Tuğçe Erdoğru Demir, Ayşe Nilufer Alçalar, Hanife Özlem Sertel Berk
{"title":"Self-reported muscle tension assessment: Validation study of the Visual Analog Scale for tension.","authors":"Tuğçe Erdoğru Demir, Ayşe Nilufer Alçalar, Hanife Özlem Sertel Berk","doi":"10.5606/agri.2026.78","DOIUrl":"10.5606/agri.2026.78","url":null,"abstract":"<p><strong>Background: </strong>This study aims to evaluate the validity of the Visual Analog Scale-Tension (VAS-T).</p><p><strong>Patients and methods: </strong>This cross-sectional study included a total of 100 patients with chronic pain and 100 individuals without pain complaints between April 2021 and April 2022. All participants completed a sociodemographic information form, the Visual Analog Scale for Tension (VAS-T), the Depression Anxiety Stress Scale (DASS-42), and the Toronto Alexithymia Scale (TAS-20). Additionally, patients with chronic pain completed the Visual Analog Scale for Pain (VAS-P) and algometer assessments. The discriminant, concurrent, and convergent validity of the VAS-T was evaluated.</p><p><strong>Results: </strong>Concerning discriminant validity, analyses revealed that individuals in the pain group exhibited significantly higher VAS-T scores compared to the control group (p < 0.001). There was a significant correlation between VAS-T scores, muscle tension algometer scores, and anxiety, stress, and alexithymia levels (p < 0.01). Participants reporting low tension on the VAS-T differed significantly from those reporting high tension regarding these variables (p < 0.05).</p><p><strong>Conclusion: </strong>The self-reported VAS-T is a rapid, practical and valid self-reported tool for assessing muscle tension.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 2","pages":"75-82"},"PeriodicalIF":0.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148008568","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}
{"title":"Rapidly occurring spondylodiscitis at the distal level following lumbar transforaminal epidural injection.","authors":"Alper Mengi","doi":"10.5606/agri.2026.34","DOIUrl":"https://doi.org/10.5606/agri.2026.34","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 2","pages":"144-146"},"PeriodicalIF":0.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148008570","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}
Francesca De Sanctis, Ezio Amorizzo, Gian Marco Petroni, Luciano Giacomino, Giuseppe Fratini, Bruno Coccetti, Rita Commissari, Pierfrancesco Fusco
{"title":"Low-dose dexmedetomidine as adjuvant to serratus anterior plane block for chest trauma in critically ill patient: Three case reports.","authors":"Francesca De Sanctis, Ezio Amorizzo, Gian Marco Petroni, Luciano Giacomino, Giuseppe Fratini, Bruno Coccetti, Rita Commissari, Pierfrancesco Fusco","doi":"10.5606/agri.2026.45","DOIUrl":"10.5606/agri.2026.45","url":null,"abstract":"<p><p>Serratus anterior plane block (SAPB) is an effective regional anesthesia technique for chest wall analgesia. In this article, we report three cases of critically ill patients with chest trauma in whom a single-shot SAPB combined with low-dose dexmedetomidine (DEX) was used as part of a multimodal analgesia strategy. In all cases, SAPB with DEX provided effective and prolonged analgesia, with pain relief lasting up to 72 hours. The technique also contributed to improved respiratory function and facilitated clinical decision-making during the weaning process in one patient by helping to distinguish pain-related respiratory limitation from diaphragmatic dysfunction. In conclusion, SAPB with low-dose DEX may be a safe and effective option for chest wall analgesia at T3-T8 levels, even in polytrauma patients.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 2","pages":"130-133"},"PeriodicalIF":0.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148008541","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}
{"title":"Stellate ganglion block for the treatment of olfactory and gustatory dysfunction in patients with long COVID-19.","authors":"Tural Bayramov","doi":"10.5606/agri.2026.37","DOIUrl":"https://doi.org/10.5606/agri.2026.37","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 2","pages":"141-143"},"PeriodicalIF":0.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007550","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}
Mete Manici, İrem Özdemir, Yasemin Sincer, Yavuz Gürkan
