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The Combined Use of Acute Regional and Interventional Pain Offers Superior Quality of Life in Palliative Care. 急性局部疼痛和介入性疼痛的联合使用在姑息治疗中提供了更高的生活质量。
Pain medicine case reports Pub Date : 2024-01-01
Tolga Suvar, Stephen Music, Matthew Tan, Neal Mehta
{"title":"The Combined Use of Acute Regional and Interventional Pain Offers Superior Quality of Life in Palliative Care.","authors":"Tolga Suvar, Stephen Music, Matthew Tan, Neal Mehta","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Pain is a common symptom associated with cancer and can greatly compromise quality of life, motivation, and further treatments. Intrathecal pump (ITP) offers improved pain scores and clinical outcomes, while reducing the adverse effects of systemic analgesics.</p><p><strong>Case report: </strong>A 29-year-old woman with neurofibromatosis type 1 had a malignant peripheral nerve sheath tumor in her right thigh surgically resected. However, one month later, metastatic lesions were found throughout her body. Despite chemotherapy, the disease spread and pain became severe resulting in multiple hospitalizations and halting treatment. Multimodal analgesia was pursued, including regional anesthesia, but she was unable to tolerate the adverse effects of systemic opioids. For long-term analgesia, ITP was pursued, which significantly improved her pain control and quality of life.</p><p><strong>Conclusions: </strong>In advanced stages of cancer, we highlight the significant benefits ITP offers with improved quality of life and reduced medication side-effect profiles vs systemic analgesics.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 1","pages":"25-29"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556447","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
Peripheral Nerve Stimulation Uses High-Frequency Electromagnetic Coupling Technology to Power an Implanted Neurostimulator With a Separate Receiver at the Ilioinguinal Nerve for the Treatment of Chronic Groin and Abdominal Pain: Case Report. 外周神经刺激采用高频电磁耦合技术为髂腹股沟神经植入神经刺激器提供动力，用于治疗慢性腹股沟和腹部疼痛：病例报告。
Pain medicine case reports Pub Date : 2024-01-01
Amr H Badawy
{"title":"Peripheral Nerve Stimulation Uses High-Frequency Electromagnetic Coupling Technology to Power an Implanted Neurostimulator With a Separate Receiver at the Ilioinguinal Nerve for the Treatment of Chronic Groin and Abdominal Pain: Case Report.","authors":"Amr H Badawy","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Chronic groin pain can be debilitating to patients, reducing their overall quality of life. Peripheral nerve stimulation (PNS) is an emerging neuromodulation therapy that may be used for groin pain refractory to other treatment modalities.</p><p><strong>Case report: </strong>An 86-year-old Hispanic man with a history of left inguinal hernia repair with mesh presenting chronic groin and abdominal pain was successfully treated with subthreshold PNS at the ilioinguinal nerve.</p><p><strong>Conclusion: </strong>This case study demonstrated that subthreshold PNS can safely and effectively manage chronic groin and abdominal pain.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556444","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
Radiation-Induced Coccydynia and Pelvic Pain From Insufficiency Fracture Treated With Ganglion Impar Block. 神经节阻滞治疗不全骨折所致放射性尾骨痛和骨盆疼痛。
Pain medicine case reports Pub Date : 2024-01-01
Uzondu C Osuagwu, Carlos J Roldan, Billy K Huh
{"title":"Radiation-Induced Coccydynia and Pelvic Pain From Insufficiency Fracture Treated With Ganglion Impar Block.","authors":"Uzondu C Osuagwu, Carlos J Roldan, Billy K Huh","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Pelvic insufficiency fractures can be a delayed effect from radiation therapy. As a result, significant pain, debility, and reduction in quality of life can occur. We describes the utility of ganglion impar blockade in the treatment of coccydynia and pelvic pain related to insufficiency fracture.</p><p><strong>Case report: </strong>The patient is a 71-year-old woman with stage 2 grade II endometrial cancer that presented with pelvic and tailbone pain approximately 4 years after completing radiation therapy and was found to have a sacral insufficiency fracture. She underwent ganglion impar blockade on 2 occasions with marked improvement in her pain and functionality after each injection.</p><p><strong>Conclusions: </strong>Fluoroscopic-guided ganglion impar block may be a safe and useful intervention to reduce pain in cancer patients with pelvic and/or tailbone pain related to insufficiency fracture.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 1","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556445","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
An Anterior Femoral Nerve Glomus Tumor Causing Twenty Years of Neuropathic Pain: A Case Report. 股前神经球囊瘤致二十年神经性疼痛1例。
Pain medicine case reports Pub Date : 2024-01-01
Aidan S Weitzner, Rafael Felix P Tiongco, Lindsay B Giocochea, Eric H Williams
