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Persistent Sacroiliac Joint Pain After Joint Fusion Resolves With Radiofrequency Ablation of Lateral Sacral Nerve Branches: A Case Report. 射频消融骶外侧神经分支可缓解关节融合术后持续骶髂关节疼痛：1例报告。
Pain medicine case reports Pub Date : 2026-07-01
Joshua Turner, Jawad Arshad, Abuzar Baloach, Ibrahim Al-Saidi
{"title":"Persistent Sacroiliac Joint Pain After Joint Fusion Resolves With Radiofrequency Ablation of Lateral Sacral Nerve Branches: A Case Report.","authors":"Joshua Turner, Jawad Arshad, Abuzar Baloach, Ibrahim Al-Saidi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Radiofrequency ablation (RFA) is a well-documented technique for the conservative treatment of sacroiliac joint (SIJ) arthropathy; however, its use in treating pain post-SIJ fusion are limited. Our paper will focus on the novel use of RFA to treat persisting SIJ arthropathy after surgical fusion of the SIJ.</p><p><strong>Case report: </strong>Our patient is a 79-year-old woman with a past medical history of right SIJ arthropathy postfusion. She had a diagnostic right sacral nerve block performed that provided 100% pain relief for 24 hours, so RFA was pursued. RFA of the lateral branches of S1, S2, and S3 nerves was performed, and she had complete resolution of her pain.</p><p><strong>Conclusion: </strong>Lateral branch block with subsequent RFA has utility in treating post-SIJ fusion pain, but has not been explored in the literature and may be a topic of future exploration in regard to treating this condition.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 5","pages":"385-388"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671964","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
Ultrasound-Guided Stellate Ganglion and Interscalene Blocks for Refractory Pediatric Parsonage-Turner Syndrome: A Case Report and Clinical Implications. 超声引导星状神经节和斜角肌间阻滞治疗难治性儿童牧师-特纳综合征：1例报告及其临床意义。
Pain medicine case reports Pub Date : 2026-07-01
Warda Laraib, Adeel Abbas, Insha Habib, Zohad Fareh, Salman Ahmad Saleem
{"title":"Ultrasound-Guided Stellate Ganglion and Interscalene Blocks for Refractory Pediatric Parsonage-Turner Syndrome: A Case Report and Clinical Implications.","authors":"Warda Laraib, Adeel Abbas, Insha Habib, Zohad Fareh, Salman Ahmad Saleem","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Parsonage-Turner syndrome (PTS) is an uncommon inflammatory brachial plexopathy; pediatric and bilateral cases are rare, and evidence for managing refractory pediatric pain is limited.</p><p><strong>Case report: </strong>A previously healthy 6-year-old girl developed sudden severe left upper-limb pain with progressive wrist-drop in August 2023; by October, the right arm was affected. Nerve conduction studies/electromyography confirmed brachial plexopathy and magnetic resonance imaging showed diffuse thickening of left C5-C7. Laboratory tests were unremarkable, except for an isolated anti-glycosphingolipid monosialo-2 antibody. Oral corticosteroids, tramadol, and 2 intravenous immunoglobulin doses produced limited benefit, and corticosteroids caused mood disturbance. In October 2023, ultrasound-guided stellate ganglion (C6) and interscalene (C5-C6) blocks with 4-6 mL of 0.25% bupivacaine under general anesthesia were performed. At one week, she reported ~85% pain relief; analgesics were reduced to paracetamol.</p><p><strong>Conclusions: </strong>In refractory pediatric bilateral PTS, regional stellate ganglion and interscalene blocks provided rapid, substantial analgesia; prospective studies should define indications and long-term outcomes.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 5","pages":"447-451"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671989","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 Percutaneous Lateral Femoral Cutaneous Nerve Stimulation for Surgically Refractory Meralgia Paresthetica: A Case Report. 临时经皮股外侧皮神经刺激治疗手术难治性痛觉异常1例报告。
Pain medicine case reports Pub Date : 2026-07-01
Kevin Crosby, John A Encarnacion, Andrew Aboujaoude, Varun Channagiri, Mohammad H Bawany
{"title":"Temporary Percutaneous Lateral Femoral Cutaneous Nerve Stimulation for Surgically Refractory Meralgia Paresthetica: A Case Report.","authors":"Kevin Crosby, John A Encarnacion, Andrew Aboujaoude, Varun Channagiri, Mohammad H Bawany","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Meralgia paresthetica (MP) is a neuropathic pain syndrome resulting from lateral femoral cutaneous nerve irritation or injury. Patients who fail to respond to conservative therapies can find relief after interventions, including nerve blocks and decompression surgery, but some continue to experience pain. Temporary percutaneous peripheral nerve stimulation (PNS) is a minimally invasive option for targeted neuropathic pain management, though there is limited evidence of its efficacy in the management of MP.</p><p><strong>Case report: </strong>A 63-year-old man with MP unresponsive to conservative and surgical management underwent a 60-day percutaneous PNS trial. He experienced immediate and sustained pain relief (80%) with marked improvement in ambulation and sleep, which persisted at > 60% pain reduction 12 months after implantation.</p><p><strong>Conclusions: </strong>Temporary percutaneous PNS may be an effective option for patients with MP refractory to conservative and surgical management.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 5","pages":"429-433"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148672010","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 of the Dorsal Scapular Nerve for Atypical Shoulder Pain Treatment: A Case Report. 外周神经刺激肩胛背神经治疗非典型肩痛1例。
