Pain Medicine Case Reports最新文献_第4页

Late-Term Continuous Epidural Infusion Treatment For Treatment-Resistant Complex Regional Pain Syndrome 难治性复杂局部疼痛综合征的晚期持续硬膜外输液治疗

Pain Medicine Case Reports Pub Date : 2021-11-30 DOI: 10.36076/pmcr.2021.5.417

O. Tertemiz, C. Eyigor, E. Ozduran

{"title":"Late-Term Continuous Epidural Infusion Treatment For Treatment-Resistant Complex Regional Pain Syndrome","authors":"O. Tertemiz, C. Eyigor, E. Ozduran","doi":"10.36076/pmcr.2021.5.417","DOIUrl":"https://doi.org/10.36076/pmcr.2021.5.417","url":null,"abstract":"BACKGROUND: There are many different treatment methods available in terms of complex regional pain syndrome (CRPS). In patients who do not respond to medical treatments, treatment is first started with sympathetic blocks and somatic nerve blocks are added when necessary. Epidural catheter applications can be practised if sufficient results cannot be obtained from the blocks in very few patients. Continuous epidural block application allows both sympathetic and somatic nerve block, allowing the patient to recover, as well as pain palliation, and adequate physical therapy and rehabilitation. CASE REPORT: In this case report, although partial pain palliation was provided with sympathetic and somatic blocks in a female patient with a diagnosis of CRPS for a long time, especially in physical therapy and rehabilitation applications, due to the inadequate response due to pain, even in the late period, a subcutaneous tunnel epidural catheter was used. CONCLUSION: We present the use of continuous epidural block application in treatment successfully. KEY WORDS: Catheters, complex regional pain syndromes, epidural block, physical therapy modalities","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126217334","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

Cervical Spinal Dorsal Root Stimulation in Trigeminal Neuralgia 颈脊髓背根刺激治疗三叉神经痛

Pain Medicine Case Reports Pub Date : 2021-11-30 DOI: 10.36076/pmcr.2021.5.8

C. Visconti, Leone Leone, M. Zarrelli, A. Del Gaudio

引用次数: 0

Wireless Peripheral Nerve Stimulation at C2 and C3 to Treat Persistent Daily Headaches and Occipital Neuralgia 无线周围神经刺激C2和C3治疗持续性头痛和枕神经痛

Pain Medicine Case Reports Pub Date : 2021-11-30 DOI: 10.36076/pmcr.2021.5.409

A. Abd-Elsayed

引用次数: 0

Peripheral Nerve Stimulator for Treating Sural and Posterior Tibial Neuralgias – Case Report 外周神经刺激器治疗腓肠及胫后神经痛1例

Pain Medicine Case Reports Pub Date : 2021-11-30 DOI: 10.36076/pmcr.2021.5.413

M. Gyorfi, A. Abd-Elsayed

{"title":"Peripheral Nerve Stimulator for Treating Sural and Posterior Tibial Neuralgias – Case Report","authors":"M. Gyorfi, A. Abd-Elsayed","doi":"10.36076/pmcr.2021.5.413","DOIUrl":"https://doi.org/10.36076/pmcr.2021.5.413","url":null,"abstract":"BACKGROUND: Sural neuralgia is persistent pain in the distribution of the sural nerve that provides sensation to the lateral posterior corner of the leg, lateral foot, and fifth toe. Sural neuralgia is a rare condition, but can be challenging to treat and cause significant limitations. Posterior tibial neuralgia, also known as tarsal tunnel syndrome, is an injury or stretch affecting the tibial nerve at the medial border of the ankle and heel. We present one case of sural neuralgia complicated by superimposed posterior tibial neuralgia resistant to conservative management that were effectively treated with a peripheral nerve stimulator placement. CASE REPORT: A 60-year-old man developed sural and posterior tibial neuralgias after a motorcycle accident resulting in severe injury of his left lower extremity. He underwent surgery for his open left distal tibia fracture. The patient continued to have pain which was not alleviated with physical therapy and conservative management. Six years after the initial injury and failing conservative management, he underwent successful sural and posterior tibial nerve blocks followed by placement of a peripheral nerve stimulator with improvement in pain and daily function. CONCLUSIONS: Peripheral nerve stimulators may be a safe and effective treatment for both sural and posterior tibial neuralgias that do not respond to conservative therapy. However, large scale studies are needed to elucidate its effectiveness and safety profile. KEY WORDS: Peripheral nerve stimulator, posterior tibial neuralgia, sural neuralgia","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122313184","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: 2

Complex Regional Pain Syndrome of the Foot and Ankle: Treatment at the Early Onset with an Anesthetic Ankle Block 脚和踝关节的复杂区域疼痛综合征:早期发作时用麻醉踝关节阻滞治疗

Pain Medicine Case Reports Pub Date : 2021-09-30 DOI: 10.36076/pmcr.2021.5.373

M. Nirenberg

引用次数: 0

Treatment of Postthoracotomy Intercostal Neuralgia with 60-Day Percutaneous PNS: Report of 2 Cases 经皮PNS 60天治疗开胸后肋间神经痛2例

