{"title":"Lumbar Radiculopathy or Iliopsoas Rupture? A Rare Case of Iliopsoas Rupture Disguised as Lumbar Radiculopathy","authors":"A. Chhatre","doi":"10.37191/mapsci-jrpm-1(2)-007","DOIUrl":"https://doi.org/10.37191/mapsci-jrpm-1(2)-007","url":null,"abstract":"Isolated iliopsoas tears are a relatively uncommon cause of hip pain in adults. Making a diagnosis can be difficult, as it may be disguised by other common causes of hip pain, such as intra-articular pathology, sacroiliac joint dysfunction, and lumbar radiculopathy. This case illustrates a patient who presented with hip flexion weakness and decreased weight-bearing capacity who was eventually found to have an iliopsoas tear. This patient's situation is noteworthy because Patient chronic lumbosacral radiculopathy initially concealed the clinical presentation of patient iliopsoas rupture. A well-informed pain provider should consider the differential diagnosis of iliopsoas injuries in patients with hip pain that is refractory to conservative measures.","PeriodicalId":355292,"journal":{"name":"Journal of Rehabilitation and Pain Medicine","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124246853","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":"ASK! Preoperative Safety Checklist Protocol in Interventional Spine Procedures: A Quality Improvement Study Thirty Month Follow-up","authors":"A. Chhatre","doi":"10.37191/mapsci-jrpm-1(2)-008","DOIUrl":"https://doi.org/10.37191/mapsci-jrpm-1(2)-008","url":null,"abstract":"Medical errors can have devastating consequences for patients. Therefore, it is crucial to prevent sentinel and wrong-side events in order to ensure patient safety. One effective tool for achieving this goal is the World Health Organization (WHO) Surgical Safety Checklist, which can be used in conjunction with a pre-procedural, multidisciplinary checklist and physician-led time-out. In a QI project that focused on interventional pain procedures, a pre-procedural, multidisciplinary checklist and physician-led time-out were implemented. Over a period of 30 months and 5,017 procedures, no near misses or incidents were recorded. These preliminary results suggest that the use of multi-disciplinary checklists and attending-led time outs can significantly improve patient safety in interventional pain procedures.","PeriodicalId":355292,"journal":{"name":"Journal of Rehabilitation and Pain Medicine","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127847574","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 Rectus-Adductor Syndrome: The Role of Manual Therapy and Tailored Exercises in a Comprehensive Rehabilitative Protocol. An Experience with Non-Professional Athletes","authors":"D. Lorenzo","doi":"10.37191/mapsci-jrpm-1(1)-005","DOIUrl":"https://doi.org/10.37191/mapsci-jrpm-1(1)-005","url":null,"abstract":"A rectus-adductor syndrome is a form of groin pain caused by microtraumas which consist of chronic inflammation in the insertion point onto the pubis, that is, of the tendons of the adductors and rectus abdominis. Effective treatment naturally depends on a correct diagnosis. To make this possible, teamwork is essential to create a coherent and valid plan of care.","PeriodicalId":355292,"journal":{"name":"Journal of Rehabilitation and Pain Medicine","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123286142","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":"Interdisciplinary Education Involving Chronic Pain Management: The Way Forward","authors":"M. Romm","doi":"10.37191/mapsci-jrpm-1(1)-006","DOIUrl":"https://doi.org/10.37191/mapsci-jrpm-1(1)-006","url":null,"abstract":"Through evidence-based research and practice, interdisciplinary/interprofessional pain management is becoming the leading treatment structure for patients suffering with chronic pain conditions. Interdisciplinary assessment and management of patients incorporate different healthcare disciplines working together under ‘one roof’ to manage their patients in a collaborative and team-based manner. As such, understanding how to work within an interdisciplinary framework, entails educational resources to pass on the knowledge surrounding interprofessional clinical work. There are numerous philosophies and theories underlying why and how interdisciplinary education should be administered in addition to the reasons why these approaches appear to be of benefit. Ultimately, with reference to chronic pain management, interdisciplinary education combining students from different healthcare fields in one class is suggested to enhance the learning experience and ultimate goal of eventually providing their patients` with the best possible pain outcomes following intervention.","PeriodicalId":355292,"journal":{"name":"Journal of Rehabilitation and Pain Medicine","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114741895","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":"An Approach to Opioid Use Disorder Management","authors":"Akhil M Chhatre","doi":"10.37191/mapsci-jrpm-1(1)-004","DOIUrl":"https://doi.org/10.37191/mapsci-jrpm-1(1)-004","url":null,"abstract":"This