多模式镇痛治疗难治性慢性乳头痛1例报告。

IF 0.5

A&A Practice Pub Date : 2023-04-01 DOI:10.1213/XAA.0000000000001668

Vivian Lee, Sara M Wilson, Melanie D Johansson

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引用次数: 0

摘要

慢性乳头疼痛对多学科护理团队来说是一个挑战。我们报告一个病例的病人谁经历了多年的无效治疗前提出的疼痛管理诊所。在就诊后，患者接受了神经性药物、局部止痛药、针灸、钙通道阻滞剂、肋间神经阻滞、脉冲射频和脊髓刺激试验。我们报告了治疗方案和最终有效改善疼痛评分和功能的方法。提出这种治疗方法将教育读者关于选择多模式治疗，以避免延误治疗其他病人在未来。

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A Case Report of Multimodal Analgesia for the Treatment of Refractory Chronic Nipple Pain.

Chronic nipple pain can be challenging to a multidisciplinary care team. We report a case of a patient who experienced years of ineffective treatment before presenting to the pain management clinic. Upon presentation, the patient was trialed on neuropathic agents, topical pain medications, acupuncture, calcium channel blockers, intercostal nerve blocks, pulsed radiofrequency, and a spinal cord stimulator trial. We report the treatment options and what was ultimately effective to improve pain scores and functionality. Presenting this treatment approach will educate the reader about options for multimodal therapy to avoid delayed treatment for other patients in the future.

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来源期刊

A&A Practice ANESTHESIOLOGY-

自引率

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发文量

期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.