Pub Date : 2022-06-01DOI: 10.1136/rapm-2022-esra.459
M. M. Medina Torres, S. Martín Santiago, A. Santos Macias
Background and AimsDifferent descriptions of long COVID have already been proposed, and the most common description includes symptoms lasting for over three months after the first symptom onset. One of the most frequent symptoms identified, besides fatigue and dyspnoea, is a new daily persistent headache.1MethodsWe describe a case of persistent headache associated with COVID-19, which had a poor response to pharmacological treatment. The patient scored a pain of 8 points in Visual Analog Scale (VAS). It was a widespread—affecting frontal, temporal, and occipital area—pulsating quality headache that worsened with mild physical activity.Since Botulinum toxin type A has been used to treat chronic migraine for over a decade, we decided to try this therapeutic option after proving that the response to local anesthetics was positive.ResultsShe responded satisfactorily to bilateral greater occipital nerve block and infiltration of the frontal and temporal muscles with local anesthetic and corticosteroids, with an improvement during approximately 48 hours.Two weeks later, we administered by ultrasound guidance 20 IU of botulinum toxin near the greater occipital nerve, and performed a mapping with botulinum toxin by administering it at different points: both trapezius, splenius, frontal muscles, bilateral orbicularis and bilateral temporal and parietal muscles. After seven days, the patient reported improvement of the symptoms (VAS 3) that were still present one month later.ConclusionsIn conclusion, we propose that botulinum toxin can be a therapeutic option for persistent headaches associated with COVID-19. However, future research studies are required to clarify this possibility.
{"title":"B383 Botulinum toxin infiltration as an option for treatment of persistent headache associated with COVID-19. Case report","authors":"M. M. Medina Torres, S. Martín Santiago, A. Santos Macias","doi":"10.1136/rapm-2022-esra.459","DOIUrl":"https://doi.org/10.1136/rapm-2022-esra.459","url":null,"abstract":"Background and AimsDifferent descriptions of long COVID have already been proposed, and the most common description includes symptoms lasting for over three months after the first symptom onset. One of the most frequent symptoms identified, besides fatigue and dyspnoea, is a new daily persistent headache.1MethodsWe describe a case of persistent headache associated with COVID-19, which had a poor response to pharmacological treatment. The patient scored a pain of 8 points in Visual Analog Scale (VAS). It was a widespread—affecting frontal, temporal, and occipital area—pulsating quality headache that worsened with mild physical activity.Since Botulinum toxin type A has been used to treat chronic migraine for over a decade, we decided to try this therapeutic option after proving that the response to local anesthetics was positive.ResultsShe responded satisfactorily to bilateral greater occipital nerve block and infiltration of the frontal and temporal muscles with local anesthetic and corticosteroids, with an improvement during approximately 48 hours.Two weeks later, we administered by ultrasound guidance 20 IU of botulinum toxin near the greater occipital nerve, and performed a mapping with botulinum toxin by administering it at different points: both trapezius, splenius, frontal muscles, bilateral orbicularis and bilateral temporal and parietal muscles. After seven days, the patient reported improvement of the symptoms (VAS 3) that were still present one month later.ConclusionsIn conclusion, we propose that botulinum toxin can be a therapeutic option for persistent headaches associated with COVID-19. However, future research studies are required to clarify this possibility.","PeriodicalId":72591,"journal":{"name":"Chronic pain & management","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80040291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-01DOI: 10.1136/rapm-2022-esra.452
F. Papanikolaou, A. Petsiti, Ioannis Liampas, A. Chalkias, M. Gouva, E. Arnaoutoglou
{"title":"B376 Massage-electroacupuncture versus epidural analgesia for patients with chronic low back pain: a randomized controlled trial","authors":"F. Papanikolaou, A. Petsiti, Ioannis Liampas, A. Chalkias, M. Gouva, E. Arnaoutoglou","doi":"10.1136/rapm-2022-esra.452","DOIUrl":"https://doi.org/10.1136/rapm-2022-esra.452","url":null,"abstract":"","PeriodicalId":72591,"journal":{"name":"Chronic pain & management","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86733867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-01DOI: 10.1136/rapm-2022-esra.434
V. Giannouli, K. Giannoulis, N. Syrmos
