Pub Date : 2022-03-01DOI: 10.21776/ub.jphv.2022.003.01.2
Izza Ayudia Hakim, Shahdevi Nandar Kurniawan
Hand and wrist disorder affects a patient’s overall well-being and health-status. Epidemiology of elbow pain and pain per year in 58 of 10,000 patients in the UK, and is the fourth most common musculoskeletal site in the upper extremity after the shoulder, hand and. Characteristics of pain that can arise in the form of pain isuch ias radiating, tingling, thick feeling and can be in the form of weakness when gripping. This can happen because of a movement that is not appropriate and occurs repeatedly. There is a special physical examination that can support a diagnosis of pain in the hands and hands. The therapy used initially is non-steroidal anti-pain, even if it cannot be resolved, corticosteroid injections can be given to the painful area.
{"title":"HAND AND WRIST PAIN","authors":"Izza Ayudia Hakim, Shahdevi Nandar Kurniawan","doi":"10.21776/ub.jphv.2022.003.01.2","DOIUrl":"https://doi.org/10.21776/ub.jphv.2022.003.01.2","url":null,"abstract":"Hand and wrist disorder affects a patient’s overall well-being and health-status. Epidemiology of elbow pain and pain per year in 58 of 10,000 patients in the UK, and is the fourth most common musculoskeletal site in the upper extremity after the shoulder, hand and. Characteristics of pain that can arise in the form of pain isuch ias radiating, tingling, thick feeling and can be in the form of weakness when gripping. This can happen because of a movement that is not appropriate and occurs repeatedly. There is a special physical examination that can support a diagnosis of pain in the hands and hands. The therapy used initially is non-steroidal anti-pain, even if it cannot be resolved, corticosteroid injections can be given to the painful area.","PeriodicalId":126692,"journal":{"name":"JPHV (Journal of Pain, Vertigo and Headache)","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130753353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Acupressure is a method that can reduce or eliminate headaches without using drugs. It works by stimulating certain points through pressure / massage on the surface of the body by using fingers or blunt objects for fitness purposes or to relieve pain in tension headaches. Tension type headache (TTH) is the most common headache that tends to be considered not serious because it causes mild symptoms in some cases. TTH is a pain that is felt in the back of the head (occipitalis) and in the front (frontalis) which is tense due to the permanent contraction of the muscles of the scalp, forehead and neck accompanied by extracranial vasoconstriction that can persist for a certain period of time. Benefits of acupressure can calm the nerves caused by discomforts such as tension which is common in tension headache. Summary of case: A 37-year-old woman presented with headaches that is described as being tied to a rope around her head and heavy in the neck area since a week ago. She is diagnosed with tension type headaches and received doctor's treatment. However, headaches are still felt sometimes when she has a lot of thoughts. Acupressure through suppression and massage has been done as a non-pharmacological treatment to reduce the patient's headache at the acupressure point for one week in 10 minutes each session, showing a decrease in pain intensity through VAS (Visual Analogue Scale) decreased pain rate from 6 to 2 after acupressure. She experienced an improvement and decreased intensity of headache attacks after undergoing acupressure. Conclusion: Acupressure can be an alternative and complementary therapy to reduce the intensity and frequency of tension type headache attacks Keyword : Acupressure, tension type headache, complementary therapy.
