Treatment of chronic cervicobrachial pain with periradicular injection of meloxicam

Lucia Aurini, Battista Borghi, Andrea Tognù, Barbara Rossi, Greta Fini, Pierfrancesco Fusco, Massimiliano Mosca, Raffaele Borghi

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Cervicobrachial pain (CBP) is often resistant to conventional oral analgesics. We hypothesized that the periradicular injection of meloxicam would produce a significant reduction in their intractable CBP. The secondary objective was to assess the impact of the treatment on functional recovery. METHODS: 48 patients with persistent CBP (>3 months of duration) despite multimodal analgesic therapy received 1-3 periradicular injections of meloxicam, 5-20 mg, at the dermatomal level(s) corresponding to their pain symptoms. Pain level (0=none to 10=severe), rescue analgesics, and functional activity were recorded at baseline and for 90d after the last injection. The injection was repeated if the pain score remained >3 or paresthesia persisted. RESULTS: The mean pain score was reduced from a baseline of 8.9 (±1) to 1.7 (±2.2) at 90 days after the last meloxicam injection. Following meloxicam treatment(s), only 13% of the patients required oral analgesic rescue medication. All patients increased their functional activity level. CONCLUSIONS: Cervical periradicular injection of meloxicam reduced CBP by 81% at 90-day follow-up and also improved functional recovery.

Original languageEnglish
Pages (from-to)411-418
Number of pages8
JournalMinerva Anestesiologica
Volume82
Issue number4
Publication statusPublished - Apr 1 2016

Keywords

  • Meloxicam-Spinal injections-Ultrasonography-Brachial plexus neuritis-Chronic pain.

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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  • Cite this

    Aurini, L., Borghi, B., Tognù, A., Rossi, B., Fini, G., Fusco, P., Mosca, M., & Borghi, R. (2016). Treatment of chronic cervicobrachial pain with periradicular injection of meloxicam. Minerva Anestesiologica, 82(4), 411-418.