Pub Date : 2007-04-01DOI: 10.1179/016911107X217518
N. Lee, J. H. You
Abstract Background: Upper trapezius myofascial pain syndrome (MPS) is one of most common musculoskeletal impairments. To treat this upper trapezius MPS, various conventional therapeutic exercises along with physical modalities or injection including the trigger point release technique (TPRT) or ischaemic compression, ultrasonography, a combination of ischaemic compression and massage and a combination of lidocaine or Botox (BTX-A) injection, and stretching exercise have been widely used. However, outcome studies produced variable temporary results along with side-effects in lidocaine and BTX-A injections including pain at the injection site, malaise, local weakness or nerve damage. Of these interventional approaches, manual TPRT, (a non-invasive, safe, and commonly used technique) was thought to reduce MPS by means of providing a localised pressure on the target. However, more convincing evidence of the long-term treatment effect is required although empirical evidence has shown some favourable short-ter...
{"title":"Effects of trigger point pressure release on pain modulation and associated movement impairments in a patient with severe acute myofascial pain syndrome: a case report","authors":"N. Lee, J. H. You","doi":"10.1179/016911107X217518","DOIUrl":"https://doi.org/10.1179/016911107X217518","url":null,"abstract":"Abstract Background: Upper trapezius myofascial pain syndrome (MPS) is one of most common musculoskeletal impairments. To treat this upper trapezius MPS, various conventional therapeutic exercises along with physical modalities or injection including the trigger point release technique (TPRT) or ischaemic compression, ultrasonography, a combination of ischaemic compression and massage and a combination of lidocaine or Botox (BTX-A) injection, and stretching exercise have been widely used. However, outcome studies produced variable temporary results along with side-effects in lidocaine and BTX-A injections including pain at the injection site, malaise, local weakness or nerve damage. Of these interventional approaches, manual TPRT, (a non-invasive, safe, and commonly used technique) was thought to reduce MPS by means of providing a localised pressure on the target. However, more convincing evidence of the long-term treatment effect is required although empirical evidence has shown some favourable short-ter...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"28 1","pages":"83-87"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82883698","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 : 2007-04-01DOI: 10.1179/016911107X268611
A. Sandner-Kiesling, G. Weber, G. Schütze, D. Beltrutti, G. Groen, L. Saberski
{"title":"Foundation of the World Initiative on Spinal Endoscopy (WISE)","authors":"A. Sandner-Kiesling, G. Weber, G. Schütze, D. Beltrutti, G. Groen, L. Saberski","doi":"10.1179/016911107X268611","DOIUrl":"https://doi.org/10.1179/016911107X268611","url":null,"abstract":"","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"9 1","pages":"51-52"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84606817","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 : 2007-04-01DOI: 10.1179/016911107X268639
N. Collighan, J. Richardson, E. Gore
Abstract We report an interesting effect noted following denervation of the upper cervical facet joints and third occipital nerves bilaterally in a 58-year-old woman. The patient described postoperative dizziness and blurred vision which was much improved by removal of her glasses. Reduction in myopia was confirmed by optometric testing of her refractive indexes. A substantial improvement lasted approximately 6 months, followed by prolonged partial improvement for 12 months. Possible reasons are discussed.
{"title":"Reversal of myopia following upper cervical facet joint denervation","authors":"N. Collighan, J. Richardson, E. Gore","doi":"10.1179/016911107X268639","DOIUrl":"https://doi.org/10.1179/016911107X268639","url":null,"abstract":"Abstract We report an interesting effect noted following denervation of the upper cervical facet joints and third occipital nerves bilaterally in a 58-year-old woman. The patient described postoperative dizziness and blurred vision which was much improved by removal of her glasses. Reduction in myopia was confirmed by optometric testing of her refractive indexes. A substantial improvement lasted approximately 6 months, followed by prolonged partial improvement for 12 months. Possible reasons are discussed.","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"23 1","pages":"88-90"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88320001","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 : 2007-04-01DOI: 10.1179/016911107X268666
L. Saberski
{"title":"Opioid classes have become agents of choice when managing symptoms that are intractable and for life-time","authors":"L. Saberski","doi":"10.1179/016911107X268666","DOIUrl":"https://doi.org/10.1179/016911107X268666","url":null,"abstract":"","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"39 1","pages":"45-46"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76635852","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 : 2007-04-01DOI: 10.1179/016911107X268648
B. Kalpakcioglu, K. Şenel
AbstractAlthough the range of treatments for osteoarthritis has increased recently, osteoarthritis is still a frequently observed disease lacking effective treatment. Osteoarthritis is expected to be the fourth cause of disability by 2020, and is much more common among the elderly. To understand the progression of osteoarthritis better, knowledge of the role of free radicals prior to, and during, the prevalence of osteoarthritis is required. Nitric oxide (NO) is a diatomic free radical produced by the ubiquitous enzyme, nitric oxide synthase. Increased NO production was documented in osteoarthritis in humans. Research on NO in a variety of inflammatory tissues led to the conclusion that modulation of NO synthesis and action could represent a new approach to the treatment of osteoarthritis.
