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Inactivated COVID-19 vaccine-related herpes zoster and post-herpetic neuralgia: Three case reports. 与COVID-19灭活疫苗相关的带状疱疹和疱疹后神经痛:3例报告
IF 0.6 Q3 Medicine Pub Date : 2023-04-01 DOI: 10.14744/agri.2021.66642
Meltem Kanar

Vaccination programs against COVID-19 have been implemented all over the world since December 2020. Beside the common side effects of vaccines, there are also increasing reports of herpes zoster (HZ) activation. In this report, we describe three cases of HZ, one of them with post-herpetic neuralgia (PHN) after receiving inactivated COVID-19 vaccine. The first two patients developed HZ 8 and 10 days after vaccination, respectively. When pain could not be controlled with paracetamol and non-steroidal anti-inflammatories, the patients received weak opioid codeine. In addition, the first patient received gabapentin, and the second patient was applied erector spinae plane block. The third patient was admitted 4 months after the diagnosis of HZ and considered to have PHN and pain palliation was provided with tramadol. Although the exact cause has not yet been fully resolved, increased reports of HZ after vaccination suggests a link between vaccines and HZ. Considering that receiving COVID-19 vaccines will going on, HZ and PHN cases will continue to be seen. More epidemiological studies are needed to further evaluate the relationship between COVID-19 vaccines and HZ.

自2020年12月以来,COVID-19疫苗接种计划已在世界各地实施。除了疫苗常见的副作用外,带状疱疹(HZ)激活的报道也越来越多。在本报告中,我们描述了3例HZ,其中1例在接种COVID-19灭活疫苗后出现疱疹后神经痛(PHN)。前两名患者分别在接种疫苗后8天和10天出现HZ。当对乙酰氨基酚和非甾体类抗炎药无法控制疼痛时,患者接受弱阿片类可待因治疗。另外,第1例患者给予加巴喷丁,第2例患者给予竖脊肌平面阻滞。第三例患者在诊断为HZ后4个月入院,被认为患有PHN,并给予曲马多疼痛缓解。虽然确切的病因尚未完全查明,但接种疫苗后HZ报告的增加表明疫苗与HZ之间存在联系。考虑到将继续接种COVID-19疫苗,HZ和PHN病例将继续出现。需要更多的流行病学研究来进一步评估COVID-19疫苗与HZ之间的关系。
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引用次数: 1
The comparison of ultrasound-guided ilioinguinal/iliohypogastric nerve block and pre-incision wound infiltration for pediatric inguinal hernia repair: A prospective randomized clinical study. 超声引导下髂腹股沟/髂腹下神经阻滞与切口前伤口浸润在小儿腹股沟疝修补中的比较:一项前瞻性随机临床研究。
IF 0.6 Q3 Medicine Pub Date : 2023-04-01 DOI: 10.14744/agri.2022.66587
Faruk Çiçekçi, Mehmet Sargın, Tamer Sekmenli, Mehmet Selçuk Uluer, İnci Kara, Jale Çelik

Objectives: Inguinal hernia repair is one of the most common daily surgeries performed in pediatrics. This prospective randomized clinical trial aims to compare ultrasound (USG)-guided ilioinguinal/iliohypogastric (IL/IH) nerve block and pre-incisional wound infiltration (PWI) in terms of post-operative analgesia on pediatric unilateral inguinal hernia repair.

Methods: After receiving ethics committee approval, 65 children aged 1-6 years who had unilateral inguinal hernia repair were allocated to USG-guided IL/IH nerve block (group IL/IH, n=32) and (group PWI, n=33). In both groups, 0.5 mg/kg 0.25% bupivacaine+2% prilocaine mixture was used by calculating the volume as 0.5 mL/kg for the block and infiltration. The primary outcome was to compare both groups' post-operative Face, Legs, Activity, Cry and Consolability (FLACC) scores. The secondary outcomes included the time to first analgesic request and the total acetaminophen consumption.

