Indian Journal of Pain最新文献_第10页

Ultrasonographic evaluation of painful joints in rheumatoid arthritis: Comparison with conventional radiography 类风湿关节炎疼痛关节的超声评价:与常规影像学的比较

Indian Journal of Pain Pub Date : 2022-01-01 DOI: 10.4103/ijpn.ijpn_2_22

Sadaf Sultana, Mehtab Ahmad, I. Ahmad, H. Usmani, M. Arif

{"title":"Ultrasonographic evaluation of painful joints in rheumatoid arthritis: Comparison with conventional radiography","authors":"Sadaf Sultana, Mehtab Ahmad, I. Ahmad, H. Usmani, M. Arif","doi":"10.4103/ijpn.ijpn_2_22","DOIUrl":"https://doi.org/10.4103/ijpn.ijpn_2_22","url":null,"abstract":"Context: High-frequency ultrasound (US) of painful rheumatoid joints allows an increasingly refined analysis of the extent of joint involvement and disease activity. Aims: The aim of this study was to establish the role of the US in the evaluation of painful hand joints in patients with rheumatoid arthritis (RA) and its comparison with Conventional Radiography (CR) changes. Settings and Design: Cross-sectional study. Subjects and Methods: Patients diagnosed with RA were assessed by a thorough clinical examination and relevant laboratory investigations. After X-ray imaging, grayscale, and power Doppler US examination of the wrist, metacarpophalangeal, and proximal interphalangeal joints of both hands were performed using a high-frequency linear transducer. Statistical Analysis Used: SPSS version 20.0 (a statistical package for the social sciences) was used to collect, tabulate, and analyze all data. The results were presented as mean standard deviation or percentage. Differences in categorical data were compared using the Chi-square test and Fisher's exact test. A P < 0.05 was considered statistically significant. Results: Thirty-two of the 51 individuals studied had radiographic abnormalities, whereas 44 had abnormal findings in the US. The US can detect erosions in 37 patients, including all 15 of those who had radiographically visible erosions. A statistically significant difference was noted between the findings of radiography compared with US findings (P < 0.001). Conclusions: US is more sensitive than CR for the detection of erosion and can complement the CR in the evaluation of these patients.","PeriodicalId":32328,"journal":{"name":"Indian Journal of Pain","volume":"36 1","pages":"22 - 26"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41976500","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

Intraoperative ultrasound-guided serratus anterior plane catheter for postoperative analgesia after breast surgery in a morbidly obese patient 术中超声引导下前锯肌导管在病态性肥胖患者乳房术后镇痛中的应用

Indian Journal of Pain Pub Date : 2022-01-01 DOI: 10.4103/ijpn.ijpn_70_21

Annie John, T. Sivashanmugam, Afreen Nahar, John Paul

引用次数: 0

Newer techniques for the ultrasonographic evaluation of the elbow structures: Distal biceps tendon, lateral ulnar collateral ligament and radial nerve 超声评估肘部结构的新技术：肱二头肌远端肌腱、尺侧副韧带和桡神经

Indian Journal of Pain Pub Date : 2022-01-01 DOI: 10.4103/ijpn.ijpn_106_21

K. Sharma, G. Das, Chinmoy Roy, D. Dutta, Shalina Chandran, S. Naz, Smrutirekha Hota, Sarvesh Basavarajaiah

{"title":"Newer techniques for the ultrasonographic evaluation of the elbow structures: Distal biceps tendon, lateral ulnar collateral ligament and radial nerve","authors":"K. Sharma, G. Das, Chinmoy Roy, D. Dutta, Shalina Chandran, S. Naz, Smrutirekha Hota, Sarvesh Basavarajaiah","doi":"10.4103/ijpn.ijpn_106_21","DOIUrl":"https://doi.org/10.4103/ijpn.ijpn_106_21","url":null,"abstract":"Context: Ultrasound is an excellent modality for the evaluation of the soft tissue structures as well as articular pathologies of the elbow joint. Higher resolution transducers along with the superficial location of the elbow structures make them amenable for easy visualisation However, the long learning curve and the operator dependency can limit its use. Aims: The aim of this article is to describe and demonstrate novel techniques to image distal biceps tendon, lateral ulnar collateral ligament and radial nerve at elbow joint with ease. Design: Technical advancement. Methods: The elbow joint ultrasound examination was performed on ten asymptomatic volunteers, 20–40 years old, using a linear probe of 3–13 MHz frequency. The scanning was started from the anterior elbow, the distal biceps tendon was visualised first with anterior to the medial approach followed by the lateral ulnar collateral ligament with one finger technique and radial nerve with first bone technique respectively. Conclusion: We consider our techniques as an easy approach to identify the distal biceps tendon, lateral ulnar collateral ligament and radial nerve.","PeriodicalId":32328,"journal":{"name":"Indian Journal of Pain","volume":"36 1","pages":"18 - 21"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47552461","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

Cooled radiofrequency ablation of cervical medial branches for treatment of facetogenic pain 颈内侧支冷却射频消融治疗面部疼痛

Indian Journal of Pain Pub Date : 2022-01-01 DOI: 10.4103/ijpn.ijpn_87_21

N. Dinesh, Rajat Gupta, Deepesh Kumar Lall, A. Jain

引用次数: 0

Quest ignited for newer analgesics 对新型镇痛剂的探索被点燃

Indian Journal of Pain Pub Date : 2022-01-01 DOI: 10.4103/ijpn.ijpn_96_21

P. Ahluwalia, B. Gupta

引用次数: 0

Effect of intramuscular electrical stimulation of articularis genu muscle with mirror therapy on anterior knee pain in a patient with knee osteoarthritis 镜像疗法肌内电刺激膝关节肌对膝骨性关节炎患者膝前疼痛的影响