{"title":"ACUPRESSURE AS METHOD FOR REDUCING HEAD PAIN IN TENSION TYPE HEADACHE: CASE REPORT","authors":"Wahyuni Ramadhani Suaib, Shahdevi Nandar Kurniawan","doi":"10.21776/ub.jphv.2022.003.01.3","DOIUrl":"https://doi.org/10.21776/ub.jphv.2022.003.01.3","url":null,"abstract":"Background: Acupressure is a method that can reduce or eliminate headaches without using drugs. It works by stimulating certain points through pressure / massage on the surface of the body by using fingers or blunt objects for fitness purposes or to relieve pain in tension headaches. Tension type headache (TTH) is the most common headache that tends to be considered not serious because it causes mild symptoms in some cases. TTH is a pain that is felt in the back of the head (occipitalis) and in the front (frontalis) which is tense due to the permanent contraction of the muscles of the scalp, forehead and neck accompanied by extracranial vasoconstriction that can persist for a certain period of time. Benefits of acupressure can calm the nerves caused by discomforts such as tension which is common in tension headache. Summary of case: A 37-year-old woman presented with headaches that is described as being tied to a rope around her head and heavy in the neck area since a week ago. She is diagnosed with tension type headaches and received doctor's treatment. However, headaches are still felt sometimes when she has a lot of thoughts. Acupressure through suppression and massage has been done as a non-pharmacological treatment to reduce the patient's headache at the acupressure point for one week in 10 minutes each session, showing a decrease in pain intensity through VAS (Visual Analogue Scale) decreased pain rate from 6 to 2 after acupressure. She experienced an improvement and decreased intensity of headache attacks after undergoing acupressure. Conclusion: Acupressure can be an alternative and complementary therapy to reduce the intensity and frequency of tension type headache attacks Keyword : Acupressure, tension type headache, complementary therapy.","PeriodicalId":126692,"journal":{"name":"JPHV (Journal of Pain, Vertigo and Headache)","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130871624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.21776/ub.jphv.2021.002.02.5
Shahdevi Nandar Kurniawan, Afiyfah Kaysa Waafi
Vestibular neuronitis is an acute vestibular syndrome due to inflammation of the vestibular nerve characterized by the typical symptoms of acute rotatory vertigo accompanied by nausea, vomiting, and symptoms of balance disorders. The incidence of vestibular neuronitis is about 3.5 per 100,000 people. The exact etiology of this vestibular neuronitis is unknown. However, based on existing evidence, vestibular neuronitis is associated with viral infections of the upper respiratory tract and herpes zoster infection. The clinical manifestations of vestibular neuronitis are persistent rotatory vertigo accompanied by oscillopsia, horizontal-rotatory peripheral vestibular spontaneous nystagmus on the healthy side, and a tendency to fall on the affected side. Diagnosis of vestibular neuronitis can be made by clinical diagnosis, through history, physical examination, and special examinations. Through these examinations, the differential diagnosis of vestibular neuronitis should be excluded, such as Meniere's disease, labyrinthitis, benign paroxysmal positional vertigo, and vertigo due to central lesions such as cerebellar infarction. Management of vestibular neuronitis is in the form of symptomatic therapy with vestibular suppressants, antivertigo, and redirect to relieve the symptoms that arise, then causative therapy can be done by administering corticosteroids, and in patients, physiotherapy can be done to improve vestibular function.
{"title":"VESTIBULAR NEURONITIS","authors":"Shahdevi Nandar Kurniawan, Afiyfah Kaysa Waafi","doi":"10.21776/ub.jphv.2021.002.02.5","DOIUrl":"https://doi.org/10.21776/ub.jphv.2021.002.02.5","url":null,"abstract":"Vestibular neuronitis is an acute vestibular syndrome due to inflammation of the vestibular nerve characterized by the typical symptoms of acute rotatory vertigo accompanied by nausea, vomiting, and symptoms of balance disorders. The incidence of vestibular neuronitis is about 3.5 per 100,000 people. The exact etiology of this vestibular neuronitis is unknown. However, based on existing evidence, vestibular neuronitis is associated with viral infections of the upper respiratory tract and herpes zoster infection. The clinical manifestations of vestibular neuronitis are persistent rotatory vertigo accompanied by oscillopsia, horizontal-rotatory peripheral vestibular spontaneous nystagmus on the healthy side, and a tendency to fall on the affected side. Diagnosis of vestibular neuronitis can be made by clinical diagnosis, through history, physical examination, and special examinations. Through these examinations, the differential diagnosis of vestibular neuronitis should be excluded, such as Meniere's disease, labyrinthitis, benign paroxysmal positional vertigo, and vertigo due to central lesions such as cerebellar infarction. Management of vestibular neuronitis is in the form of symptomatic therapy with vestibular suppressants, antivertigo, and redirect to relieve the symptoms that arise, then causative therapy can be done by administering corticosteroids, and in patients, physiotherapy can be done to improve vestibular function.","PeriodicalId":126692,"journal":{"name":"JPHV (Journal of Pain, Vertigo and Headache)","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128470092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.21776/ub.jphv.2021.002.02.4