{"title":"B358 Positive psychology in chronic pain management: a review of the literature and suggestions for further research","authors":"V. Giannouli, K. Giannoulis, N. Syrmos","doi":"10.1136/rapm-2022-esra.434","DOIUrl":"https://doi.org/10.1136/rapm-2022-esra.434","url":null,"abstract":"","PeriodicalId":72591,"journal":{"name":"Chronic pain & management","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73820842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-01DOI: 10.1136/rapm-2022-esra.462
S. Papantonaki, E. Gavrilaki, M. Fountoulaki, A. Dragatsiki, P. Antonakis, P. Vardakis
{"title":"B386 Application of radiofrequency in the treatment of chronic occipital neuralgia: a report of two cases","authors":"S. Papantonaki, E. Gavrilaki, M. Fountoulaki, A. Dragatsiki, P. Antonakis, P. Vardakis","doi":"10.1136/rapm-2022-esra.462","DOIUrl":"https://doi.org/10.1136/rapm-2022-esra.462","url":null,"abstract":"","PeriodicalId":72591,"journal":{"name":"Chronic pain & management","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87713065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-01DOI: 10.1136/rapm-2022-esra.471
A. Cruz, F. Sales, J. Chaves Carvalho, E. Oliveira, L. Agualusa
{"title":"B395 Pain interventional treatment after episiotomy sensitization","authors":"A. Cruz, F. Sales, J. Chaves Carvalho, E. Oliveira, L. Agualusa","doi":"10.1136/rapm-2022-esra.471","DOIUrl":"https://doi.org/10.1136/rapm-2022-esra.471","url":null,"abstract":"","PeriodicalId":72591,"journal":{"name":"Chronic pain & management","volume":"1242 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90424839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-01DOI: 10.1136/rapm-2022-esra.436
P. Maino, E. Koetsier, A. Wang, R. Jain
{"title":"B360 Pain relief outcomes using peripheral nerve/field stimulation (PNFS) combined with spinal cord stimulation: a multicenter european evaluation","authors":"P. Maino, E. Koetsier, A. Wang, R. Jain","doi":"10.1136/rapm-2022-esra.436","DOIUrl":"https://doi.org/10.1136/rapm-2022-esra.436","url":null,"abstract":"","PeriodicalId":72591,"journal":{"name":"Chronic pain & management","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88231754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-01DOI: 10.1136/rapm-2022-esra.445
A. Stone, H. Zhong, J. Poeran, J. Liu, C. Cozowicz, A. Illescas, S. Memtsoudis
{"title":"B369 Trends in resumption of buprenorphine following elective orthopedic surgery: a national database analysis","authors":"A. Stone, H. Zhong, J. Poeran, J. Liu, C. Cozowicz, A. Illescas, S. Memtsoudis","doi":"10.1136/rapm-2022-esra.445","DOIUrl":"https://doi.org/10.1136/rapm-2022-esra.445","url":null,"abstract":"","PeriodicalId":72591,"journal":{"name":"Chronic pain & management","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78325803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-01DOI: 10.1136/rapm-2022-esra.480
A. Dimitrovski, M. Toleska Doneska, B. Kuzmanovska, N. Toleska Dimitrovska, A. Trajanovski, M. Mojsova Mijovska, F. Naumovski
{"title":"B404 Interventional treatment of chronic pain in patient after thoracotomy approach case report","authors":"A. Dimitrovski, M. Toleska Doneska, B. Kuzmanovska, N. Toleska Dimitrovska, A. Trajanovski, M. Mojsova Mijovska, F. Naumovski","doi":"10.1136/rapm-2022-esra.480","DOIUrl":"https://doi.org/10.1136/rapm-2022-esra.480","url":null,"abstract":"","PeriodicalId":72591,"journal":{"name":"Chronic pain & management","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73820351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-01DOI: 10.1136/rapm-2022-esra.439
J. Atallah, B. Holt, K. Lechleiter, R. Jain
{"title":"B363 Rapid: an international, prospective, multicenter study of radiofrequency ablation outcomes in chronic pain patients","authors":"J. Atallah, B. Holt, K. Lechleiter, R. Jain","doi":"10.1136/rapm-2022-esra.439","DOIUrl":"https://doi.org/10.1136/rapm-2022-esra.439","url":null,"abstract":"","PeriodicalId":72591,"journal":{"name":"Chronic pain & management","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78658873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-01DOI: 10.1136/rapm-2022-esra.438
G. Kyriakopoulos, F. Occhigrossi, F. Cassini, L. Chen, R. Jain
{"title":"B362 Real-world outcomes using thermal radiofrequency (TRF) ablation for chronic pain","authors":"G. Kyriakopoulos, F. Occhigrossi, F. Cassini, L. Chen, R. Jain","doi":"10.1136/rapm-2022-esra.438","DOIUrl":"https://doi.org/10.1136/rapm-2022-esra.438","url":null,"abstract":"","PeriodicalId":72591,"journal":{"name":"Chronic pain & management","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72517226","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}