Indian Journal of Pain Pub Date : 2022-01-01 DOI: 10.4103/ijpn.ijpn_16_22

Sarika Chaudhary, M. Sharma

引用次数: 0

A comparative study of ultrasound-guided serratus anterior plane block with pectoral nerve block type II in breast surgeries 超声引导下前锯肌平面阻滞与Ⅱ型胸神经阻滞在乳腺手术中的比较研究

Indian Journal of Pain Pub Date : 2022-01-01 DOI: 10.4103/ijpn.ijpn_71_21

S. Amir, Kulsum Sheikh, Q. Ali, O. Siddiqui, S. Arman

{"title":"A comparative study of ultrasound-guided serratus anterior plane block with pectoral nerve block type II in breast surgeries","authors":"S. Amir, Kulsum Sheikh, Q. Ali, O. Siddiqui, S. Arman","doi":"10.4103/ijpn.ijpn_71_21","DOIUrl":"https://doi.org/10.4103/ijpn.ijpn_71_21","url":null,"abstract":"Background: The use of ultrasonography (USG) to identify fascial layers has led to the development of several newer interfascial techniques for analgesia of the chest and abdominal wall. Two such modalities are the Pectoral nerve block (PEC) and Serratus Anterior Plane (SAP) block. Objective: To compare the duration and quality of analgesia provided by ultrasound-guided SAP block with PEC block II in patients undergoing breast surgeries after induction of general anesthesia. Design: Randomized, double-blinded, prospective study. Methods: Sixty female patients were divided into two groups of 30 each. Patients in Group P received USG guided PEC II block, whereas patients in Group S received USG-guided SAP block after induction. Outcome Measure: The primary objective was to compare the duration of pain relief, whereas the secondary objectives were to compare the degree of pain relief, postoperative analgesic requirement within 24 h after the completion of the surgery, patient satisfaction score and complications if any. Results: The mean time of the first dose of analgesic given was 826 ± 405.24 min. in Group P and 1280 ± 264.29 min. in Group S (P < 0.001). The mean numeric rating scale score at rest at 6 h, on movement at 2 h and 6 h and satisfaction scores in Group P were significantly more than Group S. Conclusion: Ultrasound-guided SAP block provides better postoperative analgesia both in quality and duration over PEC II block.","PeriodicalId":32328,"journal":{"name":"Indian Journal of Pain","volume":"36 1","pages":"37 - 42"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43048984","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

Exploring the efficacy of ultrasound-guided lumbar erector spinae plane block for perioperative analgesia in percutaneous nephrolithotomy: Report of two cases 超声引导下腰脊肌平面阻滞用于经皮肾取石术围术期镇痛的疗效探讨（附2例报告）

Indian Journal of Pain Pub Date : 2022-01-01 DOI: 10.4103/ijpn.ijpn_53_21

Samarjit Dey, O. Mujahid, Suresh Nagalikar, Prateek Arora

引用次数: 0

Complex regional pain syndrome associated with henoch-schonlein purpura: A rare occurrence 过敏性紫癜并发复杂区域疼痛综合征：罕见病例

Indian Journal of Pain Pub Date : 2022-01-01 DOI: 10.4103/ijpn.ijpn_122_20

S. Kumar, S. Khuba, Shikha Awal, S. Gautam, A. Agarwal

{"title":"Complex regional pain syndrome associated with henoch-schonlein purpura: A rare occurrence","authors":"S. Kumar, S. Khuba, Shikha Awal, S. Gautam, A. Agarwal","doi":"10.4103/ijpn.ijpn_122_20","DOIUrl":"https://doi.org/10.4103/ijpn.ijpn_122_20","url":null,"abstract":"Introduction: Henochschonlein purpura (HSP) is an acute, systemic, immune complex-mediated, leukocytoclastic vasculitis, most commonly affecting children. It is a small-vessel vasculitis which is characterized by a tetrad of palpable purpura (without thrombocytopenia), abdominal pain, arthritis, and renal impairment. Although most commonly affecting the skin, joints, gastrointestinal tract, and kidneys, other organs may also be affected. Association of HSP with complex regional pain syndrome (CRPS) has not been reported in the literature. In the present case report, we are describing the successful management of CRPS of the upper limb in a diagnosed case of HSP. Case Presentation: A 14-year-old female patient, who was a diagnosed case of HSP, presented with features characteristic of CRPS in the right hand and forearm, based on the Budapest Diagnostic Criteria. Bone scintigraphy showed increased tracer uptake in joints of the right hand, also suggestive of CRPS. The pain was severe visual analog scale-90/100 and not controlled with conservative management. Patient was administered a series of 3 stellate ganglion minimally invasive pain and spine interventions (MIPSI) over the course of 2 weeks, which led to the resolution of her symptoms. Conclusion: HSP is a small-vessel vasculitis and may lead to peripheral nerve vasculitis. As reported in other cases, small-vessel vasculitis has led to the development of CRPS and thus may influence the development of CRPS in patients with HSP. CRPS as a complication of HSP has not been reported in the literature to date. Thus in a patient with HSP, CRPS could present as a rare complication and early intervention with the MIPSI of the affected region may lead to resolution of symptoms.","PeriodicalId":32328,"journal":{"name":"Indian Journal of Pain","volume":"36 1","pages":"59 - 62"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48903394","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

Management of spasticity in cerebral palsy children with early intervention and functional physical therapy 早期干预和功能物理治疗对脑瘫患儿痉挛的治疗

Indian Journal of Pain Pub Date : 2022-01-01 DOI: 10.4103/ijpn.ijpn_85_21

Nusrat Jahan, Amir Ateeq

引用次数: 0