Sela Pricilia, Shahdevi Nandar Kurniawan
Central vertigo is a symptom characterized by a feeling of changes in body position or environment as a result of diseases originating from the central nervous system. Central vertigo is caused by a disease that extend from vestibular nuclei in medulla oblongata to ocular motor nuclei and integration system in mesencephalon to vestibulocerebellum, thalamus and vestibular cortex in temporoparietal and the neuronal pathway which mediate VOR (vestibulo-ocular reflex). The diseases can be vestibular migrain, TIA (Transient Ischemic Attack), Vertebrobasilar ischemic stroke, multiple sclerosis, tumor in cerebelopontine angle and congenital malformation like Dandy Walker Syndrome. Central vertigo can be diagnosed by performing several special tests. This examination can also distinguish central vertigo from its differential diagnosis, namely peripheral vertigo. Management of central vertigo can be in the form of acute attack management and specific management according to the cause.
{"title":"CENTRAL VERTIGO","authors":"Sela Pricilia, Shahdevi Nandar Kurniawan","doi":"10.21776/ub.jphv.2021.002.02.4","DOIUrl":"https://doi.org/10.21776/ub.jphv.2021.002.02.4","url":null,"abstract":"Central vertigo is a symptom characterized by a feeling of changes in body position or environment as a result of diseases originating from the central nervous system. Central vertigo is caused by a disease that extend from vestibular nuclei in medulla oblongata to ocular motor nuclei and integration system in mesencephalon to vestibulocerebellum, thalamus and vestibular cortex in temporoparietal and the neuronal pathway which mediate VOR (vestibulo-ocular reflex). The diseases can be vestibular migrain, TIA (Transient Ischemic Attack), Vertebrobasilar ischemic stroke, multiple sclerosis, tumor in cerebelopontine angle and congenital malformation like Dandy Walker Syndrome. Central vertigo can be diagnosed by performing several special tests. This examination can also distinguish central vertigo from its differential diagnosis, namely peripheral vertigo. Management of central vertigo can be in the form of acute attack management and specific management according to the cause.","PeriodicalId":126692,"journal":{"name":"JPHV (Journal of Pain, Vertigo and Headache)","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121324878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.21776/ub.jphv.2021.002.02.1
Widodo Mardi Santoso, B. Munir, Catur Ari Setianto, Ria Damayanti, Sheny Agma
Background: Carpal tunnel syndrome (CTS) is the most common nontraumatic peripheral neuropathy, which is caused by suppression of the median nerve below the transverse carpi ligament. Local corticosteroid injection is considered the fastest and most effective method for improving symptoms that occur in CTS. There are several corticosteroid agents that can be used, but there are no objective standards that can explain the most ideal drugs. Objective: To compare the effectiveness of hydrodisection injection therapy of triamcinolone acetonide versus dexamethasone on carpal tunnel syndrome. Methods: This study involved 30 participants who were diagnosed with CTS and fulfilled the inclusion criteria and no exclusion criteria were obtained. Participants were divided into two treatment groups; the first group (n = 15) injected with Triamcinolone Acetonide (TCA) 10mg / 1ml and lidocaine 1% 1 ml and the second group (n = 15) injected with Dexamethasone 4mg / 0.8ml and lidocaine 1% 1 ml. The NRS, FSS, and SSS parameters were assessed before injection and 4 weeks after injection in each agent. Then compared these parameters at 4 weeks after injection compared to the TCA group with the dexamethasone group. Results: NRS score before and 4 weeks after TCA injection (sig 0.000; p <0.05), SSS (sig 0.001; p <0.05) and FSS (sig 0.020; p <0.05), and NRS score before and 4 weeks after dexamethasone injection (sig 0.001; p <0.05), SSS (sig 0,000; p <0.05) and FSS (sig 0,000; p <0.05). At 4 weeks after injection of TCA compared to dexamethasone there were no significant results on NRS (sig 0.237; p> 0.05) and FSS (sig 0.119; p> 0.05), while SSS values were significantly different (sig 0.027; p <0.05). Conclusion: Significant improvement in NRS, FSS and SSS score was obtained at 4 weeks after hydrodisection injection, both with TCA and dexamethasone. At 4 weeks after TCA injection compared to dexamethasone, there were no significant differences in NRS and FSS scores, whereas SSS score differed significantly. Both injection agents are equally effective in treating CTS, but dexamethasone produces a better improvement in SSS score.
