Pain Management Case Reports最新文献

{"title":"How an Elite High-performance Weightlifter with Spine Pain Became\u0000a Silver and Gold Olympic Winner: A Case Report","authors":"Jorge Felipe Ramirez","doi":"10.36076/pmcr.2019/3/145","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/145","url":null,"abstract":"Spine pain affects athletes’ performance and\u0000is a common reason for missed playing time.\u0000Return-to-play is the main concern for patients;\u0000for this reason, treatment must be evaluated\u0000under these criteria. Nonsurgical treatment and\u0000specific physical rehabilitation should be the first\u0000option. There are few reports using endoscopic\u0000spine surgery in high-performance weightlifters.\u0000We report a successful case of a 33-year-old\u0000elite high-performance weightlifter with cervical\u0000and lumbar intervertebral disc hernias, who, after\u0000anterior cervical endoscopic discectom in 2009\u0000and then a transforaminal lumbar endoscopic\u0000discetomy and percutaneous interspinours space\u0000in 2014, won silver and gold Olympic medals,\u0000set an Olympic record, and won a weightlifting\u0000world championship after. We concluded that\u0000return-to-play after 2 endoscopic spine surgeries\u0000was possible for a high-performance weightlifter.\u0000Endoscopic spine surgery is an alternative to treat\u0000spine pain in elite high-performance athletes.\u0000Key words: Intervertebral disc hernia, weightlifter,\u0000endoscopic spine surgery, gold medal, silver\u0000medal, Olympic games, case report.","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125156072","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":"CHRONIC NON-CANCER ABDOMINAL WALL PAIN AMELIORATION VIA PHENOL\u0000NEUROLYSIS BY TRANVERSUS ABDOMINIS PLANE APPROACH: A CASE REPORT","authors":"Heath B. McAnally","doi":"10.36076/pmcr.2019/3/127","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/127","url":null,"abstract":"Abdominal pain is common and has multiple etiologies.\u0000We present a case of chronic abdominal\u0000wall pain that was treated with phenol neurolysis\u0000via a tranversus abdominis plane (TAP). To\u0000date, only 4 case reports utilizing TAP neurolysis\u0000have been reported and all were performed\u0000in the context of malignancy-related pain. The\u0000TAP block has become an integral component\u0000of the regional anesthesiologist’s perioperative\u0000anesthesia and analgesia arsenal. In summary,\u0000chemical denervation of the anterior abdominal\u0000wall is feasible and efficacious in palliating chronic\u0000non-cancer pain via a TAP block technique.\u0000Key words: TAP, transversus abdominal plane,\u0000phenol, abdominal wall pain, neurolytic, noncancer\u0000pain","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127289088","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":"INTRACRANIAL HYPOTENSION SECONDARY TO A CEREBROSPINAL FLUID LEAK","authors":"Ivan Urits","doi":"10.36076/pmcr.2019/3/131","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/131","url":null,"abstract":"","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115119715","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 CASE REPORT ON STERNOCLEIDOMASTOID SYNDROME - A TRUE PAIN IN\u0000THE NECK","authors":"Gaurav Chauhan","doi":"10.36076/pmcr.2019/3/105","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/105","url":null,"abstract":"The Sternocleidomastoid (SCM) muscle may\u0000develop myofascial trigger points and the physical\u0000manifestation of pain and signs and symptoms\u0000due to these trigger points is commonly referred\u0000to as SCM syndrome. The diagnosis of SCM\u0000syndrome can be onerous as non-specific signs\u0000and symptoms associated with SCM syndrome\u0000may vary in presentation. The subject in this\u0000case report had post-acceleration-deceleration\u0000induced injury to SCM with hypertrophy of sternocleidomastoid\u0000muscle on the left side. The patient\u0000reported pain over the left SCM muscle, forehead,\u0000around the ipsilateral eye, over the cheek, the\u0000tip of the chin, sternoclavicular joint and deep in\u0000the throat upon. The patient was ascribed various\u0000diagnosis before a definitive diagnosis was\u0000made. The patient underwent three trigger point\u0000injections under ultrasound guidance, last one\u0000with BOTOX, and reported long-lasting pain relief.\u0000Overall with intensive physical therapy and trigger\u0000point injections the acute symptoms resolved.