Results: The FLACC pain scores at the 1st, 3rd, 6th, and 12th h were statistically significantly lower in group IL/IH than in group PWI (p=0.013, p<0.001, p<0.001, and p=0.037, respectively) (p<0.001). There was no difference between the groups at the 10th and 30th min and at 24 h (p=0.472, p=0.586, and p=0.419, respectively) (p>0.05).

Conclusion: USG-guided IL/IH nerve block in pediatric patients with inguinal hernia repair was found to be superior to PWI in terms of lower pain scores, less additional analgesia requirement, and longer first analgesia requirement.

目的:腹股沟疝修补术是儿科最常见的日常手术之一。本前瞻性随机临床试验旨在比较超声(USG)引导下髂腹股沟/髂胃下(IL/IH)神经阻滞和切口前伤口浸润(PWI)在小儿单侧腹股沟疝修补术中的术后镇痛效果。方法:经伦理委员会批准,将65例1 ~ 6岁单侧腹股沟疝修补患儿分为usg引导IL/IH神经阻滞组(IL/IH组,n=32)和PWI组(PWI组,n=33)。两组均采用0.5 mg/kg 0.25%布比卡因+2%丙罗卡因混合物,以0.5 mL/kg体积计算阻滞和浸润。主要结果是比较两组术后面部、腿部、活动、哭泣和安慰(FLACC)评分。次要结果包括第一次镇痛要求的时间和对乙酰氨基酚的总用量。结果:IL/IH组第1、3、6、12 h FLACC疼痛评分低于PWI组,差异均有统计学意义(p=0.013, p0.05)。结论:usg引导下IL/IH神经阻滞治疗小儿腹股沟疝修补术在疼痛评分较低、额外镇痛需求较少、首次镇痛需求较长等方面优于PWI。
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引用次数: 0
Painful ischemic monomelic neuropathy: An unusual complication in a lung cancer patient. 疼痛性缺血性单粒神经病变:肺癌患者的罕见并发症。
IF 0.6 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.14744/agri.2020.81567
Amber Eker, Pembe Hare Yiğitoğlu, Aliye Tosun

Ischemic monomelic neuropathy (IMN) is a rare type of acute axonal neuropathy which results from ischemia of multiple nerves in affected limb. The electroneuromyography is useful in detecting characteristic features of this neuropathy. It usually occurs after vascular interventions. Here, we present the first case who has IMN secondary to lung cancer and/or chemo-therapy and aim to draw attention to this infrequently recognized entity.

缺血性单节神经病变(IMN)是一种罕见的急性轴索神经病变,由患肢多根神经缺血引起。神经肌电图可用于检测该神经病的特征。它通常发生在血管介入治疗后。在这里,我们报告了第一例继发于肺癌和/或化疗的IMN,旨在引起人们对这种罕见的实体的关注。
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引用次数: 0
The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury. 颈脊髓刺激对颈脊神经根/臂丛损伤的影响。
IF 0.6 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.14744/agri.2020.38243
Meltem Kanar, Gül Köknel Talu, Halil Çetingök

Spinal cord stimulation (SCS) has been used for the treatment of chronic pain for almost 50 years. There have been several reports regarding to thoracic and lumbar SCS, while fewer publications have been documented for cervical SCS administration. In this article, we presented patient satisfaction after cervical SCS application in patients with chronic upper extremity pain. Three patients with cervical spinal nerve root or brachial plexus injury who reported no pain relief with the previous treatment modalities were identified. The patients were performed percutaneous cervical SCS. Cervical SCS implantation was successful in the first and the second patients, and with respect to decrease in VAS scores, analgesic drug requirements, and an increase in their quality of life, while the third patient had no pain relief. Cervical SCS may be an effective treatment option in upper extremity chronic pain syndromes as in the lower extremity pain syndromes treated with thoracolumbar SCS.