{"title":"COMPARISON OF HYDRODISECTION INJECTION BETWEEN TRIAMCINOLONE ACETONIDE VERSUS DEXAMETHASONE IN CARPAL TUNNEL SYNDROME","authors":"Widodo Mardi Santoso, B. Munir, Catur Ari Setianto, Ria Damayanti, Sheny Agma","doi":"10.21776/ub.jphv.2021.002.02.1","DOIUrl":"https://doi.org/10.21776/ub.jphv.2021.002.02.1","url":null,"abstract":"Background: Carpal tunnel syndrome (CTS) is the most common nontraumatic peripheral neuropathy, which is caused by suppression of the median nerve below the transverse carpi ligament. Local corticosteroid injection is considered the fastest and most effective method for improving symptoms that occur in CTS. There are several corticosteroid agents that can be used, but there are no objective standards that can explain the most ideal drugs. Objective: To compare the effectiveness of hydrodisection injection therapy of triamcinolone acetonide versus dexamethasone on carpal tunnel syndrome. Methods: This study involved 30 participants who were diagnosed with CTS and fulfilled the inclusion criteria and no exclusion criteria were obtained. Participants were divided into two treatment groups; the first group (n = 15) injected with Triamcinolone Acetonide (TCA) 10mg / 1ml and lidocaine 1% 1 ml and the second group (n = 15) injected with Dexamethasone 4mg / 0.8ml and lidocaine 1% 1 ml. The NRS, FSS, and SSS parameters were assessed before injection and 4 weeks after injection in each agent. Then compared these parameters at 4 weeks after injection compared to the TCA group with the dexamethasone group. Results: NRS score before and 4 weeks after TCA injection (sig 0.000; p <0.05), SSS (sig 0.001; p <0.05) and FSS (sig 0.020; p <0.05), and NRS score before and 4 weeks after dexamethasone injection (sig 0.001; p <0.05), SSS (sig 0,000; p <0.05) and FSS (sig 0,000; p <0.05). At 4 weeks after injection of TCA compared to dexamethasone there were no significant results on NRS (sig 0.237; p> 0.05) and FSS (sig 0.119; p> 0.05), while SSS values were significantly different (sig 0.027; p <0.05). Conclusion: Significant improvement in NRS, FSS and SSS score was obtained at 4 weeks after hydrodisection injection, both with TCA and dexamethasone. At 4 weeks after TCA injection compared to dexamethasone, there were no significant differences in NRS and FSS scores, whereas SSS score differed significantly. Both injection agents are equally effective in treating CTS, but dexamethasone produces a better improvement in SSS score.","PeriodicalId":126692,"journal":{"name":"JPHV (Journal of Pain, Vertigo and Headache)","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126215402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.21776/ub.jphv.2021.002.02.3
I. Subadi, H. Hidayati, Fidiana Fidiana, Nur Sulastri
Carpal tunnel syndrome (CTS), the most common entrapment neuropathy in the upper extrimity, is a clinical syndrome characterized by a tingling sensation, numbness, pain, or weakness in the hand and wrist radiating up to the arm. This condition is a major cause of absenteeism, reduced productivity, and financial loss among various neuropathy due to median nerve compression. This paper, medical rehabilitation of CTS is viewed. Medical rehabilitation of CTS aimed to reduce pain, reduce clamping of the carpal tunnel, sensory and motor reeducation so that hand function improves and can perform activities of daily living. Treatment options can be given includes exercise therapy, ultrasound diathermy, low level laser therapy (LLLT), and shock wave therapy (SWT).