\u0000Key words: Sternocleidomastoid syndrome,\u0000myofascial pain syndromes, trigger points, ultrasound,\u0000Botox","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133637303","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":"DEPTH ASSESSMENT USING CONTRALATERAL OBLIQUE VIEW DURING CERVICAL INTERLAMINAR EPIDURAL STEROID INJECTIONS","authors":"E. Helm","doi":"10.36076/PMCR.2019/3/115","DOIUrl":"https://doi.org/10.36076/PMCR.2019/3/115","url":null,"abstract":"Background: Recent literature has demonstrated\u0000that the contralateral oblique (CLO) view\u0000provides a more reliable angle in determining\u0000needle depth when compared to the lateral view\u0000during cervical interlaminar injections. Despite\u0000the utilization of CLO safety views, contrast patterns,\u0000and loss-of-resistance techniques, inherent\u0000risk of injury still remains. Additional safety\u0000measures must be assessed to provide clinicians\u0000with further safeguards to prevent procedural\u0000complications.\u0000Objective: The purpose of our study is to provide\u0000a reliable method of gauging needle depth\u0000insertion during cervical interlaminar injections\u0000by comparing the distance from the skin to the\u0000epidural space when measured on magnetic\u0000resonance imaging (MRI) and when measured\u0000intraoperatively.\u0000Methods: The study sample included 45 patients\u0000with cervical radiculopathy or cervical spinal stenosis.\u0000The distance from the skin to the epidural\u0000space was measured on cervical spine MRI and\u0000with the spinal needle intraoperatively. Primary\u0000analysis included the correlation between these\u0000distances, and whether differences in depth were\u0000influenced by injection level, needle tip location,\u0000or body mass index (BMI).\u0000Results: A significant correlation (r = .975, P <\u0000.001) with an average difference of .03 mm (standard\u0000deviation, 2.99 mm) was found between MRI\u0000and procedural measurements. Neither injection\u0000level nor BMI had a significant influence on the\u0000difference in depth.\u0000Conclusion: When combined with traditional safety\u0000techniques, obtaining preprocedural MRI depth\u0000measurements can provide a reliable method in\u0000predicting the true needle depth to safely enter the\u0000epidural space. Because the majority of patients\u0000undergoing interlaminar cervical epidural steroid\u0000injections will have already obtained MRI, measuring\u0000the distance preprocedurally is a simple\u0000and practical method for physicians to implement.\u0000Key words: Cervical, fluoroscopy, radiculopathy,\u0000injection, contra-lateral oblique, contrast,\u0000safety, complications, spinal stenosis, radiation,\u0000interlaminar","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122641437","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":"COMMON PERONEAL NERVE PALSY AND LONG-LASTING ROPIVACAINE\u0000DURATION AFTER INFEROLATERAL GENICULAR NERVE BLOCK: A CASE REPORT","authors":"P. Rahimzadeh","doi":"10.36076/pmcr.2019/3/111","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/111","url":null,"abstract":"This case report introduces a 43-year-old woman\u0000who presented with left knee pain due to knee\u0000osteoarthritis. She developed a long-lasting nerve\u0000block with ropivacaine, plus common peroneal\u0000nerve palsy and foot drop following a genicular\u0000nerve block.\u0000Key words: Ropivacaine, knee osteoarthritis,\u0000genicular nerve block, foot drop","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116188241","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":"PROLONGED PAIN RELIEF WITH USE OF 10% LIDOCAINE NEUROLYSIS FOR\u0000REFRACTORY MERALGIA PARESTHETICA","authors":"Gaurav Chauhan","doi":"10.36076/pmcr.2019/3/121","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/121","url":null,"abstract":"Meralgia paresthetica is a sensory neuropathy\u0000characterized by anterolateral thigh pain associated\u0000with paresthesiae. It is hypothesized\u0000that entrapment, compression, or stretching of\u0000the lateral femoral cutaneous nerve as it exits\u0000through the inguinal ligament. Often times life\u0000style modification, neuropathic pain medications,\u0000and or steroid injections can help relieve the pain.\u0000In some circumstances, the pain is refractory and\u0000more invasive procedures such as radiofrequency\u0000ablation and or even surgery may need to be\u0000pursued. The authors report the successful use of\u000010% lidocaine for chemical neurolysis for Meralgia\u0000paresthetica in a 47-year-old female refractory to\u0000conventional treatment. In this case report, we\u0000will discuss the risk factors, pathomechanics,\u0000diagnostic challenges, therapeutic options and\u0000novel approach employed by the authors.\u0000Key words: 10% lidocaine, chemical neurolysis,\u0000meralgia, aresthetica, neuropathic pain","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122548961","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":"Intracranial Hypotension for Anesthesiologists: What We Should\u0000Know","authors":"Maria Eugenia Calvo","doi":"10.36076/pmcr.2019/3/69","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/69","url":null,"abstract":"The common denominator of spontaneous intracranial\u0000hypotension (SIH), postsurgical cerebral\u0000spinal fluid (CSF) leaks, and postpuncture headache\u0000(PPH) is a decrease in CSF volume. The\u0000typical presentation is orthostatic headaches, but\u0000atypical headaches can be difficult to diagnose\u0000and challenging to treat. Management is based\u0000on clinical suspicion and characterization of the\u0000headache, followed by imaging (noninvasive or\u0000invasive). Treatment ranges from conservative\u0000to different modalities of epidural blood patches,\u0000fibrin glue injections, or surgical exploration and\u0000repair.