Pub Date : 2017-08-30DOI: 10.4172/2167-0846.1000300
Y. River, Shelly Aharony
Background: Previous studies have shown that computerized mobilization of the cervical spine (CMCS) is safe and potentially effective treatment for chronic neck pain (CNP). Objective: The investigation of safety, clinical outcome, and changes of specific physiological parameters, in CNP patients, treated with individualized, 3-dimensional CMCS. Participants: Nine patients with CNP. Interventions: A cradle capable of CMCS was utilized. Each participant underwent individualized treatment sessions, lasting 20 min each, carried out biweekly over 6 weeks. Main Outcome Measurements: Pain visual analog scale (VAS), Neck disability index (NDI), pressure pain thresholds (PPT), cervical range of motion (CROM), joint position error (JPE), forward neck tilt (FNT), and flexion relaxation ratio (FRR). Results: Minor side effects encountered during the study. Comparing baseline measurements with measurements after treatment completion: VAS scores dropped by 2.3 points (p=0.04). NDI improved, but this improvement was not significant (p=0.086). CROM increased, on the average, by 11% but this increase was insignificant (p=0.061). JPE decreased from 2.88° to 1.14° (p<0.01). PPT increased from 1.27 kg/cm2 to 2.44 kg/cm2 (p=0.043). FNT insignificantly decreased from 20.36 cm to 19.02 cm (p=0.104). Left-sided FRR significantly increased (p=0.017). Conclusions: This study provides preliminary evidence that suggest that personalized, 3-dimensional, CMCS is a safe treatment. This novel treatment may positively change cervical neuromuscular control, and the processing of proprioceptive and nociceptive information.
{"title":"Personalized, 3-Dimensional, Computerized Mobilization of the Cervical Spine for the Treatment of Chronic Neck Pain - A Pilot Study","authors":"Y. River, Shelly Aharony","doi":"10.4172/2167-0846.1000300","DOIUrl":"https://doi.org/10.4172/2167-0846.1000300","url":null,"abstract":"Background: Previous studies have shown that computerized mobilization of the cervical spine (CMCS) is safe and potentially effective treatment for chronic neck pain (CNP). \u0000Objective: The investigation of safety, clinical outcome, and changes of specific physiological parameters, in CNP patients, treated with individualized, 3-dimensional CMCS. \u0000Participants: Nine patients with CNP. \u0000Interventions: A cradle capable of CMCS was utilized. Each participant underwent individualized treatment sessions, lasting 20 min each, carried out biweekly over 6 weeks. \u0000Main Outcome Measurements: Pain visual analog scale (VAS), Neck disability index (NDI), pressure pain thresholds (PPT), cervical range of motion (CROM), joint position error (JPE), forward neck tilt (FNT), and flexion relaxation ratio (FRR). \u0000Results: Minor side effects encountered during the study. Comparing baseline measurements with measurements after treatment completion: VAS scores dropped by 2.3 points (p=0.04). NDI improved, but this improvement was not significant (p=0.086). CROM increased, on the average, by 11% but this increase was insignificant (p=0.061). JPE decreased from 2.88° to 1.14° (p<0.01). PPT increased from 1.27 kg/cm2 to 2.44 kg/cm2 (p=0.043). FNT insignificantly decreased from 20.36 cm to 19.02 cm (p=0.104). Left-sided FRR significantly increased (p=0.017). \u0000Conclusions: This study provides preliminary evidence that suggest that personalized, 3-dimensional, CMCS is a safe treatment. This novel treatment may positively change cervical neuromuscular control, and the processing of proprioceptive and nociceptive information.","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76131231","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 : 2017-08-08DOI: 10.4172/2167-0846.1000299
S. Bayar, Q. Feng
Aim: The point of this study was to reflectively assess the analytic exactness of multi detector angiography as a different option for conventional coronary angiography in evaluating coronary artery disease. Materials and Methods: This review study selected 57 patients, who experienced both conventional coronary angiography (CCA), and additionally multi-detector computed coronary angiography (MDCT). Aggregate of 931 open segments were studied. Of which 95 portions indicated shifted level of stenosis, with 34 segments 70% stenosis. Results: The affectability and specificity of 64 slice MDCT for identifying stenosis in 70% are 78.57% and 99.34%; 81.08% and 99.33%; 87.5% and 99.78%. The positive predictive value (PPV) and negative predictive value (NPV) are 78.57% and 99.34%; 83.33% and 99.22%; 87.5% and 99.78% individually. Over all exact nesses are 88.95%, 90.2% and 93.64% separately. There was no critical contrast in analytic exactness between conventional coronary angiography and 64 slice computed tomography in moderate (50-70%) and additionally severe (>70%) stenosis (p>0.05). Be that as it may, critical contrast was found in gentle (<50%) stenosis (p<0.05). Conclusion: Indicative exactness of multi detector coronary angiography (MDCT) was found to be higher in moderate and extreme stenosis and can be utilized as a substitute to conventional coronary angiography (CCA).
