[Chronic lower back pain: a new therapeutic approach].
Lower back pain is a common complaint of patients seen in our consultations. Despite progress, surgical procedures are still often unsuccessful in relieving pain. Blocks performed in the epidural spaces or more often in the articular facets have provided poor relief of chronic lower back pain. The pain has vegetative components. Considering anatomic findings, we describe the innervation of the peridiscal tIssues which suffer during degenarative conditions. We analyze the course of the autogenic nerves mediating lumbar pain, and select the site of the blocks necessary to obtain optimal selective pain relief. A well-defined block at the level of the communicating rami is described.
Robert
R
R
Service de Neurotraumatologie, Hôtel-Dieu, CHU, Nantes. roger.robert@chu-nantes.fr
Raoul
S
S
Hamel
O
O
Doe
K
K
Lanoiselée
J-M
JM
Berthelot
J-M
JM
Caillon
F
F
Bord
E
E
D002986:Clinical Trials as Topic; D006801:Humans; D017116:Low Back Pain / Q000473:pathology / Q000628:therapy*; D009407:Nerve Block; D013127:Spinal Nerves / Q000033:anatomy & histology; D013131:Spine / Q000033:anatomy & histology