Cauda equina, conus medullaris and syndromes mimicking sciatic pain: WFNS spine committee recommendations
CONCLUSION: s: We provide standardized definitions of cauda equina, cauda equina syndrome, conus medullaris, and conus medullaris syndrome. We advocate for the use of the Lavy et al classification system to categorize different types of CES, and recommend urgent MRI in all patients with suspected CES (CESS), considering the low sensitivity of clinical examination in excluding CES. Surgical decompression for CES and CMS is recommended within 48 h, preferably within less than 24 h. There is no data regarding the role of steroids in acute CES or CMS. The treating physician should be cognizant of a variety of other pathologies...
Source: Pain Physician - March 18, 2024 Category: Anesthesiology Authors: Sandeep Vaishya Mirza Pojskic Manbachan Singh Bedi Joachim Oertel Christoph Sippl Scott Robertson Corinna Zygourakis Source Type: research
The urological case reports of the Hippocratic Corpus : Medical practice in classical Greece
CONCLUSION: The Hippocratic physician diagnosed and treated diseases of the urinary tract. Inflammatory conditions and traumatic lesions are described in detail. Highest priority was awarded to uroscopy. Nephritis was a widespread disorder und usually associated with other symptoms, above all fever. The urinary tract was often regarded as an indicator of physical and mental health. Conservative treatment measures dominate in the case reports.PMID:38498152 | DOI:10.1007/s00120-024-02314-6 (Source: Pain Physician)
Source: Pain Physician - March 18, 2024 Category: Anesthesiology Authors: Werner A Golder Source Type: research
Chronic Abdominal Discomfort Syndrome (CADS): Defining and Discussing a Novel Diagnosis
J Pain Res. 2024 Mar 11;17:975-979. doi: 10.2147/JPR.S450008. eCollection 2024.ABSTRACTIn this article, we propose a new diagnostic paradigm known as Chronic Abdominal Discomfort Syndrome (CADS). Patient's presentation centers around chronic abdominal pain not explained by acute pathology with or without accompanying dyspepsia, bloating, nausea and vomiting among other symptoms. The pathophysiology is noted to be neurogenic, possibly stemming from visceral sympathetic nerves or abdominal wall afferent nerves. Diagnosis is supported by signs or symptoms traversing clinical, diagnostic and functional criteria. Included is a ...
Source: Pain Physician - March 18, 2024 Category: Anesthesiology Authors: Mayank Gupta Anand S Patil Ahish Chitneni Michael E Schatman Hemant Kalia Timothy R Deer Dawood Sayed Amol Soin Ganesan Baranidharan Peter Staats Leonardo Kapural Phani Ashok Attaluri Paul Verrills Sudhir Diwan Danielle Levin Nimisha Halder Alaa A Abd-Els Source Type: research
Cauda equina, conus medullaris and syndromes mimicking sciatic pain: WFNS spine committee recommendations
CONCLUSION: s: We provide standardized definitions of cauda equina, cauda equina syndrome, conus medullaris, and conus medullaris syndrome. We advocate for the use of the Lavy et al classification system to categorize different types of CES, and recommend urgent MRI in all patients with suspected CES (CESS), considering the low sensitivity of clinical examination in excluding CES. Surgical decompression for CES and CMS is recommended within 48 h, preferably within less than 24 h. There is no data regarding the role of steroids in acute CES or CMS. The treating physician should be cognizant of a variety of other pathologies...