{"title":"Nitric oxide production in association with osteoarthritis","authors":"B. Kalpakcioglu, K. Şenel","doi":"10.1179/016911107X268648","DOIUrl":"https://doi.org/10.1179/016911107X268648","url":null,"abstract":"AbstractAlthough the range of treatments for osteoarthritis has increased recently, osteoarthritis is still a frequently observed disease lacking effective treatment. Osteoarthritis is expected to be the fourth cause of disability by 2020, and is much more common among the elderly. To understand the progression of osteoarthritis better, knowledge of the role of free radicals prior to, and during, the prevalence of osteoarthritis is required. Nitric oxide (NO) is a diatomic free radical produced by the ubiquitous enzyme, nitric oxide synthase. Increased NO production was documented in osteoarthritis in humans. Research on NO in a variety of inflammatory tissues led to the conclusion that modulation of NO synthesis and action could represent a new approach to the treatment of osteoarthritis.","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"6 1","pages":"53-57"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90509344","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 : 2007-04-01DOI: 10.1179/016911107X268602
D. Beltrutti, G. Groen, L. Saberski, A. Sandner-Kiesling, G. Schütze, G. Weber
{"title":"Epiduroscopy: Consensus Decision March, 2006","authors":"D. Beltrutti, G. Groen, L. Saberski, A. Sandner-Kiesling, G. Schütze, G. Weber","doi":"10.1179/016911107X268602","DOIUrl":"https://doi.org/10.1179/016911107X268602","url":null,"abstract":"","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"33 1","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75807754","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 : 2007-04-01DOI: 10.1179/016911107X268693
J. Soares, G. Macassa, A. Fandiño-Losada
Abstract Objective: The study examined the psychosocial characteristics and experiences of female and male primary care patients with and without pain with particular interest in gender differences and whether females were more vulnerable to pain than males. Patients and methods: A total of 1122 primary care patients from 20 randomly selected primary care centres in Stockholm were assessed cross-sectionally on various variables during 15 consecutive days. The data were examined with chi-square tests, ANOVAs, Dunn–Bonferroni tests and multivariate logistic/linear regression analyses. Results: Pain patients compared to pain-free patients reported more depression, burn-out, job demands, less job control, more job strain, and financial problems, with no gender differences in general. These constructs were associated with pain in the regressions and some of them were inter-related. Factors such as sick-leave were also important. Female pain patients had a more severe clinical profile (e.g. pain intensity) than...
{"title":"Psychosocial experiences among female and male primary care patients with and without pain","authors":"J. Soares, G. Macassa, A. Fandiño-Losada","doi":"10.1179/016911107X268693","DOIUrl":"https://doi.org/10.1179/016911107X268693","url":null,"abstract":"Abstract Objective: The study examined the psychosocial characteristics and experiences of female and male primary care patients with and without pain with particular interest in gender differences and whether females were more vulnerable to pain than males. Patients and methods: A total of 1122 primary care patients from 20 randomly selected primary care centres in Stockholm were assessed cross-sectionally on various variables during 15 consecutive days. The data were examined with chi-square tests, ANOVAs, Dunn–Bonferroni tests and multivariate logistic/linear regression analyses. Results: Pain patients compared to pain-free patients reported more depression, burn-out, job demands, less job control, more job strain, and financial problems, with no gender differences in general. These constructs were associated with pain in the regressions and some of them were inter-related. Factors such as sick-leave were also important. Female pain patients had a more severe clinical profile (e.g. pain intensity) than...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"109 1","pages":"58-70"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79201741","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 : 2007-04-01DOI: 10.1179/016911107X268675
I. Aydinli, K. Keskinbora, A. F. Pekel
Abstract Aim: The aim of this prospective, randomized, double-blind study was to evaluate whether adding metamizol to tramadol in an i.v. patient controlled analgesia (PCA) system improved the analgesic efficacy compared to i.v. PCA with tramadol plus metamizol administered when needed. Methods: Forty-six adult patients undergoing elective hemicolectomy were randomly assigned to either a tramadol group (group T; n = 23) or a tramadol plus metamizol group (group TM; n = 23) for postoperative pain treatment. Loading doses of i.v. 100 mg tramadol (group T) or i.v. 100 mg tramadol plus 1000 mg metamizol (group TM) were administered intra-operatively. Postoperatively, the PCA pump was programmed to deliver, on demand, doses of tramadol 20 mg (group T) or tramadol 20 mg plus metamizol 200 mg (group TM) without any baseline infusion. Lock-out time was set to 5 min and the 4-h dose limit was 400 mg and 4000 mg for tramadol and metamizol, respectively. Group T patients received i.v. metamizol when necessary as a r...
