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Differentiating Chronic Neuropathic Rib Pain: A Case Report. 鉴别慢性神经性肋痛1例报告。
Pain medicine case reports Pub Date : 2025-02-01
Emily Andrews, Anna Klunk, Alberto Giardini
{"title":"Differentiating Chronic Neuropathic Rib Pain: A Case Report.","authors":"Emily Andrews, Anna Klunk, Alberto Giardini","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Rib cage pain can be challenging to diagnose due to a wide variety of etiologies in the area. Intercostal neuromas are a potential source of pain in the thoracic region. In the setting of blunt intercostal trauma, intercostal neuromas should be higher on the differential.</p><p><strong>Case report: </strong>We describe the case of a 69-year-old man with severe thoracic pain for 10 years due to intercostal neuroma who had extensive medical workup over the course of 10 years prior to the diagnosis causing his chronic pain. He received definitive treatment with surgical resection of his intercostal neuroma.</p><p><strong>Conclusions: </strong>This article highlights the need to consider neuroma formation in the setting of blunt trauma and the benefits of diagnosis provided by musculoskeletal ultrasound.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"37-39"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048432","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
Efficacy of Botulinum Toxin Injection via Coronoid Approach in Refractory Trigeminal Neuralgia: A Case Report and Literature Review. 冠状入路肉毒毒素注射治疗难治性三叉神经痛1例并文献复习。
Pain medicine case reports Pub Date : 2025-02-01
Mahmoud Reza Alebouyeh, Saeid Reza Entezary, Sajede Salehi, Sara Saadat
{"title":"Efficacy of Botulinum Toxin Injection via Coronoid Approach in Refractory Trigeminal Neuralgia: A Case Report and Literature Review.","authors":"Mahmoud Reza Alebouyeh, Saeid Reza Entezary, Sajede Salehi, Sara Saadat","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Trigeminal neuralgia (TN) is a well-characterized form of cranial neuralgia that affects one or more divisions of the trigeminal nerve. The first-line treatment for TN is pharmacotherapy, though over 40% of patients may become refractory to medication or experience intolerable side effects. A Gasserian ganglion block is a minimally invasive procedure aimed at alleviating TN symptoms and reducing the reliance on pharmacotherapy.</p><p><strong>Case report: </strong>We present a case of TN that was refractory to 2 times Gasserian ganglion block. While botulinum toxin has been effectively used in various nerve blocks, we opted to manage the patient's TN by targeting the peripheral mandibular nerve (V3) via a coronoid approach by using botulinum toxin injection.</p><p><strong>Conclusions: </strong>Our patient experienced 5 months' considerable pain relief, which demonstrates that the V3 injection of botulinum toxin may offer a viable alternative for managing refractory TN.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"81-84"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049319","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
Case Report: The Successful Use of Hydroxyzine for Analgesia in a Patient With Lumbar Spinal Stenosis. 病例报告：羟嗪成功用于腰椎管狭窄症患者的镇痛。
Pain medicine case reports Pub Date : 2025-02-01
Manish Bhatta, Eli Dayon, Eric Martinez, Emilee Bell, Moorice Caparo
{"title":"Case Report: The Successful Use of Hydroxyzine for Analgesia in a Patient With Lumbar Spinal Stenosis.","authors":"Manish Bhatta, Eli Dayon, Eric Martinez, Emilee Bell, Moorice Caparo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Lumbar spinal stenosis is a chronic condition associated with low back pain that is usually alleviated with traditional pain medications, spinal injections, or surgery. Antihistamines are a drug class that are not usually used for analgesia.</p><p><strong>Case report: </strong>We present the case of a 51-year-old woman who presented with low back pain radiating down the right lower extremity. Magnetic resonance imaging of the lumbar spine revealed multilevel degenerative changes, including bilateral foraminal narrowing at L5-S1. Despite conservative treatments, her pain persisted. A trial of 10 mg hydroxyzine 3 times daily led to a 50% reduction in reported pain.</p><p><strong>Discussion: </strong>Hydroxyzine is an H1 inverse agonist not commonly used for analgesia. Potential mechanisms include antagonizing H1 receptors on lumbar nerve roots and interaction with neural cytokines.</p><p><strong>Conclusions: </strong>Improvement after the use of antihistamines for lumbar stenosis pain is rare and leads to consideration of its use as a treatment option.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"71-73"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004079","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
Temporary Peripheral Nerve Stimulation for Complex Regional Pain Syndrome Type I in the Upper Extremity: A Case Report. 暂时性外周神经刺激治疗上肢I型复杂区域性疼痛综合征1例报告。
Pain medicine case reports Pub Date : 2025-02-01
Newshaw Arvin, Andrew Barker, Blake Fechtel, Matthew Cutrer, Yashar Eshraghi