脊髓刺激(SCS)用于治疗慢性疼痛已有近50年的历史。有一些关于胸椎和腰椎SCS的报道,而关于颈椎SCS的报道较少。在这篇文章中,我们介绍了颈椎SCS应用于慢性上肢疼痛患者后的患者满意度。3例颈脊神经根或臂丛损伤患者在先前的治疗方式下疼痛没有缓解。患者行经皮颈椎SCS。第1例和第2例患者宫颈SCS植入成功,VAS评分下降,镇痛药物需求减少,生活质量提高,而第3例患者疼痛无缓解。颈椎SCS可能是上肢慢性疼痛综合征的有效治疗选择,就像胸腰段SCS治疗下肢疼痛综合征一样。
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引用次数: 0
Pain and neurogenic claudication control in lumbar stenosis, which is the most common cause of spinal surgery in the geriatric population. 疼痛和神经源性跛行控制腰椎管狭窄,这是最常见的原因脊柱手术在老年人群。
IF 0.6 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.14744/agri.2022.37605
Mehmet Onur Yüksel, Barış Erdoğan, Ahmet Üşen, Tamer Tunçkale, Tezcan Çalışkan

Objectives: The authors aim to present when to do physical therapy or surgery in geriatric patients with degenerative lumbar stenosis.

Methods: The authors retrospectively analyzed 250 patients who underwent physical therapy due to lumbar degenerative stenosis between December 2014 and April 2017. The patients were divided into two groups: Central canal stenosis and lateral recess/foraminal stenosis groups. Visual analogue scale and neurological claudication values of both patient groups were evaluated before and after physical therapy. The association between comorbid diseases and the frequency of surgery was also evaluated.

Results: 142 of the patients were female and 108 were male, and the mean age of these patients was 69 years. The mean onset of symptoms was 55 months. In the visual analog scale value of patients after physical therapy, the authors observed decreases of 4-6° in patients with central canal stenosis and 2-3° in patients with lateral recess/foraminal stenosis. In addition, the authors observed that patients with lateral recess/foraminal stenosis together with diabetes mellitus benefit less from physical therapy.

Conclusion: Physical therapy and rehabilitation play an important role in the treatment of lumbar stenosis. Physical therapy is the primary treatment option for patients who do not have motor muscle strength losses and incontinence and who have pain control through medications. The authors can consider surgical interventions in patients with lateral recess/foraminal stenosis who do not benefit from physical therapy at a satisfactory level.

目的:作者的目的是提出什么时候做物理治疗或手术对退行性腰椎管狭窄的老年患者。方法:回顾性分析2014年12月至2017年4月期间因腰椎退行性狭窄接受物理治疗的250例患者。患者分为中央管狭窄组和外侧隐窝/椎间孔狭窄组。对两组患者进行物理治疗前后的视觉模拟评分和神经系统跛行评分。还评估了合并症与手术频率之间的关系。结果:女性142例,男性108例,平均年龄69岁。平均发病时间为55个月。在物理治疗后患者的视觉模拟量表值中,作者观察到中央管狭窄患者降低4-6°,外侧隐窝/椎间孔狭窄患者降低2-3°。此外,作者观察到外侧隐窝/椎间孔狭窄合并糖尿病患者从物理治疗中获益较少。结论:物理治疗和康复治疗在腰椎管狭窄症的治疗中起着重要作用。对于没有运动肌肉力量丧失和尿失禁以及通过药物控制疼痛的患者,物理治疗是主要的治疗选择。对于不能从物理治疗中获得满意效果的外侧隐窝/椎间孔狭窄患者,作者可以考虑手术干预。
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引用次数: 0
Ultrasound-guided carotid sheath block for carotid endarterectomy surgery in a high-risky patient and literature review. 超声引导下颈动脉鞘阻滞在高危患者颈动脉内膜切除术中的应用及文献复习。
IF 0.6 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.14744/agri.2021.56987
Yahya Yildiz, Bahadır Çiftçi, Mürsel Ekinci, Yavuz Demiraran

