神経根痛、根性痛

WordNet

cause emotional anguish or make miserable; "It pains me to see my children not being taught well in school" (同)anguish, hurt
a symptom of some physical hurt or disorder; "the patient developed severe pain and distension" (同)hurting
a bothersome annoying person; "that kid is a terrible pain" (同)pain in the neck, nuisance
a somatic sensation of acute discomfort; "as the intensity increased the sensation changed from tickle to pain" (同)pain_sensation, painful sensation
emotional distress; a fundamental feeling that people try to avoid; "the pain of loneliness" (同)painfulness

PrepTutorEJDIC

〈C〉〈U〉(肉体のある部分の)『苦痛』,『痛み』 / 〈U〉(精神的な)『苦痛』,心痛 / 《複数形で》骨折り,苦労,努力 / 〈C〉不快感,いやな感じ;うんざりさせるもの,やっかい者 / (肉体的・精神的に)…‘に'苦痛を与える(受動態にできない)
《補語にのみ用いて》腹を立てて / 《補語にのみ用いて》(心が)鐘ついて / 不愉快な,気まずい
とうちゃん(papa)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/08/07 23:23:45」(JST)

wiki en

Radicular pain, or radiculitis, is pain "radiated" along the dermatome (sensory distribution) of a nerve due to inflammation or other irritation of the nerve root (radiculopathy) at its connection to the spinal column. A common form of radiculitis is sciatica – radicular pain that radiates along the sciatic nerve from the lower spine to the lower back, gluteal muscles, back of the upper thigh, calf, and foot as often secondary to nerve root irritation from a spinal disc herniation or from osteophytes in the lumbar region of the spine.

Treatment options

Seeking treatment for radiculitis should not be delayed. Depending on the severity, certain muscles (i.e.: in the toes, feet and calf) may start to atrophy over time, which in turn requires physical therapy for recovery. Also, radiculitis is known to cause patients to "favor" certain muscles (or a certain side of their body) which can result in the overdevelopment of those muscles relative to the ones that don't get used as much.

Initial treatment for the pain may involve one or a combination of the following interventions:

One or two days of rest, if the pain is severe
Application of ice (to reduce the inflammation) and/or heat (to encourage blood flow to help the irritated area to heal)
Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or Relafen
Acetaminophen (paracetamol), e.g. Tylenol, which helps reduce the pain signals in the brain
Spinal manipulation or mobilization when lumbar spine related^[1]
Gabapentin or the newer prescription medicine pregabalin
Analgesics or pain killers, such as Vicodin, Percocet, or, in severe cases, a low dosage of Methadone
Muscle relaxers, such as cyclobenzaprine or methocarbamol
Epidural steroidal injections, which involves injecting a steroid (and sometimes a pain killer) directly into the problem area in the back to treat the inflammation that is irritating the nerve root

Once the initial period of severe pain is under control, a variety of treatments may be employed to address the underlying cause of the pain, such as a disc herniation, lumbar spinal stenosis, or degenerative disc disease:

Physical therapy: stretching and physical exercise; often recommended after a period of one to two days of rest and treatment to get the pain under control.
Massage therapy can be a useful adjunct in relieving pain; myofascial release may be helpful.
Yoga therapy by a skilled yoga therapist is another excellent adjunct treatment^{[citation needed]}.
Chiropractic^[1]
Acupuncture^[2]

Modifying personal habits and lifestyle to prevent future exacerbation of the underlying cause of the pain is also important. For example, maintaining an appropriate body weight that's known not to aggravate the discs (this varies from patient to patient) as well as changing the way one goes about bending over for objects on the ground (heavy or light, it doesn't matter...all one has to do is bend in the wrong direction to invoke an episode). Another important lifestyle change that is usually recommended is to maintain a regular stretching and exercise program.

There are also a variety of surgeries that can be employed to treat severe cases of radicular pain, depending on the underlying condition that the surgery addresses. To treat a disc herniation, which may cause persistent radiating pain, a microdiscectomy surgery is usually performed. This is a minimally invasive approach that removes the portion of the disc that presses against the nerve root. The surgery has a high success rate, minimal healing time (typically the patient will go home on the same day as the surgery), and usually provides immediate relief of the sciatica and other symptoms caused by a herniated disc. This surgery may be recommended after several weeks of non-surgical treatment, or even earlier if the pain and other sciatica symptoms are severe. However, even in discal herniations, the long term outcomes do not differ between those who undergo surgery and those who do not. The decision to undergo surgery is not trivial, and is preferably made in consultation with two or more physicians.

