Spinal cord stimulation: beyond pain management

Publication date: Available online 25 May 2021Source: Neurología (English Edition)Author(s): J.H. Tapias Pérez
Source: Neurologia - Category: Neurology Source Type: research

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CONCLUSION: IDH has a low incidence and is sporadically reported. Misdiagnosis is very common preoperatively as well as intraoperatively. IDH usually develops more rapidly compared with intradural tumors. Adhesion between dura mater and posterior longitudinal ligament may play a critical role in the disease onset.PMID:34650770 | PMC:PMC8506989
Source: American Journal of Translational Research - Category: Research Authors: Source Type: research
The objective of this study was to report on one institution's use of single bolus micro-dose intrathecal morphine as part of a rapid recovery pathway during posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS) and its comparison to patients whose pain was controlled with patient-controlled analgesia (PCA). Summary of Background Data. Narcotic substance addiction has risen across all patient populations, including pediatrics. Narcotics have been historically used in complex spine surgeries as a measure of pain control, predominantly provided as PCA and additional take-home medication. Methods. ...
Source: Spine - Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research
Study Design. Retrospective cohort study. Objective. The aim of this study was to compare different aspects of fusion surgery in patients with osteoporosis with regard to graft subtype and surgical approach. Summary of Background Data. Osteoporosis and chronic lower back pain are common in elderly populations and significantly increase the risk of compression fractures within the spine. Methods. Using the 2016–2017 National Readmission Database we identified 11,086 osteoporotic patients who received lumbar fusion using ICD-10 coding. Information regarding biologic graft type and surgical appr...
Source: Spine - Category: Orthopaedics Tags: EPIDEMIOLOGY Source Type: research
When Greg Jackson Jr. thinks about the night he was shot, the most painful part of the memory isn’t that he almost died. It’s not the six surgeries he underwent, the half-year bedridden, or the image of his younger cousin using a shirt as a tourniquet to save his life. It’s not even the thought of the gunman. What brings on a flood of resentment is his reception at the hospital. After he was rolled off the ambulance on a stretcher, still clad in his bloody clothes, police officers—not doctors or nurses—greeted him and began peppering him with questions. Where was he when the shots rang out? W...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized COVID-19 Guns Health Care healthscienceclimate nationpod Source Type: news
Upper extremity nerve injuries in cyclists include carpal tunnel syndrome and ulnar neuropathy at the wrist. Electromyography and nerve conduction studies aid in the diagnosis of neuropathies. Diagnostic ultrasonography or MRI can also be helpful for evaluation. Overuse injuries in the upper extremity includes biker ’s elbow, or a tendinopathy of the common flexor or extensor tendons, which is more common in mountain biking. Neck pain is also a common issue for cyclists. Treatment of these conditions varies from conservative management to surgical options, but a bicycle fit assessment is recommended for any o ngoing symptoms.
Source: Physical Medicine and Rehabilitation Clinics of North America - Category: Rehabilitation Authors: Source Type: research
CONCLUSIONS: SSEH should be suspected in any patient receiving anticoagulant/antiplatelet agents who complains of sudden, severe back pain accompanied by neurological symptoms. SSEH is mostly localised in the lower cervical/thoracic spine. Arterial hypertension appears to be a risk factor of SSEH. Early decompression is an important therapeutic approach; in cases with minor neurological deficits, conservative treatment may be chosen.PMID:34637134 | DOI:10.5603/PJNNS.a2021.0066
Source: Neurologia i Neurochirurgia Polska - Category: Neurology Authors: Source Type: research
CONCLUSIONS: This SR provides clear evidence for lack of effectiveness of pregabalin and gabapentin for sciatica pain management. In view of this, its routine clinical use cannot be supported.PMID:34637958 | DOI:10.1016/j.aprim.2021.102144
Source: Atencion Primaria - Category: Primary Care Authors: Source Type: research
CONCLUSIONS: SSEH should be suspected in any patient receiving anticoagulant/antiplatelet agents who complains of sudden, severe back pain accompanied by neurological symptoms. SSEH is mostly localised in the lower cervical/thoracic spine. Arterial hypertension appears to be a risk factor of SSEH. Early decompression is an important therapeutic approach; in cases with minor neurological deficits, conservative treatment may be chosen.PMID:34637134 | DOI:10.5603/PJNNS.a2021.0066
Source: Neurologia i Neurochirurgia Polska - Category: Neurology Authors: Source Type: research
AbstractPregnancy- and lactation-associated osteoporosis (PLO) is a rare disease, presenting in most cases with severe back pain due to low energy vertebral fractures (VFs). Our purpose was to assess the effect of teriparatide (TPTD)vs. conventional management on areal bone mineral density (aBMD) and trabecular bone score (TBS) in patients with PLO. A multicenter retrospective cohort study concerning premenopausal women with PLO. Nineteen women were treated with TPTD (20  μg/day) (group A) plus calcium and vitamin D and eight women with calcium and vitamin D only (group B) for up to 24 months. The primary end-...
Source: Calcified Tissue International - Category: Orthopaedics Source Type: research
CONCLUSIONS The distal femoral triangle and distal adductor canal blocks resulted in significantly better motor function at the first 3 and 6 h after total knee arthroplasty. At 24 h after surgery, rescue opioid doses in the femoral nerve block group were significantly higher.PMID:34629461 | DOI:10.12659/MSM.932848
Source: Medical Science Monitor - Category: Research Authors: Source Type: research
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