Pain medicine case reports Pub Date : 2026-07-01
Breanna Lauinger, Ahmed Elnahla, Chineze Mbanugo, Narjis Mumtaz, Roger Haddad
{"title":"Peripheral Nerve Stimulation of the Dorsal Scapular Nerve for Atypical Shoulder Pain Treatment: A Case Report.","authors":"Breanna Lauinger, Ahmed Elnahla, Chineze Mbanugo, Narjis Mumtaz, Roger Haddad","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Meralgia paresthetica (MP) is a neuropathic pain syndrome resulting from lateral femoral cutaneous nerve irritation or injury. Patients who fail to respond to conservative therapies can find relief after interventions, including nerve blocks and decompression surgery, but some continue to experience pain. Temporary percutaneous peripheral nerve stimulation (PNS) is a minimally invasive option for targeted neuropathic pain management, though there is limited evidence of its efficacy in the management of MP.</p><p><strong>Case report: </strong>A 63-year-old man with MP unresponsive to conservative and surgical management underwent a 60-day percutaneous PNS trial. He experienced immediate and sustained pain relief (80%) with marked improvement in ambulation and sleep, which persisted at > 60% pain reduction 12 months after implantation.</p><p><strong>Conclusions: </strong>Temporary percutaneous PNS may be an effective option for patients with MP refractory to conservative and surgical management.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 5","pages":"435-437"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148672015","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
Diagnostic Role of Celiac Plexus Block in Assessing Eligibility for Corrective Surgery in a Case of Median Arcuate Ligament Syndrome. 乳糜丛阻滞在评估正中弓状韧带综合征矫正手术资格中的诊断作用。
Pain medicine case reports Pub Date : 2026-07-01
Syama Sundar Ayya, Anish Waghray, Sandeep Garre, Rama Krishna Prasad, Aniruth Chand Anna C, Kalyani Surya Dhana Lakshmi Sangineni
{"title":"Diagnostic Role of Celiac Plexus Block in Assessing Eligibility for Corrective Surgery in a Case of Median Arcuate Ligament Syndrome.","authors":"Syama Sundar Ayya, Anish Waghray, Sandeep Garre, Rama Krishna Prasad, Aniruth Chand Anna C, Kalyani Surya Dhana Lakshmi Sangineni","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Median arcuate ligament syndrome (MALS) is an uncommon cause of postprandial abdominal pain that can be difficult to diagnose, especially in children.</p><p><strong>Case report: </strong>We report a 14-year-old male patient with 2 months of severe, stabbing periumbilical pain resistant to medical therapy. Mesenteric duplex ultrasound showed aliasing with a peak systolic velocity of 234 cm/s at the celiac origin, and computed tomography angiography demonstrated mild kinking with poststenotic dilatation, consistent with celiac trunk compression. Diagnostic fluoroscopy-guided bilateral posterior retrocrural celiac plexus block (CPB) produced rapid pain reduction, enabling a full meal within 6 hours. Analgesia persisted for about 48 hours. The patient subsequently underwent open MAL decompression and remained symptom free at 18-month follow-up.</p><p><strong>Conclusions: </strong>Our case illustrates that temporary CPB may be a useful diagnostic adjunct to identify a sympathetically mediated pain component and help guide surgical candidacy in MALS.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 5","pages":"419-422"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148672029","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
Statin-Associated Myopathy Mimicking Lumbar Radiculopathy: A Case Series. 他汀类药物相关肌病模拟腰椎神经根病：一个病例系列。
Pain medicine case reports Pub Date : 2026-07-01
Ruben Dovlatyan, Blake Jones, Bruno Alonso, Sidharth Sahni, David Jevotovsky, Dylan Banks, Neal Rakesh, Richard Lau
{"title":"Statin-Associated Myopathy Mimicking Lumbar Radiculopathy: A Case Series.","authors":"Ruben Dovlatyan, Blake Jones, Bruno Alonso, Sidharth Sahni, David Jevotovsky, Dylan Banks, Neal Rakesh, Richard Lau","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Chronic low back pain (cLBP) is often managed conservatively, but it is vital to rule out certain causes before pursuing targeted treatment. A thorough evaluation, including medication reconciliation, ensures appropriate care and may prevent costly or invasive treatments for many ubiquitous conditions, including patients taking statin medications.</p><p><strong>Case report: </strong>We present a series of 3 cases in which patients on statin medication presented to a pain management clinic with symptoms initially resembling mechanical and/or radicular chronic LBP (cLBP). In all 3 cases, medication reconciliation revealed high-dose statin medication, and supervised dose reduction or discontinuation was temporally linked with the alleviation of symptoms.</p><p><strong>Conclusion: </strong>This is the first known case series reporting suspected statin-associated muscle symptoms that mimic lumbar radiculopathy. These cases underscore the importance of comprehensive clinical evaluation, including medication reconciliation. Clinicians should consider medication-related side effects in the differential diagnosis of new or atypical musculoskeletal pain.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 5","pages":"401-404"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148672018","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