References

^ ^a ^b Leininger B, Bronfort G, Evans R, Reiter T (2011). "Spinal manipulation or mobilization for radiculopathy: a systematic review". Phys Med Rehabil Clin N Am 22 (1): 105–125. doi:10.1016/j.pmr.2010.11.002. PMID 21292148.
^ Schmitt, H; Zhao, JQ; Brocai, DR; Kaps, HP (2001). "Acupuncture treatment of low back pain". Schmerz 15 (1): 33–37. PMID 11810327.

UpToDate Contents

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1. 急性腰仙部神経根障害：病態生理、臨床的特徴、および診断 acute lumbosacral radiculopathy pathophysiology clinical features and diagnosis
2. 頸部神経根障害の治療 treatment of cervical radiculopathy
3. 急性腰仙部神経根障害：治療および予後 acute lumbosacral radiculopathy treatment and prognosis
4. 頸部神経根障害の臨床的特徴および診断 clinical features and diagnosis of cervical radiculopathy
5. 下肢末梢神経症候群の概要 overview of lower extremity peripheral nerve syndromes

English Journal

Transvertebral anterior key hole foraminotomy without fusion for the cervicothoracic junction.

Takeuchi M, Takayasu M, Yasuda M, Kamiya M, Inukai T, Matsuo N, Osuka K.SourceDepartments of Neurological Surgery and Orthopedics Surgery, Aichi Medical University Hospital, Ngakute, Aichi, 480-1195, Japan, take7106@aichi-med-u.ac.jp.
Acta neurochirurgica.Acta Neurochir (Wien).2012 Oct;154(10):1797-802. Epub 2012 Sep 1.
BACKGROUND: Various surgical procedures have been used to repair disc herniations and osteophytes at the cervicothoracic junction. Among these procedures, transvertebral anterior foraminotomy without fusion is a relatively less invasive, safe and useful method, although the majority of spinal surgeo
PMID 22941396

Spinal Cord Stimulation (SCS) in Conjunction With Peripheral Nerve Field Stimulation (PNfS) for the Treatment of Complex Pain in Failed Back Surgery Syndrome (FBSS).

Reverberi C, Dario A, Barolat G.SourcePain Therapy Department, Oglio-Po Hospital, Casalmaggiore, Italy; Department of Neurosurgery, Macchi Foundation Hospital, Varese, Italy; and Department of Surgery, Barolat Neuroscience, Denver, CO, USA.
Neuromodulation : journal of the International Neuromodulation Society.Neuromodulation.2012 Sep 17. doi: 10.1111/j.1525-1403.2012.00497.x. [Epub ahead of print]
Background: Failed back surgery syndrome (FBSS) is a well-defined pathologic condition observed over many years. Design: We have investigated the effect of spinal cord stimulation (SCS) with peripheral nerve field stimulation (PNfS) in eight patients with FBSS Outcome Measure: The following
PMID 22985076

Japanese Journal

臨床経験腰部脊柱管狭窄症における神経根ブロックの意義

蓑田正也,良川昌鳳,岡本剛治 [他]
臨床整形外科 48(9), 925-928, 2013-09
NAID 40019799606

症例報告 MRIで前根にガドリニウム増強効果がみとめられステロイドパルス療法で神経根痛が著減した軸索型ギラン・バレー症候群の1成人例

遠藤邦幸,安井敬三,長谷川康博 [他]
臨床神経学 53(7), 543-550, 2013-07
NAID 40019732392

神経根性疼痛モデルにおける脊髄膠様質細胞の興奮性シナプス伝達

寺島嘉紀,川真田樹人,竹林庸雄 [他]
Journal of musculoskeletal pain
NAID 40019746828

Related Pictures

★リンクテーブル★

リンク元	「神経根痛」「根性痛」「根性疼痛」
関連記事	「pain」「radicular」「pai」

「神経根痛」

Radiculitis
	Classification and external resources
ICD-10	M54.1
ICD-9	729.2
DiseasesDB	29521
MeSH	D011843

　　[★]

英: radicular pain, radiculalgia
同: 根性痛、根痛 root pain
関: 神経根症状、神経根症

[show details]

根性痛 21800
根性疼痛 59000
神経根痛 63
神経根性痛 42
神経根疼痛 25
神経根性疼痛 94

根性痛 radicular pain 90
根性疼痛 radicular pain 100
神経根痛 radicular pain 58
神経根性痛 radicular pain 16
神経根疼痛 radicular pain 1
神経根性疼痛 radicular pain 36