{"title":"Comparison of Diagnostic Performance of Multi Detector CT Angiography with Conventional Coronary Angiography for Assessment of Coronary Artery Disease","authors":"S. Bayar, Q. Feng","doi":"10.4172/2167-0846.1000299","DOIUrl":"https://doi.org/10.4172/2167-0846.1000299","url":null,"abstract":"Aim: The point of this study was to reflectively assess the analytic exactness of multi detector angiography as a different option for conventional coronary angiography in evaluating coronary artery disease. \u0000Materials and Methods: This review study selected 57 patients, who experienced both conventional coronary angiography (CCA), and additionally multi-detector computed coronary angiography (MDCT). Aggregate of 931 open segments were studied. Of which 95 portions indicated shifted level of stenosis, with 34 segments 70% stenosis. \u0000Results: The affectability and specificity of 64 slice MDCT for identifying stenosis in 70% are 78.57% and 99.34%; 81.08% and 99.33%; 87.5% and 99.78%. The positive predictive value (PPV) and negative predictive value (NPV) are 78.57% and 99.34%; 83.33% and 99.22%; 87.5% and 99.78% individually. Over all exact nesses are 88.95%, 90.2% and 93.64% separately. There was no critical contrast in analytic exactness between conventional coronary angiography and 64 slice computed tomography in moderate (50-70%) and additionally severe (>70%) stenosis (p>0.05). Be that as it may, critical contrast was found in gentle (<50%) stenosis (p<0.05). \u0000Conclusion: Indicative exactness of multi detector coronary angiography (MDCT) was found to be higher in moderate and extreme stenosis and can be utilized as a substitute to conventional coronary angiography (CCA).","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"345 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74984583","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 : 2017-07-28DOI: 10.4172/2167-0846.1000298
A. Akbar
Chronic Daily Headache (CDH) and Medication overuse headaches (MOH) are important public health problems. CDH is defined as a headache occurring on 15 days or more per month over three month duration with a worldwide prevalence of 4%. MOH is a daily or near daily headache over 15 days a month that results from overuse of migraine abortive medications and is one of the most common chronic headache disorders (worldwide prevalence of 1-2%). A total of 56 patients were enrolled in the study. 51 patients completed a one month follow-up and 39 patients completed a two month follow-up. After informed consent, migraine specific quality of life questionnaire (MSQ 2.1) and patient rating of migraine specific measures were administered on the first day of treatment and at 5 and 10 weeks following completion of treatment. The protocol included IV DHE, IV magnesium, IV Decadron, IV Depacon based on standard factors identified by the headache specialist and as needed Toradol, Benadryl and anti-nausea medications headache frequency and severity was decreased. Migraine associated photophobia and phonophobia improved markedly (p<0.0001) and number of people needing abortive medication more than 10 days a month was reduced by 40%. The data provide evidence for the efficacy of scheduled outpatient intravenous therapy per the headache center protocol for CDH and suggests that patients experience diminished frequency and intensity of headaches with improved quality of life one month and two months post therapy. Outpatient settings and timings provided a more comfortable and time effective setting to patients and families with decrease visits to the emergency room with a will prove to be a more cost effective method of treatment.
