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Spinal Cord Stimulator Implantation in a Patient With Diffuse Idiopathic Skeletal Hyperostosis: Case Report. 脊髓刺激器植入治疗弥漫性特发性骨骼增生1例。
Pain medicine case reports Pub Date : 2025-04-01
Shabaaz M Baig, Adejuyigbe Adaralegbe, Sangel Gomez, Tabhata Paulet, Carol Apai, Mia Castiglione, Adejimi Adaralegbe, Akwasi Amponsah
{"title":"Spinal Cord Stimulator Implantation in a Patient With Diffuse Idiopathic Skeletal Hyperostosis: Case Report.","authors":"Shabaaz M Baig, Adejuyigbe Adaralegbe, Sangel Gomez, Tabhata Paulet, Carol Apai, Mia Castiglione, Adejimi Adaralegbe, Akwasi Amponsah","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Diffuse idiopathic skeletal hyperostosis (DISH) is a noninflammatory skeletal disorder causing calcifications and ossification of ligaments and tendons. We present a patient with undiagnosed DISH in whom a spinal cord stimulator (SCS) provided adequate pain relief while the disease progressed to become debilitating.</p><p><strong>Case report: </strong>The patient is a 66-year-old woman with an SCS placed for lower back pain due to degenerative changes. The patient presented to the emergency department with progressive right-sided lower extremity weakness and a 3-day history of urinary incontinence. Computed tomography showed new osteophytes consistent with DISH throughout the thoracic spine to the level of T10-T11.</p><p><strong>Conclusions: </strong>Our aim with this case report is to demonstrate the importance of preoperative imaging as well as follow-up imaging to evaluate the progression of DISH and having an extensive conversation with patients about whether an SCS is the right choice to manage their pain.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 2","pages":"85-87"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060565","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
Complete, Sustained Resolution of Pain With Pseudoarthrectomy for Bertolotti Syndrome: A Case Report. 假关节切除术治疗Bertolotti综合征疼痛的完全、持续解决：1例报告。
Pain medicine case reports Pub Date : 2025-04-01
Emanuel Narcis Husu, Nirav Parekh, Jeremy I Simon
{"title":"Complete, Sustained Resolution of Pain With Pseudoarthrectomy for Bertolotti Syndrome: A Case Report.","authors":"Emanuel Narcis Husu, Nirav Parekh, Jeremy I Simon","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Bertolotti syndrome, characterized by lumbar pain due to a lumbosacral (LS) transitional vertebra, is a known but still controversial and overlooked pain generator despite an explosion of information on the condition in the last decade. Current management includes plain radiography, advanced imaging, minimally invasive interventions, and LS fusion.</p><p><strong>Case report: </strong>We present a unique case of a middle-aged man with Castellvi IIa Bertolotti syndrome consisting of a unilateral enlarged, dysplastic L5 transverse process forming a pseudoarticulation (PA) with the ilium and normal anatomy contralaterally. He was diagnosed on a plain radiograph and following a diagnostic injection of the PA, he received complete, sustained pain relief from a pseudoarthrectomy.</p><p><strong>Conclusions: </strong>This case illustrates an economical and thoughtful approach to diagnosis and management that may offer pain relief rather than invasive management with surgical fusion that comes with its own morbidity and mortality and consequences, such as adjacent-level disease.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 2","pages":"103-107"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015718","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
The Use of Intrathecal Drug Delivery System to Manage Refractory Abdominal Pain From Systemic Amyloidosis. 鞘内给药系统治疗系统性淀粉样变引起的难治性腹痛。
Pain medicine case reports Pub Date : 2025-04-01
Muhammad Shahzad, Somnath Bagchi, David Hutchins, Samiul Muquit
