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Journal of Physiotherapy & Physical Rehabilitation

Journal of Physiotherapy & Physical Rehabilitation

ISSN: 2573-0312

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Bone drilling (BD) is considered a new treatment for pain, including vertebral compression fracture (VCF), spinal spondylosis, osteoarthritis (OA) and osteonecrosis of the knee and hip, and pain neuropathic. BD is simple and harmless. The BD technique is similar to that of bone marrow puncture. BD is performed under X-ray fluoroscopy and regional anesthesia. Exact penetration of the bone cortex is necessary for intramedullary decompression, and sufficient aspiration of medullary blood is important to remove intramedullary inflammatory cells (IC) and inflammatory chemical mediators (ICM). The onset of the effect is immediate, and the effect lasts for several months or a few years. However, the precision of the underlying mechanisms of DB is still unclear. On the other hand, the efficacy of BD has also been demonstrated in neuropathic pain, representative of complex regional pain syndrome (CRPS). Neuropathic pain was induced after injury to the nerve root and the bone is generally intact. However, BD relieves a foot ache that occurs afterwards. This fact may indicate that subsequent bone marrow inflammation is occurring and that bone tissue is involved in CRPS. Therefore, some change in the bone is induced by CRPS. The fact suggests a hypothesis that a self-facilitating mechanism of pain is provided independently in the bone marrow. Sumihisa Aida, Pain relief from bone drilling and awareness of bone pain: a hypothesis

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Citations: 378

Journal of Physiotherapy & Physical Rehabilitation received 378 citations as per Google Scholar report

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