneur.1973.00490270040005; citation_id=CR38 citation_title=Pain and the neurosurgeon: a 40-year experience; citation_publication_date=1969; citation_id=CR39; citation_author=JC White; citation_author=WH Sweet; citation_publisher=Charles C. Thomas