{"title":"MEDICAL REHABILITATION MANAGEMENT OF CARPAL TUNNEL SYNDROME","authors":"I. Subadi, H. Hidayati, Fidiana Fidiana, Nur Sulastri","doi":"10.21776/ub.jphv.2021.002.02.3","DOIUrl":"https://doi.org/10.21776/ub.jphv.2021.002.02.3","url":null,"abstract":"Carpal tunnel syndrome (CTS), the most common entrapment neuropathy in the upper extrimity, is a clinical syndrome characterized by a tingling sensation, numbness, pain, or weakness in the hand and wrist radiating up to the arm. This condition is a major cause of absenteeism, reduced productivity, and financial loss among various neuropathy due to median nerve compression. This paper, medical rehabilitation of CTS is viewed. Medical rehabilitation of CTS aimed to reduce pain, reduce clamping of the carpal tunnel, sensory and motor reeducation so that hand function improves and can perform activities of daily living. Treatment options can be given includes exercise therapy, ultrasound diathermy, low level laser therapy (LLLT), and shock wave therapy (SWT).","PeriodicalId":126692,"journal":{"name":"JPHV (Journal of Pain, Vertigo and Headache)","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130511952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.21776/UB.JPHV.2021.002.01.1
Yulia Damayanti, Eko Arisetijono Marhaendraputro, W. M. Santoso, Dessika Rahmawati
Headache is the most common neurological disorder among all the symptoms of general health problems. Headaches are the most frequently complained of after back pain, which brings someone to the doctor and harms personal, family, social, quality of life, work, and finances. This study aims to find out the characteristics of primary headache patients in the neurological polyclinic, RSUD dr. Saiful Anwar Malang. The design of this research was an observational descriptive study of the filled headache questionnaire was to determine the characteristics of headache patients who visited the neurological polyclinic at dr. Saiful Anwar Malang with complaints of primary headache. The procedure of this research is to provide a questionnaire. The data analysis technique used is that the research variables will be presented in the frequency distribution table. The results of this research show that primary headache was more common in women as many as 19 people (61%) compared to male 12 people (39%). Most of the primary headache patients who came to the neurological clinic of Saiful Anwar Hospital were 30-60 years old. Tension-Type Headache (TTH) in this study had the highest percentage of 58%. In this study, cluster headache two patients all attacked women.
