Pub Date : 2007-12-01DOI: 10.1179/016911107X12489616588394
L. Saberski, F. Burgess
AbstractIn this article, we present new technologies that carry the potential of altering delivery of pain management in the areas they subserve. Further study is needed for each of these technologies, but mention is important since several are options today while others will be available for clinical study.
{"title":"Technologies that may play a role in future pain care","authors":"L. Saberski, F. Burgess","doi":"10.1179/016911107X12489616588394","DOIUrl":"https://doi.org/10.1179/016911107X12489616588394","url":null,"abstract":"AbstractIn this article, we present new technologies that carry the potential of altering delivery of pain management in the areas they subserve. Further study is needed for each of these technologies, but mention is important since several are options today while others will be available for clinical study.","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"1 1","pages":"255-262"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88678457","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 : 2007-12-01DOI: 10.1179/016911107X12489616588510
B. Usta, B. Muslu, M. Gozdemir, H. Sert, R. Demircioglu, A. Ilhan
AbstractSupra-orbital neuralgia is an uncommon disorder specified by severe pain in the frontal region of the head and originates from the supra-orbital nerve. Supra-orbital neuralgia is defined as tenderness and pain above nerves that can be abolished easily by a local anesthetic blockade. Conventional radiofrequency (CRF) application has been used for trigeminal neuralgia for years and it is an ablative method but pulsed radiofrequency (PRF) is not. Many clinical studies have shown that PRF is safer than conventional radiofrequency but as effective. Although there are many trials on the relief of pain due to gonarthrosis and lumbar facet hypertrophy showed that PRF application is not only safe but effective, few previous studies have evaluated the efficacy and safety of PRF for supra-orbital nerve treatment. There is need for high-quality, controlled, clinical studies evaluating the long-term effects of this technique to supra-orbital neuralgia.
{"title":"An unusual case: supra-orbital neuralgia treated successfully by pulsed radiofrequency application","authors":"B. Usta, B. Muslu, M. Gozdemir, H. Sert, R. Demircioglu, A. Ilhan","doi":"10.1179/016911107X12489616588510","DOIUrl":"https://doi.org/10.1179/016911107X12489616588510","url":null,"abstract":"AbstractSupra-orbital neuralgia is an uncommon disorder specified by severe pain in the frontal region of the head and originates from the supra-orbital nerve. Supra-orbital neuralgia is defined as tenderness and pain above nerves that can be abolished easily by a local anesthetic blockade. Conventional radiofrequency (CRF) application has been used for trigeminal neuralgia for years and it is an ablative method but pulsed radiofrequency (PRF) is not. Many clinical studies have shown that PRF is safer than conventional radiofrequency but as effective. Although there are many trials on the relief of pain due to gonarthrosis and lumbar facet hypertrophy showed that PRF application is not only safe but effective, few previous studies have evaluated the efficacy and safety of PRF for supra-orbital nerve treatment. There is need for high-quality, controlled, clinical studies evaluating the long-term effects of this technique to supra-orbital neuralgia.","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"12 1","pages":"277-280"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82327094","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 : 2007-12-01DOI: 10.1179/016911107X12489616588475
A. Sullivan
AbstractChronic pain contributes to social, emotional, physical and economical loses, and accounts for over US$100 billion in treatment-related costs and lost work productivity. With pain patient's functional decline, physical activity frequently ceases due to temporary increases in pain and/or fear of reinjury, leading to a vicious deconditioning cycle of discontinuation of inactivity, weight gain, increased pain, and functional decline. The current treatments of choice for chronic pain is pharmacological management (which may not be a sufficient) and a holistic approach. With this decade being congressionally declared the 'Decade of Pain Control and Research', it is important to increase public health awareness of the significance of physical activity, as well as examine additional cost-effective, integrated approaches to help manage the complex and debilitating effects of this condition. This article reviews the current state of evidence on exercise and subsequent weight loss as an adjunctive therapy t...
