Vol. 3, No 1, 2005 pp. 37 - 44
UDC 616-01: 796.071
547.92:
57.089.2
Scientific Paper
SACRAL EPIDURAL STEROID INJECTIONS USED
FOR THE PREVENTION OF HAMSTRING INJURIES
Károly Szalai, Árpád Illyés
Department of Orthopaedics, Semmelweis University, Budapest, Hungary
E-mail: illyes_arpad@hotmail.com
Abstract. Hamstring injuries can be a severe risk in the career
of a professional athlete. The authors suppose that the origin of
chronic
hamstring pain can be neurogenic; therefore, sacral epidural steroid
injections
were used for the treatment of the condition. The aim of the study was
to assess the effectiveness of the therapy with sacral epidural steroid
injections. According to strict criteria, 25 elite athletes (11 males
and
14 females), mostly track and field runners, were selected for the
follow-up
study. A fractionated sacral epidural steroid injection (SEI) was
administered
once, rarely twice within a 4-week interval. The injection consisted of
8ml 1% Lignocain, 2ml 80mg/ml DepoMedrol and 10 ml 0, 25% Marcain
(bupivacain).
A visual analogue scale (VAS) on hamstring discomfort and/or pain was
taken
prior to and 3, 6, 12, 18, 24, 30, 36, 42, 48 and 54 weeks after the
epidural
injection. The recovery time and the time the athletes spent without
pain
and/or uninjured were also observed. Hamstring pain and discomfort
significantly
decreased by the time of the follow up. The average time for reaching
painless
high level training sessions were 3 weeks after the injections. One
half
of the duration of the therapy was 37 weeks. Our results indicate that
in the case of hamstring pain the condition can be treated and injuries
can be prevented effectively by sacral epidural steroid injections. By
administering these injections, the effectiveness of training sessions
can indirectly be increased and the possibility of hamstring injuries
can
be decreased.
Key words: hamstring injury, prevention, sacral epidural
injection, lumboischialgia, sport.
SAKRALNO-EPIDURALNO UBRIZGAVANJE
STEROIDA
U CILJU SPREČAVANJA POVREDA KOLENA
Povrede kolena predstavljaju ogroman rizik u karijeri profesionalnih
sportista.
Autori ovog rada pretpostavljaju da bi poreklo hroničnih bolova u
kolenu
moglo biti neurogenetske prirode pa se za lečenje ovakvog stanja
koristilo
sakralno-epiduralno ubrizgavanje steroida. Cilj ove studije je bio da
se
proceni efikasnost terapije putem sakralno-epiduralnog ubrizgavanja
steroida.
Prema strogim kriterijumima odabrano je 25 elitnih takmičara (11
muškaraca
i 14 žena), većinom atletskih trkača. Delimično sakralno-epidermalno
ubrizgavanje
steroida je sprovedeno jednom, retko i 2 puta u periodu od 4 nedelje.
Sastav
inekcija je bio sledeći: 8 ml 1% lignokaina, 2 ml 80mg/ml depomedrola i
10 ml 0,25% markaina (bupivakaina). Vizuelna analogna skala poremećaja
i/ili bolova u kolenu je primenjivana pre i 3, 6, 12, 18, 24, 30,
36, 48 i 54 nedelje posle epiduralnog ubrizgavanja. Vreme oporavka i
vreme
kada su sportisti bili bez bolova / ili bez ikakvih povreda je takodje
uzimano u obzir. Bolovi u kolenu i nelagodnosti su se značajno
smanjili
u post-tretmanskom periodu. Prosečno vreme dostizanja visokokvalitetnih
treninga bez bolova je bilo 3 nedelje nakon ubrizgavanja. 50% trajanja
terapije je bilo 37 nedelja. Naši rezultati pokazuju da, u slučaju
bolova
u kolenima, ovakvo stanje moze da se leči, a i povrede se mogu sprečiti
efikasno, ako se uradi sakralno-epiduralno ubrizgavanje steroida.
Davanjem
ovakvih injekcija efektnost treninga se indirektno može povećati a
mogućnost
javljanja povreda kolena se može znatno umanjiti.
Ključne reči: povrede kolena, prevencija, sakralno-epiduralno
ubrizgavanje, lumboisijalgija, sport.
