Fatigue is underestimated symptom of endometriosis
Fatigue also linked to insomnia, depression, pain and occupational stress Related items fromOnMedica Polycystic ovarian syndrome Common treatments for infertility don ’t work MHRA tightens licence restrictions on valproate for women Midwifery training numbers to rise by 25% Early periods linked to heightened cardiovascular risk
Authors: Gentile E, Ricci K, Delussi M, Brighina F, de Tommaso M Abstract Previous studies indicated changes of motor cortex excitability in fibromyalgia (FM) patients and the positive results of transcranial stimulation techniques. The present study aimed to explore the metabolism of motor cortex in FM patients, in resting state and during slow and fast finger tapping, using functional Near-Infrared Spectroscopy (fNIRS), an optical method which detects in real time the metabolism changes in the cortical tissue. We studied 24 FM patients and 24 healthy subjects. We found a significant slowness of motor speed in FM ...
The indications for cryoablation in pediatric patients has been slowly growing over the last few years. Vascular anomalies and solid tumors are being treated with this modality. However, cryoablation can be associated with local complications. This is of high relevance in children due to smaller body surface area, more compact anatomy and less subcutaneous fat. Additionally, these patients have lower tolerance to pain and inflammation. It is critical to understand these factors when using cryoablation to treat pediatric patients.
The American Society of Anesthesiologists (ASA) standards were updated in 2011 to recommend end-tidal carbon dioxide (EtCO2) monitoring during moderate sedation, which is now common practice in IR. Studies show EtCO2 monitoring improves detection of respiratory depression and hypoxemia. The purpose of this study was to evaluate the incidence of respiratory depression and hypoxemia from oversedation during IR procedures before and after implementation of EtCO2 monitoring.
Knee OA is a common cause of pain and disability, with many patients relying on chronic pain medications and/or joint injections. These options unfortunately result in short-term relief, or have associated increased morbidity, and knee replacement surgery may ultimately be performed. Researchers have postulated that synovial neovascularity develops as a result of inflammation and subsequently leads to knee pain. While previous overseas reports of success with GAE have been published, we present our final results from a prospective US multicenter clinical trial.
Previously treated vertebral osteomyelitis patients presenting with worsening back pain and weakness, undergo repeat imaging which can demonstrate worsening focal destruction of vertebrae. These findings are often interpreted as ongoing infection, resulting in a repeat image-guided biopsy. We sought to determine the imaging features of persistent/recurrent infections from worsening destruction of vertebral bodies due to mechanical factors.
There are no reported descriptions of motor nerve cryoablation in humans. As a result, physicians faced with inadvertent motor nerve cryoablation during palliative or therapeutic procedures for established indications are forced to rely on preclinical studies to manage patient expectations. (1, 2) In addition, potential applications of motor nerve cryoablation, such as for management of spasticity and pain, have been avoided because of the unknown prognosis following cryoneurolysis of mixed or motor nerves.
Ultrasound image-guided procedures (USGP) are common and often cause mild to moderate pain both during the procedure and during lidocaine injection. This 110 participant randomized clinical trial evaluated the effectiveness of vapocoolant topical anesthetic application prior to lidocaine injection at reducing pain during the USGP.
To examine the efficacy of image-guided percutaneous interventions in pain and local tumor control in the treatment of osseous metastases from breast cancer.
To evaluate the outcomes after computed tomography (CT)-guided sacroiliac (SI) joint injections in patients suspected to have lower back pain from SI joint instability.
Percutaneous vertebroplasty (PV) is an alternative option to treat pain after an osteoporotic vertebral compression fracture (OVCF). Controversy exists as to whether PV increases the risk for new OVCFs or prevents further vertebral height loss in treated levels. We assessed both during one year follow-up in patients with acute OVCF randomised to PV or a sham procedure.