Romatolojik hastalıkların klinik seyrinde sıklıkla kas-iskelet sistemine lokalize romatizmal ağrılar ortaya çıkmaktadır. Yeterli ve etkin ağrı palyasyonu yapılmayan romatizmal ağrılar kronikleşerek hastalarda fonksiyonel yetersizlik ve yaşam kalitesinde azalmaya yol açmaktadır. Romatizmal ağrıların tedavisi altta yatan romatolojik hastalığın nedenine göre değişmekle birlikte başlıca fizik tedavi, farmakoterapi, girişimsel ağrı tedavileri ve cerrahi seçenekleri kapsamaktadır. Romatizmal ağrılarda girişimsel ağrı tedavileri, farmakoterapi ve fizik tedavi gibi non-invaziv olan diğer tedavi seçeneklerinin yetersiz kaldığı durumlarda kullanılmaktadır. Bu makalede romatizmal ağrıların girişimsel ağrı tedavisi üzerinde durulacaktır.
Mc Beth J, Jones K. Epidemiology of chronic musculoskeletal pain. Best Pract Res Clin Rheumatol 2007;21(3):403-25.
Bogduk N. Diagnostic nerve blocks in chronic pain. Best Pract Res Clin Anaesthesiol 2002;16(4):565-78.
Manchikanti L, Singh V, Pampati V, Falco FJ, Hirsch JA. Comparison of the efficacy of caudal, interlaminar, and transforaminal
epidural injections in managing lumbar disc herniation: is one method superior to the other? Korean J Pain 2015;28(1):11-21.
Taşkaynatan M. Omurga hastalıklarının tedavisinde algoloğun rolü. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 2002;58-62.
Eyigör C, Uyar M. Ağrılı tetik noktaların pulsed radyofrekans tedavisi: vaka serisi. Ege Tıp Dergisi 2010;49(2):113-6.
Van Zundert J, Huntoon M, Patijn J, Lataster A, Mekhail N, Van Kleef M. Cervical Radicular Pain. In: Van Zundert J, Patijn J,
Hartrick CT, et al (eds). Evidence Based Interventional Pain Medicine: According to Clinical Diagnoses, 1st Edition, Wiley
Blackwell; 2011:18-31.
Kallewaard JW, Terheggen MAMB, Groen GJ, et al. Discogenic Low Back Pain. In: Van Zundert J, Patijn J, Hartrick CT, et al
(eds). Evidence Based Interventional Pain Medicine: According to Clinical Diagnoses, 1st Edition, Wiley Blackwell; 2011:107-
123.
Huygen F, Patijn J, Rohof O, et al. Painful shoulder complaints. Pain Pract 2010;10(4):318-26.
Bogduk N. Evidence-informed management of chronic low back pain with facet injections and radiofrequency neurotomy. Spine
J 2008;8(1):56-64.
Choi WJ, Hwang SJ, Song JG, et al. Radiofrequency treatment relieves chronic knee osteoarthritis pain: a double-blind
randomized controlled trial. Pain 2011;152(3):481-7.
Malik A, Simopolous T, Elkersh M, Aner M, Bajwa ZH. Percutaneous radiofrequency lesioning of sensory branches of the
obturator and femoral nerves for the treatment of non-operable hip pain. Pain Physician 2003;6(4):499-502.
Kawaguchi M, Hashizume K, Iwata T, Furuya H. Percutaneous radiofrequency lesioning of sensory branches of the obturator
and femoral nerves for the treatment of hip joint pain. Reg Anesth Pain Med 2001;26(6):576-81.
Uyar M, Aydın Ö, Miyofasyal ağrı sendromu ve diğer muskuloskeletal kökenli ağrılar, Editör: Erdine S. Ağrı. 3. baskı, Nobel Tıp
Kitabevi, İstanbul, 2007, s:476-92.
Baran O, Barutçuoğlu M. Lomber bölgede girişimsel ağrı uygulamaları, Türk Nöroşir Derg 2018;28(2):190-5.
Costantini A. Spinal cord stimulation. Minerva Anestesiol 2005;71(7-8):471-4.
