Treatment of cervicogenic headache via upper cervical paravertebral injection combined with manipulative reduction guided by C-arm

doi:10.3969/j.issn.1006-7795.2014.01.004

Journal of Capital Medical University ›› 2014, Vol. 35 ›› Issue (1): 13-17.doi: 10.3969/j.issn.1006-7795.2014.01.004

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Treatment of cervicogenic headache via upper cervical paravertebral injection combined with manipulative reduction guided by C-arm

He Mingwei¹, Zeng Qingwen², Liu Jing³, Liu Changxin³, Ni Jiaxiang¹

1. Department of Pain Management, Xuanwu Hospital, Capital Medical University, Beijing 100053, China;
2. Department of pain, Mingshui People's Hospital of Heilongjiang Province, Mingshui 151700, Heilongjiang Province, China;
3. Department of pain massage, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100048, China

Received:2013-12-20 Online:2014-02-21 Published:2014-02-21
Supported by:
This study was supported by Beijing City Bureau of Chinese Medicine Science and Technology Development Fund (303-01-006-0026).

Abstract

Abstract:

Objective To study the effects of the upper cervical paravertebral injection combined with manipulative reduction guided by C-arm for the treatment of cervicogenic headache. Methods Sixty patients suffered from with cervicogenic headache, aged between 15 and 70 years were randomly divided into two groups(Group A 31patients; Group B 29patients), group A received C2 paravertebral injection combined with manipulative reduction guided by C-arm; B group only received upper cervical paravertebral injection. The efficacy and improvement of pain were compared.Results For group A, preoperation、1 week,1 month and 3 months postoperation, the pain scores on visual analogue scale(VAS)were 6.8±2.5、2.3±1.0、 2.4±1.0 and 3.0±1.3;the proportions of cases evaluated as"excellent" and "good" were 100%、93.5%、87.1%; respectively. For group B, the VAS scores were 6.5±2.3、2.0±1.2、3.2±1.5 and 4.6±2.0, the proportion of excellent and good was 96.5%、82.8% and 68.9% respectively. One month and 3 months after treatment,compared with group B, both the VAS and the proportions of cases with "excellent" and "good" were significantly different(P<0.05). Conclusion The effect of the treatment for cervicogenic headache, with upper cervical paravertebral injection combined with manipulative reduction guided by C-arm was better than that of the upper cervical paravertebral injection alone, but its long-term effect remains to be further explored.

Key words: cervicogenic headache, C2 paravertebral injection guided by C-arm, manipulative reduction

CLC Number:

R614.4

He Mingwei, Zeng Qingwen, Liu Jing, Liu Changxin, Ni Jiaxiang. Treatment of cervicogenic headache via upper cervical paravertebral injection combined with manipulative reduction guided by C-arm[J]. Journal of Capital Medical University, 2014, 35(1): 13-17.

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Treatment of cervicogenic headache via upper cervical paravertebral injection combined with manipulative reduction guided by C-arm

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