{"title":"Role of exercise in managing chronic pain","authors":"A. Sullivan","doi":"10.1179/016911107X12489616588475","DOIUrl":"https://doi.org/10.1179/016911107X12489616588475","url":null,"abstract":"AbstractChronic pain contributes to social, emotional, physical and economical loses, and accounts for over US$100 billion in treatment-related costs and lost work productivity. With pain patient's functional decline, physical activity frequently ceases due to temporary increases in pain and/or fear of reinjury, leading to a vicious deconditioning cycle of discontinuation of inactivity, weight gain, increased pain, and functional decline. The current treatments of choice for chronic pain is pharmacological management (which may not be a sufficient) and a holistic approach. With this decade being congressionally declared the 'Decade of Pain Control and Research', it is important to increase public health awareness of the significance of physical activity, as well as examine additional cost-effective, integrated approaches to help manage the complex and debilitating effects of this condition. This article reviews the current state of evidence on exercise and subsequent weight loss as an adjunctive therapy t...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"28 1","pages":"263-269"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91052013","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 : 2007-12-01DOI: 10.1179/016911107X12489616588439
T. Fukushige, T. Kano, Tae Kimura, S. Yamada, Yosuke Yamamoto, T. Sano, Y. Wada
Abstract Objectives: Epidural phenol neurolysis for severe cancer pain has been linked to complications such as paraplegia and urinary incontinence. Given the ease of administration of epidural injections, proof of the safety and efficacy of epidural phenol injection would increase the popularity of this procedure for cancer pain relief. This study was conducted to evaluate the analgesic effects and histopathological changes in the spinal nervous system of rabbits after epidural administration of phenol. Materials and methods: Under pentobarbital anesthesia, percutaneous epidural catheterization at the level of the L6–L7 lumbar interspace was conducted in 16 rabbits. After epidurography using 0.3 ml of iopamidol, 0.3 ml of 7% phenol in saline was injected through the catheter into the epidural space of 15 rabbits, and 0.3 ml saline was epidurally injected in one rabbit serving as control. Motor function and analgesia were investigated on days 1 and 14. On day 14, the spinal cords were resected and process...
目的:硬膜外酚神经松解术治疗严重癌性疼痛可能导致截瘫和尿失禁等并发症。鉴于硬膜外注射的易用性，硬膜外苯酚注射的安全性和有效性的证明将增加这种治疗癌症疼痛的普及。本研究旨在探讨硬膜外给药苯酚对家兔脊髓神经系统的镇痛作用及组织病理学改变。材料与方法:在戊巴比妥麻醉下，对16只家兔L6-L7腰椎间隙行经皮硬膜外置管。经0.3 ml iopamidol硬膜外造影后，将0.3 ml 7%苯酚生理盐水经导管注入15只家兔的硬膜外腔，并在1只家兔的硬膜外注射0.3 ml生理盐水作为对照组。第1天和第14天观察运动功能和镇痛情况。在第14天，脊髓被切除，处理…
{"title":"Neurological and histopathological effects of epidural phenol neurolysis in the rabbit","authors":"T. Fukushige, T. Kano, Tae Kimura, S. Yamada, Yosuke Yamamoto, T. Sano, Y. Wada","doi":"10.1179/016911107X12489616588439","DOIUrl":"https://doi.org/10.1179/016911107X12489616588439","url":null,"abstract":"Abstract Objectives: Epidural phenol neurolysis for severe cancer pain has been linked to complications such as paraplegia and urinary incontinence. Given the ease of administration of epidural injections, proof of the safety and efficacy of epidural phenol injection would increase the popularity of this procedure for cancer pain relief. This study was conducted to evaluate the analgesic effects and histopathological changes in the spinal nervous system of rabbits after epidural administration of phenol. Materials and methods: Under pentobarbital anesthesia, percutaneous epidural catheterization at the level of the L6–L7 lumbar interspace was conducted in 16 rabbits. After epidurography using 0.3 ml of iopamidol, 0.3 ml of 7% phenol in saline was injected through the catheter into the epidural space of 15 rabbits, and 0.3 ml saline was epidurally injected in one rabbit serving as control. Motor function and analgesia were investigated on days 1 and 14. On day 14, the spinal cords were resected and process...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"16 1","pages":"281-285"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74622161","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 : 2007-12-01DOI: 10.1179/016911107X12489616588673
L. Saberski
{"title":"Pain and the deceptive disconnect","authors":"L. Saberski","doi":"10.1179/016911107X12489616588673","DOIUrl":"https://doi.org/10.1179/016911107X12489616588673","url":null,"abstract":"","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"28 6 1","pages":"253-254"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74604626","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 : 2007-12-01DOI: 10.1179/016911107X12489616588592
