Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology最新文献

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Integrating neural therapy into family practice. 将神经疗法融入家庭实践。
Jose Montaño
{"title":"Integrating neural therapy into family practice.","authors":"Jose Montaño","doi":"10.14744/agri.2023.52280","DOIUrl":"https://doi.org/10.14744/agri.2023.52280","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"189-190"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985319","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
Shearing of epidural catheter during combined spinal epidural technique: more than just a hypothetical complication. 脊髓硬膜外联合技术中硬膜外导管剪切:不仅仅是一个假设的并发症。
Samarjit Dey, Manish Keshwani, Omer Mohammed Mujahid, Vamshidhar Chamala
{"title":"Shearing of epidural catheter during combined spinal epidural technique: more than just a hypothetical complication.","authors":"Samarjit Dey, Manish Keshwani, Omer Mohammed Mujahid, Vamshidhar Chamala","doi":"10.14744/agri.2022.23090","DOIUrl":"https://doi.org/10.14744/agri.2022.23090","url":null,"abstract":"<p><p>Damage to an epidural catheter by a spinal needle is a hypothetical complication, as mentioned in the literature. We present a case report where the epidural catheter was damaged and sheared by a spinal needle when the same interspace was used for the introduction of both the epidural and spinal needles. The damage to the catheter went unnoticed until drug infusion via the catheter was planned. The intended drug could not be delivered. In a scenario where the drug could have been delivered via the damaged catheter, the tissue plane in which the drug extravasates and its possible implications may not be known. What was once purported to be a rare and hypothetical complication could no longer be just that.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"179-180"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985332","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
The impacts of facet radiofrequency and/or transforaminal steroid injection on level of pain, life quality and degree of depression in patients with chronic low back pain: A retrospective study. 关节突射频和/或经椎间孔类固醇注射对慢性腰痛患者疼痛水平、生活质量和抑郁程度的影响:一项回顾性研究
Faruk Altaş, Ayten Bilir, Meryem Onay
{"title":"The impacts of facet radiofrequency and/or transforaminal steroid injection on level of pain, life quality and degree of depression in patients with chronic low back pain: A retrospective study.","authors":"Faruk Altaş, Ayten Bilir, Meryem Onay","doi":"10.14744/agri.2025.47154","DOIUrl":"https://doi.org/10.14744/agri.2025.47154","url":null,"abstract":"<p><strong>Objectives: </strong>Low back pain is a widespread medical condition seen in middle-aged and elderly individuals, causing labor loss, high treatment costs, depression, and poor life quality. This study aimed to investigate pain levels, life quality, and depression in patients undergoing facet radiofrequency (RF) and/or transforaminal epidural steroid injection (TFESI) for the treatment of chronic low back pain (CLBP).</p><p><strong>Methods: </strong>The records of 51 patients with low back pain lasting more than three months who underwent interventional procedures for pain management were reviewed retrospectively. Patient data including age, sex, type of interventional treatment, visual analog scale (VAS) scores before and after the procedure, SF-36 life quality scores, and Beck Depression Scale (BDS) scores were obtained from patient tracking forms and the hospital information system.</p><p><strong>Results: </strong>A total of 51 patients (35 males, 16 females) who received interventional treatment were included in the study. The mean age of the patients was 48.37±13 years. Patients underwent facet RF (n=14), TFESI (n=23), or both procedures combined (n=14). Compared to pre-procedure values, VAS and BDS scores at the third and sixth months were significantly lower (p<0.05), while SF-36 life quality scores were significantly higher (p<0.05). No significant difference was observed between the third and sixth months (p>0.05).</p><p><strong>Conclusion: </strong>In chronic low back pain, interventional treatments such as facet RF and/or TFESI were found to reduce pain and depression levels and improve life quality.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"156-161"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985362","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
Evaluation of the efficacy and safety of combined pulsed radiofrequency and transforaminal epidural steroid injection in herpes zoster-related pain. 脉冲射频联合经椎间孔硬膜外类固醇注射治疗带状疱疹相关疼痛的疗效和安全性评价。
