Herr Groll und der rote Strom (German Edition)
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Conclusion: Catheter migration was significantly reduced by tunneling without a catheter loop technique as compared to other two groups. Epidural local anaesthetics versus opioid-based analgesic regimens on postoperative gastrointestinal paralysis, PONV and pain after abdominal surgery. Epidural analgesia reduces postoperative myocardial infarction: a meta-analysis.
Anesth Analg ; Epidural analgesia experience of patients in a large teaching hospital derived through audit. Acute Pain ; 4: Introduction : The sacroiliac joint dysfunction is one of important cause of low back pain leading to disability and unfortunately many patients fail to respond to the available treatment options; leading to the continuum quest for new therapeutic modalities. Materials and Methods : Six patients with severe back pain from sacroiliac joint dysfunction who had previously failed all treatment options, first underwent two successive positive sacroiliac joint injection followed by ultrasound guided platelet rich plasma PRP injections on two occasions separated by a gap of 3 weeks.
Results : The pain intensity at rest, on standing and on walking improved from 8. The ODS also improved from 78 at baseline to The physical and mental components of quality of life improved from Conclusion : The ultra-sound guided PRP injection is a good alternative option for patients with severe low back pain from sacroiliac dysfunction. Case series of ultrasound-guided platelet-rich plasma injections for sacroiliac joint dysfunction. J Back Musculoskelet Rehabil. Role of intra-articular platelet-rich plasma in sacroiliac joint pain. Techniques in Regional Anesthesia and Pain Management.
Volume 19, Issues 1—2, January—April , Pages Batra, Neerja Bharti, Vijay G. Goni and Neelam Marwaha. Steroid vs. Pain Practice. Volume 17, Issue 6, pages —, July Introduction : While treating upper limb and neck pain, traditional SCS can cause variability in the intensity of the induced paresthesias and often results in inadequate coverage of axial neck pain1. The goal of this study is to assess the safety and effectiveness of paresthesia-independent high frequency SCS HF-SCS at 10 kHz in the treatment of upper limb and neck pain.
Each subject was implanted with two epidural leads spanning C2-C6 vertebral bodies. Results : Of the 51 subjects that underwent it, 47 had a successful trial Fifteen device or procedure related adverse events were reported. No neurological deficits were reported.
Preliminary results demonstrate stability of response over time with the therapy Figure 1. The affected area is often close to the attachment of Plantar Fascia to calcaneus bone. The purpose of this study was to evaluate the effect of local ozone injection versus corticosteroid on the treatment of chronic plantar fasciitis under ultrasound guidance.
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Materials and Methods : In this randomized clinical trial 30 patients with chronic plantar fasciitis were randomly divided into two groups, including the group receiving methylprednisolone 15 subjects and the ozone group 15 subjects. Before injection, two weeks and twelve weeks after injection, morning and daily pain was assessed by Visual Analogue Scale, and daily life and exercise activities with Foot and Ankle Ability Measure.
Sonographic parameters including plantar fascia thickness at insertion and 1cm distal were also evaluated. Pain both morning and daily reduction and daily activity improvement were better in the corticosteroid group two weeks after injection, but at 12 weeks, the ozone effects were significantly higher. Conclusion : Both methods were effective in the treatment of chronic plantar fasciitis.
Injections of steroids had a rapid and short term therapeutic effect. Nevertheless, ozone injection led to a slow and prolonged treatment effect. Ozone injection can be an effective treatment with a longer durability in the treatment of chronic plantar fasciitis.
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Ultrasound-guided diagnosis and treatment of plantar fasciitis. Dry needling in patients with chronic heel pain due to plantar fasciitis: A single-blinded randomized clinical trial. Medical journal of the Islamic Republic of Iran. When to obtain advanced imaging in patients with neck pain remains a topic of debate.
This case study's purpose is to highlight the importance of obtaining advanced imaging prior to performing interventional spine procedures or surgical procedures.
A 59 year old woman presented with a 3-year history of neck pain that radiated down the lateral aspect of her left arm. Her pain progressively worsened and she developed left arm weakness. She was referred to our clinic for consideration of a cervical spine injection. An MRI of her cervical spine was obtained which revealed a tortuous vertebral artery compressing both the C3 and C4 nerve roots as well as the left aspect of the ventral thecal sac.
Given that the source of her pain was likely due to this tortuous vertebral artery compressing the nerve roots, an interventional procedure was not pursued and medical pain management was recommended. In this case, an MRI not only saved the patient from an unnecessary procedure, but also possibly prevented a potential adverse event from a surgery or procedure. Advanced imaging is an important step in the diagnostic workup in patients with cervical radiculitis prior to performing an interventional procedure or surgery. US national prevalence and correlates of low back and neck pain among adults.
Arthritis Rheum ; Introduction : Genicular nerve blockade and radiofrequency ablation RFA has proved effective for knee osteoarthritis pain but has not been described for avascular necrosis AVN pain 1,2. The majority of patients with avascular necrosis present with severe pain and limited range of motion 3. We present an opioid-tolerant patient mg OME with chronic pancreatitis refractory to visceral interventions, sarcoidosis, and knee AVN who experienced significant analgesia and functional improvement after genicular nerve RFA.
Case Study : The patient has consented to reporting this case study. A year-old male presented with sarcoidosis complicated by steroid-induced AVN of the right knee. Additional history of chronic pancreatitis was refractory to prior celiac plexus blocks. After successful genicular diagnostic block using bupivacaine 0.
Conclusions : Genicular nerve blockade and RFA has shown efficacy for osteoarthritis-related knee pain. This case presents a novel application of genicular RFA for treating patients with knee pain from osteonecrosis.
References : 1 1. Bhatia A et al. Radiofrequency procedures to relieve chronic knee pain: an evidence-based narrative review. Reg Anesth Pain Med ; Choi W et al. Radiofrequency treatment relieves chronic knee osteoarthritis pain: a double-blind randomized controlled trial. Pain ; Nixon J. Avascular necrosis of bone: a review. Journal of the Royal Society of Medicine ; Introduction : We report a case of severe emesis in a patient who received an intra-articular hip injection with betamethasone.
Materials and Methods : A year-old female presented with low back pain radiating into left groin and down the leg. After ruling out lumbar radiculopathy as the etiology, x-ray of the left hip confirmed moderate hip osteoarthritis. Patient was initially treated with physical therapy and meloxicam 15mg daily.
The patient continued to be symptomatic despite conservative management, thus an intra-articular left hip injection under fluoroscopic guidance was recommended. Once proper needle placement was obtained and confirmed using contrast dye, 12mg betamethasone, 4ml preservative-free lidocaine, and 4ml preservative-free bupivacaine was administered. Post procedure patient had improved hip pain, was asymptomatic, and was subsequently discharged home.
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Ten hours post procedure she reported intractable vomiting which continued for twenty-four hours before subsiding, despite taking ondansetron. Results : Vomiting spontaneously subsided after 24 hours of onset. Conclusions : Although rare, persistent hiccups are a known reaction to intravenous, oral, and intra-articular corticosteroid injections. The reported case above demonstrates intractable vomiting despite an antiemetic.