{"title":"PROFILE OF PRIMARY HEADACHE PATIENTS IN NEUROLOGICAL POLYCLINIC","authors":"Yulia Damayanti, Eko Arisetijono Marhaendraputro, W. M. Santoso, Dessika Rahmawati","doi":"10.21776/UB.JPHV.2021.002.01.1","DOIUrl":"https://doi.org/10.21776/UB.JPHV.2021.002.01.1","url":null,"abstract":"Headache is the most common neurological disorder among all the symptoms of general health problems. Headaches are the most frequently complained of after back pain, which brings someone to the doctor and harms personal, family, social, quality of life, work, and finances. This study aims to find out the characteristics of primary headache patients in the neurological polyclinic, RSUD dr. Saiful Anwar Malang. The design of this research was an observational descriptive study of the filled headache questionnaire was to determine the characteristics of headache patients who visited the neurological polyclinic at dr. Saiful Anwar Malang with complaints of primary headache. The procedure of this research is to provide a questionnaire. The data analysis technique used is that the research variables will be presented in the frequency distribution table. The results of this research show that primary headache was more common in women as many as 19 people (61%) compared to male 12 people (39%). Most of the primary headache patients who came to the neurological clinic of Saiful Anwar Hospital were 30-60 years old. Tension-Type Headache (TTH) in this study had the highest percentage of 58%. In this study, cluster headache two patients all attacked women.","PeriodicalId":126692,"journal":{"name":"JPHV (Journal of Pain, Vertigo and Headache)","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114287236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.21776/UB.JPHV.2021.002.01.2
Devi Annisa, S. Rianawati, Masruroh Rahayu, N. Raisa, S. Kurniawan
Carpal Tunnel Syndrome (CTS) is a neuropathy disease that affects the median nerve with an incidence of around 90%. Carpal Tunnel Syndrome appears in 3.8% of the general population, with the highest prevalence occurring in women. There are several risk factors associated with CTS, namely medical and non-medical factors. The mechanism of carpal tunnel syndrome until now is still very complex and is not known with certainty, but compression and traction factors in the median nerve are thought to be the most common cause of CTS. Carpal Tunnel Syndrome can manifest clinically with subjective signs such as paresthesia, proprioceptive changes, and paresis, as well as objective signs, such as changes in motor sensitivity and function, positive Tinel and Phallen tests, and thenar muscle atrophy. The diagnosis of Carpal Tunnel Syndrome is based on the classic symptoms of pain, numbness, tingling, and/or burning sensation in the distribution of the median nerve in the hand, as well as the abnormal function of the median nerve based on nerve conduction studies. Conservative therapy is an option. Especially in Carpal Tunnel Syndrome patients with mild to moderate symptoms. Conservative therapy can be given in the form of corticosteroid and physical therapy. Patients with severe CTS or whose symptoms have not improved after four to six months of conservative therapy should be considered for surgical treatment.
{"title":"CARPAL TUNNEL SYNDROME (DIAGNOSIS AND MANAGEMENT)","authors":"Devi Annisa, S. Rianawati, Masruroh Rahayu, N. Raisa, S. Kurniawan","doi":"10.21776/UB.JPHV.2021.002.01.2","DOIUrl":"https://doi.org/10.21776/UB.JPHV.2021.002.01.2","url":null,"abstract":"Carpal Tunnel Syndrome (CTS) is a neuropathy disease that affects the median nerve with an incidence of around 90%. Carpal Tunnel Syndrome appears in 3.8% of the general population, with the highest prevalence occurring in women. There are several risk factors associated with CTS, namely medical and non-medical factors. The mechanism of carpal tunnel syndrome until now is still very complex and is not known with certainty, but compression and traction factors in the median nerve are thought to be the most common cause of CTS. Carpal Tunnel Syndrome can manifest clinically with subjective signs such as paresthesia, proprioceptive changes, and paresis, as well as objective signs, such as changes in motor sensitivity and function, positive Tinel and Phallen tests, and thenar muscle atrophy. The diagnosis of Carpal Tunnel Syndrome is based on the classic symptoms of pain, numbness, tingling, and/or burning sensation in the distribution of the median nerve in the hand, as well as the abnormal function of the median nerve based on nerve conduction studies. Conservative therapy is an option. Especially in Carpal Tunnel Syndrome patients with mild to moderate symptoms. Conservative therapy can be given in the form of corticosteroid and physical therapy. Patients with severe CTS or whose symptoms have not improved after four to six months of conservative therapy should be considered for surgical treatment.","PeriodicalId":126692,"journal":{"name":"JPHV (Journal of Pain, Vertigo and Headache)","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124451918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.21776/UB.JPHV.2021.002.01.5
Helena Era Millennie, Badrul Munir, Zamroni Afif, Ria Damayanti, Shahdevi Nandar Kurniawan
Meniere’s disease is a disorder of the inner ear resulting in symptoms of episodic vertigo, tinnitus, hearing loss and aural pressure. Although the exact etiology is uncertain, it is associated with raised pressure in the endolymph of the inner ear (endolymphatic hydrops). The diagnosis of Meniere's disease is based on the clinical setting of the patient. This disease usually presents with unilateral ear symptoms but can be also bilateral. Meniere's disease attacks are usually random and episodic (approximately 6-11 per year), with periods of remission that can last from months to years. Investigations are audiometry, electronystagmogram, vestibular evoked myogenic potentials (VEMPs) and imaging.The management consist pharmacological and non pharmacological. Meniere's disease is initially progressive but fluctuates unexpectedly. It is difficult to distinguish natural resolutions from treatment effects.