Integrating Pain Management in a Patient With Cystic Fibrosis and Fibromyalgia: A Case Report. 囊性纤维化和纤维肌痛患者的综合疼痛管理：一例报告。
Pain medicine case reports Pub Date : 2026-07-01
Persefoni Kritikou, Nikoletta Koffa, Ioanna Loukou, Athina Vadalouca
{"title":"Integrating Pain Management in a Patient With Cystic Fibrosis and Fibromyalgia: A Case Report.","authors":"Persefoni Kritikou, Nikoletta Koffa, Ioanna Loukou, Athina Vadalouca","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain is increasingly recognized in individuals with cystic fibrosis (CF), especially as survival improves. However, the coexistence of CF and fibromyalgia-a centralized pain syndrome-has not been previously reported and presents a unique diagnostic challenge..</p><p><strong>Case report: </strong>A 26-year-old woman with confirmed CF presented with chronic, widespread musculoskeletal pain unresponsive to CF-specific treatment. Evaluation revealed neuropathic features and positive findings on fibromyalgia screening tools. Management included duloxetine, pregabalin, Pilates-based rehabilitation, and reflexology-based manual therapy. With consistent care, the patient achieved significant symptom control and improved quality of life.</p><p><strong>Conclusion: </strong>Our case highlights the importance of individualized, multimodal pain management in CF, particularly when symptoms suggest overlapping centralized pain syndromes. Clinicians should consider fibromyalgia in CF patients presenting with persistent, widespread pain unresponsive to standard treatment.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 5","pages":"395-400"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671960","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
Novel Use of Temporary Percutaneous Peripheral Nerve Stimulation for Middle Cluneal Neuralgia: A Case Report. 临时经皮外周神经刺激治疗中胫腓神经痛1例。
Pain medicine case reports Pub Date : 2026-07-01
Rohan Gogoi, Maximos Bogdady, Saiyid Mahmood, Marco Lawandy, Kevin Sperber
{"title":"Novel Use of Temporary Percutaneous Peripheral Nerve Stimulation for Middle Cluneal Neuralgia: A Case Report.","authors":"Rohan Gogoi, Maximos Bogdady, Saiyid Mahmood, Marco Lawandy, Kevin Sperber","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Cluneal neuralgia (CN) is an uncommon cause of low back pain that can be difficult to diagnose due to its nonspecific clinical features that often mimic other conditions. If left untreated, it can significantly reduce a patient's quality of life. The following case reports the successful use of percutaneous peripheral nerve stimulation (pPNS) for the treatment of middle CN.</p><p><strong>Case report: </strong>A 35-year-old man presented to our clinic for intractable low back pain that made it difficult for him to sit or lie down on his back. After failing multiple oral medications and procedural interventions, the patient underwent pPNS of the middle cluneal nerve. This reduced his pain significantly and allowed him to return to work as a rideshare driver.</p><p><strong>Conclusions: </strong>For patients that fail conventional treatment, pPNS may be a viable alternative treatment for middle CN.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 5","pages":"409-412"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671995","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
Percutaneous Kyphoplasty for Acute Vertebral Compression Fractures: A Single-Center Case Series Analyzing Pain and Functional Outcomes. 经皮椎体后凸成形术治疗急性椎体压缩性骨折：单中心病例系列分析疼痛和功能结果。
Pain medicine case reports Pub Date : 2026-07-01
Shawn Brain, Sasha Severin, Steven Mann, Michael Foti
{"title":"Percutaneous Kyphoplasty for Acute Vertebral Compression Fractures: A Single-Center Case Series Analyzing Pain and Functional Outcomes.","authors":"Shawn Brain, Sasha Severin, Steven Mann, Michael Foti","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Vertebral compression fractures (VCFs) are a common and debilitating complication of osteoporosis, causing severe pain and immobility in the elderly population. Percutaneous kyphoplasty (PKP) is a minimally invasive procedure used to stabilize these fractures and provide pain relief, but its efficacy remains a topic of debate.</p><p><strong>Case report: </strong>We conducted a retrospective case series, recording data from 54 sets of VCFs followed by PKP in 46 individuals, to evaluate changes in pain levels measured on a subjective Visual Analog Scale. Secondary outcomes included the presence of follow-up procedures and changes in analgesics used, emphasizing a focus on functional outcomes.</p><p><strong>Conclusions: </strong>The average reduction in pain was 4.3/10 points (P < 0.001), further supported by a significant decline in analgesic strength used (P = 0.014). These findings support the role of PKP in addressing both pain and recovery from acute VCFs.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 5","pages":"389-393"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671969","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
In Errata. 在勘误表。
Pain medicine case reports Pub Date : 2026-07-01
{"title":"In Errata.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"10 5","pages":"459"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148672020","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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