{"title":"Sacral erector spinae plane block for postoperative pain management following coccyx removal: A case report.","authors":"Mete Manici, İrem Özdemir, Yasemin Sincer, Yavuz Gürkan","doi":"10.5606/agri.2026.47","DOIUrl":"10.5606/agri.2026.47","url":null,"abstract":"<p><p>Sacrococcygeal dislocation commonly occurs after trauma and may cause coccydynia. Although most cases of coccydynia after sacrococcygeal dislocation resolve with conservative and medical treatment, surgery is also an option with refractory pain. Sacral erector spinae plane block (SESPB) is a novel approach for sacrococcygeal procedures and may be effective in the postoperative pain of this region. In this article, we present a case of a successful median approach SESPB for postoperative pain management following coccyx removal in a patient with sacrococcygeal dislocation. In conclusion, SESPB seems to be a promising regional anesthesia technique for pain originating from the coccyx.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 2","pages":"134-136"},"PeriodicalIF":0.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148008567","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}
{"title":"Evaluating the impact of positional changes on pain in stroke patients unable to communicate verbally in the intensive care unit.","authors":"Esra Efe, Nurhan Doğan","doi":"10.5606/agri.2026.49","DOIUrl":"10.5606/agri.2026.49","url":null,"abstract":"<p><strong>Background: </strong>This study aims to determine the effect of position changes on pain in stroke patients who are unable to communicate verbally in the intensive care unit (ICU).</p><p><strong>Patients and methods: </strong>Between August 2021 and February 2022, a total of 129 stroke patients who were unable to communicate verbally in the ICU were included in this cross-sectional study. Data were collected using the Personal Information Form, Critical Care Observation Tool (CPOT), Behavioral Pain Scale (BPS), Motor Activity Assessment Scale (MAAS).</p><p><strong>Results: </strong>Of a total of 129 patients included in the study, 56 were male and 73 were female with a mean age of 73.5±11.2 (range, 45 to 92) years. There was a significant difference in conditions such as heart rate, blood pressure, oxygen saturation value, changes in pupils, sweating, nausea-vomiting, and pallor-redness on the skin before, during, and after the position change (p < 0.05). In the multiple comparisons, the values before and after the intervention were lower than the values during the position change. There was a significant relationship between CPOT, BPS and MAAS in the study (p < 0.05).</p><p><strong>Conclusion: </strong>Stroke patients in the ICU who are unable to communicate verbally experience pain associated with position changes, as evidenced by both behavioral responses and physiological alterations. In-service training programs should be organized for intensive care nurses to enhance their ability to recognize and evaluate pain-related behaviors.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 2","pages":"96-110"},"PeriodicalIF":0.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148008565","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}
{"title":"A rare cause of back pain in children: Notalgia paresthetica.","authors":"Sevinç Külekçioğlu","doi":"10.14744/agri.2023.90022","DOIUrl":"10.14744/agri.2023.90022","url":null,"abstract":"<p><p>Notalgia paresthetica (NP) is a rare sensory neuropathy and is not a well-known condition. As a result, the diagnosis is often overlooked, and back pain may be the initial presenting symptom. Back pain is a common locomotor system complaint in children. Here, we present a 15-year-old female patient who experienced back pain, itching, and tingling for the past 4 months and was diagnosed with NP. Recognition of NP as a rare cause of back pain in children is important for initiating targeted therapy. Considering NP in the differential diagnosis of children presenting with back pain allows early diagnosis and treatment and helps prevent pain from becoming chronic.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 1","pages":"56-58"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088764","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}
