Anatomical evaluation of the extent of spread in the erector spinae plane block: a cadaveric study
ConclusionsThe results suggest that the ESP block reaches a wide range of the posterior rami of spinal nerves without diffusion into the paravertebral space or involvement of the anterior rami.
Honestly, I typically wait atleast a 8months or 1 year before doing a SCS trial and usually after 1-2 ESIs didnt help. But I'm wondering if I'm too conservative.... Surgeons do their surgeries and usually tell patients, "it may take 6months to 1 year" to fuse. They tell their patients that we arent necessarily doing the surgery for pain, but to "stabilize" the spine. I was recently told that in theory if after 3months and there's no fusion or pseudoarthrosis, then one should consider... when after fusion/laminectomy do yo consider SCS therapy?
A question I’ve asked myself many times! As a small profession with a long history (as long as physiotherapy, TBH), it does seem odd that there are many, many pain rehabilitation services where never an occupational therapist has darkened the door. Some of the reasons lie within the profession: in general, occupational therapists are busy being clinicians and have little time for research. In New Zealand, few occupational therapists pursue higher degrees, and many avoid statistical analyses, experimental design, randomised controlled studies. In fact, some occupational therapists have argued that the tailored appr...
Conclusions: Pretreatment with trospium 60 mg ER reduces the incidence and severity of CRBD in the early postoperative period. PMID: 31602966 [PubMed - as supplied by publisher]
In conclusion, the unilateral transverse process-pedicle and bilateral puncture techniques in PKP exhibited good efficacy as a treatment for Kummell disease. The operative time, intra-operative fluoroscopy time and volume of bone cement injection were lower in the unilateral group. PMID: 31602238 [PubMed]
ConclusionThese results suggest that MHT ameliorates the symptoms of PCOS by improving the dysregulation of ovarian steroids and steroidogenic enzymes in PCOS rats.Graphical abstract
Recent experimental research has suggested that spinal manipulative therapy (SMT) may reduce pain through modulation of the ascending pain signals and/or the central pain-regulating mechanisms. People with per...
Unfortunately, the affiliation of the second author (Jean Charles Le Huec) was incorrectly published in the original publication.
ConclusionsThis study showed an association between risk of falls and IL-6, pain, gait speed, and educational level in older women with LBP.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material.
AbstractPurposeThere is anecdotal evidence that many patients who undergo reduction mammoplasty (RM) procedures, to relieve symptoms of large breasts, also report improvement in existing back pain. Given how important back pain is as a healthcare burden, the literature which explores the relationship between RM and back pain is sparse. Thus, we aimed to appraise whether such a correlation exists, through systematic review and meta-analysis.MethodAdhering to PRISMA methodology, we used the OVID engine to search the MEDLINE and Embase databases with predefined search terms and inclusion criteria. MeSH terms were not exploded...
DiscussionThe study will utilize normal clinical procedures, which should aid the transferability and external validity of the results. The study will provide knowledge regarding the underlying mechanisms of the effects of SMT. Furthermore, the study will examine whether a CPM test is predictive of treatment outcome in a population of patients with recurrent and persistent NP.Trial registrationClinicalTrials.gov,NCT03576846. Registered on 3 July 2018.