{"title":"An Anterior Femoral Nerve Glomus Tumor Causing Twenty Years of Neuropathic Pain: A Case Report.","authors":"Aidan S Weitzner, Rafael Felix P Tiongco, Lindsay B Giocochea, Eric H Williams","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Glomus tumors are a rare, yet painful, neoplasm commonly occurring in the subungual area of the digits. While uncommon, a glomus tumor can present in extradigital locations, leading to delays in diagnosis.</p><p><strong>Case report: </strong>We present a case of a 53-year-old man with a 20-year history of right thigh pain. Previous diagnostic workup and treatment with spinal cord stimulation and peripheral nerve stimulation did not yield resolution. Exam with ultrasound revealed a hypoechoic lesion. Upon targeted surgical exploration, a mass near the right anterior femoral cutaneous nerve was identified and resected. Pathology was consistent with a glomus tumor. Since the operation, the patient has experienced complete relief after a 1.2-year follow-up.</p><p><strong>Conclusion: </strong>Glomus tumors are treated surgically. Ultrasound may be useful in well-localized, neuropathic pain of the extremity, highlighting the importance of clinicians becoming familiar with employing this modality. While rare, a glomus tumor should be included in the differential diagnosis.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 1","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556441","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
Intrathecal Methotrexate-Induced Lumbosacral Polyradiculopathy: A Case Report. 鞘内甲氨蝶呤诱发腰骶部多神经根病1例。
Pain medicine case reports Pub Date : 2024-01-01
Eric Xu, Sean Thomas, Behnum Habibi
{"title":"Intrathecal Methotrexate-Induced Lumbosacral Polyradiculopathy: A Case Report.","authors":"Eric Xu, Sean Thomas, Behnum Habibi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Polyradiculopathy caused by intrathecal methotrexate (IT MTX) is a rare and serious complication of chemotherapy. The pathophysiology involved is likely due to a drug-induced folate deficiency and subsequent local immune reaction in the spinal cord.</p><p><strong>Case report: </strong>The authors present a 68-year-old woman with stage I breast cancer and stage III diffuse large B-cell lymphoma who developed low back pain after IT MTX treatment. Further workup revealed diffuse rope-like thickening of the cauda equina nerve roots with subtle linear low-level leptomeningeal enhancement on magnetic resonance imaging and severe primary axonal and motor polyneuropathy affecting the upper and lower extremities on electromyography/nerve conduction studies, likely a result of IT MTX toxicity. Treatment should emphasize conservative measures. Alternatively, intravenous immunoglobulin followed by intravenous methylprednisolone can be considered.</p><p><strong>Conclusions: </strong>Polyradiculopathy caused by IT MTX is a rare finding that can be treated. It would be beneficial to further study the effects of IT MTX and create treatment protocols for its adverse effects.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 1","pages":"31-35"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556443","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
Sacroplasty for Zone III Sacral Insufficiency Fracture: A Case Report Utilizing a Midline Approach and Articulating Osteotome. 骶骨成形术治疗III区不全骨折：采用中线入路和关节截骨术一例报告。
Pain medicine case reports Pub Date : 2024-01-01
Dawood Sayed, Blake Evans, Vivek Velagapudi, Susheel Govindan
{"title":"Sacroplasty for Zone III Sacral Insufficiency Fracture: A Case Report Utilizing a Midline Approach and Articulating Osteotome.","authors":"Dawood Sayed, Blake Evans, Vivek Velagapudi, Susheel Govindan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Sacral insufficiency fractures can be a debilitating cause of low back pain in the elderly population. While sacroplasty is recommended for the treatment of persistent pain from sacral insufficiency fractures, the anatomical location of Zone III fractures can put patients at a higher risk of neurological complications during repair.</p><p><strong>Case report: </strong>We present a case of a 71-year-old woman with a Denis Zone III sacral insufficiency fracture who underwent percutaneous sacroplasty. The procedure was performed by utilizing an articulating osteotome in the long-axis approach along the curvature of the sacrum. The use of an articulating osteotome allowed for small trajectory adjustments, thereby lowering the procedural risks of cement extravasation and erroneous cannulation.</p><p><strong>Conclusions: </strong>The patient reported significant pain relief and no immediate complications following the procedure. Fluoroscopically guided percutaneous sacroplasty using an articulating osteotome is a safe and effective method for treating sacral insufficiency fractures.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 1","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556446","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
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