Carotid endarterectomy (CEA) surgery is generally performed for patients who under the risk of ischemic cerebral stroke due to the critical obstruction of the carotid artery. Ischemic complications may occur during the surgery. So, the awakeness of the patient is very important during the surgery. Regional anesthesia techniques may be performed instead of general anesthesia for shunt placement during CEA surgery. Herein, we aimed to share our successful US-guided carotid sheath block experience for anesthesia management during CEA surgery.

颈动脉内膜切除术(颈动脉内膜切除术,CEA)一般用于因颈动脉严重阻塞而有缺血性脑卒中风险的患者。手术过程中可能出现缺血性并发症。所以,在手术过程中病人的清醒是非常重要的。在CEA手术中,局部麻醉技术可以代替全身麻醉来放置分流器。在此,我们的目的是分享我们在CEA手术中成功的美国引导颈动脉鞘阻滞的麻醉管理经验。
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引用次数: 1
Sleep quality and depression in patients with ankylosing spondylitis and their associations with clinical parameters: A cross-sectional, case-control study. 强直性脊柱炎患者的睡眠质量和抑郁及其与临床参数的关系:一项横断面病例对照研究
IF 0.6 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.14744/agri.2021.46514
Ertan Yüce, Erman Şentürk, Eser Sağaltıcı, İlteriş Ahmet Şentürk, Ebru Aytekin

Objectives: This study aimed to explore sleep quality in patients with ankylosing spondylitis (AS) and to reveal the clinical parameters that predict sleep quality and depression in AS.

Methods: This study included 100 AS patients and 100 age/sex-matched healthy individuals. The AS activity was assessed by Bath AS Disease Activity Index (BASDAI), AS Disease Activity Score (ASDAS-ESR, ASDAS-CRP), and Visual Analog Scale (VAS). The functional status was assessed by the Bath AS Functional Index (BASFI). AS Quality of Life Questionnaire was administered for the assessment of the disease-related quality of life. Pittsburgh Sleep Quality Index for sleep assessment and Beck Depression Inventory for psychological assessment were administered to all participants.

Results: Sleep problems and depressive symptoms were significantly higher in AS patients compared to healthy individuals. All of the AS clinical parameters were significantly higher in AS patients with poor sleep quality than in AS patients with good sleep quality. In the correlation analysis, it was determined that poor sleep quality, depressive symptoms and low quality of life were strongly correlated with each other and AS clinical parameters. The most effective predictor for sleep problems was higher BASDAI scores, followed by higher BASFI, VAS, ASDAS-ESH scores, and younger age. Higher BASFI and VAS scores were predictors for depressive symptoms.

Conclusion: The findings indicate that poor sleep, depressive symptoms and low quality of life may negatively affect the AS clinic, and therefore sleep quality and depression should not be ignored in the examinations of AS patients.