H. Alfredson
Regenerative injection therapy for chronic painful tendinosis with polidocanol and ultrasound/Doppler guidance
超声/多普勒引导下再生注射治疗慢性疼痛性肌腱病
{"title":"Regenerative injection therapy for chronic painful tendinosis with polidocanol and ultrasound/Doppler guidance","authors":"H. Alfredson","doi":"10.1179/016911107X12489616588592","DOIUrl":"https://doi.org/10.1179/016911107X12489616588592","url":null,"abstract":"Regenerative injection therapy for chronic painful tendinosis with polidocanol and ultrasound/Doppler guidance","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"236 1","pages":"271-276"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86698323","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 : 2007-12-01DOI: 10.1179/016911107X12489616588637
H. Kim, S. Park, H. Joy, I. Park, J. Ryu, Han-Seung Ryu, S. Kim, C. Ju, K. Lim, D. Jo
Abstract Introduction: Osteoporotic vertebral compression fractures (VCFs) in the elderly patient can cause significant pain and lead to restrictions in daily life activities. Augmentation procedures (vertebroplasty and kyphoplasty) have been reported as a standard treatment of VCFs in cases of unresponsiveness to conservative treatment. However, patients who have remnant pain after augmentation procedures are a challenge to doctors and require the definite treatment. We have injected hyperosmolar dextrose solution into the lumbosacral medial branch and bilateral sacro-iliac joint for remnant buttock pain and report our results. Patients and methods: Thirty-six patients with remnant pain were identified after augmentation procedures on 321 patients. Remnant pain was defined as occurring when patients complained of pain 2 days postoperatively. Patients were treated with bilateral lumbosacral (L4, L5, S1) medial branch injections and bilateral sacro-iliac joint injection using hyperosmolar dextrose solution...
{"title":"Hyperosmolar dextrose solution injection on lumbosacral medial branch and bilateral sacro-iliac joint for remnant buttock pain after vertebral augmentation procedures","authors":"H. Kim, S. Park, H. Joy, I. Park, J. Ryu, Han-Seung Ryu, S. Kim, C. Ju, K. Lim, D. Jo","doi":"10.1179/016911107X12489616588637","DOIUrl":"https://doi.org/10.1179/016911107X12489616588637","url":null,"abstract":"Abstract Introduction: Osteoporotic vertebral compression fractures (VCFs) in the elderly patient can cause significant pain and lead to restrictions in daily life activities. Augmentation procedures (vertebroplasty and kyphoplasty) have been reported as a standard treatment of VCFs in cases of unresponsiveness to conservative treatment. However, patients who have remnant pain after augmentation procedures are a challenge to doctors and require the definite treatment. We have injected hyperosmolar dextrose solution into the lumbosacral medial branch and bilateral sacro-iliac joint for remnant buttock pain and report our results. Patients and methods: Thirty-six patients with remnant pain were identified after augmentation procedures on 321 patients. Remnant pain was defined as occurring when patients complained of pain 2 days postoperatively. Patients were treated with bilateral lumbosacral (L4, L5, S1) medial branch injections and bilateral sacro-iliac joint injection using hyperosmolar dextrose solution...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"93 1","pages":"293-297"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79590083","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 : 2007-12-01DOI: 10.1179/016911107X12489616588556
K. Doi, H. Kushizaki, Yoji Saito
Abstract Introduction: High thoracic or cervical epidural analgesia (HTCEA) causes motor paralysis of the diaphragm and intercostal muscles, and impairs ventilatory parameters. Despite many reports about pulmonary dysfunction under HTCEA, little information is available on estimating the time course and degree of ventilatory impairment when different concentrations of lidocaine are administered. We performed this study to clarify how different concentrations of lidocaine used in upper-thoracic epidural anesthesia affect patients' ventilatory impairment. Patients and methods: Ten patients scheduled for epidural catheterization to treat their pain were enrolled. Epidural catheterization was established between the C7 and T3 intervertebral spaces. Using a cross-over design, each subject was randomly assigned to one of two groups. A single shot of 10 ml of lidocaine was injected through each patient's catheter on three consecutive days: day 1, the day after the catheter had been inserted; day 2, the day follo...
