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

{"title":"The effectiveness of intra-articular pulsed radiofrequency in patients with painful knee osteoarthritis: A randomized controlled trial.","authors":"Burak Erken, Duygu Gizem Karali Bingül","doi":"10.14744/agri.2025.90757","DOIUrl":"10.14744/agri.2025.90757","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to compare the effects of intra-articular steroid injection (IASI) and IASI combined with intra-articular pulsed radiofrequency (IAPRF) on pain and functional activities in stage II-III knee osteoarthritis.</p><p><strong>Methods: </strong>This randomized controlled trial included patients with knee pain persisting for more than 3 months. The participants were randomized into two groups: IAPRF + steroid injection (Group 1) and steroid injection only (Group 2). The injections were administered under fluoroscopic guidance, and the needle was advanced to the midline of the tibiofemoral joint. Group 1 received 8 mg of intra-articular dexamethasone after IAPRF application for 360 s at 45 V, with the temperature not exceeding 42°C. Group 2 received 8 mg of intra-articular dexamethasone only. Pain intensity and participation in daily activities were evaluated using the Numerical Rating Scale and the Western Ontario and McMaster Universities Arthritis Index, respectively, before the procedure and 1, 4, and 12 weeks after the procedure.</p><p><strong>Results: </strong>A total of 54 patients were included in the study. Demographic data, baseline pain levels, and functional activities did not differ between the groups. Pain intensity at 4 and 12 weeks after the procedure was lower in Group 1. Participation in daily living activities was significantly higher in Group 1 at 12 weeks after the procedure.</p><p><strong>Conclusion: </strong>IAPRF combined with intra-articular steroid significantly improves pain during the early-to-mid period and participation in daily living activities in the mid-term in stage II-III knee osteoarthritis.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 4","pages":"227-233"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215259","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":"Navigating scalp nerve blocks: A comparative study of ultrasound vs. landmark methods.","authors":"Hooman Teymourian, Armaghan Besarati, Hamidreza Azizifarsani, Pooya Rostami, Arash Tafrishinejad, Roza Tafrishinejad","doi":"10.14744/agri.2025.49358","DOIUrl":"https://doi.org/10.14744/agri.2025.49358","url":null,"abstract":"<p><strong>Objectives: </strong>Scalp block is a regional anesthesia technique involving the administration of anesthetic around the scalp nerves for head and neck surgeries and pain management. Two primary methods for performing scalp blocks are ultrasound guidance and anatomical landmarks. This study aimed to compare the success rates of scalp blocks using these two methods, assessing pain absence, anesthesia occurrence during surgery, and complications.</p><p><strong>Methods: </strong>A total of 50 eligible craniotomy candidates were evaluated at Shohadaye Tajrish Hospital over a 6-month period. Patients were divided into two groups: ultrasound-guided block and landmark-guided block. The ultrasound group received blocks under ultrasound guidance, while the landmark group relied on anatomical landmarks for block administration. Both groups were administered a scalp nerve block with 0.5% ropivacaine prior to surgery.</p><p><strong>Results: </strong>The overall success rate of scalp blocks was higher with ultrasound guidance compared to anatomical landmarks (ultrasound success rate=72%, landmarks success rate=24%). However, when analyzing success rates for individual nerves, the differences were not statistically significant (supraorbital p=0.357, supratrochlear 100% success, zygomaticotemporal p=0.977, auriculotemporal p=0.107, occipital major p=0.151, occipital minor p=0.199). No complications were observed in either group.</p><p><strong>Conclusion: </strong>Ultrasound-guided scalp blocks demonstrated a higher success rate than landmark-guided blocks in craniotomy candi-dates. Further research is recommended to optimize scalp block methods for each nerve, compare drug consumption, and increase sample sizes.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 4","pages":"191-200"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215224","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 secret hero of the lumbopelvic region: A cite to gluteus medius muscle and its trigger point.","authors":"Ebru Kübra Taşpolat, Ozan Volkan Yurdakul, Fatih Bağcıer","doi":"10.14744/agri.2023.71542","DOIUrl":"https://doi.org/10.14744/agri.2023.71542","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 4","pages":"251-252"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215225","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":"Preventing spinal anesthesia headache in cesarean section: Randomized clinical trial.","authors":"Zeinabosadat Fattahi Saravi, Mohammad Hossein Pourjafarian, Mahsa Banifatemi, Reza Jouybar, Mohammad Hossein Eghbal, Naeimehossadat Asmarian","doi":"10.14744/agri.2025.67778","DOIUrl":"10.14744/agri.2025.67778","url":null,"abstract":"<p><strong>Objectives: </strong>Post-dural puncture headache (PDPH) is a common complication following neuraxial block in cesarean sections, typically occurring 12-72 hours postoperatively and leading to considerable challenges and financial costs. We aimed to compare dexametha-sone and paracetamol for preventing spinal anesthesia headaches in cesarean sections.