{"title":"Postoperative patient-controlled analgesia with tramadol versus tramadol plus metamizol","authors":"I. Aydinli, K. Keskinbora, A. F. Pekel","doi":"10.1179/016911107X268675","DOIUrl":"https://doi.org/10.1179/016911107X268675","url":null,"abstract":"Abstract Aim: The aim of this prospective, randomized, double-blind study was to evaluate whether adding metamizol to tramadol in an i.v. patient controlled analgesia (PCA) system improved the analgesic efficacy compared to i.v. PCA with tramadol plus metamizol administered when needed. Methods: Forty-six adult patients undergoing elective hemicolectomy were randomly assigned to either a tramadol group (group T; n = 23) or a tramadol plus metamizol group (group TM; n = 23) for postoperative pain treatment. Loading doses of i.v. 100 mg tramadol (group T) or i.v. 100 mg tramadol plus 1000 mg metamizol (group TM) were administered intra-operatively. Postoperatively, the PCA pump was programmed to deliver, on demand, doses of tramadol 20 mg (group T) or tramadol 20 mg plus metamizol 200 mg (group TM) without any baseline infusion. Lock-out time was set to 5 min and the 4-h dose limit was 400 mg and 4000 mg for tramadol and metamizol, respectively. Group T patients received i.v. metamizol when necessary as a r...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"119 1","pages":"77-82"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80156756","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 : 2007-01-01DOI: 10.1179/016911107X268657
Ozlem Ustunkaya, A. Edeer, Hülya Donat, N. Yozbatiran
Abstract Background and Objective: Wheelchair users are exposed to many stresses on their upper extremities. The appearance of shoulder pain related to these stresses could affect their functional capacity and quality of life. The aim of this study was to investigate the shoulder pain and compare the shoulder pain, functional capacity and quality of life between wheelchair basketball players and non-athlete wheelchair users. Methods: Twenty-five wheelchair basketball players (athletes) from professional leagues and 23 non-athlete wheelchair users were included in this study. The subjects' shoulder pain was assessed with the Wheelchair User's Shoulder Pain Index. Timed Forward Wheeling, Forward Vertical Reach and 1-Stroke Push tests were used to measure functional capacity, and the Satisfaction with Life Scale was used to evaluate their quality of life. Results: No differences were found in Wheelchair User's Shoulder Pain Index and Satisfaction with Life Scale score between the athletes and non-athletes (P...
{"title":"Shoulder pain, functional capacity and quality of life in professional wheelchair basketball players and non-athlete wheelchair users","authors":"Ozlem Ustunkaya, A. Edeer, Hülya Donat, N. Yozbatiran","doi":"10.1179/016911107X268657","DOIUrl":"https://doi.org/10.1179/016911107X268657","url":null,"abstract":"Abstract Background and Objective: Wheelchair users are exposed to many stresses on their upper extremities. The appearance of shoulder pain related to these stresses could affect their functional capacity and quality of life. The aim of this study was to investigate the shoulder pain and compare the shoulder pain, functional capacity and quality of life between wheelchair basketball players and non-athlete wheelchair users. Methods: Twenty-five wheelchair basketball players (athletes) from professional leagues and 23 non-athlete wheelchair users were included in this study. The subjects' shoulder pain was assessed with the Wheelchair User's Shoulder Pain Index. Timed Forward Wheeling, Forward Vertical Reach and 1-Stroke Push tests were used to measure functional capacity, and the Satisfaction with Life Scale was used to evaluate their quality of life. Results: No differences were found in Wheelchair User's Shoulder Pain Index and Satisfaction with Life Scale score between the athletes and non-athletes (P...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"24 1","pages":"71-76"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81437093","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 : 2006-10-01DOI: 10.1179/016911106779499019
E. Kelsaka, F. Guldogus, I. Yücel
AbstractSubcutaneous infusion port represents a promising new method of central venous access, especially suited for chemotherapy antibiotic treatment, and parenteral nutrition. The implantation of subcutaneous infusion port was performed using basilic vein. There was a pain on the proximal part of the forearm 11 months after application of the implant. The arm pain observed in our case was thought to be the result of injection to an occluded catheter, which is curved inside damaging the vessel wall. Catheter occlusion is a delayed complication and related to blood aspiration, catheter malfunction and infusion of cytostatic drugs. We discuss reasons for arm pain in our patient by checking literature.
{"title":"Arm pain due to subcutaneous infusion port complication","authors":"E. Kelsaka, F. Guldogus, I. Yücel","doi":"10.1179/016911106779499019","DOIUrl":"https://doi.org/10.1179/016911106779499019","url":null,"abstract":"AbstractSubcutaneous infusion port represents a promising new method of central venous access, especially suited for chemotherapy antibiotic treatment, and parenteral nutrition. The implantation of subcutaneous infusion port was performed using basilic vein. There was a pain on the proximal part of the forearm 11 months after application of the implant. The arm pain observed in our case was thought to be the result of injection to an occluded catheter, which is curved inside damaging the vessel wall. Catheter occlusion is a delayed complication and related to blood aspiration, catheter malfunction and infusion of cytostatic drugs. We discuss reasons for arm pain in our patient by checking literature.","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"28 1","pages":"425-427"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90167239","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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