{"title":"Temporary Peripheral Nerve Stimulation for Complex Regional Pain Syndrome Type I in the Upper Extremity: A Case Report.","authors":"Newshaw Arvin, Andrew Barker, Blake Fechtel, Matthew Cutrer, Yashar Eshraghi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Complex regional pain syndrome (CRPS) presents a significant treatment challenge, characterized by severe pain following trauma or surgery. This study examines CRPS management, emphasizing the role of temporary peripheral nerve stimulation (PNS) in alleviating subacute postoperative symptoms.</p><p><strong>Case report: </strong>Focusing on a case study of a 65-year-old woman with CRPS Type I, we explore the use of a temporary PNS system, highlighting its effectiveness in reducing pain by 80% and facilitating rehabilitation. The procedure involved ultrasound-guided percutaneous lead placement, showcasing a minimally invasive approach with substantial functional improvements for the patient.</p><p><strong>Conclusions: </strong>This case underscores the potential of temporary PNS in CRPS treatment in the subacute setting, advocating for further research to validate its efficacy and expand its application in clinical practice. The manuscript calls for additional studies to explore the benefits of temporary PNS, aiming to enhance pain management strategies and improve quality of life for CRPS patients.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052828","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
Analgesic and Curative Effects of 35kDa Hyaluronan Fragment on Zoster-Associated Pain: A Case Report of Two Patients. 35kDa透明质酸片段对带状疱疹相关疼痛的镇痛和疗效：附2例报告。
Pain medicine case reports Pub Date : 2025-02-01
Fenghe Xu, Dylan Treger, Xiaoxiao Jia, Mizhou Hui, Zhaohui Ma
{"title":"Analgesic and Curative Effects of 35kDa Hyaluronan Fragment on Zoster-Associated Pain: A Case Report of Two Patients.","authors":"Fenghe Xu, Dylan Treger, Xiaoxiao Jia, Mizhou Hui, Zhaohui Ma","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Herpes zoster-associated pain (ZAP) is a challenging neuropathic condition. Clinical reports suggest that a 35kDa hyaluronan fragment (HA35) may effectively relieve this pain with a single local injection. However, evidence of a complete cure is limited.</p><p><strong>Case report: </strong>Two patients were treated-one with acute shingles pain diagnosed 10 days prior, and one with postherpetic neuralgia (PHN) diagnosed a year ago. Pain scores before treatment were 7 for Patient 1, and 4 (average) and 8 (most severe) for Patient 2. Clinicians administered varying doses of HA35 based on pain level and disease duration. Both patients reported significantly reduced Visual Analog Scale pain scores and notable improvements in mental state, appetite, and sleep quality.</p><p><strong>Conclusions: </strong>HA35 not only safely and effectively alleviates and cures ZAP, including acute pain and PHN, without causing side effects, but also improves related issues, such as appetite, sleep, and daily interactions affected by pain.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"51-54"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055794","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
Pain Relief in Mitochondrial Disorders: Use of Spinal Cord Stimulation in a Patient With NARP Syndrome. 线粒体疾病的疼痛缓解：在NARP综合征患者中使用脊髓刺激
Pain medicine case reports Pub Date : 2025-02-01
Augusta L Kiepper, Timothy Morgan, Christopher J Mallard
{"title":"Pain Relief in Mitochondrial Disorders: Use of Spinal Cord Stimulation in a Patient With NARP Syndrome.","authors":"Augusta L Kiepper, Timothy Morgan, Christopher J Mallard","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Neuropathy, ataxia, retinitis pigmentosa (NARP) syndrome is a mitochondrial disorder of the ATPase 6 gene. There is a wide variation of symptoms, but damage to the neuronal structures can result in chronic pain.</p><p><strong>Case report: </strong>A 31-year-old woman's chronic back and lower extremity pain related to NARP syndrome was successfully treated with dorsal column spinal cord stimulation (SCS).</p><p><strong>Conclusions: </strong>SCS can be used as a means of pain management in patients with genetic etiologies. This case provides an example of treating symptoms related to genetic defects with simulation improving quality of life.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"67-69"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048004","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
Subarachnoid Hemorrhage Following Cervical Medial Branch Radiofrequency Ablation: A Case Report. 颈内支射频消融术后蛛网膜下腔出血1例。
Pain medicine case reports Pub Date : 2025-02-01
Joel Peltonen, Timothy Bolton
{"title":"Subarachnoid Hemorrhage Following Cervical Medial Branch Radiofrequency Ablation: A Case Report.","authors":"Joel Peltonen, Timothy Bolton","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Facet-mediated neck pain following motor vehicle collision is a common component of whiplash-associated disorder. Facet-mediated neck pain is suspected based on a combination of history, physical examination, and imaging findings. Third occipital nerve (TON) and cervical medial branch radiofrequency ablation (RFA) are effective and safe approaches to facet-mediated pain. Serious complications are rare but can include nerve root, spinal cord, and vascular injury.</p><p><strong>Case report: </strong>This report describes a case of subarachnoid hemorrhage (SAH) that occurred within 24 hours following TON and cervical medial branch RFA. The patient was admitted for symptom management, blood pressure control, and follow-up imaging. His hemorrhage stabilized, and he returned home without residual deficits after 12 days.</p><p><strong>Conclusions: </strong>This case serves as an example of how prolonged nausea, headache, and ataxia can be indicators of SAH, following TON and cervical medial branch RFA.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036113","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