article addresses the challenges involved with transitioning a pain practice away from chronic opioid management. The best approach is to avoid long term opioid therapy (LTOT) when possible and taper off opioids where appropriate. The management of patients with opioid use is complex with psychiatric comorbidities and poor coping skills often impeding opioid cessation. A multidisciplinary approach with frequent involvement is the most effective approach for dose reduction and discontinuation.","PeriodicalId":355292,"journal":{"name":"Journal of Rehabilitation and Pain Medicine","volume":"46 8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117002839","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":"Effect of Motor Re-Learning Program with Motor Imagery on Sit-To-Stand Activity in Stroke","authors":"Hitha Sherin U","doi":"10.37191/mapsci-jrpm-1(1)-003","DOIUrl":"https://doi.org/10.37191/mapsci-jrpm-1(1)-003","url":null,"abstract":"Sit-to-stand (STS) activity being the prerequisite for transfer & ADL, it is necessary to restore upright standing in stroke patients. The cognitive & goal-oriented approaches, Motor imagery (MI) and motor re-learning program (MRP) have been effective to enhance STS activity in stroke patients. However, the effect of MI with MRP for better outcome is not known. The current research aimed to evaluate the integrated result of MI & MRP on STS activity in stroke. Thirty-six acute ischemic stroke patients were enrolled. Patients received MI for 30 minutes/day followed by MRP for 45 minutes/day, five times/week for 3 weeks. The pre & post intervention was assessed with outcome measures like Fugl-Myer Assessment-Lower Extremity (FMA-LE), Motor Assessment Scale (MAS), Kinesthetic & Visual Imagery Questionnaire (KVIQ) and 5-times sit-to-stand (5-times STS). The results showed reduction in sensory & motor impairment (FMA-LE: t-value=397.00), improvement in motor function (MAS: t-value=289.00), better clarity in sensation & image (KVIQ: t-value= 137.358 & 132.355 respectively) & ability to perform STS activity improved (5-times STS: t-value=107.00) with P=<0.001.The combined approach of MI & MRP designed to improve STS activity in stroke patients was viable in the study. This clinically innovative strategy is effective approach in improving motor functions affecting transfer activities & ADL.","PeriodicalId":355292,"journal":{"name":"Journal of Rehabilitation and Pain Medicine","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121505105","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":"Acupuncture Does Work and is Not Just Based on a Mere Placebo Effect!","authors":"Andrew Kse Liem","doi":"10.37191/mapsci-jrpm-1(1)-002","DOIUrl":"https://doi.org/10.37191/mapsci-jrpm-1(1)-002","url":null,"abstract":"Acupuncture (a treatment method through stimulation with needles of specific treatment points aimed at energy pathways, the meridians, to bring the body back into balance) has been part of traditional Chinese medicine (TCM) for over 2000 years now. Modern medical acupuncturists trained in the West understand and use acupuncture in addition to or even as an alternative to modern therapeutic concepts. In addition to the mother country of China, acupuncture is used by millions of patients in the US and Germany, and for certain indications simply reimbursed by health insurers. So far, no real physiological mechanism explains its action, although an analgesic effect has been proven. In the current age of evidence-based medicine, this leads to controversial discussions that are usually very emotional and where physician-acupuncturists are often portrayed as quacks. Most studies on acupuncture come from China and are mostly published in Chinese and all too often of poor quality. However, there are also good randomized controlled trials (RCTs) on acupuncture that show significant effects at least in pain and postoperative nausea and vomiting (PONV).","PeriodicalId":355292,"journal":{"name":"Journal of Rehabilitation and Pain Medicine","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121547732","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":"Physical Medicine and Rehabilitation in the Oncological Patient","authors":"A. Hunis","doi":"10.37191/mapsci-jrpm-1(1)-001","DOIUrl":"https://doi.org/10.37191/mapsci-jrpm-1(1)-001","url":null,"abstract":"Cancer has become a chronic disease, in part due to advances in medical care, its early detection, the existence of a wide range of therapeutic options, and better general medical management.Physical medicine and rehabilitation can contribute to the treatment of cancer patients since rehabilitation helps to expand health action to the care of the quality of life and function of those patients who have suffered the consequences of cancer or its treatment and the associated disability.","PeriodicalId":355292,"journal":{"name":"Journal of Rehabilitation and Pain Medicine","volume":"1025 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133842917","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}