目的:本研究旨在探讨强直性脊柱炎(AS)患者的睡眠质量,揭示预测AS患者睡眠质量和抑郁的临床参数。方法:本研究纳入100例AS患者和100例年龄/性别匹配的健康个体。采用巴斯AS疾病活动指数(BASDAI)、AS疾病活动评分(ASDAS-ESR、ASDAS-CRP)和视觉模拟量表(VAS)评估AS活性。采用Bath AS功能指数(BASFI)评估功能状态。采用AS生活质量问卷评估与疾病相关的生活质量。采用匹兹堡睡眠质量指数进行睡眠评估,采用贝克抑郁量表进行心理评估。结果:AS患者的睡眠问题和抑郁症状明显高于健康个体。睡眠质量差的AS患者各项临床参数均显著高于睡眠质量好的AS患者。在相关分析中,我们发现睡眠质量差、抑郁症状和生活质量低三者之间以及AS临床参数之间存在很强的相关性。睡眠问题最有效的预测因子是较高的BASDAI评分,其次是较高的BASFI、VAS、ASDAS-ESH评分和较年轻。较高的BASFI和VAS评分是抑郁症状的预测因子。结论:睡眠质量差、抑郁症状和生活质量低可能对AS临床产生负面影响,因此在AS患者的检查中不可忽视睡眠质量和抑郁。
{"title":"Sleep quality and depression in patients with ankylosing spondylitis and their associations with clinical parameters: A cross-sectional, case-control study.","authors":"Ertan Yüce,&nbsp;Erman Şentürk,&nbsp;Eser Sağaltıcı,&nbsp;İlteriş Ahmet Şentürk,&nbsp;Ebru Aytekin","doi":"10.14744/agri.2021.46514","DOIUrl":"https://doi.org/10.14744/agri.2021.46514","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to explore sleep quality in patients with ankylosing spondylitis (AS) and to reveal the clinical parameters that predict sleep quality and depression in AS.</p><p><strong>Methods: </strong>This study included 100 AS patients and 100 age/sex-matched healthy individuals. The AS activity was assessed by Bath AS Disease Activity Index (BASDAI), AS Disease Activity Score (ASDAS-ESR, ASDAS-CRP), and Visual Analog Scale (VAS). The functional status was assessed by the Bath AS Functional Index (BASFI). AS Quality of Life Questionnaire was administered for the assessment of the disease-related quality of life. Pittsburgh Sleep Quality Index for sleep assessment and Beck Depression Inventory for psychological assessment were administered to all participants.</p><p><strong>Results: </strong>Sleep problems and depressive symptoms were significantly higher in AS patients compared to healthy individuals. All of the AS clinical parameters were significantly higher in AS patients with poor sleep quality than in AS patients with good sleep quality. In the correlation analysis, it was determined that poor sleep quality, depressive symptoms and low quality of life were strongly correlated with each other and AS clinical parameters. The most effective predictor for sleep problems was higher BASDAI scores, followed by higher BASFI, VAS, ASDAS-ESH scores, and younger age. Higher BASFI and VAS scores were predictors for depressive symptoms.</p><p><strong>Conclusion: </strong>The findings indicate that poor sleep, depressive symptoms and low quality of life may negatively affect the AS clinic, and therefore sleep quality and depression should not be ignored in the examinations of AS patients.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10569787","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}
引用次数: 0
Telemedicine in patients with chronic pain in COVID-19 pandemic. COVID-19大流行中慢性疼痛患者的远程医疗
IF 0.6 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.14744/agri.2022.06937
Ümit Akkemik, Meryem Onay
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引用次数: 0
Artificial-coloring in ultrasound-guided regional anesthesia. 超声引导区域麻醉中的人工着色剂。
IF 0.6 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.14744/agri.2021.25826
Coşkun Araz, Yavuz Gürkan, Alparslan Kuş

Objectives: Ultrasonography (US) is an important visualization technique in regional anesthesia. Increasing in quality of images may lead to better conclusions. Our aim in this study was to evaluate the effect of artificial-coloring on image quality and practitioner's preferences.

Methods: Ultrasound images of five block regions, interscalene, supraclavicular, infraclavicular, femoral, and popliteal were taken on a volunteer using gray scale. Then, the images were colored in seven different color scales using artificial-coloring technique. All participants were asked to fill in the structured questionnaire.

Results: All created images were assessed by three specialist and 14 resident anesthesiologists. The highest scores about nerve recognition, distinguishing nerve from surrounding tissues, and visual clarity of fascicles were obtained with blue scale images; however, these findings were not significant compared to gray scale (p>0.05). Blue scale was chosen as a favorite scale by 53% of participants.