{"title":"The Use of Intrathecal Drug Delivery System to Manage Refractory Abdominal Pain From Systemic Amyloidosis.","authors":"Muhammad Shahzad, Somnath Bagchi, David Hutchins, Samiul Muquit","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Systemic amyloidosis can cause severe refractory pain, often inadequately managed with conventional analgesics. Intrathecal drug delivery systems (IDDS) have been used for chronic pain control but are rarely reported in amyloidosis cases.</p><p><strong>Case report: </strong>We present a female patient in her late 50s with systemic light-chain amyloidosis and type III intestinal failure, experiencing significant weight loss and debilitating abdominal pain during enteral and parenteral feeding. After unsuccessful trials of oral analgesics, antineuropathic medications, and interventional procedures, an IDDS was implanted to deliver a combination of bupivacaine and morphine. The therapy allowed her to resume enteral and parenteral nutrition, reduce opioid consumption, gain weight, improve functionality, and decrease hospital admissions despite disease progression.</p><p><strong>Conclusions: </strong>This case highlights the efficacy of intrathecal analgesia in managing severe refractory pain from amyloidosis. Early consideration of IDDS may improve quality of life in similar patients by providing effective long-term pain control.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 2","pages":"109-113"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052794","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
A Rare Case of Spinal Cord Injury After Uncomplicated Implantation of a Spinal Cord Stimulator: A Case Report. 脊髓刺激器植入后脊髓损伤1例报告。
Pain medicine case reports Pub Date : 2025-04-01
Jimmy Wen, Shannon Dwyer, Sugamjot Badhan, Ramy Khalil, Foad Elahi
{"title":"A Rare Case of Spinal Cord Injury After Uncomplicated Implantation of a Spinal Cord Stimulator: A Case Report.","authors":"Jimmy Wen, Shannon Dwyer, Sugamjot Badhan, Ramy Khalil, Foad Elahi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Spinal cord stimulation (SCS) is an efficacious, safe, and well-documented procedure for treating chronic refractory pain syndromes. We report a rare case of spinal cord injury (SCI) after SCS implantation in a 54-year-old woman.</p><p><strong>Case report: </strong>A 54-year-old woman underwent reimplantation of a new SCS following an acute L2 compression fracture that led to significant pain and dysesthesia. The intraoperative course was uncomplicated. Immediately postoperatively, the patient experienced an inability to move her right leg, with magnetic resonance imaging showing epidural fluid collections at the level of lead insertion; after subsequent removal of the SCS, the patient continued to experience paralysis in the right leg, with the development of painful neuropathy and allodynia. The patient was sent to acute rehabilitation, where her lower limb strength gradually improved, but has not returned to baseline.</p><p><strong>Conclusions: </strong>This case provides a useful clinical and procedural case on postoperative SCI after an uncomplicated SCS implantation.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 2","pages":"137-141"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017252","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
Basivertebral Nerve Ablation in a Patient With Ankylosing Spondylitis: A Case Report. 强直性脊柱炎患者椎体神经消融1例报告。
Pain medicine case reports Pub Date : 2025-04-01
Abhinav Gupta, Edmund Posadas, Brooke Towne, Jeffrey Chen, Rajiv D Reddy
{"title":"Basivertebral Nerve Ablation in a Patient With Ankylosing Spondylitis: A Case Report.","authors":"Abhinav Gupta, Edmund Posadas, Brooke Towne, Jeffrey Chen, Rajiv D Reddy","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Lower back pain is a symptom of ankylosing spondylitis (AS), stemming from arthritic changes within the sacroiliac joints, lumbar facet joints, and between the vertebral bodies. Most commonly, interventional techniques targeting the sacroiliac or facet joints have been used to mitigate AS-related pain.</p><p><strong>Case report: </strong>In this case report, we describe a patient with AS and axial lower back pain who experienced insufficient and temporary relief with these first-line procedures. Furthermore, magnetic resonance imaging (MRI) showed degenerative changes to vertebral endplates suggesting a vertebrogenic cause for his pain. We proceeded with basivertebral nerve ablation for this patient, which resulted in superior and enduring pain relief.</p><p><strong>Conclusions: </strong>This is the first published report of basivertebral nerve ablation in a patient with AS that we know of. We demonstrate the potential for basivertebral nerve ablation to alleviate axial lower back pain for patients with AS who have vertebrogenic changes on MRI.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 2","pages":"89-92"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059843","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
Skin Depigmentation After Particulate Steroid Injection for de Quervain's Tenosynovitis. 颗粒类固醇注射治疗de Quervain腱鞘炎后皮肤色素脱失。