{"title":"Scheduled Outpatient Intravenous Infusion per Headache Protocol and Effect on Migraine-related Quality of Life in Patients with Chronic Daily Headaches","authors":"A. Akbar","doi":"10.4172/2167-0846.1000298","DOIUrl":"https://doi.org/10.4172/2167-0846.1000298","url":null,"abstract":"Chronic Daily Headache (CDH) and Medication overuse headaches (MOH) are important public health problems. CDH is defined as a headache occurring on 15 days or more per month over three month duration with a worldwide prevalence of 4%. MOH is a daily or near daily headache over 15 days a month that results from overuse of migraine abortive medications and is one of the most common chronic headache disorders (worldwide prevalence of 1-2%). \u0000A total of 56 patients were enrolled in the study. 51 patients completed a one month follow-up and 39 patients completed a two month follow-up. After informed consent, migraine specific quality of life questionnaire (MSQ 2.1) and patient rating of migraine specific measures were administered on the first day of treatment and at 5 and 10 weeks following completion of treatment. The protocol included IV DHE, IV magnesium, IV Decadron, IV Depacon based on standard factors identified by the headache specialist and as needed Toradol, Benadryl and anti-nausea medications headache frequency and severity was decreased. Migraine associated photophobia and phonophobia improved markedly (p<0.0001) and number of people needing abortive medication more than 10 days a month was reduced by 40%. \u0000The data provide evidence for the efficacy of scheduled outpatient intravenous therapy per the headache center protocol for CDH and suggests that patients experience diminished frequency and intensity of headaches with improved quality of life one month and two months post therapy. Outpatient settings and timings provided a more comfortable and time effective setting to patients and families with decrease visits to the emergency room with a will prove to be a more cost effective method of treatment.","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73129999","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 : 2017-07-26DOI: 10.4172/2167-0846.1000297
A. Akbar
New daily persistent headache (NDPH) is defined as a persistent and daily headache from onset. It is a unique headache that typically seen in people without a prior history of headaches. New daily persistent headache (NDPH) is an often medication-refractory headache disorder, currently classified as a primary headache disorder. Several medications including Onabotulinum toxin injections and sphenopalatine ganglion block are currently under investigation and may provide a potential new effective treatment regimen. IV lidocaine has been used for the management of chronic daily headaches, trigeminal autonomic cephalalgias, neuropathic pain, oro-facial, and postoperative pain. We administered IV lidocaine with successful treatment of headache in a refractory NDPH pediatric patient.
{"title":"Response of Refractory New Daily Persistent Headache to Intravenous Lidocaine Treatment in a Pediatric Patient","authors":"A. Akbar","doi":"10.4172/2167-0846.1000297","DOIUrl":"https://doi.org/10.4172/2167-0846.1000297","url":null,"abstract":"New daily persistent headache (NDPH) is defined as a persistent and daily headache from onset. It is a unique headache that typically seen in people without a prior history of headaches. New daily persistent headache (NDPH) is an often medication-refractory headache disorder, currently classified as a primary headache disorder. Several medications including Onabotulinum toxin injections and sphenopalatine ganglion block are currently under investigation and may provide a potential new effective treatment regimen. IV lidocaine has been used for the management of chronic daily headaches, trigeminal autonomic cephalalgias, neuropathic pain, oro-facial, and postoperative pain. We administered IV lidocaine with successful treatment of headache in a refractory NDPH pediatric patient.","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76651998","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 : 2017-07-25DOI: 10.4172/2167-0846.1000295
Kountis, Gold Gl, Kountis Hm
Background: Chronic, axial lower back pain is most commonly caused by either inflammation of the lumbar facet joints or arthritic changes at the joints. Chronic low back pain is the number one cause of missed work and disability in the working population. The scientific literature demonstrates that when the medial branches are targeted for treatment, patients typically exhibit positive results. Radio frequency ablations of the spine have been utilized for many years with mixed results which vary due to operator dependence. We present a case report on the surgical intervention of a patient treated by transection of the medial branches visualized endoscopically. Methods: Transection of the medial branches of an adult male with facet hypertrophy confirmed at L5-S1 under magnetic resonance imaging following successful medial branch blocks of the L4 medial branch and L5 primary dorsal ramus. Results: Following transection of the medial branches, the patient’s pain decreased in severity and quality at 1 week follow-up. He was no longer utilizing oral analgesics and noted that his persistent morning pain and stiffness had ceased causing him pain. We conclude that compared to radio frequency ablation, the patient did not exhibit post-operative discomfort and pain and demonstrated accelerated recovery and return to work status.
