Pub Date : 2022-03-01DOI: 10.21776/ub.jphv.2022.003.01.1
Ophthalmoplegia is defined as a consequence of multiple cranial nerve paralysis innervated the extraocular muscles. The impairment of ophthalmic branch of trigeminal nerve will create a painful condition. Numerous underlying mechanism have been proposed related to painful ophthalmoplegia and carotid-cavernous fistula is one of the main causes with sight and life threatening outcome if left untreated. Carotid-cavernous fistula arises as an abnormal communication between carotid artery and cavernous sinus. Important signs and symptoms of carotid-cavernous fistula may include red eye, proptosis, painful ophthalmoplegia, headache and vision loss. Neuroimaging and angiography are mandatory in diagnosing the disease. Systematized approach and early recognition to the evaluation of carotid-cavernous fistula will lead to prompt management in avoiding morbidity and mortality in severe cases.
{"title":"PAINFUL OPHTHALMOPLEGIA IN CAROTID-CAVERNOUS FISTULA","authors":"","doi":"10.21776/ub.jphv.2022.003.01.1","DOIUrl":"https://doi.org/10.21776/ub.jphv.2022.003.01.1","url":null,"abstract":"Ophthalmoplegia is defined as a consequence of multiple cranial nerve paralysis innervated the extraocular muscles. The impairment of ophthalmic branch of trigeminal nerve will create a painful condition. Numerous underlying mechanism have been proposed related to painful ophthalmoplegia and carotid-cavernous fistula is one of the main causes with sight and life threatening outcome if left untreated. Carotid-cavernous fistula arises as an abnormal communication between carotid artery and cavernous sinus. Important signs and symptoms of carotid-cavernous fistula may include red eye, proptosis, painful ophthalmoplegia, headache and vision loss. Neuroimaging and angiography are mandatory in diagnosing the disease. Systematized approach and early recognition to the evaluation of carotid-cavernous fistula will lead to prompt management in avoiding morbidity and mortality in severe cases.","PeriodicalId":126692,"journal":{"name":"JPHV (Journal of Pain, Vertigo and Headache)","volume":"23 6 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":"128904695","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 : 2022-03-01DOI: 10.21776/ub.jphv.2022.003.01.5
Hardi Adiyatma, Shahdevi Nandar Kurniawan
Piriformis syndrome is a disease characterized by inflammation of the peripheral nerves in the sciatic nerve caused by abnormal conditions in the piriformis muscle. Piriformis syndrome is caused by excessive or excessive contraction of the piriformis muscle. Piriformis syndrome is underdiagnosed and considered as common back pain and causes 6% of similar symptoms to Low Back Pain (LBP) and the incidence rates in LBP patients varying, from 5% to 36%. The incidence of PS is about 2.4 million new cases each year and it is more common in women than men. Piriformis syndrome usually happened in the 4th and 5th decades of life. There are various variations of the relationship between the sciatic nerve and the piriformis muscle where this anatomical shape is a risk factor for piriformis syndrome. The diagnosis of piriformis using functional (Fair Test, Beatty Maneuver, Modified Beatty Maneuver, Pace Test, Freiberg Test, Braggard Test, Straight Leg Raise Test, Bonnet Test, Micrine Test) and imaging modalities (USG, EMG, CT-Scan, MRI). The management of piriformis syndrome is carried out in the order of warning management, medical management, physical therapy, steroid spraying, botulinum spraying, and surgical technique. The prognosis of piriformis syndrome depends on the severe condition of each patient, a study reports that even patients who have undergone surgery can still get piriformis syndrome again
{"title":"PIRIFORMIS SYNDROME","authors":"Hardi Adiyatma, Shahdevi Nandar Kurniawan","doi":"10.21776/ub.jphv.2022.003.01.5","DOIUrl":"https://doi.org/10.21776/ub.jphv.2022.003.01.5","url":null,"abstract":"Piriformis syndrome is a disease characterized by inflammation of the peripheral nerves in the sciatic nerve caused by abnormal conditions in the piriformis muscle. Piriformis syndrome is caused by excessive or excessive contraction of the piriformis muscle. Piriformis syndrome is underdiagnosed and considered as common back pain and causes 6% of similar symptoms to Low Back Pain (LBP) and the incidence rates in LBP patients varying, from 5% to 36%. The incidence of PS is about 2.4 million new cases each year and it is more common in women than men. Piriformis syndrome usually happened in the 4th and 5th decades of life. There are various variations of the relationship between the sciatic nerve and the piriformis muscle where this anatomical shape is a risk factor for piriformis syndrome. The diagnosis of piriformis using functional (Fair Test, Beatty Maneuver, Modified Beatty Maneuver, Pace Test, Freiberg Test, Braggard Test, Straight Leg Raise Test, Bonnet Test, Micrine Test) and imaging modalities (USG, EMG, CT-Scan, MRI). The management of piriformis syndrome is carried out in the order of warning management, medical management, physical