Pain medicine case reports Pub Date : 2025-04-01
Simon Yang, Vinh Nguyen, Ratan K Banik
{"title":"Skin Depigmentation After Particulate Steroid Injection for de Quervain's Tenosynovitis.","authors":"Simon Yang, Vinh Nguyen, Ratan K Banik","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Corticosteroid injections are an effective treatment for several medical conditions, including de Quervain's tenosynovitis. Depigmentation of the skin after steroid injection is rarely reported.</p><p><strong>Case report: </strong>We present a case of a 43-year-old man who has no significant past medical history and came to us with an 8-week history of left wrist pain consistent with de Quervain's tenosynovitis. He underwent injections of triamcinolone and bupivacaine into the tendon sheath of the extensor pollicis brevis and abductor pollicis longus. Shortly after 3-5 days posttreatment, he had 100% pain relief, which continued for 12 months. However, one week after injection, he developed depigmentation at the injection site, measuring 2 cm x 3 cm. Depigmentation spontaneously resolved after 9 months.</p><p><strong>Discussion: </strong>The exact etiology of steroid-induced depigmentation is unknown, but it can have a profound impact on the patient. Interventional pain physicians should counsel patients about this adverse outcome and be aware of how to minimize its likelihood.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 2","pages":"143-146"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061452","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
Sacroiliac Joint Fusion Using the Silo TFX™ Transfixing Bridge Titanium Device: Two Case Reports from the United States. 使用Silo TFX™钛合金穿孔桥装置进行骶髂关节融合：来自美国的2例报告。
Pain medicine case reports Pub Date : 2025-04-01
Angela Nguyen, Macie Serio, Hirni Patel, Azem A Chami, Sahar Shekoohi, Alan D Kaye
{"title":"Sacroiliac Joint Fusion Using the Silo TFX™ Transfixing Bridge Titanium Device: Two Case Reports from the United States.","authors":"Angela Nguyen, Macie Serio, Hirni Patel, Azem A Chami, Sahar Shekoohi, Alan D Kaye","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Sacroiliac joint (SIJ) pain is a common source of chronic low back pain, accounting for 15% to 30% in patients without disc herniation or radicular pain. Multiple advances have been made in managing SIJ pain with the development of minimally invasive SIJ fusion devices. Minimally invasive SIJ fusion with a posterior approach has shown promising results in recent literature. One of the newly developed SIJ fusion devices utilizing a posterior approach is SiLO TFX™, Transfixing Bridge, a titanium device. The device uses a posterolateral approach with a single transfixing cone and ancillary ilium and sacrum screws. The case reports presented herein are the first cases of SIJ fusion performed with SiLO TFX™ Transfixing Bridge in the United States.</p><p><strong>Case report: </strong>Two patients with chronic bilateral sacroiliitis refractory to conservative management with greater than 75% short-term relief with sacroiliac injections, underwent SIJ fusion surgery with a novel transfixing bridge titanium device, the SiLO TFX™. Both patients showed resolution of the SIJ pain.</p><p><strong>Conclusion: </strong>These case reports discuss the unique aspects of the novel device, procedural steps, and early postoperative results, filling a gap in the current literature on titanium-based SIJ fusion.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 2","pages":"97-101"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057520","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
gammaCore Device for Chronic Posttraumatic Headache Pain Management in Veterans With Comorbid Mood Disorders: A Case Report. gammaCore设备用于治疗伴有情绪障碍的退伍军人的慢性创伤后头痛：一例报告。
Pain medicine case reports Pub Date : 2025-04-01
Jason Parmar, Darlene Makulski
