Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology最新文献_第5页

Targeting dual pathways in refractory coccydynia: A comparative study of ganglion impar block alone versus combined with pericoccygeal injection. 针对难治性尾骨痛的双通路：单独神经节阻滞与联合尾骨周注射的比较研究。

Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology Pub Date : 2026-01-01 DOI: 10.14744/agri.2025.76892

Mert Zure, Halil İbrahim Altun, Fatma Ayşen Eren

{"title":"Targeting dual pathways in refractory coccydynia: A comparative study of ganglion impar block alone versus combined with pericoccygeal injection.","authors":"Mert Zure, Halil İbrahim Altun, Fatma Ayşen Eren","doi":"10.14744/agri.2025.76892","DOIUrl":"10.14744/agri.2025.76892","url":null,"abstract":"Objectives: Coccydynia is a complex and often refractory pain condition involving both sympathetic and somatic components. While ganglion impar block (GIB) is a well-established interventional technique for cases unresponsive to conservative treatment, pericoccygeal injection may offer additional benefits by targeting peripheral sensitization and anococcygeal nerve-mediated pain. This study aimed to evaluate and compare the clinical effectiveness of GIB alone versus GIB combined with pericoccygeal injection in patients with refractory coccydynia.Methods: This retrospective cohort study included 60 patients aged 18-65 years treated at a tertiary pain clinic between June 2022 and June 2024. Patients received either GIB alone or GIB combined with pericoccygeal injection in a single session under fluoroscopic guidance. Pain severity and functional outcomes were assessed using the Numeric Rating Scale (NRS-11), Oswestry Disability Index (ODI), and Paris Functional Coccydynia Impact Questionnaire (PFCIQ) before the procedure and at 1 and 3 months post-intervention.Results: Both groups demonstrated significant improvements in NRS-11, ODI, and PFCIQ scores at 1 and 3 months compared to baseline (p<0.001). The combination therapy group showed significantly greater reductions in NRS-11 and ODI scores at 1 month (p=0.043 and p=0.036, respectively), and in ODI scores at 3 months (p=0.04). Analgesic use declined prominently in both groups, and no major complications were reported.Conclusion: A single-session combination of GIB and pericoccygeal injection appears to offer superior short-term pain relief and func-tional improvement compared to GIB alone in refractory coccydynia. Further prospective studies are needed.","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 1","pages":"11-20"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088688","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

Comparing perichondrial M-TAPA and subcostal OSTAP blocks in laparoscopic hernia repair: A randomized, non-inferiority trial. 比较肋下OSTAP阻滞和软骨周M-TAPA阻滞在腹腔镜疝修补中的应用：一项随机、非效性试验。

Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology Pub Date : 2026-01-01 DOI: 10.14744/agri.2025.50336

Selçuk Alver, Bahadır Çiftçi, İnanç Koruk, Burak Ömür, Birzat Emre Gölboyu, Mustafa Celalettin Haksal, Alper Kılıçaslan

{"title":"Comparing perichondrial M-TAPA and subcostal OSTAP blocks in laparoscopic hernia repair: A randomized, non-inferiority trial.","authors":"Selçuk Alver, Bahadır Çiftçi, İnanç Koruk, Burak Ömür, Birzat Emre Gölboyu, Mustafa Celalettin Haksal, Alper Kılıçaslan","doi":"10.14744/agri.2025.50336","DOIUrl":"10.14744/agri.2025.50336","url":null,"abstract":"Objectives: The modified thoracoabdominal nerves block through the perichondrial approach (M-TAPA) and the oblique subcostal transversus abdominis plane block (OSTAP) provide effective analgesia management after abdominal surgeries. There are limited studies comparing these two blocks in the literature. We aimed to compare M-TAPA and OSTAP in patients who underwent laparoscopic inguinal hernia repair.Methods: Patients with ASA status I-II, aged between 18 and 65 years, scheduled for elective TAPP under general anesthesia were included in the study. The patients were randomized into two groups: Group M-TAPA (n=30) and Group OSTAP (n=30). Blocks were performed using a total of 60 ml of 0.25% bupivacaine (30 ml per side). Postoperatively, all patients were routinely prescribed intravenous ibuprofen 400 mg three times a day. If a patient's NRS score was ≥4 at any time, a dose of 100 mg intravenous tramadol was administered for rescue analgesia.Results: The duration of the block procedure was significantly longer in the OSTAP group. The need for rescue analgesia and opioid consumption were similar between the groups. In the first two postoperative hours, static and dynamic NRS scores were lower in the M-TAPA group than in the OSTAP group. There were no differences between the groups in terms of the rate of adverse events. Patient satisfaction (Likert scale) was higher in the M-TAPA group.Conclusion: The M-TAPA block is not inferior to the OSTAP block following laparoscopic inguinal hernia repair surgery. Moreover, the M-TAPA block may be an alternative option to the OSTAP block, as it is easy to apply.","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 1","pages":"38-46"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088723","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 role of interfascial plane blocks in chronic pain treatment: A brief report of three cases. 筋膜间平面阻滞在慢性疼痛治疗中的作用：附三例报告。

Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology Pub Date : 2026-01-01 DOI: 10.14744/agri.2024.98958

Bahadır Çiftçi, Burak Ömür, Burak Ataselim, Selçuk Alver, Hacı Ahmet Alıcı

引用次数: 0

Complex regional pain syndrome should be aggressively treated as soon as it is diagnosed. 一旦诊断出复杂的局部疼痛综合征，就应该积极治疗。

Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology Pub Date : 2026-01-01 DOI: 10.14744/agri.2023.90699

Burak Ekici, Mustafa Turgut Yıldızgören

引用次数: 0

Radiologic and pathologic evaluation for a large schwannoma of the sciatic nerve: A neglected cause of sciatica. 一个大的坐骨神经鞘瘤的放射学和病理学评价：一个被忽视的坐骨神经痛的原因。

Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology Pub Date : 2026-01-01 DOI: 10.14744/agri.2024.89577

Yahya Doğan, Mahmud Fazıl Aksakal, Selma Yeni Yıldırım, Alp Çetin

{"title":"Radiologic and pathologic evaluation for a large schwannoma of the sciatic nerve: A neglected cause of sciatica.","authors":"Yahya Doğan, Mahmud Fazıl Aksakal, Selma Yeni Yıldırım, Alp Çetin","doi":"10.14744/agri.2024.89577","DOIUrl":"https://doi.org/10.14744/agri.2024.89577","url":null,"abstract":"Schwannomas are benign tumors originating from the peripheral nerve sheath. Although they rarely involve the sciatic nerve, their presence may result in sciatica, a condition characterized by pain radiating along the course of the sciatic nerve from the buttock or gluteal region. Despite being an uncommon cause of sciatica, sciatic nerve schwannomas present diagnostic challenges and management complexities. Their occurrence within the sciatic nerve is frequently overlooked, underscoring the need for accurate diagnosis and individualized therapeutic strategies. Surgical intervention is the primary treatment modality for sciatic nerve schwannomas and is associated with highly favorable outcomes when an appropriate surgical approach is employed. In this report, we present a case of chronic sciatica caused by a large schwannoma. Our aim is to emphasize the critical role of comprehensive imaging techniques and meticulous pathological evaluation in achieving an accurate diagnosis and guiding effective treatment planning in such cases.","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 1","pages":"47-51"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088726","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

Comparison of ultrasound- and fluoroscopy-guided intra-articular corticosteroid injections for hip osteoarthritis. 超声与透视引导下关节内皮质类固醇注射治疗髋关节骨关节炎的比较。

Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology Pub Date : 2026-01-01 DOI: 10.14744/agri.2025.58966

Yılmaz Karaduman, Arzu Muz, Emine Yüksel, Seydi Gündoğan, İsmail Eren Durmuş, Suna Akın Takmaz

{"title":"Comparison of ultrasound- and fluoroscopy-guided intra-articular corticosteroid injections for hip osteoarthritis.","authors":"Yılmaz Karaduman, Arzu Muz, Emine Yüksel, Seydi Gündoğan, İsmail Eren Durmuş, Suna Akın Takmaz","doi":"10.14744/agri.2025.58966","DOIUrl":"10.14744/agri.2025.58966","url":null,"abstract":"Objectives: This study aimed to evaluate the effectiveness of ultrasound (US)-guided and fluoroscopy (FL)-guided intra-articular steroid injections on pain and hip function. The study focused on patients with hip osteoarthritis (coxarthrosis) who were refractory to medical treatment.Methods: In this retrospective study, 61 patients with stage ≥2 coxarthrosis and VAS ≥4 were evaluated. Patients received either US-guided (Group U) or FL-guided (Group F) corticosteroid injections. Visual analog scale (VAS), Harris Hip Score (HHS), and analgesic use were assessed at 1 week and at 1, 3, and 6 months post-treatment. Analgesic use was evaluated based on the number of days with analgesic consumption and was interpreted as increased, decreased, or unchanged compared to baseline.Results: Both treatment methods provided significant improvements in VAS and HHS scores at all follow-up points across osteoarthritis stages (p<0.05). However, no statistically significant difference was found between the groups in terms of pain scores, functional outcomes, or analgesic use. While marked improvements were observed in stage 2 patients, the clinical effectiveness of the injections decreased as the disease stage progressed.Conclusion: Both US-guided and FL-guided steroid injections resulted in significant pain reduction and improved functionality in patients with osteoarthritis. No clear superiority was observed between the two techniques. Treatment was most effective in patients at earlier stages of the disease, with efficacy declining as the disease advanced. Additionally, US is a safer imaging modality compared to FL, as it does not involve exposure to ionizing radiation.","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088734","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 femoral and sciatic nerve block in a patient with shrinking lung syndrome: A case report. 超声引导下股骨及坐骨神经阻滞治疗肺萎缩综合征1例。

Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology Pub Date : 2025-10-01 DOI: 10.14744/agri.2023.98975

Nur Canbolat, Suna Arat, Kemalettin Koltka

引用次数: 0

Efficacy of selective scalp nerve blocks for postoperative pain in craniotomy: A single-center experience. 选择性头皮神经阻滞治疗开颅术后疼痛的疗效：单中心研究。

Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology Pub Date : 2025-10-01 DOI: 10.14744/agri.2023.93708

Ahmet Kürşat Kara, Sinem Sarı, Kadir Berkay Tan, Abdullah Topçu, Nilgün Dönmez, Mehmet Turgut, Osman Nuri Aydın

引用次数: 0

Analysis of the algology field in Türkiye: A cross-sectional study. <s:1>基耶省藻类领域分析：一项横断面研究。

Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology Pub Date : 2025-10-01 DOI: 10.14744/agri.2025.33279

Yılmaz Karaduman, Arzu Muz, Yusuf Harun İren, Seda Nur Akkaya, Suna Akın Takmaz

{"title":"Analysis of the algology field in Türkiye: A cross-sectional study.","authors":"Yılmaz Karaduman, Arzu Muz, Yusuf Harun İren, Seda Nur Akkaya, Suna Akın Takmaz","doi":"10.14744/agri.2025.33279","DOIUrl":"https://doi.org/10.14744/agri.2025.33279","url":null,"abstract":"Objectives: This study examines the professional satisfaction levels of algology specialists, their expectations regarding their educational processes, their academic careers, their experiences of violence in healthcare, their future expectations, and the challenges they face. In addition, it explores the impact of algology on the family and social life of physicians working in this field, its contribution to academic and personal rights, and its effect on economic situations.Methods: Participants in this study were physicians who switched from neurology, anesthesiology and reanimation, and physical medicine and rehabilitation branches to the algology subspecialty. The study was conducted by volunteer participants who completed a 30-question survey.Results: A total of 91.5% of the participants worked in tertiary healthcare institutions, 76.6% were between the ages of 30 and 40, 66% were male, and 57.4% were physicians who had transitioned from anesthesiology and reanimation.Conclusion: The findings highlight the need for regulations to improve the working conditions of algology specialists, eliminate existing difficulties, strengthen the training curriculum, and prevent violence in healthcare. This study aims to raise awareness about the problems and expectations of algology specialists in Türkiye, to develop a solution-oriented road map, and to provide insights into what can be done to deliver higher-quality healthcare services and train qualified and satisfied physicians. Our study fills an important gap in the literature in this field, as it is the first study conducted among specialties in this context.","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 4","pages":"219-226"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215152","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

Non-invasive peripheral nerve neuromodulation in diabetic neuropathic pain: A randomised controlled trial. 糖尿病神经性疼痛的非侵入性周围神经调节：一项随机对照试验。

Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology Pub Date : 2025-10-01 DOI: 10.14744/agri.2025.28909

Gevher Rabia Genç Perdecioğlu, Gökhan Yıldız, Mehlika Panpallı Ateş, Damla Yürük, Taylan Akkaya

{"title":"Non-invasive peripheral nerve neuromodulation in diabetic neuropathic pain: A randomised controlled trial.","authors":"Gevher Rabia Genç Perdecioğlu, Gökhan Yıldız, Mehlika Panpallı Ateş, Damla Yürük, Taylan Akkaya","doi":"10.14744/agri.2025.28909","DOIUrl":"10.14744/agri.2025.28909","url":null,"abstract":"Objectives: Diabetic neuropathic pain (DNP) is one of the most common and challenging complications of diabetes mellitus and often results in significant distress and impaired quality of life. Pulsed radiofrequency (pRF) treatment has gained traction in recent years as an effective intervention for the management of chronic pain. Therefore, non-invasive pRF (NipRF) has been introduced as an innovative treatment that promises to provide pain relief without invasiveness. In this study, we aimed to evaluate the efficacy of NipRF in the treatment of DNP.Methods: This double-blind, randomized, controlled study included 64 patients with DNP and distal symmetric polyneuropathy refractory to multiple medical therapies, as confirmed by electroneuromyelography (ENMG). Participants were divided into two groups: one received NipRF treatment via a transcutaneous electrode (treatment group) and the other received a sham electrode (sham group) without radiofrequency. Pain levels were measured using the visual analog scale (VAS) and Self Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) before treatment and at 4 and 12 weeks after treatment.Results: The treatment group experienced significant reductions in the VAS and S-LANSS scores at 1 and 3 months post-treatment (p<0.001). The sham group showed a moderate, but not statistically significant, decrease at week 4, with scores reverting to baseline by week 12.Conclusion: NipRF therapy may be a good option for DNP management. Its non-invasiveness and low risk of adverse events make it a good alternative to interventional and drug therapies.","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 4","pages":"201-209"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215180","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