Terapias de Tratamiento Farmacológico en la Radiculopatía Cervical Secundarias a Hernias de Disco: Artículo de Revisión
Resumen
La radiculopatía cervical (RC) impone un gran impacto epidemiológico en el ámbito personal y socioeconómico. Es una de las 5 condiciones principales de dolor crónico (DC) en términos de prevalencia y años perdidos por discapacidad. Aunque la mayoría de los episodios agudos se resuelven espontáneamente, más de un tercio de los afectados tendrán síntomas leves y/o recurrentes por más de 1 año. Los antiinflamatorios no esteroideos (AINES) son eficaces para el dolor agudo, y la práctica clínica se guía principalmente por los resultados de estudios realizados para otras condiciones de DC. El objetivo de este trabajo es realizar una revisión detallada de las terapias farmacológicas actuales más eficaces para el tratamiento de la RC por hernia de disco, basándonos en diversas plataformas científicas y bases de datos especializadas internacionales y nacionales en inglés y español, incluyendo alrededor de 65 artículos actualizados que brindan esta información pertinente. Se observó que existen pocos artículos de investigación enfocados en el tratamiento farmacológico de la RC, sin embargo, la mayoría concluyen en que se debe de iniciar el manejo del dolor de manera personalizada, considerando los comórbidos de cada paciente; iniciando con paracetamol, AINES, AINES-selectivos, derivados débiles opioides y/o en combinación con fármacos neuromoduladores.
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Derechos de autor 2023 Carlos Eduardo Fuentes Baez , José Ángel Elí Sandoval Gutiérrez, Graciela Tovar Sanchez, Moisés Santiago González
Esta obra está bajo licencia internacional Creative Commons Reconocimiento 4.0.
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