{"title":"gammaCore Device for Chronic Posttraumatic Headache Pain Management in Veterans With Comorbid Mood Disorders: A Case Report.","authors":"Jason Parmar, Darlene Makulski","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Chronic posttraumatic headache (CPTHA) is a prevalent condition following traumatic brain injury, especially among veterans, with a significant impact on quality of life. Traditional treatments often lack efficacy and evidence-based support.</p><p><strong>Case report: </strong>We report the case of a 46-year-old male veteran with CPTHA, nonresponsive to standard therapies, including botulinum toxin A and oral medications. The patient underwent treatment with the gammaCore vagus nerve stimulator, a US Food and Drug Administration-cleared device intended for migraine and cluster headache management.</p><p><strong>Conclusions: </strong>Following initiation of gammaCore therapy, the patient experienced a marked reduction in headache intensity and frequency, alongside significant improvements in anxiety levels. These outcomes suggest that gammaCore may be a promising noninvasive treatment option for CPTHA, particularly in patients with coexisting mood disorders. Further research is warranted to validate these findings and establish gammaCore's role in CPTHA management.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 2","pages":"119-122"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001981","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
Multilevel Compression Fracture Initiated by Unrestrained Electroconvulsive Therapy for Treatment Resistant Depression Case Report. 无约束电休克治疗顽固性抑郁症致多节段压缩性骨折1例报告。
Pain medicine case reports Pub Date : 2025-04-01
Andrew Hyde, Brenda Ventura-Gomez
{"title":"Multilevel Compression Fracture Initiated by Unrestrained Electroconvulsive Therapy for Treatment Resistant Depression Case Report.","authors":"Andrew Hyde, Brenda Ventura-Gomez","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Depression is the most common cause of emotional disorders in older adults with electroconvulsive therapy (ECT) as the preferred treatment for older adults. ECT utilizes a controlled therapeutic seizure resulting in repetitive muscle contractions, which carries the risk of fractures and dislocations.</p><p><strong>Case report: </strong>This is an unusual case of a 69-year-old man with a history of treatment-resistant depression developing severe midback pain and a multilevel compression fracture after treatment without a well-defined incidence following utilization of ECT. Anteroposterior and lateral x-rays of the thoracic spine demonstrated a 2-level compression. The patient was a candidate for kyphoplasty. Bone density was age appropriate. On follow-up, the patient denied pain with healing of the fracture without augmentation. Initiation of physical therapy was recommended.</p><p><strong>Conclusions: </strong>Individuals with age-appropriate nonosteoporotic bones can develop fractures during ECT. Back pain following ECT may be associated with a vertebral compression fracture, especially in older adults.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 2","pages":"93-96"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038112","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
Sternal Nonunion Treated by Radiofrequency Thermocoagulation of the Anterior Cutaneous Branch of the Intercostal Nerve: A Case Report. 肋间神经前皮支射频热凝治疗胸骨不连1例。
Pain medicine case reports Pub Date : 2025-04-01
Tatsunori Watanabe, Hiroshi Baba
{"title":"Sternal Nonunion Treated by Radiofrequency Thermocoagulation of the Anterior Cutaneous Branch of the Intercostal Nerve: A Case Report.","authors":"Tatsunori Watanabe, Hiroshi Baba","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>For painful sternal nonunion, conservative treatment by radiofrequency thermocoagulation nerve block of the anterior cutaneous branch of the intercostal nerve can be indicated when surgery is not feasible.</p><p><strong>Case report: </strong>A 44-year-old man with a history of open-heart surgery was referred to our department due to a complaint that was strongly suspected to be associated with stress. He wished to restart archery, however, doing so was difficult due to the painful sternal nonunion. Surgical treatment and external fixation were not appropriate due to his past medical history and desire to resume archery. Radiofrequency thermocoagulation (90°C, 120 seconds) of the anterior cutaneous branch of the intercostal nerve was performed because he had only 2 tender points. After performing thermocoagulation several times to achieve long-term analgesia, the patient was allowed to resume archery.</p><p><strong>Conclusions: </strong>Radiofrequency intercostal nerve thermocoagulation is an effective conservative treatment for sternal nonunion pain.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 2","pages":"123-126"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038382","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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