Pain Management Case Reports最新文献

The Use of Thoracic Epidural for Rapid Opioid Taper 胸椎硬膜外麻醉用于阿片类药物快速减径

Pain Management Case Reports Pub Date : 2021-06-30 DOI: 10.36076/pmcr.2021.5.205

引用次数: 0

Treatment of Pain Due to Winged Scapula with Spinal Cord Stimulation: A Case Report 脊髓刺激治疗翼型肩胛骨疼痛1例

Pain Management Case Reports Pub Date : 2021-06-30 DOI: 10.36076/pmcr.2021.5.227

引用次数: 0

Successful Treatment of Occipital Neuralgia in a Pediatric Patient with the Use of Peripheral Nerve Stimulator: A Case Report 使用周围神经刺激器成功治疗儿童枕神经痛:1例报告

Pain Management Case Reports Pub Date : 2021-06-30 DOI: 10.36076/pmcr.2021.5.193

{"title":"Successful Treatment of Occipital Neuralgia in a Pediatric Patient with the Use of Peripheral Nerve Stimulator: A Case Report","authors":"","doi":"10.36076/pmcr.2021.5.193","DOIUrl":"https://doi.org/10.36076/pmcr.2021.5.193","url":null,"abstract":"BACKGROUND: Neuromodulation is a commonly used technique in adult pain management, with current off-label use of peripheral nerve stimulators for the treatment of occipital neuralgia. This targeted therapy can help avoid systemic medications and treat refractory symptoms.\u0000\u0000CASE REPORT: We present a 17-year-old boy with significant lesser occipital neuralgia and hydrocephalus status post ventriculoperitoneal shunt placement. He had occipital neuralgia treatment failures with both medication trials and surgical decompression in conjunction with physical and psychological therapies, eventually requiring weekly lesser occipital nerve blocks for pain relief. Our patient experienced a substantial reduction in pain and increase in functional recovery after the placement of a permanent peripheral nerve stimulator without disruption of his ventriculoperitoneal shunt.\u0000\u0000CONCLUSION: Peripheral nerve stimulator implantation can be safe and efficacious for the treatment of refractory occipital neuralgia in a pediatric patient with an ipsilateral ventriculoperitoneal shunt.\u0000\u0000KEY WORDS: Peripheral nerve stimulation, occipital neuralgia, pediatric, chronic pain, neuromodulation","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"141 2-3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134364169","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

Combined Radiofrequency Ablation and Balloon Kyphoplasty Following Radiation Therapy for Spinal Metastases and Associated Pain. A Case Report 放射治疗后联合射频消融和球囊后凸成形术治疗脊柱转移和相关疼痛。病例报告

Pain Management Case Reports Pub Date : 2021-06-30 DOI: 10.36076/pmcr.2021.5.241

{"title":"Combined Radiofrequency Ablation and Balloon Kyphoplasty Following Radiation Therapy for Spinal Metastases and Associated Pain. A Case Report","authors":"","doi":"10.36076/pmcr.2021.5.241","DOIUrl":"https://doi.org/10.36076/pmcr.2021.5.241","url":null,"abstract":"BACKGROUND: The spine is a common area of metastasis to the bone. Radiation therapy has been the standard treatment for focal metastatic spine tumors, and although it has shown an ability to reduce pain, it is not curative for all patients and can negatively impact a patient’s quality of life. Treating spinal metastatic pain with the use of radiofrequency ablation (RFA) in combination with kyphoplasty has been shown to be safe and effective in the treatment of spinal metastatic pain. We present a case of using balloon kyphoplasty with OsteoCoolTM RFA for treating both spinal metastasis and pain.\u0000\u0000CASE REPORT: A 65-year-old man with a history of prostate cancer presented with metastasis to the L1 vertebral body and chronic low back pain refractory to multimodal pharmacologic treatment. He previously had radiation therapy for this bone metastasis and was maintained on enzalutamide for prostate cancer with decreasing prostate-specific antigens followed by hematology/oncology. Balloon kyphoplasty with OsteoCool RFA was performed with resolution of the patient’s pain as well as the tumor metastasis. \u0000\u0000CONCLUSION: To our knowledge, there is no available literature discussing the administration of all the above (i.e., RFA, kyphoplasty/vertebroplasty, radiation) together, the sequence in which they are performed, the benefits and consequences of the treatment sequence, the time to and level of pain relief, and differences in radiation exposure. The results of this case provide a clinical rationale for performing RFA and kyphoplasty prior to radiation treatment, while further studies should be conducted to further elucidate the best administration of this treatment.\u0000\u0000KEY WORDS: Back pain, bone, cancer, kyphoplasty, metastasis, radiation, radiofrequency ablation, vertebroplasty","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122427241","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

Complex Regional Pain Syndrome Type II After Cervical Interlaminar Epidural Injection 颈椎椎板间硬膜外注射后复杂区域疼痛综合征II型

