Successful Control of Pain from Malignant Psoas Syndrome by Spinal Opioid with Local Anesthetic Agents

ConclusionsThe findings in the present cases indicate neuraxial analgesia may be of benefit, in terms of managing pain and improving functional status, in MPS patients with insufficient pain control by multi‐modal analgesic treatment. Physicians should consider the use of neuraxial analgesia in cases of MPS where pain is uncontrolled with multi‐modal analgesic treatment to provide the best possible quality of life for patients with MPS.This article is protected by copyright. All rights reserved.
Source: Pain Practice - Category: Anesthesiology Authors: Tags: Case Report Source Type: research

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This study may be the first to provide details regarding the relationship between cell phone use and head and neck injuries. However, it had some significant limitations. Keep in mind that the study focused on head and neck injuries. People with multiple injuries or more serious injuries (such as a heart attack or an ankle fracture) might not have been included in the count. Individuals who sought care at their doctor’s office or urgent care centers would also be excluded from this study. In addition, information about the circumstances of an injury can be incomplete. Embarrassment or concerns about legal liability m...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health Source Type: blogs
ConclusionWe found that palliative debulking and instrumentation surgeries were performed throughout all Tomita and Tokuhashi categories. These surgeries reduced pain scores and improved quality of life up to 2  years after surgery. After initial improvement, a proportion of patients experienced neurological deterioration by 1 year, but the majority of patients remained stable.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research
Source: Journal of Gastrointestinal Cancer - Category: Cancer & Oncology Source Type: research
a Cruz Diane Liu Eduardo Bruera Palliative care is seeing cancer patients earlier in the disease trajectory with a multitude of chronic issues. Chronic non-malignant pain (CNMP) in cancer patients is under-studied. In this prospective study, we examined the prevalence and management of CNMP in cancer patients seen at our supportive care clinic for consultation. We systematically characterized each pain type with the Brief Pain Inventory (BPI) and documented current treatments. The attending physician made the pain diagnoses according to the International Association for the Study of Pain (IASP) task force classific...
Source: Cancers - Category: Cancer & Oncology Authors: Tags: Article Source Type: research
In this study, the authors hypothesized that the endoplasmic reticulum stress triggered by inflammatory mediators contributed to pain development.Methods The authors used a male mouse model of bone cancer pain. The control mice were intrathecally injected with tumor necrosis factor- α (TNF-α) and lipopolysaccharide, the bone cancer pain mice were intrathecally injected with the endoplasmic reticulum stress inhibitors 4-PBA and GSK2606414. The nociceptive behaviors, endoplasmic reticulum stress markers, and inflammatory mediators were assessed.Results Increased expression of the p-RNA-dependent protein kinase-li...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Authors: Keymel S, Krüger S Abstract A 39-year-old woman presented with back pain at an orthopaedic clinic. Magnet resonance tomography revealed a spinal tumour. Further imaging also showed a pulmonary tumour, massive mediastinal lymphadenopathy as well as unilateral pleural effusion. Histology from biopsies from the spinal tumour and from a mediastinal lymph node revealed NUT carcinoma. The NUT carcinoma that earlier has been named NUT midline carcinoma is a very rare, aggressive tumour with a poor prognosis. Initially, the NUT carcinoma was thought to develop from organs in the midline such as upper airways ...
Source: Pneumologie - Category: Respiratory Medicine Tags: Pneumologie Source Type: research
In the middle of the night, I wake up feeling warm. I open the window and pull my hair back into a ponytail and drink some water. Then I glance at my phone, delete a few things, and see some spam. I hit unsubscribe and go back to bed. Then I lie there thinking, What if by opening that spam email I got myself hacked? What if I just sent everyone in my contact list a Burger King ad at two in the morning? Now wide awake, I move on to other concerns: my parents’ health, my stepson’s college tuition, pending deadlines. Hours roll by. I tackle real-life math problems: how many weeks I have before getting my next free...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Gen X healthy sleep insomnia Source Type: news
More than three decades ago, when Tom Norris was fighting cancer, he underwent radiation therapy on his groin and his left hip. His cancer disappeared and hasn't come back. But Norris was left with a piercing ache that burned from his hip up his spine to his neck.Since then, Norris, now 70, has never had a single day free from pain. It cut short his career as an aircraft maintenance officer in the U.S. Air Force. It's been his constant companion, like the cane he uses to walk. On bad days, the pain is so excruciating, he's bedridden. Even on the best days, it severely limits his ability to move about, preventin...
Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs
AbstractBackgroundPrognostic prediction had been widely used in various cancer entities, from early screening to end-stage patient caring. Currently, there is hardly any well-validated nomogram which exists for long-term survival prediction in pancreatic adenocarcinoma (PC) patients in a post-surgery setting. Our objectives are to identify possible prognostic factors in PC patients following radical resection and to develop a prognostic nomogram based on independent survival predictors.MethodsFrom 2009 to 2014, a total of 432 PC patients who underwent curative intended surgeries with complete follow-up data were included i...
Source: World Journal of Surgery - Category: Surgery Source Type: research
​Before you break out the bottles for a paracentesis, you may want to consider doing a test for ascites. Many procedures require executing an old-school test before even looking at a result or grabbing an ultrasound machine. Knowing what to look for on a physical exam may guide your practice and intervention dramatically. Using noninvasive tools first could help your patient avoid other tedious or unnecessary testing, which may also result in lost time. Incorporating ultrasound into your practice may also help you nail a diagnosis or allow you to perform a procedure better than you expected.A markedly distended abdomen d...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
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