Yentür E, Kronik Bel Ağrılarında Girişimsel Yöntemler, TOTBİD Derg 2017;16:161-8.
Interventional pain treatment modalities in palliation of rheumatic pains
In the clinical course of rheumatic diseases, rheumatic pain is frequently seen localized to the musculoskeletal system. Rheumatic pain, which is not performed with sufficient and effective pain palliation, leads to functional impairment and decrease in quality of life. Although the treatment of rheumatic pain varies according to the cause of the underlying rheumatologic disease, it contains the mainly physical therapy, pharmacotherapy, interventional pain treatments and surgical options. Interventional pain treatments in the rheumatic pain are used in case of fail to the other non-invasive treatment options such as pharmacotherapy and physical therapy. In this article, interventional pain treatment of rheumatic pain will be focused on.
Mc Beth J, Jones K. Epidemiology of chronic musculoskeletal pain. Best Pract Res Clin Rheumatol 2007;21(3):403-25.
Bogduk N. Diagnostic nerve blocks in chronic pain. Best Pract Res Clin Anaesthesiol 2002;16(4):565-78.
Manchikanti L, Singh V, Pampati V, Falco FJ, Hirsch JA. Comparison of the efficacy of caudal, interlaminar, and transforaminal
epidural injections in managing lumbar disc herniation: is one method superior to the other? Korean J Pain 2015;28(1):11-21.
Taşkaynatan M. Omurga hastalıklarının tedavisinde algoloğun rolü. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 2002;58-62.
Eyigör C, Uyar M. Ağrılı tetik noktaların pulsed radyofrekans tedavisi: vaka serisi. Ege Tıp Dergisi 2010;49(2):113-6.
Van Zundert J, Huntoon M, Patijn J, Lataster A, Mekhail N, Van Kleef M. Cervical Radicular Pain. In: Van Zundert J, Patijn J,
Hartrick CT, et al (eds). Evidence Based Interventional Pain Medicine: According to Clinical Diagnoses, 1st Edition, Wiley
Blackwell; 2011:18-31.
Kallewaard JW, Terheggen MAMB, Groen GJ, et al. Discogenic Low Back Pain. In: Van Zundert J, Patijn J, Hartrick CT, et al
(eds). Evidence Based Interventional Pain Medicine: According to Clinical Diagnoses, 1st Edition, Wiley Blackwell; 2011:107-
123.
Huygen F, Patijn J, Rohof O, et al. Painful shoulder complaints. Pain Pract 2010;10(4):318-26.
Bogduk N. Evidence-informed management of chronic low back pain with facet injections and radiofrequency neurotomy. Spine
J 2008;8(1):56-64.
Choi WJ, Hwang SJ, Song JG, et al. Radiofrequency treatment relieves chronic knee osteoarthritis pain: a double-blind
randomized controlled trial. Pain 2011;152(3):481-7.
Malik A, Simopolous T, Elkersh M, Aner M, Bajwa ZH. Percutaneous radiofrequency lesioning of sensory branches of the
obturator and femoral nerves for the treatment of non-operable hip pain. Pain Physician 2003;6(4):499-502.
Kawaguchi M, Hashizume K, Iwata T, Furuya H. Percutaneous radiofrequency lesioning of sensory branches of the obturator
and femoral nerves for the treatment of hip joint pain. Reg Anesth Pain Med 2001;26(6):576-81.
Uyar M, Aydın Ö, Miyofasyal ağrı sendromu ve diğer muskuloskeletal kökenli ağrılar, Editör: Erdine S. Ağrı. 3. baskı, Nobel Tıp
Kitabevi, İstanbul, 2007, s:476-92.
Baran O, Barutçuoğlu M. Lomber bölgede girişimsel ağrı uygulamaları, Türk Nöroşir Derg 2018;28(2):190-5.
Costantini A. Spinal cord stimulation. Minerva Anestesiol 2005;71(7-8):471-4.
Yentür E, Kronik Bel Ağrılarında Girişimsel Yöntemler, TOTBİD Derg 2017;16:161-8.