Conclusion: Increasing the image quality and resolution while performing regional anesthesia under ultrasound guidance increases success and reduces complications. Artificial-coloring is one of the adjustments that can improve image quality. In our study, the results of coloring with blue were remarkable. However, more importantly than the color chosen, we believe that routine adjustments such as gain, depth, and focusing will bring important advantages.

目的:超声检查是区域麻醉中重要的显像技术。图像质量的提高可能会导致更好的结论。我们在这项研究的目的是评估人工着色对图像质量和从业者的偏好的影响。方法:对志愿者进行斜角肌间、锁骨上、锁骨下、股骨、腘窝5个区域的超声灰度成像。然后,使用人工着色技术将图像涂成七种不同的色阶。所有参与者都被要求填写结构化问卷。结果:所有图像由3名专科医生和14名住院麻醉师进行评估。在神经识别、神经与周围组织的区分、神经束的视觉清晰度方面,蓝标图像得分最高;但与灰度相比,这些结果不显著(p>0.05)。53%的参与者选择蓝色量表作为最喜欢的量表。结论:超声引导下提高区域麻醉的图像质量和分辨率,可提高麻醉成功率,减少并发症。人工着色是一种可以改善图像质量的调整方法。在我们的研究中,用蓝色着色的结果是显著的。然而,比选择颜色更重要的是,我们相信常规的调整,如增益,深度和聚焦将带来重要的优势。
{"title":"Artificial-coloring in ultrasound-guided regional anesthesia.","authors":"Coşkun Araz,&nbsp;Yavuz Gürkan,&nbsp;Alparslan Kuş","doi":"10.14744/agri.2021.25826","DOIUrl":"https://doi.org/10.14744/agri.2021.25826","url":null,"abstract":"<p><strong>Objectives: </strong>Ultrasonography (US) is an important visualization technique in regional anesthesia. Increasing in quality of images may lead to better conclusions. Our aim in this study was to evaluate the effect of artificial-coloring on image quality and practitioner's preferences.</p><p><strong>Methods: </strong>Ultrasound images of five block regions, interscalene, supraclavicular, infraclavicular, femoral, and popliteal were taken on a volunteer using gray scale. Then, the images were colored in seven different color scales using artificial-coloring technique. All participants were asked to fill in the structured questionnaire.</p><p><strong>Results: </strong>All created images were assessed by three specialist and 14 resident anesthesiologists. The highest scores about nerve recognition, distinguishing nerve from surrounding tissues, and visual clarity of fascicles were obtained with blue scale images; however, these findings were not significant compared to gray scale (p>0.05). Blue scale was chosen as a favorite scale by 53% of participants.</p><p><strong>Conclusion: </strong>Increasing the image quality and resolution while performing regional anesthesia under ultrasound guidance increases success and reduces complications. Artificial-coloring is one of the adjustments that can improve image quality. In our study, the results of coloring with blue were remarkable. However, more importantly than the color chosen, we believe that routine adjustments such as gain, depth, and focusing will bring important advantages.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10865337","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}
引用次数: 0
Ultrasound-guided interfascial blocks of the trapezius muscle for cervicogenic headache. 超声引导下斜方肌筋膜间阻滞治疗颈源性头痛。
IF 0.6 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.14744/agri.2021.21957
Tülin Arıcı, Çetin Kürşad Akpınar, Adnan Burak Bilgiç, İdris Şevki Köken

Objectives: Disorders in the cervical muscles, such as myofascial trigger points and tightness, are common factors in patients with cervicogenic headache (CEH). We aimed to evaluate the effectiveness of ultrasound-guided interfascial blocks of the trapezius muscle in patients with CEH who showed tenderness in the upper cervical muscle groups.

Methods: A total of 23 patients were evaluated in the prospective observational trial. The injection was performed between the trapezius muscle and levator scapula muscle fascia with a disposable 25-gauge, 10-cm Quincke-tip spinal needle. 10 mL of 0.125% bupivacaine was injected between the muscle fascia. Numeric rating scale (NRS), neck disability index (NDI), pain frequency, and analgesic consumption in the pre-treatment and post-treatment period were evaluated.