{"title":"Transection of the Medial Branches Performed Endoscopically for Chronic, Axial Low Back Pain: A Case Report","authors":"Kountis, Gold Gl, Kountis Hm","doi":"10.4172/2167-0846.1000295","DOIUrl":"https://doi.org/10.4172/2167-0846.1000295","url":null,"abstract":"Background: Chronic, axial lower back pain is most commonly caused by either inflammation of the lumbar facet joints or arthritic changes at the joints. Chronic low back pain is the number one cause of missed work and disability in the working population. The scientific literature demonstrates that when the medial branches are targeted for treatment, patients typically exhibit positive results. Radio frequency ablations of the spine have been utilized for many years with mixed results which vary due to operator dependence. We present a case report on the surgical intervention of a patient treated by transection of the medial branches visualized endoscopically. \u0000Methods: Transection of the medial branches of an adult male with facet hypertrophy confirmed at L5-S1 under magnetic resonance imaging following successful medial branch blocks of the L4 medial branch and L5 primary dorsal ramus. \u0000Results: Following transection of the medial branches, the patient’s pain decreased in severity and quality at 1 week follow-up. He was no longer utilizing oral analgesics and noted that his persistent morning pain and stiffness had ceased causing him pain. We conclude that compared to radio frequency ablation, the patient did not exhibit post-operative discomfort and pain and demonstrated accelerated recovery and return to work status.","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75139961","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 : 2017-07-25DOI: 10.4172/2167-0846.1000296
M. Pereira, F. Moreira, Rayssa Fernandes Souza Coelho, Allyson Coelho Ribeiro, A. Martins, José Hugo Andrade Santos Dantas, Isadora Costa Coelho Gayoso-Almendra, Í. A. Brandão, J. L. Gomes, Kamilla Gomes Sales Souza, L. Leal, Luís Gustavo Silva Bacelar Andrade, Vanessa Nepomuceno Fonseca Meneses, Luara Lis Barbosa Boson, L. A. Oliveira, A. Soares, R. Silva-Néto
Bath-related headache (BRH) is a rare headache disorder described initially by Negoro et al. It is characterized by developing while the patient is bathing in hot water or immersion in a hot bath. We report a case a 63-year-old Brazilian woman who presented several episodes of intense throbbing headache that developed during a hot shower. Neurological examination and brain imaging showed no abnormality. The headache did not recur after the patient avoided bathing in hot water. Hot bath-related headache is a benign headache unassociated with a structural lesion.
{"title":"Bath-Related Headache-The Second Case in South America","authors":"M. Pereira, F. Moreira, Rayssa Fernandes Souza Coelho, Allyson Coelho Ribeiro, A. Martins, José Hugo Andrade Santos Dantas, Isadora Costa Coelho Gayoso-Almendra, Í. A. Brandão, J. L. Gomes, Kamilla Gomes Sales Souza, L. Leal, Luís Gustavo Silva Bacelar Andrade, Vanessa Nepomuceno Fonseca Meneses, Luara Lis Barbosa Boson, L. A. Oliveira, A. Soares, R. Silva-Néto","doi":"10.4172/2167-0846.1000296","DOIUrl":"https://doi.org/10.4172/2167-0846.1000296","url":null,"abstract":"Bath-related headache (BRH) is a rare headache disorder described initially by Negoro et al. It is characterized by developing while the patient is bathing in hot water or immersion in a hot bath. We report a case a 63-year-old Brazilian woman who presented several episodes of intense throbbing headache that developed during a hot shower. Neurological examination and brain imaging showed no abnormality. The headache did not recur after the patient avoided bathing in hot water. Hot bath-related headache is a benign headache unassociated with a structural lesion.","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78636477","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 : 2017-07-17DOI: 10.4172/2167-0846.1000294
S. Chang
Complex regional pain syndrome is a severe chronic pain condition. Its diagnosis to date is controversial. Effects of various treatment methods also remain controversial with unpredictable outcomes. The author experienced a case of complex regional pain syndrome type 2 which was cured by sympathetic blockade and myofascial trigger point injection. Afterwards, the author focused on myofascial trigger points for the management of CRPS and the results were successful in almost all the cases. Through the review of complex regional pain syndrome cases those were successfully treated, the author tried to figure out pathologic mechanism, methods of treatment, and diagnostic criteria of complex regional pain syndrome.