\u0000We report 5 cases with great variation in clinical\u0000and radiological presentations. Two cases of\u0000SIH involved difficult diagnosis and treatment, 2\u0000others featured postsurgical high-flow CSF leaks,\u0000and one case presented with a low-flow CSF\u0000leak that needed closer evaluation in relation to\u0000hardware manipulation.\u0000In all cases, recommendations for diagnosis and\u0000management of intracranial hypotension were followed,\u0000even though in 3 cases the mechanism of\u0000trauma was not related to spontaneous hypotension.\u0000All cases of headache were resolved.\u0000The actual recommendations for SIH are very\u0000effective for PPH and postsurgical CSF leaks.\u0000With this case series, we illustrate how anatomical\u0000and clinical considerations are paramount in\u0000choosing appropriate imaging modalities and\u0000clinical management.\u0000Key words: CSF leak, epidural blood patch,\u0000intracranial hypotension, postural headaches,\u0000subdural hematomas","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128269495","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":"INFERIOR ALVEOLAR NERVE RADIOFREQUENCY ABLATION FOR REFRACTORY\u0000TRIGEMINAL NEURALGIA: A CASE REPORT","authors":"D. Padalia","doi":"10.36076/pmcr.2019/3/49","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/49","url":null,"abstract":"Trigeminal neuralgia, also known as tic douloureux,\u0000is a disorder characterized by pain in\u0000the distribution of the trigeminal nerve. Chronic\u0000pain secondary to this condition can have a significant\u0000negative impact on a patient’s quality of\u0000life. We present an educational case of refractory\u0000trigeminal neuralgia responsive to a novel painalleviating\u0000procedure. An 80-year-old man with\u0000recurrent trigeminal neuralgia presented with\u0000episodic pain refractory to multimodal pharmacologic\u0000treatment, as well as interventional pain\u0000procedures. Radiofrequency ablation (RFA) to\u0000the mandibular and maxillary branches of the\u0000trigeminal nerve was attempted, but deemed unsuccessful.\u0000In an attempt to relieve the patient’s\u0000pain in the mandibular region, an inferior alveolar\u0000nerve block with radiofrequency ablation was\u0000performed. The patient reported a significant longterm\u0000reduction of his pain and improved ability to\u0000perform activities of daily living.\u0000Key words: Trigeminal neuralgia, tic douloureux,\u0000radiofrequency ablation, trigeminal nerve, inferior\u0000alveolar nerve","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127432884","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":"NEUROFIBROMATOSIS TYPE 2: A REVIEW OF PAIN MANAGEMENT OPTIONS","authors":"D. Padalia","doi":"10.36076/pmcr.2019/3/63","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/63","url":null,"abstract":"Neurofibromatosis is a chronic and painful disease\u0000process that can cause significant morbidity.\u0000The development of central and peripheral lesions\u0000is the primary source of acute and chronic\u0000pain. The pain associated with this condition is\u0000difficult to treat, but there are a number of options\u0000to make the lives of these patients more\u0000comfortable.\u0000A review of current literature and research data\u0000was used to compile a detailed list of treatment\u0000options for patients with neurofibromatosis type\u00002 (NF2). Key points on physiology and pain, as\u0000well as current and potential treatment options,\u0000are discussed.\u0000There are a number of articles, case reports, and\u0000studies regarding the treatment options for pain\u0000in patients with NF2. However, there is a lack of\u0000well-controlled randomized trials that demonstrate\u0000the superiority of one treatment modality. There\u0000are novel treatment plans being tailored to work\u0000at a genetic level, but these still require further\u0000research before implementing in daily practice.\u0000The management of chronic pain in NF2 is a difficult\u0000challenge for the medical community. Novel\u0000treatment options are currently being researched\u0000to improve the quality of life in these patients.\u0000Using a multimodal approach to pain control will\u0000improve the chances of a successful outcome.\u0000Key words: Neurofibromatosis type 2, schwannomatosis,\u0000neurofibromatosis type 1, chronic pain,\u0000pain management, neurofibroma, analgesics","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116497399","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}