</p><p><strong>Methods: </strong>A double-blind randomized clinical trial was conducted from December 2019 to April 2020. This study included 215 singleton pregnant women scheduled for elective cesarean section. To prevent PDPH, the patients were allocated to intravenous dexamethasone (n=70), paracetamol (n=75), and normal saline (n=70) groups. The primary outcomes were the incidence and severity of PDPH and VAS score evaluations. Secondary outcomes included recovery time, frequency of painkiller use, newborn Apgar scores, and patient satisfaction.</p><p><strong>Results: </strong>Significant time (p<0.001) and group (p=0.020) effects were observed on PDPH. At 48 hours postoperatively, patients receiving dexamethasone or paracetamol reported significantly lower PDPH severity compared to the normal saline group (p=0.009). The incidence of PDPH was also higher in the control group at 48 hours (p=0.033). No significant differences were observed among the groups in recovery time, analgesic use, Apgar scores at 1 and 5 minutes, or patient satisfaction (p>0.05).</p><p><strong>Conclusion: </strong>Both paracetamol and dexamethasone had a positive impact on reducing the incidence and severity of PDPH compared to the normal saline group in cesarean sections (with dexamethasone showing a stronger effect). Recovery time, painkiller use, newborn Apgar scores, and patient satisfaction did not differ significantly between the groups. Further research is needed to validate these findings and ensure reproducibility.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 4","pages":"210-218"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215254","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":"Comparison of radiation doses of fluoroscopy-guided transforaminal epidural steroid injections and dorsal root ganglia pulsed-radiofrequency applications.","authors":"Günay Er, Rekib Saçaklıdır, Fırat Ulutatar, Tülay Şahin","doi":"10.14744/agri.2025.78871","DOIUrl":"10.14744/agri.2025.78871","url":null,"abstract":"<p><strong>Objectives: </strong>The study aims to determine procedure times and estimate the radiation doses for fluoroscopy-guided transforaminal epidural steroid injection (TFESI) and dorsal root ganglion pulsed radiofrequency (DRG RF) per intervention. The goal is to postulate radiation doses for potential utilization in plans to reduce radiation doses in future interventions.</p><p><strong>Methods: </strong>An observational study was conducted on six hundred ninety-six patients with low back pain who underwent fluoroscopy-guided TFESI or DRG RF at an algology clinic of a training and research hospital. Procedure time and radiation dose per procedure were recorded.</p><p><strong>Results: </strong>One hundred eighty-nine of the patients underwent DRG RF, and 507 of them underwent TFESI. A total of 1,069 procedures were performed. Procedure time and radiation dose per procedure were found to be 25.68 seconds (7-94) and 4.99 mGy (0.66-49.4), respectively. There was no difference between the DRG RF and TFESI groups in terms of diagnosis, age, gender, BMI, procedure level, and radiation dose. It was found that the procedure time was significantly lower in the DRG group.</p><p><strong>Conclusion: </strong>Although no difference was detected between TFESI and DRG RF in terms of radiation dose, the procedure time was found to be significantly shorter in the DRG RF group. Pulsed radiofrequency may be preferred in necessary patients, considering the cost.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 4","pages":"234-239"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215079","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":"Baclofen toxicity in a patient with baclofen pump.","authors":"Pınar Gelener, Uğur Özkula","doi":"10.14744/agri.2023.76753","DOIUrl":"10.14744/agri.2023.76753","url":null,"abstract":"<p><p>Baclofen toxicity is a severe condition that can suppress brainstem reflexes, leading to coma and death. Therefore, emergency evaluation, correct diagnosis, and treatment are crucial to prevent any possible neurological sequelae. Here, we present a case of a patient with a previous baclofen pump, who was brought to the Emergency Department after being found unresponsive in bed. Brainstem reflexes were absent. The patient was taken to the emergency surgery room, and with the diagnosis of baclofen toxicity, the reservoir was removed from the pump, and cerebrospinal fluid drainage was initiated. The patient was discharged with a baseline neurological examination the following day without any complications.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 4","pages":"246-248"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215155","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":"Pectoserratus+interpectoral plane block is safe in patients receiving anticoagulant therapy?","authors":"Caner Genc, Burhan Dost","doi":"10.14744/agri.2024.03708","DOIUrl":"https://doi.org/10.14744/agri.2024.03708","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 4","pages":"249-250"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215218","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":"Erector spinae plane block for Sprengel deformity correction surgery: A case report.","authors":"Yavuz Gürkan, Cemil Cihad Gedik, Mete Manici, Seval Tanrıkulu, Emel Gönen","doi":"10.14744/agri.2022.55631","DOIUrl":"https://doi.org/10.14744/agri.2022.55631","url":null,"abstract":"<p><p>Congenital high scapula, also referred to as Sprengel deformity, is a rare malformation that results in a superiorly positioned scapula. The corrective surgery involves extensive soft tissue manipulation and is a successful technique for correcting this deformity. The Erector Spinae Plane (ESP) block is a novel, recently described technique for providing analgesia in the thoracic region. In this report, we describe the successful use of the ESP block for a patient with Sprengel deformity undergoing the Modified Green procedure.