therapy, steroid spraying, botulinum spraying, and surgical technique. The prognosis of piriformis syndrome depends on the severe condition of each patient, a study reports that even patients who have undergone surgery can still get piriformis syndrome again","PeriodicalId":126692,"journal":{"name":"JPHV (Journal of Pain, Vertigo and Headache)","volume":"1 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":"124397888","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: Stroke patients generally have disorders related to decreased functionality, motor disturbances being the most common. One symptom of stroke is sudden weakness of one side of the body on the face, arms and legs. Central post-stroke pain is a condition of central neuropathic pain arising directly from lesions of the cerebrovascular central somatosensory nervous system. Mirror therapy is a non-pharmacological therapy in the form of imaging of the limbs, where a mirror medium is used to convey visual stimulation to the brain through observing body parts of patients who are not disabled while doing a series of movements. Mirror therapy helps in reducing disability in the limbs of stroke patients and as a treatment. for post-stroke central pain, thereby helping to improve functional limbs and shorten the rehabilitation period. Summary of case: A 54-year-old man with painful spastic left hand has been diagnosed with infarct stroke in the right thalamus 2 years ago. Mirror therapy has been done for two weeks, precisely six days per week with a duration about 30 minutes. Mirror therapy is done by using a mirror media that is placed on both arms and hands of the patient symmetrically and the patient observes the reflection of a healthy limb through flexion, extension, finger counts, and grasping objects. Visual Analogue Scale (VAS Score) is used to measure the level of pain before and after mirror therapy. After one month of mirror therapy the patient experienced an increase in motor function and decrease in pain scale. Conclusion: Mirror therapy is a promising non-pharmacological method in reducing disability and central pain after stroke.
背景:脑卒中患者通常有与功能下降相关的疾病，运动障碍是最常见的。中风的症状之一是面部、手臂和腿部的一侧身体突然无力。中枢性脑卒中后疼痛是一种由脑血管中枢体感神经系统损伤直接引起的中枢神经性疼痛。镜像疗法是一种肢体成像形式的非药物疗法，通过观察非残疾患者的身体部位，同时做一系列动作，利用镜像介质向大脑传递视觉刺激。镜像疗法有助于减少中风患者的肢体残疾，并作为一种治疗方法。用于中风后中枢性疼痛，从而有助于改善肢体功能，缩短康复期。病例总结:一名54岁男性，左手疼痛痉挛，2年前被诊断为右丘脑梗死性脑卒中。镜像疗法已经进行了两周，每周6天，持续时间约为30分钟。镜像疗法是将镜像介质对称放置在患者的双臂和双手上，患者通过屈曲、伸展、手指计数和抓握物体来观察健康肢体的反射。采用视觉模拟评分法(Visual Analogue Scale, VAS Score)衡量镜像治疗前后的疼痛程度。经过一个月的镜像治疗，患者运动功能增强，疼痛程度减轻。结论:镜像疗法是一种很有前途的减轻脑卒中后致残和中枢性疼痛的非药物治疗方法。
{"title":"EFFECT OF MIRROR THERAPY THROUGH FUNCTIONAL ACTIVITIES TO IMPROVE MOVEMENT AS CENTRAL POST-STROKE PAIN TREATMENT: A CASE REPORT","authors":"Wahyuni Ramadhani Suaib, Shahdevi Nandar Kurniawan","doi":"10.21776/ub.jphv.2022.003.01.4","DOIUrl":"https://doi.org/10.21776/ub.jphv.2022.003.01.4","url":null,"abstract":"Background: Stroke patients generally have disorders related to decreased functionality, motor disturbances being the most common. One symptom of stroke is sudden weakness of one side of the body on the face, arms and legs. Central post-stroke pain is a condition of central neuropathic pain arising directly from lesions of the cerebrovascular central somatosensory nervous system. Mirror therapy is a non-pharmacological therapy in the form of imaging of the limbs, where a mirror medium is used to convey visual stimulation to the brain through observing body parts of patients who are not disabled while doing a series of movements. Mirror therapy helps in reducing disability in the limbs of stroke patients and as a treatment. for post-stroke central pain, thereby helping to improve functional limbs and shorten the rehabilitation period. Summary of case: A 54-year-old man with painful spastic left hand has been diagnosed with infarct stroke in the right thalamus 2 years ago. Mirror therapy has been done for two weeks, precisely six days per week with a duration about 30 minutes. Mirror therapy is done by using a mirror media that is placed on both arms and hands of the patient symmetrically and the patient observes the reflection of a healthy limb through flexion, extension, finger counts, and grasping objects. Visual Analogue Scale (VAS Score) is used to measure the level of pain before and after mirror therapy. After one month of mirror therapy the patient experienced an increase in motor function and decrease in pain scale. Conclusion: Mirror therapy is a promising non-pharmacological method in reducing disability and central pain after stroke.","PeriodicalId":126692,"journal":{"name":"JPHV (Journal of Pain, Vertigo and Headache)","volume":"63 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":"114962204","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 : 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.2021.002.02.3
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 : 2021-09-01DOI: 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 : 2021-03-01DOI: 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}
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