Externally Powered Peripheral Nerve Stimulation With a Separate Receiver at the Brachial Plexus Nerve for the Treatment of Pain due to Metastatic Invasion From Advanced Breast Cancer: A Case Report. 外供电外周神经刺激与单独接收器在臂丛神经治疗疼痛由于转移性侵袭晚期乳腺癌：1例报告。
Pain medicine case reports Pub Date : 2025-02-01
Alvise Martini, Vittorio Schweiger, Libera Villagrossi, Alex Patton, Giuseppina Poni, Enrico Polati
{"title":"Externally Powered Peripheral Nerve Stimulation With a Separate Receiver at the Brachial Plexus Nerve for the Treatment of Pain due to Metastatic Invasion From Advanced Breast Cancer: A Case Report.","authors":"Alvise Martini, Vittorio Schweiger, Libera Villagrossi, Alex Patton, Giuseppina Poni, Enrico Polati","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Cancer pain, particularly neuropathic pain, remains a significant clinical challenge, often refractory to conventional analgesic therapies.</p><p><strong>Case report: </strong>This case study aims to assess the efficacy of the Freedom® peripheral nerve stimulation (PNS) System in managing chronic intractable cancer-related neuropathic pain. This particular case was managed at a specialized pain management center with access to advanced neuromodulation technologies. A 41-year-old woman with ductal mammary carcinoma and pectoral metastasis experienced severe pain in the right arm unresponsive to conventional treatments. A Freedom PNS System was implanted at the brachial plexus using a permanent surgical technique. Following the implantation of the Freedom PNS System, the patient's pain score decreased from 9/10 to 2/10, the Oswestry Disability Index improved from 66% to 12%, and Euro Quality of Life 5-Dimension 5-Level Version utility indexes increased significantly.</p><p><strong>Conclusions: </strong>This case study demonstrates that the Freedom externally powered PNS System can be an effective and safe treatment for chronic cancer pain.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059840","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
Virtual Clinic Diagnosis of Fractured Spinal Cord Stimulator Leads in a Patient Lacking Direct Physician Access - A Novel Case Report. 虚拟临床诊断骨折脊髓刺激器导致患者缺乏直接医生访问-一个新的病例报告。
Pain medicine case reports Pub Date : 2025-02-01
Neha Singh, Loc Lam, Emanuel N Husu
{"title":"Virtual Clinic Diagnosis of Fractured Spinal Cord Stimulator Leads in a Patient Lacking Direct Physician Access - A Novel Case Report.","authors":"Neha Singh, Loc Lam, Emanuel N Husu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Telemedicine incorporates use of technology for delivering health care services and has become an important tool for overcoming geographical barriers. It has the advantage of delivering quality real-time care through interactive audiovisual and digital technologies.</p><p><strong>Case report: </strong>A 63-year-old woman from South Asia reached out to pain physicians in the United States with an acute exacerbation of back pain. Patient's medical history was significant for chronic back pain for which she underwent implantation of a spinal cord stimulator 2 years back and was pain free till now. Upon evaluation, the cause of her increased back pain was found to be fractured leads, which was later managed in the United States.</p><p><strong>Conclusions: </strong>Telemedicine can be pivotal in establishing a timely diagnosis, while also being able to transcend the geographical barriers to health care accessibility.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"33-36"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005763","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
Synovial Cysts as a Rare Cause of Tarsal Tunnel Syndrome Discovered Using Ultrasound: A Case Report. 滑膜囊肿作为跗骨隧道综合征的罕见病因的超声发现：1例报告。
Pain medicine case reports Pub Date : 2024-11-01
Patrick Fitzsimmons, Robert P Owens, Andrew Simoncini, Hannah W Haddad, Aleena Kazmi, Ramon F Rodriguez
{"title":"Synovial Cysts as a Rare Cause of Tarsal Tunnel Syndrome Discovered Using Ultrasound: A Case Report.","authors":"Patrick Fitzsimmons, Robert P Owens, Andrew Simoncini, Hannah W Haddad, Aleena Kazmi, Ramon F Rodriguez","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Tarsal tunnel syndrome (TTS) describes a compression neuropathy of the tibial nerve or its branches as they pass under the flexor retinaculum of the ankle. TTS is a clinical diagnosis, but often involves needle electromyography, nerve conduction studies (NCS), and magnetic resonance imaging. To our knowledge, the use of ultrasound to diagnose tibial nerve compression from synovial cysts (SCs) in the tarsal tunnel has been sparsely reported upon.</p><p><strong>Case report: </strong>A 50-year-old male patient suffering from TTS whose diagnosis of SC-related compression was confirmed via ultrasound. Patient underwent excision confirming an intraneural ganglion cyst secondary to subtalar joint synovial fluid extension. At follow-up, the patient endorsed improvement in painful paresthesias and NCS indicated improving symmetry of tibial nerve function.</p><p><strong>Conclusions: </strong>Our report demonstrates the successful evaluation and treatment of a rare cause of TTS utilizing ultrasound as the primary imaging modality. Ultrasound provides a rapid, cost-effective imaging method of the tarsal tunnel.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"8 7","pages":"279-283"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532676","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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