{"title":"Complex Regional Pain Syndrome is a Manifestation of the Worsened Myofascial Pain Syndrome: Case Review","authors":"S. Chang","doi":"10.4172/2167-0846.1000294","DOIUrl":"https://doi.org/10.4172/2167-0846.1000294","url":null,"abstract":"Complex regional pain syndrome is a severe chronic pain condition. Its diagnosis to date is controversial. Effects of various treatment methods also remain controversial with unpredictable outcomes. The author experienced a case of complex regional pain syndrome type 2 which was cured by sympathetic blockade and myofascial trigger point injection. Afterwards, the author focused on myofascial trigger points for the management of CRPS and the results were successful in almost all the cases. Through the review of complex regional pain syndrome cases those were successfully treated, the author tried to figure out pathologic mechanism, methods of treatment, and diagnostic criteria of complex regional pain syndrome.","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84005703","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 : 2017-06-20DOI: 10.4172/2167-0846.1000292
A. Ahmed, H. Ali, O. Helal, Tarek Sobhi
Objective: The aim of this work is to compare between thoracic epidural anesthesia (TEA) and segmental thoracic spinal anesthesia (TSA) conducted for breast surgeries as regard to hemodynamic changes (blood pressure, heart rate, oxygen saturation, ETCO2), postoperative pain control, postoperative analgesic requirements, surgeon satisfaction, postoperative ambulation time and perioperative complication. Setting: Al-Hussein and Sayed Galal hospitals. Patients and Methods: This work was done upon 40 female patient undergoing breast surgeries. Patients were divided randomly into 2 equal groups according to the type of anesthetic technique had been chosen. Group I were anaesthetized by thoracic epidural anesthesia and group II by segmental thoracic spinal anesthesia. Results: Recovery and ambulation time was more or less equal in the both groups. This is important since the patient can readily return to her family and social environment and can decrease the cost of the procedure, although this was not specifically assessed in this study. Post-operative pain was compared at the time 0, 1, 2, 4 and 8 hour by using VAS. Conclusion: We found that epidural blockade a preferred choice of anesthetic management for breast surgery.
{"title":"Comparative Study between Continuous Thoracic Epidural vs. Thoracic Spinal Anaesthesia in Breast Surgery","authors":"A. Ahmed, H. Ali, O. Helal, Tarek Sobhi","doi":"10.4172/2167-0846.1000292","DOIUrl":"https://doi.org/10.4172/2167-0846.1000292","url":null,"abstract":"Objective: The aim of this work is to compare between thoracic epidural anesthesia (TEA) and segmental thoracic spinal anesthesia (TSA) conducted for breast surgeries as regard to hemodynamic changes (blood pressure, heart rate, oxygen saturation, ETCO2), postoperative pain control, postoperative analgesic requirements, surgeon satisfaction, postoperative ambulation time and perioperative complication. \u0000Setting: Al-Hussein and Sayed Galal hospitals. \u0000Patients and Methods: This work was done upon 40 female patient undergoing breast surgeries. Patients were divided randomly into 2 equal groups according to the type of anesthetic technique had been chosen. Group I were anaesthetized by thoracic epidural anesthesia and group II by segmental thoracic spinal anesthesia. \u0000Results: Recovery and ambulation time was more or less equal in the both groups. This is important since the patient can readily return to her family and social environment and can decrease the cost of the procedure, although this was not specifically assessed in this study. Post-operative pain was compared at the time 0, 1, 2, 4 and 8 hour by using VAS. \u0000Conclusion: We found that epidural blockade a preferred choice of anesthetic management for breast surgery.","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76088753","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 : 2017-05-31DOI: 10.4172/2167-0846.1000291
Y. Yamazaki, Maya Sakamoto, H. Imura, M. Shimada
A 68-year-old man underwent extraction of a left mandibular third molar and the mesial root of the left mandibular first molar by a dentist in November 2014 after suddenly developing toothache. In May 2015, he visited our clinic complaining of episodes of persistent pain in the left mandibular first molar, but could not give a clear description of the pain. Evoked pain was absent and there were no abnormal findings on a dental panoramic radiograph. The patient’s pain was diagnosed as atypical odontalgia of the left mandibular third molar and treated with Rikkosan (TJ-110) 2.5 g, followed by 3 times daily dosing. His pain resolved after 6 weeks and the treatment was stopped. In October 2015, the patient returned to the clinic with left mandibular pain suggestive of trigeminal neuralgia. Magnetic resonance imaging of the head confirmed neurovascular compression of the left trigeminal nerve root entry zone. Carbamazepine and baclofen treatment relieved the pain effectively, but were stopped because of side effects. Microvascular decompression surgery was performed in January 2016 and the pain resolved completely. The efficacy of carbamazepine and microvascular decompression surgery in this patient confirmed a diagnosis of trigeminal neuralgia and that this patient’s initial toothache was attributable to pre-trigeminal neuralgia. Pretrigeminal neuralgia should be borne in mind in patients presenting with atypical odontalgia, and their pain should be monitored for changes occurring over time.