Source: Pain Physician - March 18, 2024 Category: Anesthesiology Authors: Sandeep Vaishya Mirza Pojskic Manbachan Singh Bedi Joachim Oertel Christoph Sippl Scott Robertson Corinna Zygourakis Source Type: research
The urological case reports of the Hippocratic Corpus : Medical practice in classical Greece
CONCLUSION: The Hippocratic physician diagnosed and treated diseases of the urinary tract. Inflammatory conditions and traumatic lesions are described in detail. Highest priority was awarded to uroscopy. Nephritis was a widespread disorder und usually associated with other symptoms, above all fever. The urinary tract was often regarded as an indicator of physical and mental health. Conservative treatment measures dominate in the case reports.PMID:38498152 | DOI:10.1007/s00120-024-02314-6 (Source: Pain Physician)
Source: Pain Physician - March 18, 2024 Category: Anesthesiology Authors: Werner A Golder Source Type: research
Prevalence of Asymptomatic TFCC Tears on MRI: A Systematic Review
CONCLUSIONS: TFCC abnormalities are present in patients of all ages, symptomatology, and levels of involvement in high-impact sports. Although, there are differences in tear and abnormality prevalence when comparing these three factors, the difference was not significant. Given these findings, using MRI to assess ulnar-sided wrist pain should be fortified with clinical suspicion, physical exam, and physician judgment.PMID:38493923 | DOI:10.1016/j.hansur.2024.101684 (Source: Pain Physician)
Source: Pain Physician - March 17, 2024 Category: Anesthesiology Authors: Brandon Portnoff Jack C Casey Jeyvikram Thirumavalavan Erin Abbott Rachel North Joseph Gil Source Type: research
Predictive Factors of Postoperative Pain in Patients with Tibiotalocalcaneal Arthrodesis with an Intramedullary Nail: A Retrospective Review
J Foot Ankle Surg. 2024 Mar 15:S1067-2516(24)00055-3. doi: 10.1053/j.jfas.2024.03.001. Online ahead of print.ABSTRACTTibiotalocalcaneal arthrodesis has been shown in literature to have good results in regards to low complication rates and deformity correction. While previous studies have investigated functional outcomes and complication rates, no large-scale studies have looked at pain outcomes. The present study used a retrospective review of 154 extremities to analyze how a patient's comorbidities and characteristics influence pain outcomes following a tibiotalocalcaneal arthrodesis. The present study found an average ch...
Source: Pain Physician - March 17, 2024 Category: Anesthesiology Authors: Bryanna D Vesely Jennifer Kipp Gregory Russell Lindsay LeSavage Hayden Hoffler Ashleigh W Medda Aaron T Scott Source Type: research
CGRP-monoclonal antibodies in Japan: insights from an online survey of physician members of the Japanese headache society
CONCLUSIONS: Most of the respondents recommended CGRPmAbs to patients with ≥ 2 preventive failures, followed by ≥ 1. The MMD threshold ranged mostly from ≥ 4 to ≥ 10. The concern for costs was raised as a major limiting factor for prescribing CGRPmAbs.PMID:38491415 | PMC:PMC10941476 | DOI:10.1186/s10194-024-01737-y (Source: Pain Physician)
Source: Pain Physician - March 16, 2024 Category: Anesthesiology Authors: Tsubasa Takizawa Keiko Ihara Narumi Watanabe Ryo Takemura Nobuyuki Takahashi Naoki Miyazaki Mamoru Shibata Keisuke Suzuki Noboru Imai Norihiro Suzuki Koichi Hirata Takao Takeshima Jin Nakahara Source Type: research
Evaluation and 1-year follow-up of patients presenting at a Lyme borreliosis expertise centre: a prospective cohort study with validated questionnaires
CONCLUSION: Patients with symptoms attributed to LB who present at clinical LB centres without physician-confirmed LB more often report persistent symptoms and report more severe symptoms compared to confirmed LB patients and a population cohort.PMID:38492058 | DOI:10.1007/s10096-024-04770-6 (Source: Pain Physician)
Source: Pain Physician - March 16, 2024 Category: Anesthesiology Authors: F R van de Schoor M E Baarsma S A Gauw J Ursinus H D Vrijmoeth H J M Ter Hofstede A D Tulen M G Harms A Wong C C van den Wijngaard L A B Joosten J W Hovius B J Kullberg Source Type: research
CGRP-monoclonal antibodies in Japan: insights from an online survey of physician members of the Japanese headache society
CONCLUSIONS: Most of the respondents recommended CGRPmAbs to patients with ≥ 2 preventive failures, followed by ≥ 1. The MMD threshold ranged mostly from ≥ 4 to ≥ 10. The concern for costs was raised as a major limiting factor for prescribing CGRPmAbs.PMID:38491415 | PMC:PMC10941476 | DOI:10.1186/s10194-024-01737-y (Source: Pain Physician)