Esra Ertilav, Öznur Yıldırım, Osman Nuri Aydın
{"title":"Evaluation of the efficacy and safety of combined pulsed radiofrequency and transforaminal epidural steroid injection in herpes zoster-related pain.","authors":"Esra Ertilav, Öznur Yıldırım, Osman Nuri Aydın","doi":"10.14744/agri.2024.70104","DOIUrl":"https://doi.org/10.14744/agri.2024.70104","url":null,"abstract":"<p><strong>Objectives: </strong>In this study, we aimed to evaluate the effectiveness of pulsed radiofrequency (PRF) and transforaminal anterior epidural steroid injection (TFAESI) applied to the dorsal root ganglion (DRG) in herpes zoster pain.</p><p><strong>Methods: </strong>The results of patients who underwent DRG PRF and TFAESI for herpes zoster-related pain in the algology clinic were evaluated retrospectively. Demographic and clinical examination findings (gender, age, involved dermatome, side, neurologic examination, medications used), VAS scores, and complications were recorded at 1, 6, and 12 months after the procedure.</p><p><strong>Results: </strong>Data of 93 patients were evaluated. Sixty-six patients were in the acute/subacute pain phase, while 27 patients had postherpetic neuralgia (PHN) at presentation. Eleven patients (C2-4: 1, C3-5: 2, C4-6: 2, C5-7: 2, C6-8: 2, C7-T1: 2) underwent cervical DRG PRF and TFAESI. Seventy-five patients underwent thoracic DRG PRF and TFAESI (T1-3: 2, T2-4: 6, T3-5: 4, T4-6: 11, T5-7: 9, T6-8: 9, T7-9: 6, T8-10: 5, T9-11: 9, T10-12: 7, T11-L1: 3, T12-L2: 4). Seven patients underwent lumbar DRG PRF and TFAESI (L1-3: 3, L2-4: 1, L5-S2: 3). VAS scores for all three regions were significantly lower than pre-procedure scores at 1, 6, and 12 months after the procedure (p<0.001, p<0.001, p=0.008, respectively). While 2 patients developed nausea and dizziness due to subdural and intravenous leakage after the procedure, no fatal complications were recorded in any patient.</p><p><strong>Conclusion: </strong>In herpes zoster-associated refractory neuropathic pain, fluoroscopy-guided combined DRG and TFAESI application methods provide long-term effective pain control and are safe both in the acute/subacute phase and in patients who develop PHN.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 2","pages":"83-90"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059483","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
Intractable post dural puncture headache in a patient with undiagnosed intrathoracic meningocele. 难治性硬脑膜穿刺后头痛1例未确诊的胸内脑膜膨出。
Dr Reena, Subash Sankaralingam, Swati Singh, Amrita Rath, J Manikandan, Ashutosh Vikram
{"title":"Intractable post dural puncture headache in a patient with undiagnosed intrathoracic meningocele.","authors":"Dr Reena, Subash Sankaralingam, Swati Singh, Amrita Rath, J Manikandan, Ashutosh Vikram","doi":"10.14744/agri.2024.46667","DOIUrl":"https://doi.org/10.14744/agri.2024.46667","url":null,"abstract":"<p><p>Post dural puncture headache (PDPH) is a troublesome complication of dural puncture. Although its risk factors and management have been extensively discussed in the literature, the underlying cause may sometimes remain unclear, making treatment challenging for anaesthesiologists. We describe a noteworthy case of PDPH following spinal anaesthesia administered for an emergency cesarean section in a patient with known neurofibromatosis. Despite conservative and pharmacological treatment, followed by an autologous epidural blood patch, no symptomatic relief was achieved. Neuroimaging of the brain and spine revealed a large intrathoracic meningocele (IM). Although rare, intrathoracic meningocele should be considered in patients with neurofibromatosis who develop intractable PDPH after dural puncture, with neuroimaging being the most effective diagnostic tool.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 2","pages":"121-124"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054036","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
Intrathecal injection in the difficult patient guided by ultrasonography: Two case reports. 超声引导下困难患者鞘内注射2例报告。
Meryem Onay, Semih Boyacı, Mehmet Sacit Güleç