{"title":"Pre-Trigeminal Neuralgia Similar to Atypical Odontalgia: A Case Report","authors":"Y. Yamazaki, Maya Sakamoto, H. Imura, M. Shimada","doi":"10.4172/2167-0846.1000291","DOIUrl":"https://doi.org/10.4172/2167-0846.1000291","url":null,"abstract":"A 68-year-old man underwent extraction of a left mandibular third molar and the mesial root of the left mandibular \u0000 first molar by a dentist in November 2014 after suddenly developing toothache. In May 2015, he visited our clinic \u0000 complaining of episodes of persistent pain in the left mandibular first molar, but could not give a clear description of \u0000 the pain. Evoked pain was absent and there were no abnormal findings on a dental panoramic radiograph. The \u0000 patient’s pain was diagnosed as atypical odontalgia of the left mandibular third molar and treated with Rikkosan \u0000 (TJ-110) 2.5 g, followed by 3 times daily dosing. His pain resolved after 6 weeks and the treatment was stopped. In \u0000 October 2015, the patient returned to the clinic with left mandibular pain suggestive of trigeminal neuralgia. Magnetic \u0000 resonance imaging of the head confirmed neurovascular compression of the left trigeminal nerve root entry zone. \u0000 Carbamazepine and baclofen treatment relieved the pain effectively, but were stopped because of side effects. \u0000 Microvascular decompression surgery was performed in January 2016 and the pain resolved completely. The \u0000 efficacy of carbamazepine and microvascular decompression surgery in this patient confirmed a diagnosis of \u0000 trigeminal neuralgia and that this patient’s initial toothache was attributable to pre-trigeminal neuralgia. Pretrigeminal \u0000 neuralgia should be borne in mind in patients presenting with atypical odontalgia, and their pain should be \u0000 monitored for changes occurring over time.","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74011432","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 : 2017-05-26DOI: 10.4172/2167-0846.1000290
Almir Atiković, Muhamed Tabaković, Žarko Kostovski, Jasmin Zahirović, S. Kalinski, Jasmin Bilalić, A. Kurt
Background: Physical inactivity and intensive sports activity have been found to be associated with LBP. The aim of this study is the presents the data about the prevalence of LBP in young adults and its associations with vitality, physical activity and emotions. We also studied the impact of low back pain on daily activity. The study sample presented (n=323) students from the Former Yugoslav Republic of Macedonia and Bosnia and Herzegovina in the chronological age of 21.06 ± 1.93 years. The current study assessed the level of LBP amongst students of Faculty of Sport with the level of physical activity in last six months. Methods: We used the questionnaire, which included the Graded Chronic Pain Scale (GCPS) for the evaluation of levels of chronic pain. With a Short Health Survey (SF-36) we tried to measure the health status. Results: A total of (n=323) of all students had pain intensity at some point in last six months. All students reported (n=236, 73.0%) prevalence of LBP. In this study body mass index, level of physical activity were not significant independent predictors of intensity and disability scores. Conclusion: 3/4 of all respondents said to have had any episode LBP. The results of our study can be used by officials in the area of prevention to support efforts to improve health of the student population and to reduce the LBP risk.
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