Results: The NRS scores at 10 min, 1 week, 2 weeks, and 4 weeks after treatment were significantly better than the pre-treatment NRS score. The NDI scores at 1, 2, and 4 weeks after treatment were significantly better than the pre-treatment NDI score. The pain frequency at 1 and 2 weeks after treatment was significantly lower than that recorded in the pre-treatment period. Statistically significant reductions were observed in analgesic consumption at 1, 2, and 4 weeks after treatment, in comparison with consumption in the pre-treatment period.

Conclusion: We suggest that an ultrasound-guided interfascial block of the trapezius muscle is effective for the treatment of CEH caused by muscle disorders.

目的:颈肌紊乱,如肌筋膜触发点和紧绷,是颈源性头痛(CEH)患者的常见因素。我们的目的是评估超声引导下斜方肌筋膜间阻滞治疗出现颈上肌群压痛的CEH患者的有效性。方法:对23例患者进行前瞻性观察性试验。在斜方肌和提肩胛肌筋膜之间使用一次性25号,10厘米的Quincke-tip脊柱针进行注射。肌筋膜间注射0.125%布比卡因10 mL。对治疗前后的数值评定量表(NRS)、颈部失能指数(NDI)、疼痛频率、镇痛药用量进行评估。结果:治疗后10 min、1周、2周、4周NRS评分均显著优于治疗前NRS评分。治疗后1、2、4周的NDI评分均显著优于治疗前的NDI评分。治疗后1周和2周疼痛频率明显低于治疗前。与治疗前相比,治疗后1周、2周和4周镇痛药的消耗有统计学意义的减少。结论:超声引导下斜方肌筋膜间阻滞是治疗肌肉疾病所致CEH的有效方法。
{"title":"Ultrasound-guided interfascial blocks of the trapezius muscle for cervicogenic headache.","authors":"Tülin Arıcı,&nbsp;Çetin Kürşad Akpınar,&nbsp;Adnan Burak Bilgiç,&nbsp;İdris Şevki Köken","doi":"10.14744/agri.2021.21957","DOIUrl":"https://doi.org/10.14744/agri.2021.21957","url":null,"abstract":"<p><strong>Objectives: </strong>Disorders in the cervical muscles, such as myofascial trigger points and tightness, are common factors in patients with cervicogenic headache (CEH). We aimed to evaluate the effectiveness of ultrasound-guided interfascial blocks of the trapezius muscle in patients with CEH who showed tenderness in the upper cervical muscle groups.</p><p><strong>Methods: </strong>A total of 23 patients were evaluated in the prospective observational trial. The injection was performed between the trapezius muscle and levator scapula muscle fascia with a disposable 25-gauge, 10-cm Quincke-tip spinal needle. 10 mL of 0.125% bupivacaine was injected between the muscle fascia. Numeric rating scale (NRS), neck disability index (NDI), pain frequency, and analgesic consumption in the pre-treatment and post-treatment period were evaluated.</p><p><strong>Results: </strong>The NRS scores at 10 min, 1 week, 2 weeks, and 4 weeks after treatment were significantly better than the pre-treatment NRS score. The NDI scores at 1, 2, and 4 weeks after treatment were significantly better than the pre-treatment NDI score. The pain frequency at 1 and 2 weeks after treatment was significantly lower than that recorded in the pre-treatment period. Statistically significant reductions were observed in analgesic consumption at 1, 2, and 4 weeks after treatment, in comparison with consumption in the pre-treatment period.</p><p><strong>Conclusion: </strong>We suggest that an ultrasound-guided interfascial block of the trapezius muscle is effective for the treatment of CEH caused by muscle disorders.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10569789","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}
引用次数: 0
期刊
Agri-The Journal of the Turkish Society of Algology
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