Pain Medicine Case Reports Pub Date : 2021-09-30 DOI: 10.36076/pmcr.2021.5.353

E. Shaw

{"title":"Treatment of Postthoracotomy Intercostal Neuralgia with 60-Day Percutaneous PNS: Report of 2 Cases","authors":"E. Shaw","doi":"10.36076/pmcr.2021.5.353","DOIUrl":"https://doi.org/10.36076/pmcr.2021.5.353","url":null,"abstract":"Background: Intercostal neuralgia is a debilitating condition that commonly occurs following thoracic surgeries. Presented here are 2 cases that highlight the potential of percutaneous peripheral nerve stimulation (PNS) targeting the intercostal nerves to provide immediate and sustained pain relief without permanent implantation. Case Report: Two patients with chronic postthoracotomy intercostal neuralgia received up to 60 days of PNS with implanted percutaneous leads. Both patients reported 80%-90% reductions in pain intensity by the end of the 60-day PNS treatment. At last follow-up, 13-14 months after lead removal, both patients continued to report substantial levels of pain relief as well as cessation or significant reduction of opioid and non-opioid pain medications. Conclusion: These cases suggest that 60-day percutaneous PNS may be applied to effectively treat nerve pain in the distribution of the intercostal nerves during the 60-day treatment and also may enable long-term sustained relief following the end of the PNS treatment period. Key words: Intercostal neuralgia, post-thoracotomy pain, chronic pain, peripheral nerve stimulation, neuromodulation, case report","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"267 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121248139","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

High-Frequency Spinal Cord Stimulation for Pain Management in Refractory Ankylosing Spondylitis: A Case Report 高频脊髓刺激治疗难治性强直性脊柱炎疼痛1例报告

Pain Medicine Case Reports Pub Date : 2021-09-30 DOI: 10.36076/pmcr.2021.5.359

Ashley Wetzig, Krishna Shah

{"title":"High-Frequency Spinal Cord Stimulation for Pain Management in Refractory Ankylosing Spondylitis: A Case Report","authors":"Ashley Wetzig, Krishna Shah","doi":"10.36076/pmcr.2021.5.359","DOIUrl":"https://doi.org/10.36076/pmcr.2021.5.359","url":null,"abstract":"Background: Ankylosing spondylitis (AS) affects men more than women and commonly results in chronic back pain with spine and sacroiliac joint involvement. Case Report: The patient is a 53-year-old man with a 25-year history of worsening AS. After not responding to available conservative therapies and not qualifying for back surgery, the patient underwent a 10-kHz high-frequency spinal cord stimulation (HF10 SCS) trial. After a successful trial without complications, permanent implantation was pursued with subsequent one-week postoperative outcomes demonstrating Visual Analog Scale score reductions of 87.5% in back pain and 50% in leg pain, an Oswestry Disability Index score decrease of 83%, and overall improvement in previously problematic health concepts on the EuroQol-5 Dimensions-3 Levels and 36-Item Short Form version 2 surveys. Conclusions: This report highlights the successful use of Senza’s SCS system applying Nevro’s HF10 therapy in a patient with refractory symptoms of AS, highlighting potential applications of this technique which have yet to be studied. Key words: Ankylosing spondylitis, high-frequency spinal cord stimulation, chronic pain, back pain, case report","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123470206","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

Three Cases of Intractable Chronic Hand Pain Successfully Treated With Pulsed Radiofrequency Guided by Ultrasound and Sensory Nerve Stimulation Test 超声引导下脉冲射频及感觉神经刺激试验治疗顽固性慢性手痛3例

Pain Medicine Case Reports Pub Date : 2021-09-30 DOI: 10.36076/pmcr.2021.5.363

Maho Jinno, Y. Shibata, K. Nishiwaki

引用次数: 0

U-Rod and Screw Construct Combined With Iliac Bone Grafting for Direct Repair of Teenager Mid-Lumbar Spondylolysis u棒螺钉联合髂骨植骨直接修复青少年腰椎中裂症

Pain Medicine Case Reports Pub Date : 2021-09-30 DOI: 10.36076/pmcr.2021.5.347

Nian Zhou, Xin Lin, Xiaojun Zhang, Wei Jiang, Jieliang Shen, Xiuming Guo, Zhenming Hu, J. Hao

{"title":"U-Rod and Screw Construct Combined With Iliac Bone Grafting for Direct Repair of Teenager Mid-Lumbar Spondylolysis","authors":"Nian Zhou, Xin Lin, Xiaojun Zhang, Wei Jiang, Jieliang Shen, Xiuming Guo, Zhenming Hu, J. Hao","doi":"10.36076/pmcr.2021.5.347","DOIUrl":"https://doi.org/10.36076/pmcr.2021.5.347","url":null,"abstract":"Background: Spondylolysis is a bony defect of the pars interarticularis that most commonly occurs in the lower lumbar spine. However, the condition is rare in the mid-lumbar region. Here, we report on a new technique that involves the use of a U-rod and pedicle screw with iliac bone grafting for the direct intrasegmental repair of mid-lumbar spondylolysis in a teenager. Case Report: A 17-year-old male presented with complaints of mild low back pain after physical exercise, and the pain had aggravated in the last 3 months. Magnetic resonance imaging did not show compression of the intracanal neural tissue, and the lumbar discs did not demonstrate any obvious degeneration. He was diagnosed with L3 spondylolysis and lumbar sacralization. U-rod and screw construct with iliac bone grafting were used to directly repair the spondylolysis in L3. The low back pain totally disappeared 3 months after the surgery. A computerized tomography scan revealed the normal structure of L3 2 years post-surgically, and the internal fixation was removed 3 years later. Conclusions: This novel technique involving the use of a U-rod and pedicle screw associated with iliac bone grafting for the direct repair of mid-lumbar spondylolysis in the teenager yielded a satisfactory outcome, which was confirmed by favorable clinical and radiographic outcomes after 3 years. Key words: Mid-lumber spondylolysis, U-rod, direct repair","PeriodicalId":122753,"journal":{"name":"Pain Medicine Case Reports","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126403766","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

Fascial Tear in the Medial Rectus Abdominis Muscle Leading to Anterior Cutaneous Nerve Entrapment Syndrome

Pain Medicine Case Reports Pub Date : 2021-09-30 DOI: 10.36076/pmcr.2021.5.367

Theodore C. Hannah, Theodor Di Pauli von Treuheim, Brain Jacob

引用次数: 0