Pain Management Case Reports Pub Date : 2021-06-30 DOI: 10.36076/pmcr.2021.5.213

引用次数: 0

Dramatic Response to Lidocaine Infusion for Pain from Brachial Plexus Avulsion Injury 利多卡因输注治疗臂丛撕脱伤疼痛的显著疗效

Pain Management Case Reports Pub Date : 2021-06-30 DOI: 10.36076/pmcr.2021.5.219

引用次数: 0

Peripheral Nerve Stimulation for Treatment of Painful Osteoarthritis of the Knee: A Case Report 外周神经刺激治疗疼痛性膝骨关节炎1例

Pain Management Case Reports Pub Date : 2021-06-30 DOI: 10.36076/pmcr.2021.5.201

G. Acker, Richard D. Wilson, Chong H. Kim

{"title":"Peripheral Nerve Stimulation for Treatment of Painful Osteoarthritis of the Knee: A Case Report","authors":"G. Acker, Richard D. Wilson, Chong H. Kim","doi":"10.36076/pmcr.2021.5.201","DOIUrl":"https://doi.org/10.36076/pmcr.2021.5.201","url":null,"abstract":"BACKGROUND: Osteoarthritic knee (OAk) pain is common, yet the standard of care often yields unsatisfactory pain relief. There remains a role for novel treatment options. Percutaneous motor peripheral nerve stimulation (mPNS) of the knee is a novel minimally invasive procedure that stimulates motor end points leading to muscle contraction associated with the painful joint. Pain relief is hypothesized to be achieved through central pain modulation.\u0000\u0000CASE REPORT: We report the case of a patient who experienced refractory osteoarthritic knee pain after 9 months of conservative care. Following 7 weeks of mPNS treatment, the patient achieved improvement in OAk pain relief and activities of daily living as measured by notable improvements in the Brief Pain Inventory-Short Form and Knee Injury and Osteoarthritis Outcome Score at 8- and 12-weeks postimplant. The Patient Global Impression of Change at the end of stimulation was much improved.\u0000\u0000CONCLUSION: Motor PNS may offer a safe and effective treatment alternative for chronic refractory pain related to OAk.\u0000\u0000KEY WORDS: Osteoarthritis, knee, pain, peripheral nerve stimulation","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127143807","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

Severe Pain in a Leiomyoma with Twin Pregnancy- An Analgesic Dilemma 双胎妊娠平滑肌瘤的剧烈疼痛-一种镇痛困境

Pain Management Case Reports Pub Date : 2021-06-30 DOI: 10.36076/pmcr.2021.5.247

引用次数: 0

Spinal Cord Stimulator for Treating Chemotherapy-induced Peripheral Neuropathy 脊髓刺激器治疗化疗诱导的周围神经病变

Pain Management Case Reports Pub Date : 2021-06-30 DOI: 10.36076/pmcr.2021.5.223

引用次数: 3

Spontaneous Intracranial Hypotension (SIH) Pain Relief with Lumbar Epidural Blood Patch (EBP) in a Patient with Cancer: A Case Report 腰硬膜外血液贴片(EBP)缓解癌症患者自发性颅内低血压(SIH)疼痛1例报告

Pain Management Case Reports Pub Date : 2021-06-30 DOI: 10.36076/pmcr.2021.5.197

{"title":"Spontaneous Intracranial Hypotension (SIH) Pain Relief with Lumbar Epidural Blood Patch (EBP) in a Patient with Cancer: A Case Report","authors":"","doi":"10.36076/pmcr.2021.5.197","DOIUrl":"https://doi.org/10.36076/pmcr.2021.5.197","url":null,"abstract":"BACKGROUND: Spontaneous intracranial hypotension (SIH) is a challenging chronic headache pain condition that can severely debilitate patients. It can be caused by any etiology in which intracranial cerebrospinal fluid (CSF) outflow surpasses CSF production. Conservative first-line therapy typically involves caffeine, hydration, medications, bed rest, and/or abdominal binding. Refractory cases involve epidural blood patch and surgical repair. To date, there have been no published studies or case reports on the treatment of SIH using epidural blood patch (EBP) in patients with cancer. We present a case demonstrating the utility of EBP in the treatment of refractory SIH in a patient with cancer.\u0000\u0000CASE REPORT: A 65-year-old woman with lung adenocarcinoma presented with refractory SIH of 2 years. She failed conservative first-line therapies and was evaluated by multiple services without relief. She then received an EBP with 75% relief of symptoms, and 100% relief of all symptoms with a repeat EBP.\u0000\u0000CONCLUSIONS: Given its overall safety and effectiveness, EBP should be considered as a treatment option in patients with cancer who present with SIH.\u0000\u0000KEY WORDS: Cancer, cerebrospinal fluid, chronic pain, epidural blood patch, headache, oncology, spontaneous intracranial hypotension","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"17 Suppl 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124588078","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: 1