{"title":"MENIERE’S DISEASE","authors":"Helena Era Millennie, Badrul Munir, Zamroni Afif, Ria Damayanti, Shahdevi Nandar Kurniawan","doi":"10.21776/UB.JPHV.2021.002.01.5","DOIUrl":"https://doi.org/10.21776/UB.JPHV.2021.002.01.5","url":null,"abstract":"Meniere’s disease is a disorder of the inner ear resulting in symptoms of episodic vertigo, tinnitus, hearing loss and aural pressure. Although the exact etiology is uncertain, it is associated with raised pressure in the endolymph of the inner ear (endolymphatic hydrops). The diagnosis of Meniere's disease is based on the clinical setting of the patient. This disease usually presents with unilateral ear symptoms but can be also bilateral. Meniere's disease attacks are usually random and episodic (approximately 6-11 per year), with periods of remission that can last from months to years. Investigations are audiometry, electronystagmogram, vestibular evoked myogenic potentials (VEMPs) and imaging.The management consist pharmacological and non pharmacological. Meniere's disease is initially progressive but fluctuates unexpectedly. It is difficult to distinguish natural resolutions from treatment effects.","PeriodicalId":126692,"journal":{"name":"JPHV (Journal of Pain, Vertigo and Headache)","volume":"174 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117168580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-01DOI: 10.21776/ub.jphv.2020.001.02.1
W. M. Santoso, Andhy Indriyono, B. Munir, Alidha Nur Rakhman, M. Husna
Knee osteoarthritis (OA) is one of the most common cartilage degenerative disorders that is a major problem because it causes chronic pain and disability. Therefore the method of treatment and prevention of old age is a big challenge. The results of Dextrose Prolotherapy compared to Triamcinolone therapy research are still varied. Objective: to compare the effectiveness of Dextrose Prolotherapy and Triamcinolone Acetonide (TA) in the treatment of moderate knee knee OA.True experimental single blind study, at the Neurology Polyclinic Dr. Saiful Anwar General Hospital Malang for 6 months (July-December 2019). Group I; Dextrose Prolotherapy (15%) intraarticularly injected 3 times every 4 weeks and group II; TA onetime intraarticular injection. The parameters studied were The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Score, Numeric Rating Scale (NRS), and Range of Motion (ROM), weeks 0, 4, 8, 12 and 24. Forty samples consisted of; the 20 samples of the Dextrose Prolotherapy group consisted of; male: female = 2 (10%): 18 (90%), age 