{"title":"Intrathecal injection in the difficult patient guided by ultrasonography: Two case reports.","authors":"Meryem Onay, Semih Boyacı, Mehmet Sacit Güleç","doi":"10.14744/agri.2022.81598","DOIUrl":"https://doi.org/10.14744/agri.2022.81598","url":null,"abstract":"<p><p>Intrathecal injection is traditionally performed by identifying the interlaminar spaces using anatomical landmarks. However, obesity, previous spinal surgery, the presence of deformity, or age-related changes may hinder the detection of these landmarks. Poor or failed identification of anatomical landmarks leads to difficulties in performing the neuraxial technique, an increased number of needle insertions, and associated complications. In this study, we discuss our experience with ultrasonography-guided neuraxial block in two patients: one with super morbid obesity (BMI >50) and the other with severe scoliosis (Cobb angle >50°).</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 2","pages":"129-132"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056667","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
Identifying nursing students' attitudes towards patients with chronic pain: Quantitative study. 护生对慢性疼痛患者态度的定量研究。
Nefise Cevriye Sucu Çakmak, Nurcan Çalışkan
{"title":"Identifying nursing students' attitudes towards patients with chronic pain: Quantitative study.","authors":"Nefise Cevriye Sucu Çakmak, Nurcan Çalışkan","doi":"10.14744/agri.2024.25593","DOIUrl":"https://doi.org/10.14744/agri.2024.25593","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to identify nursing students' attitudes towards patients with chronic pain.</p><p><strong>Methods: </strong>This descriptive study was conducted between May and June 2023 with the students of the Department of Nursing. No sample selection was made in the study; the aim was to reach the entire population. The population consisted of 450 students. The sample included 398 students who agreed to participate in the study. Data were collected using the Personal Data Form and the Scale for Healthcare Professionals' Attitudes towards Patients with Chronic Pain. Permission for the study was obtained from the Ethics Committee.</p><p><strong>Results: </strong>According to the study findings, 31.1% of the students always encountered patients with chronic pain, and 69.3% had not received training on chronic pain management. As students' grade level increased, their scores from the sensitivity and misconception orientation factors also increased (p<0.05). As the frequency of encountering patients with chronic pain increased, scores from the sensitivity orientation factor significantly increased (p<0.05). Those who felt insufficient in pain management had significantly lower scores from the sensitivity orientation factor.</p><p><strong>Conclusion: </strong>The results showed that students' attitudes towards patients with chronic pain were good, although not very good. Among the students, those who were female, had more clinical practice experience, frequently encountered patients with chronic pain, and felt sufficient in pain management had stronger positive attitudes towards patients with chronic pain.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 2","pages":"91-99"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053921","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
Transcutaneous electrical nerve stimulation is a promising novel non-pharmacological treatment alternative for mastalgia: A randomized clinical trial. 经皮神经电刺激是一种有希望的新型非药物治疗乳房痛的替代方案:一项随机临床试验。
Nihad Nazarzade, Aysun Genç, Can Konca, Şehim Kutlay, Şiyar Ersöz, Volkan Genç
{"title":"Transcutaneous electrical nerve stimulation is a promising novel non-pharmacological treatment alternative for mastalgia: A randomized clinical trial.","authors":"Nihad Nazarzade, Aysun Genç, Can Konca, Şehim Kutlay, Şiyar Ersöz, Volkan Genç","doi":"10.14744/agri.2024.13845","DOIUrl":"https://doi.org/10.14744/agri.2024.13845","url":null,"abstract":"<p><strong>Objectives: </strong>The main objective of this study is to determine the effectiveness of transcutaneous electrical nerve stimulation (TENS) treatment on pain and quality of life in mastalgia, a condition for which treatment has not yet reached a consensus.</p><p><strong>Methods: </strong>This randomized controlled clinical trial was completed with 20 women suffering from mastalgia. Patients were randomly assigned to the TENS treatment and sham application groups. Pain intensity, pain patterns, and quality of life were evaluated with the Breast Pain and SF-36 questionnaires before and 10 days after treatment in all patients.</p><p><strong>Results: </strong>TENS treatment significantly reduced the total breast pain score (from 257.6±47.3 to 123.6±11.6 for the TENS group vs 217.7±42.7 to 209.7±54.4 for the sham group) (p<0.001) and analgesic use (p=0.024) compared to the sham group. The pain patterns of patients shifted to a more brief, momentary, or transient pattern in the TENS group, whereas they did not change in the sham TENS group. There was significant improvement in the total SF score (p<0.001) and six subscales of the SF-36 (physical and social functioning, energy/fatigue, pain, general health, and health change) in favor of the TENS group.</p><p><strong>Conclusion: </strong>TENS seems to be a promising treatment for mastalgia. It is safe, has a rapid onset of action, and can be self-administered.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 2","pages":"75-82"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001621","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
