人體的下肢主要是由腰神經叢 ( Lambar Plexus ) 與仙骨神經叢 ( Sacral Plexus ) 合稱Lumbosacral Plexus的分枝所支配。腰神經離開(伸出)椎間孔(Intervertebral Foramina)後,神經根則分成前枝與後枝,後枝支配的是下腰部的肌肉皮膚。
Postherpetic neuralgia(PHN), is among the most challenging painful syndromes to treat. The most common definition of PHN is the presence of pain more than a month after the onset of the eruption of zoster.
帶狀皰疹後神經痛往往是一種很難治的疼痛,但有些病例確實對局部注射療法反應良好,當此注射療法即可奏效時,卻有病患因害怕"打針"而寧願只接受口服治療,本報告係依據我們於近8年針對此類病患施予「另類」療法之臨床經驗,其中選擇部份病例介紹於後。
Splanchnic nerve neurolysis is an established and often effective treatment for cancer pain of the pancreas and other upper abdominal viscera. Classically, the needle is positioned using either anatomic ( blind ),fluoroscopic and recently CT guidance from a posterior approach. A review of the literature reveals only rarely it is performed with an anterior approach.
生理回饋是用來幫忙學習完全的身體放鬆,也可以用來對會導致緊張、生理疼痛的生理功能加以控制。
Sphenopalatine ganglion consists of the largest aggregate of neurons in the head outside of the brain It is conveniently located in the sphenopalatine (pterygopalatine) fossa which makes it very accessible to be blocked. Sphenopalatine ganglion block has been reported to be effective in the relief of a wide variety of pain conditions ranging from headache to low back pain (1-9).
胸腔內(肋膜間)局部麻醉止痛法(Interpleural Analgesia以下簡稱IPA)是1984年首先由挪威的Kvalheim與Reiestad1所發表的屬於一種歷史較淺的區域麻醉法,最初主要被應用於膽囊切除,腎臟及乳腺手術後的疼痛控制,之後其使用範圍漸漸擴大至開胸術後的止痛,疼痛科,甚至於小兒外科領域。
局部超低溫療法原來是一種利用液體空氣對疼痛部位吹送攝氏零下75度的冷凍風而達到止痛目的之治療方法,吾等嘗試以Cryotron UL 30型之新機種對79位病患共施行168次冷凍治療,設定條件為安全性較高之零下30℃皮膚至噴射口距離為0.5到1.0公分共10分鐘..
地球上世界各國人類都患有頭痛症狀,目前根據台北榮總與陽明大學的研究調查推估統計報告,台灣地區約有150 萬人罹患偏頭痛的患者,女性是男性的三倍多,而且台灣居民的偏頭痛發生率,己與歐美國家不相上下.....