62.4 + 7.28, BMI 25.6 + 3.69 kg / m2, pain duration 22.35 + 20.10 months, history of physiotherapy 40.27 + 20.79 times. Kellgren–Lawrence osteoarthritis severity grade II; 17 (85%), grade III 3 (15%). TA group; male: female = 5 (25%):15 (75%), age 62.5 + 9.02, BMI 28.4 + 5.01 kg/m2, pain duration 15.95 + 16.55 months, history of physiotherapy 34 + 24.87 times. Kellgren – Lawrence osteoarthritis severity grade II; 18 (90%), grade III; 2 (10%). Comparison of NRS at rest Dextrose Prolotherapy vs TA of week 4 (2.60 vs 1.25), week 8 (1.65 vs 1.40), week 12 (0.8 vs 2.05), week 24 (0.75 vs 3.35). Comparison of NRS during activity Dextrose Prolotherapy vs TA week 4 (4.45 vs 3.35), week 8 (3.25 vs 3.55), week 12 (2.55 vs 4.30), week 24 (2.55 vs 5.80). Comparison of ROM flexion Dextrose Prolotherapy vs TA week 4 (127.05° vs 123.60°), week 8 (130.85° vs 122.95°), week 12 (130.85° vs 122.95°), week 24 (131.05° vs 122.10°). Comparison of WOMAC score Dextrose Prolotherapy vs TA week 4 (30.05 vs 22.45), week 8 (22.90 vs 23.95), week 12 (19.30 vs 29.05), week 24 (18.95 vs 35.40). Intraarticular Injection Dextrose Prolotherapy is more effective for the long term based on pain scale NRS, WOMAC score and ROM. Whereas short-term TA is more effective than Dextrose Prolotherapy. Keyword : Osteoarthritis, Dextrose Prolotherapy, Triamcinolone Acetonide
膝骨关节炎(OA)是最常见的软骨退行性疾病之一，是一个主要问题，因为它会导致慢性疼痛和残疾。因此，治疗和预防老年的方法是一个很大的挑战。与曲安奈德治疗相比，葡萄糖前列洛治疗的研究结果仍存在差异。目的:比较葡萄糖prolove与曲安奈德(Triamcinolone Acetonide, TA)治疗中度膝关节炎的疗效。真正的实验性单盲研究，在麻琅的神经病学综合诊所赛弗·安华医生综合医院进行了6个月(2019年7月至12月)。组我;葡萄糖prololotherapy(15%)关节内注射3次，每4周和II组;TA一次性关节内注射。研究的参数是西安大略省和麦克马斯特大学骨关节炎指数(WOMAC)评分、数值评定量表(NRS)和活动范围(ROM)，第0、4、8、12和24周。40个样本包括;葡萄糖前驱治疗组20例:男:女= 2(10%):18(90%)，年龄62.4 + 7.28,BMI 25.6 + 3.69 kg / m2，疼痛持续时间22.35 + 20.10个月，物理治疗史40.27 + 20.79次。Kellgren-Lawrence骨关节炎严重程度II级;17 (85%)， III级3(15%)。助教组;男:女= 5(25%):15(75%)，年龄62.5 + 9.02，体重指数28.4 + 5.01 kg/m2，疼痛持续时间15.95 + 16.55个月，物理治疗史34 + 24.87次。Kellgren - Lawrence骨关节炎严重程度II级;18人(90%)，三级;2(10%)。葡萄糖前治疗与TA的静息NRS比较:第4周(2.60 vs 1.25)、第8周(1.65 vs 1.40)、第12周(0.8 vs 2.05)、第24周(0.75 vs 3.35)。活动葡萄糖前体治疗与TA第4周(4.45 vs 3.35)、第8周(3.25 vs 3.55)、第12周(2.55 vs 4.30)、第24周(2.55 vs 5.80)期间NRS的比较。ROM屈曲葡萄糖前疗法与TA的比较，第4周(127.05°vs 123.60°)，第8周(130.85°vs 122.95°)，第12周(130.85°vs 122.95°)，第24周(131.05°vs 122.10°)。葡萄糖前治疗与TA治疗的WOMAC评分比较:第4周(30.05 vs 22.45)、第8周(22.90 vs 23.95)、第12周(19.30 vs 29.05)、第24周(18.95 vs 35.40)。基于疼痛量表NRS、WOMAC评分和ROM，关节内注射葡萄糖前驱治疗长期更有效，而短期TA比葡萄糖前驱治疗更有效。关键词:骨关节炎，葡萄糖Prolotherapy，曲安奈德
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