{"title":"Does central sensitization affect responses to genicular radiofrequency and intra-articular injection in elderly knee osteoarthritis patients?","authors":"Ahmet Başarı, Ayşe Seda Eren Zeydoğlu","doi":"10.14744/agri.2025.54679","DOIUrl":"10.14744/agri.2025.54679","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the effect of central sensitization level on treatment response in individuals older than 65 years who underwent genicular nerve radiofrequency and intra-articular injection treatments for knee osteoarthritis (OA).</p><p><strong>Methods: </strong>In this retrospective cohort study, 37 patients were divided into two groups according to the Central Sensitization Inventory (CSI) score (CSI<40 and CSI≥40). All patients underwent genicular nerve radiofrequency ablation and intra-articular injection. Pain (NRS), functionality (WOMAC), walking capacity (6MWT), sleep quality (PSQI), and satisfaction levels were evaluated at baseline and at 1 and 3 months following the procedure. Variance and regression analyses were used for statistical evaluation.</p><p><strong>Results: </strong>Significant clinical improvements were observed in all patient groups for the evaluated parameters (p<0.001). However, variance analysis for pain (F=22.566, p<0.001), function (F=15.283, p<0.001), sleep quality (t=-3.87, p<0.001), and walking capacity (F=13.301, p=0.001) showed lower scores in the CSI≥40 group compared with the CSI<40 group. Regression analysis confirmed lower responses in CSI≥40 patients: pain (β=-2.1; 95% CI: -3.1 to -1.1; p<0.001), function (β=-4.6; 95% CI: -7.2 to -2.0; p=0.001), walking (β=-24.6; 95% CI: -40.7 to -2.8; p=0.026), and sleep (β=-1.9; 95% CI: -2.9 to -0.9; p=0.001).</p><p><strong>Conclusion: </strong>The presence of central sensitization significantly limits the clinical response to genicular radiofrequency ablation and intra-articular injection treatments in older patients with OA. Routine use of screening tools such as CSI in treatment planning may guide more effective and personalized approaches.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 1","pages":"29-37"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088697","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}
{"title":"A comparative study of clonidine and dexmedetomidine as an adjuvant to levobupivacaine for caudal analgesia in children undergoing below umbilical surgeries: A randomized double-blind controlled trial.","authors":"Shilpa Agarwal, Siddarth Agrawal, Geeta Kamal, Anju Gupta, Aikta Gupta, Bhumika Kalra","doi":"10.14744/agri.2025.58672","DOIUrl":"10.14744/agri.2025.58672","url":null,"abstract":"<p><strong>Objectives: </strong>Dexmedetomidine and clonidine have been studied separately as adjuvants with levobupivacaine, but there is no literature comparing the two drugs for caudal anesthesia in children. We compared the analgesic efficacy and adverse effects of clonidine and dexmedetomidine as adjuvants to levobupivacaine for caudal analgesia in children undergoing infraumbilical surgeries.</p><p><strong>Methods: </strong>In this prospective randomized study, 100 pediatric patients (3 to 8 years) of either sex, scheduled for infraumbilical surgery, were randomly allocated to two equal groups in a double-blind manner. After induction of anesthesia using a standard technique, caudal anesthesia was administered using 0.2% levobupivacaine (1 ml/kg) with either 1 µg/kg dexmedetomidine (Group A) or 1 µg/kg clonidine (Group B). Hemodynamic parameters, motor block, degree of sedation, postoperative analgesia, use of rescue analgesics, and side effects were evaluated for 24 hours.</p><p><strong>Results: </strong>The mean duration of analgesia in Group A (12.7±2.4 h) was higher than in Group B (10.6±2.2 h), which was statistically significant (p=0.000). The mean duration of sedation was higher in Group A, although it was statistically insignificant. Hemodynamic parameters were comparable in the two groups. No significant side effects were observed in the groups.</p><p><strong>Conclusion: </strong>Dexmedetomidine (1 µg/kg) added to 0.2% levobupivacaine (1 ml/kg) for caudal block provides prolonged analgesia with better sedation scores when compared to clonidine (1 µg/kg) with 0.2% levobupivacaine (1 ml/kg) for below umbilical surgeries in pediatric patients, without increasing the incidence of adverse effects. Hence, we would recommend the use of 1 µg/kg dexmedetomi-dine as an adjuvant to 0.2% levobupivacaine.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 1","pages":"21-28"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088748","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}
{"title":"The underdiagnosed issue in anterior hip painful conditions: A myofascial perspective to the sartorius muscle and dry needling protocol.","authors":"Sema Nur Mutlu Ekici, Fatih Bağcıer","doi":"10.14744/agri.2023.98512","DOIUrl":"https://doi.org/10.14744/agri.2023.98512","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 1","pages":"59-60"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088751","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}