{"title":"Effect of high thoracic or cervical epidural analgesia with lidocaine on pulmonary function","authors":"K. Doi, H. Kushizaki, Yoji Saito","doi":"10.1179/016911107X12489616588556","DOIUrl":"https://doi.org/10.1179/016911107X12489616588556","url":null,"abstract":"Abstract Introduction: High thoracic or cervical epidural analgesia (HTCEA) causes motor paralysis of the diaphragm and intercostal muscles, and impairs ventilatory parameters. Despite many reports about pulmonary dysfunction under HTCEA, little information is available on estimating the time course and degree of ventilatory impairment when different concentrations of lidocaine are administered. We performed this study to clarify how different concentrations of lidocaine used in upper-thoracic epidural anesthesia affect patients' ventilatory impairment. Patients and methods: Ten patients scheduled for epidural catheterization to treat their pain were enrolled. Epidural catheterization was established between the C7 and T3 intervertebral spaces. Using a cross-over design, each subject was randomly assigned to one of two groups. A single shot of 10 ml of lidocaine was injected through each patient's catheter on three consecutive days: day 1, the day after the catheter had been inserted; day 2, the day follo...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"67 1","pages":"287-291"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91298811","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 : 2007-10-01DOI: 10.1179/016911107X396871
Yücel Yildirim, Gülay Merde, Ş. Toprak, E. Yalcyn, A. Irmak
Abstract Objectives: This study explored how patients with back and knee pain perceived a home exercise programme consisting of isometric and isotonic components using three different prescription methods – brochure, verbal and non-verbal videotapes. Patients and methods: Thirty patients with non-specific low-back pain and knee pain were referred to the physical therapy department for exercise therapy. Subjects were randomly assigned to brochure group, non-verbal group, and verbal videotape group. Each group performed the isometric and isotonic exercises according to assigned instructions. An Exercise Assessment Scale was also developed to measure exercise performance for this study. Results: All demographic parameters were homogeneous in three groups. Isotonic exercises were more effective than isometric exercises in all three prescription methods. The Exercise Assessment Scale showed that the starting positions to both isometric and isotonic exercises were the same and correct in all three prescription ...
{"title":"How prescription methods are used in home exercise programmes","authors":"Yücel Yildirim, Gülay Merde, Ş. Toprak, E. Yalcyn, A. Irmak","doi":"10.1179/016911107X396871","DOIUrl":"https://doi.org/10.1179/016911107X396871","url":null,"abstract":"Abstract Objectives: This study explored how patients with back and knee pain perceived a home exercise programme consisting of isometric and isotonic components using three different prescription methods – brochure, verbal and non-verbal videotapes. Patients and methods: Thirty patients with non-specific low-back pain and knee pain were referred to the physical therapy department for exercise therapy. Subjects were randomly assigned to brochure group, non-verbal group, and verbal videotape group. Each group performed the isometric and isotonic exercises according to assigned instructions. An Exercise Assessment Scale was also developed to measure exercise performance for this study. Results: All demographic parameters were homogeneous in three groups. Isotonic exercises were more effective than isometric exercises in all three prescription methods. The Exercise Assessment Scale showed that the starting positions to both isometric and isotonic exercises were the same and correct in all three prescription ...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"21 1","pages":"230-234"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86856970","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 : 2007-10-01DOI: 10.1179/016911107X268783
L. P. Çöçelli, M. Çekmen, Ö. Balat, E. Dikensoy, F. Aksoy, N. Tahtacı
AbstractThis study evaluated the influence of three different delivery methods (vaginal delivery, caesarean section under general anaesthesia and caesarean section with spinal block) on maternal and neonatal blood levels of nitric oxide and malondialdehyde. Results showed that caesarean section with spinal anaesthesia causes less oxidative stress compared to vaginal delivery with epidural analgesia and elective caesarean section with general anaesthesia.
{"title":"Nitric oxide and malondialdehyde levels in different delivery methods","authors":"L. P. Çöçelli, M. Çekmen, Ö. Balat, E. Dikensoy, F. Aksoy, N. Tahtacı","doi":"10.1179/016911107X268783","DOIUrl":"https://doi.org/10.1179/016911107X268783","url":null,"abstract":"AbstractThis study evaluated the influence of three different delivery methods (vaginal delivery, caesarean section under general anaesthesia and caesarean section with spinal block) on maternal and neonatal blood levels of nitric oxide and malondialdehyde. Results showed that caesarean section with spinal anaesthesia causes less oxidative stress compared to vaginal delivery with epidural analgesia and elective caesarean section with general anaesthesia.","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"24 1","pages":"214-218"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89002443","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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