Tratamiento de la lumbalgia crónica con el bloqueo de la articulación facetaria lumbar
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2023
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Introducción: Tratar el dolor lumbar crónico que tiene origen facetario presenta
numerosas dificultades. Al tratarse de una patología que incide de manera negativa
en la funcionalidad del individuo, así como también en bienestar, es necesario
demostrar con base en la evidencia que el bloqueo facetario presenta en esta
población una mejora en el bienestar. Objetivo: Analizar la respuesta al dolor,
calidad de vida y resultados funcionales del bloqueo de la articulación facetaria
lumbar como tratamiento para la lumbalgia crónica en población tratada en la
unidad médica Los Ceibos (UMLC en adelante) de Guayaquil entre 2017-2019.
Metodología: estudio retrospectivo, transversal y analítico, que se llevó a cabo en
la UMLC, con 220 pacientes con edades de 25-84 años. Se realiza la correlación
entre la realización del bloqueo facetario y la mejora de síntomas utilizando las
escalas Visual-Analógica (EVA), EUROQuol-5D y Oswestry. Se correlacionan las
variables utilizando Chi cuadrado. Resultados: Fueron incluidos 113 pacientes,
61 (54%) eran mujeres y 52 (46%) eran hombres. La mayoría de los
pacientes se encontró entre los 50-65 años (53%). La muestra tiene en
promedio 56 años (± 11.2). La duración media del dolor de los pacientes
fue de 2,28 años. El 81% reporto mejoría inmediata un mes después del
procedimiento. Se constató que hay una relación de carácter significativo entre la
disminución de las manifestaciones clínicas que produce la lumbalgia crónica y la
realización del bloqueo facetario. Conclusión: El bloqueo facetario representa un
tratamiento eficaz para la lumbalgia crónica de origen facetario.
Introduction: Treating chronic low back pain that has a facet origin presents numerous difficulties. As it is a pathology that negatively affects the functionality of the individual, as well as well-being, it is necessary to demonstrate, based on the evidence, that facet block presents an improvement in well-being in this population. Objective: To analyze the response to pain, quality of life and functional results of lumbar facet joint blockade as a treatment for chronic low back pain in the population treated at the Los Ceibos medical unit (hereinafter UMLC) in Guayaquil between 2017-2019. Methodology: retrospective, cross-sectional and analytical study, which was carried out at the UMLC, with 220 patients aged 25-84 years. The correlation between the performance of the facet block and the improvement of symptoms is made using the Visual-Analog (VAS), EUROQuol-5D and Oswestry scales. Variables are correlated using Chi square. Results: 113 patients were included, 61 (54%) were women and 52 (46%) were men. Most of the patients were between 50-65 years old (53%). The sample is 56 years old on average (± 11.2). The mean duration of pain for the patients was 2.28 years. 81% reported immediate improvement one month after the procedure. It was found that there is a significant relationship between the decrease in clinical manifestations produced by chronic low back pain and the performance of facet block. Conclusion: The facet block represents an effective treatment for chronic low back pain of facet origin
Introduction: Treating chronic low back pain that has a facet origin presents numerous difficulties. As it is a pathology that negatively affects the functionality of the individual, as well as well-being, it is necessary to demonstrate, based on the evidence, that facet block presents an improvement in well-being in this population. Objective: To analyze the response to pain, quality of life and functional results of lumbar facet joint blockade as a treatment for chronic low back pain in the population treated at the Los Ceibos medical unit (hereinafter UMLC) in Guayaquil between 2017-2019. Methodology: retrospective, cross-sectional and analytical study, which was carried out at the UMLC, with 220 patients aged 25-84 years. The correlation between the performance of the facet block and the improvement of symptoms is made using the Visual-Analog (VAS), EUROQuol-5D and Oswestry scales. Variables are correlated using Chi square. Results: 113 patients were included, 61 (54%) were women and 52 (46%) were men. Most of the patients were between 50-65 years old (53%). The sample is 56 years old on average (± 11.2). The mean duration of pain for the patients was 2.28 years. 81% reported immediate improvement one month after the procedure. It was found that there is a significant relationship between the decrease in clinical manifestations produced by chronic low back pain and the performance of facet block. Conclusion: The facet block represents an effective treatment for chronic low back pain of facet origin
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LUMBALGIA, CALIDAD DE VIDA, ESTUDIOS RETROSPECTIVOS, ARTICULACIONES, HOSPITAL IESS LOS CEIBOS, CANTON GUAYAQUIL, ECUADOR