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"185-186"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985308","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 validity and reliability of the turkish version of the constipation risk assessment scale in cancers.","authors":"Yücel Olgun, Ömer Faruk Tarhan, Rekib Saçaklıdır, Serdar Kokar, Savaş Şencan, Osman Hakan Gündüz","doi":"10.14744/agri.2025.45656","DOIUrl":"https://doi.org/10.14744/agri.2025.45656","url":null,"abstract":"<p><strong>Objectives: </strong>Cancer increases the incidence of constipation. The best way to prevent constipation is to detect it before it develops. Therefore, it is very important to use valid and reliable scales that assess the risk of constipation in order to prevent its occurrence in cancer patients. This study aims to assess the validity and reliability of the Constipation Risk Assessment Scale (CRAS) when applied to the Turkish population with cancer.</p><p><strong>Methods: </strong>A total of 102 outpatients with cancer were included in the study. According to the Rome IV criteria, participants were divided into two groups: constipated and non-constipated. All patients were evaluated using the CRAS. A subset of patients was randomly selected for retesting with the CRAS.</p><p><strong>Results: </strong>In the evaluation of the test-retest reliability of the CRAS, Cronbach's alpha coefficient and intraclass correlation coefficient (ICC) values were found to be 0.97 (0.93-0.99) for the total CRAS score and between 0.83 (0.64-0.94) and 0.96 (0.92-0.97) for the subscales. The retest reliability was found to be high (p<0.001). Significant correlations were observed between the total CRAS score and all subscales with the Rome IV criteria, as well as between the CRAS medication subscale and the Rome IV criteria.</p><p><strong>Conclusion: </strong>The present study showed that the Turkish version of the CRAS is a valid and reliable tool for use with outpatients with cancer. The CRAS can be effectively utilized to identify individuals at risk of constipation and to develop targeted prevention programs. Healthcare professionals can use the Turkish version of the CRAS as a reliable tool to assess constipation risk among cancer patients.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"149-155"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985395","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":"Transforaminal epidural steroid injection versus high-volume lumbar erector spinae block in patients with low backache and radicular pain - a randomized clinical trial.","authors":"Rigved Arsh Singhrol, Dr Reena, Amrita Rath, Anil Kumar Paswan, Shashi Prakash, Nimisha Verma, Ashutosh Vikram","doi":"10.14744/agri.2024.57983","DOIUrl":"10.14744/agri.2024.57983","url":null,"abstract":"<p><strong>Objectives: </strong>Transforaminal lumbar epidural steroid injection (TFESI) has been used to treat lumbar radiculopathies. Erector spinae plane block (ESPB) has been employed to provide postoperative analgesia following spine and back surgeries. We aimed to compare TFESI with high-volume lumbar ESPB in patients with low backache and radicular pain.</p><p><strong>Methods: </strong>This was a prospective, randomized, single-centre interventional study. After obtaining institutional ethical committee clearance and written informed consent, 60 patients aged 18 to 50 years with unilateral low backache were randomly allocated into two groups of 30 each-Group T and Group E. Group E received ultrasound-guided lumbar ESPB with 30 mL of 0.25% bupivacaine and 20 mg triamcinolone, whereas Group T received fluoroscopy-guided TFESI with 2 mL of 0.25% bupivacaine and 20 mg triamcinolone. The primary outcome was pain relief as assessed by the numeric rating scale (NRS) at 3 months. Secondary outcomes included NRS at 1 hour and 1 month, the Modified Oswestry Disability Index (MODI), the number of patients requiring rescue analgesia, and procedure-related complications.</p><p><strong>Results: </strong>The mean post-procedure NRS scores at 1 hour, 1 month, and 3 months were significantly lower in Group T compared to Group E (p=0.001, 0.013, and 0.007, respectively). MODI scores were significantly lower in both groups after treatment (p<0.001). In Group T, 6.9% of patients experienced a vasovagal attack and 3.4% had flushing, both of which resolved spontaneously. In contrast, no complications were observed in Group E.</p><p><strong>Conclusion: </strong>ESPB is effective for providing analgesia in patients with chronic low back pain and radiculopathy; however, TFESI showed superior pain relief as reflected in more favourable NRS scores. Nevertheless, TFESI requires greater precision and expertise and carries a higher risk of serious complications. ESPB may be a safer alternative when TFESI is difficult to perform or contraindicated.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"142-148"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985403","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}