Pain medicine specialists in compulsory service: Struggles, limitations, and policy needs. 义务役中的疼痛医学专家:挣扎、限制和政策需求。
Gözde Çelik, Gül Köknel Talu
{"title":"Pain medicine specialists in compulsory service: Struggles, limitations, and policy needs.","authors":"Gözde Çelik, Gül Köknel Talu","doi":"10.14744/agri.2025.48265","DOIUrl":"https://doi.org/10.14744/agri.2025.48265","url":null,"abstract":"<p><strong>Objectives: </strong>Compulsory service programs aim to improve healthcare equity by distributing specialists to underserved regions. However, pain medicine specialists face unique challenges, including professional isolation, limited resources, financial dissatisfaction, and restricted career growth. This study evaluates their experiences and explores potential policy improvements.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among pain medicine specialists who have completed or are fulfilling compulsory service. The survey included multiple-choice, Likert-scale, and open-ended questions assessing demographics, workload, resource availability, financial compensation, career impact, and job satisfaction. Descriptive statistics and thematic analysis were applied using SPSS 20.0.</p><p><strong>Results: </strong>Forty-nine specialists participated, with an average of 15.1 years in practice. Reported challenges included inadequate access to essential medical equipment (36.8%), lack of trained support personnel (67.3%), and professional isolation (63.3%). Financial dissatisfaction was high (48.9%), and 65.3% lacked additional housing or travel support incentives. Career limitations were notable, with 40.8% reporting restricted access to continuous education and 45.7% feeling that compulsory service negatively impacted their professional growth. Safety concerns, including workplace security and encounters with drug-seeking patients, were raised by 27.7% of respondents.</p><p><strong>Conclusion: </strong>Compulsory service poses significant challenges, affecting job satisfaction, career advancement, and service effectiveness. Policy improvements should include structured financial incentives, better resource allocation, support for continued education, and enhanced workplace security to improve retention and care quality in underserved areas.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 2","pages":"106-111"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003490","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
Transient coma: A complication after neurolytic celiac plexus and splanchnic nerve blocks in a patient with superior mesenteric artery syndrome. 一过性昏迷:一例肠系膜上动脉综合征患者腹腔神经丛和内脏神经阻滞后的并发症。
Derya Bayram, İbrahim Aşık
{"title":"Transient coma: A complication after neurolytic celiac plexus and splanchnic nerve blocks in a patient with superior mesenteric artery syndrome.","authors":"Derya Bayram, İbrahim Aşık","doi":"10.14744/agri.2022.80688","DOIUrl":"https://doi.org/10.14744/agri.2022.80688","url":null,"abstract":"<p><p>The unintentional intravascular injection of alcohol or phenol during the neurolytic block of the celiac plexus or splanchnic nerves can cause major side effects, which are rare but potentially fatal. We report a case of a 42-year-old female with a history of epigastric pain, persistent postprandial vomiting, and weight loss due to superior mesenteric artery syndrome, who underwent a fluoroscopy-guided neurolytic splanchnic nerve block with phenol and a celiac plexus block with alcohol, complicated by transient coma immediately after the procedure. Any pain originating from visceral abdominal structures can be effectively reduced by the neurolytic block of the celiac plexus or splanchnic nerves. Although the systemic effects of alcohol and phenol are not normally expected, physicians should be aware of serious complications such as intoxication, seizures, and unconsciousness due to intravascular injection.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 2","pages":"115-120"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035986","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
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