Evidence-based approach to the treatment of hidradenitis suppurativa/acne inversa, based on the European guidelines for hidradenitis suppurativa
Abstract Hidradenitis suppurativa/acne inversa (HS) is a chronic inflammatory skin disease characterized by painful, recurrent nodules and abscesses that rupture and lead to sinus tracts and scarring. To date, an evidence-based therapeutic approach has not been the standard of care and this is likely due to the lack of evidence based treatment guidelines. The purpose of this study was to promote a holistic evidence-based approach which implemented Level of Evidence and Strength of Recommendation for the treatment of HS. Based upon the European Dermatology Forumguidelines for the management of HS, evidence-based approach was explored for the treatment of HS. The diagnosis of HS should be made by a dermatologist or other healthcare professional with expert knowledge in HS. All patients should be offered adjuvant therapy as needed (pain management, weight loss, tobacco cessation, treatment of super infections, and application of appropriate dressings). The treating physician should be familiar with disease severity scores, especially Hurley staging, physician global assessment and others. The routine use of patient’reported outcomesincluding DLQI, itch and pain assessment (Visual Analogue Scale) is strongly recommended. The need for surgical intervention should be assessed in all patients depending upon type and extent of scarring, and an evidence-based surgical approach should be implemented. Evidence-based medical treatment of mild disease consists of topical Cl...
Authors: Ertel KA, Hallam JE, Hillman AR Abstract BACKGROUND: Individuals participating in exercise beyond their level of fitness may be at higher risk for exercise-induced muscle damage, however the impact of training status on muscle damage development is not well understood. The purpose of this study was to measure skeletal muscle damage and soreness after five days of high and low intensity exercise in previously trained and untrained individuals. METHODS: Eighteen males and females (9 trained and 9 untrained) completed five consecutive days of high intensity (HI) exercise and five consecutive days of low i...
I haven't used Stimwave since fellowship. Anyone using their technology for peripheral nerve stim? Results? Pros/Cons and feedback from patients? If I were going to use it, it would probably be for suprascapular neuralgia, genicular nerualgia, and/or SI joint pain vs cluneal neuralgia, when other options have failed (i.e. RF).
How bad of an idea is it to be pregnant with adequate lead coverage during early months of pregnancy? I had a fellow resident who was pregnant who changed her rotations around to avoid any exposure, however it's my understanding that overall the exposure with adequate coverage is ultimately fine. I know most of you are men - not sure if there are any female pain docs who could chime in? Sigh.
Dear Dr. Ducttape, Beginning in 2020, our Board will offer its longitudinal assessment technology to diplomates of other medical specialties to maintain their Pain Medicine certification. Until now, diplomates of our co-sponsoring boards – American Boards of Physical Medicine and Rehabilitation (ABPMR), Psychiatry and Neurology (ABPN), and Radiology (ABR) – with current certificates in Pain Medicine took a high-stakes recertification exam every 10 years. Our Pain Medicine-certified... New for Pain Recertification- re PMR
(Houston Methodist) Surgeons at Houston Methodist Hospital are stemming the tide of addiction to prescription opioids by managing patients' pain after surgery.
(Columbia University Irving Medical Center) A new study from researchers at Columbia University Vagelos College of Physicians and Surgeons found that non-medical cannabis use -- including frequent or problematic use -- is significantly more common in adults with pain than in those without pain.
Publication date: Available online 20 January 2020Source: Materials Today: ProceedingsAuthor(s): Hullash Chauhan, Suchismita Satapathy, Ashok K. Sahoo, Debesh MishraAbstractFarmers typically utilize their hands in the vegetables picking activities which bring about mental and physical shortcoming, hardship, misuse and pain. As alleviating measures, the commercially available gloves protect hands from cuts, injuries, skin hardness and abrasions, by enhancing the working efficiency of farmers. Therefore, an endeavor was made in this study to investigate the ergonomic risks in carrying out the picking tasks in agricultural se...
One of the largest problems in our ER, it seems, is that there is a subset of patients who visit us on a routine basis. Commonly known as“the regulars,” these familiar faces are sprinkled throughout our day between all our other patient visits. Whether it be for chronic pain, for chronic illness, for companionship, […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
ConclusionCST mapping allowed safe advancement of the cordotomy probe and exploration of the meningocele sac with untethering of the anterior-lateral aspect of the cord respectively, resulting in postoperative preservation or improvement of motor strength from the pre-operative baseline. Stimulus thresholds varied likely with the distance between the stimulating probe and the CST as well as with the baseline motor strength in the mapped myotomes.
Procter&Gamble Ventures staged the Innovation Challenge as a way to draw interest in forming partnerships with early-stage startups.