Source: Pain Physician - March 16, 2024 Category: Anesthesiology Authors: Tsubasa Takizawa Keiko Ihara Narumi Watanabe Ryo Takemura Nobuyuki Takahashi Naoki Miyazaki Mamoru Shibata Keisuke Suzuki Noboru Imai Norihiro Suzuki Koichi Hirata Takao Takeshima Jin Nakahara Source Type: research
Evaluation and 1-year follow-up of patients presenting at a Lyme borreliosis expertise centre: a prospective cohort study with validated questionnaires
CONCLUSION: Patients with symptoms attributed to LB who present at clinical LB centres without physician-confirmed LB more often report persistent symptoms and report more severe symptoms compared to confirmed LB patients and a population cohort.PMID:38492058 | DOI:10.1007/s10096-024-04770-6 (Source: Pain Physician)
Source: Pain Physician - March 16, 2024 Category: Anesthesiology Authors: F R van de Schoor M E Baarsma S A Gauw J Ursinus H D Vrijmoeth H J M Ter Hofstede A D Tulen M G Harms A Wong C C van den Wijngaard L A B Joosten J W Hovius B J Kullberg Source Type: research
Societal and economic burden of migraine in Spain: results from the 2020 National Health and Wellness Survey
CONCLUSIONS: Having migraine not only causes a massive impact on patients' quality of life and ability to work, but it also generates considerable economic costs for society. In Spain, having migraine was associated to 1.7 higher costs per patient. The clinical and economic burden increases with the frequency of headaches but is higher than controls even in patients suffering from 1-3 MHD.PMID:38486155 | PMC:PMC10941425 | DOI:10.1186/s10194-024-01740-3 (Source: Pain Physician)
Source: Pain Physician - March 15, 2024 Category: Anesthesiology Authors: David Garc ía-Azorín Carlota Moya-Alarc ón Beatriz Armada Margarita S ánchez Del Río Source Type: research
Pharmacological labour pain interventions: South African midwives' perspective
BMC Nurs. 2024 Mar 14;23(1):176. doi: 10.1186/s12912-024-01844-w.ABSTRACTWomen of childbearing age feel great about giving birth, but the pain could be excruciating depending on their pain tolerances. Midwives requires obstetrical knowledge and skills such as pain management during labour and safety. We explored midwives' perspectives on the utilisation of pharmacological pain alleviation interventions during labour in selected hospitals in Matjhabeng Municipality, Free State province, South Africa. A qualitative study was undertaken, involving a sample of ten midwives, using a semi-structured interview guide. The intervie...
Source: Pain Physician - March 15, 2024 Category: Anesthesiology Authors: L E Parkies D Murray U B Okafor Source Type: research
Urgent Management of Penetrating Ocular Injury: A Case Report and Review of the Literature
J Acute Med. 2024 Mar 1;14(1):39-41. doi: 10.6705/j.jacme.202403_14(1).0005.ABSTRACTOcular globe injury is a severe ophthalmic emergency that requires immediate attention in the emergency department. In this case report, we present a 35-year-old male who suffered a penetrating ocular injury and globe rupture caused by a nail puncture. The patient presented with severe pain and visual loss and was treated with tetanus vaccination, empirical antibiotics, and pain control, followed by an urgent orbital computed tomography (CT) scan and consultation with an ophthalmologist. The CT scan revealed a retained nail in the ocular sp...
Source: Pain Physician - March 15, 2024 Category: Anesthesiology Authors: Chang-Han Wu Chi-Wei Chen Liang-Chi Kuo Source Type: research
Opioid Prescribing Rate for Nonoperative Distal Radius Fractures and Clinician Response to a Clinical Decision Support Alert
CONCLUSION: Over 90% of patients (106/118) continued to receive an opioid medication despite having a known risk factor for abuse. Additionally, we found older patients were more likely to be prescribed opioids for nonoperatively managed distal radius fractures.PMID:38490894 | DOI:10.1016/j.jemermed.2023.12.002 (Source: Pain Physician)
Source: Pain Physician - March 15, 2024 Category: Anesthesiology Authors: Ben Averkamp Katherine Li Meghan K Wally Tamar Roomian Christopher Griggs Michael Runyon Joseph R Hsu Rachel B Seymour PRIMUM Group Michael Beuhler Michael J Bosse Manuel Castro Michael Gibbs Steven Jarrett Daniel Leas Susan Odum Ziqing Yu James Rachal An Source Type: research
