Micro-Fragmented Adipose Tissue demonstrates comparable clinical efficacy to other orthobiologics injections in treating symptomatic knee osteoarthritis. A systematic review of level I-IV clinical studies
CONCLUSION: MFAT injection therapy for the treatment of symptomatic knee osteoarthritis is effective and improves pain and functional outcomes. Moderate study quality combined with a moderate risk of bias, moderate certainty of evidence and moderate best synthesis evidence reduces external validity. Therefore, the results should be interpreted with a degree of caution.PMID:38467171 | DOI:10.1016/j.arthro.2024.03.002 (Source: Pain Physician)
Source: Pain Physician - March 11, 2024 Category: Anesthesiology Authors: Erik Hohmann Natalie Keough Rachel M Frank Scott Rodeo Source Type: research

US Medicare Hospice and Palliative Medicine Physician Workforce and Service Delivery in 2008-2020
CONCLUSION: Despite growth in Medicare HPM physician workforce, access is disproportionately concentrated in metropolitan and inpatient settings. This may limit receipt of early outpatient specialized palliative care, especially in non-metropolitan areas.PMID:38467348 | DOI:10.1016/j.jpainsymman.2024.03.006 (Source: Pain Physician)
Source: Pain Physician - March 11, 2024 Category: Anesthesiology Authors: Xin Hu Changchuan Jiang Qinjin Fan Kewei Sylvia Shi Ravi B Parikh Arif H Kamal Roger T Anderson K Robin Yabroff Xuesong Han Source Type: research

'We no longer experience the same pain': a cross-sectional study assessing the impact of Heart and Sole Africa's podoconiosis prevention education program
CONCLUSIONS: Our study demonstrated the value of community-based podoconiosis programming in improving the lives of patients. Practices such as regular feet washing, emollient application, shoe wearing and limb raising can result in a marked reduction of morbidity. Our findings support the argument for scaling up these management practices across Rwanda.PMID:38465481 | DOI:10.1093/trstmh/trae007 (Source: Pain Physician)
Source: Pain Physician - March 11, 2024 Category: Anesthesiology Authors: Agazi Fitsum Gebreselassie Natnael Shimelash Ahamed Kallon George Mkondo Tonya Huston Janna M Schurer Source Type: research

Micro-Fragmented Adipose Tissue demonstrates comparable clinical efficacy to other orthobiologics injections in treating symptomatic knee osteoarthritis. A systematic review of level I-IV clinical studies
CONCLUSION: MFAT injection therapy for the treatment of symptomatic knee osteoarthritis is effective and improves pain and functional outcomes. Moderate study quality combined with a moderate risk of bias, moderate certainty of evidence and moderate best synthesis evidence reduces external validity. Therefore, the results should be interpreted with a degree of caution.PMID:38467171 | DOI:10.1016/j.arthro.2024.03.002 (Source: Pain Physician)
Source: Pain Physician - March 11, 2024 Category: Anesthesiology Authors: Erik Hohmann Natalie Keough Rachel M Frank Scott Rodeo Source Type: research

US Medicare Hospice and Palliative Medicine Physician Workforce and Service Delivery in 2008-2020
CONCLUSION: Despite growth in Medicare HPM physician workforce, access is disproportionately concentrated in metropolitan and inpatient settings. This may limit receipt of early outpatient specialized palliative care, especially in non-metropolitan areas.PMID:38467348 | DOI:10.1016/j.jpainsymman.2024.03.006 (Source: Pain Physician)
Source: Pain Physician - March 11, 2024 Category: Anesthesiology Authors: Xin Hu Changchuan Jiang Qinjin Fan Kewei Sylvia Shi Ravi B Parikh Arif H Kamal Roger T Anderson K Robin Yabroff Xuesong Han Source Type: research

A 15% Trichloroacetic Acid + 3% Glycolic Acid Chemical Peel Series Improves Appearance of Hand Lentigines: An Evaluator-Blinded, Split-Hand Prospective Trial
CONCLUSION: A series of three 15% TCA + 3% GA peels are effective and safe in the treatment of hand lentigines.PMID:38460193 | DOI:10.1097/DSS.0000000000004114 (Source: Pain Physician)
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Ali Alajmi Ghassan Niaz Christine Chen Kachiu Lee Source Type: research

Exogenous Peptide Injection Causing Medical Thigh Compartment Syndrome
We present a case of a 43-year-old man who presented to the Emergency Department with worsening thigh pain. The patient had injected a "peptide cocktail" into his thigh 3 days prior. Physical examination revealed trace pitting edema of the left leg with moderate muscle spasm and tenderness of the medial aspect of the distal thigh with associated numbness along the medial aspect of the knee. Point-of-care ultrasound detected intramuscular edema and free fluid in the leg. He was found to have acute compartment syndrome of the thigh secondary to the peptide cocktail injection, causing a large hematoma posterior to the adducto...
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Daniella Lamour Tony W Bruno Richard D Shih Joshua J Solano Scott M Alter Source Type: research

Splenic Subcapsular Hematoma from Commercial Air Travel: Case Report of a Unique Incident of Altitude-Associated Splenic Syndrome
We present a case of a 41-year-old man with a history of SCT who developed severe epigastric pain and nearly lost consciousness while traveling on a commercial airplane. His twin brother, who also has SCT, had a similar episode in the past and required a splenectomy. A splenic subcapsular hematoma was found in a computed tomography scan of the abdomen and pelvis with intravenous contrast. He was admitted and managed conservatively until his symptoms resolved. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Though SCT is prevalent in our population, the complications that can arise, such as altitude-associated splenic ...
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Lauren Santucci Anthony Almeida Source Type: research

A 15% Trichloroacetic Acid + 3% Glycolic Acid Chemical Peel Series Improves Appearance of Hand Lentigines: An Evaluator-Blinded, Split-Hand Prospective Trial
CONCLUSION: A series of three 15% TCA + 3% GA peels are effective and safe in the treatment of hand lentigines.PMID:38460193 | DOI:10.1097/DSS.0000000000004114 (Source: Pain Physician)
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Ali Alajmi Ghassan Niaz Christine Chen Kachiu Lee Source Type: research

Exogenous Peptide Injection Causing Medical Thigh Compartment Syndrome
We present a case of a 43-year-old man who presented to the Emergency Department with worsening thigh pain. The patient had injected a "peptide cocktail" into his thigh 3 days prior. Physical examination revealed trace pitting edema of the left leg with moderate muscle spasm and tenderness of the medial aspect of the distal thigh with associated numbness along the medial aspect of the knee. Point-of-care ultrasound detected intramuscular edema and free fluid in the leg. He was found to have acute compartment syndrome of the thigh secondary to the peptide cocktail injection, causing a large hematoma posterior to the adducto...
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Daniella Lamour Tony W Bruno Richard D Shih Joshua J Solano Scott M Alter Source Type: research

Splenic Subcapsular Hematoma from Commercial Air Travel: Case Report of a Unique Incident of Altitude-Associated Splenic Syndrome
We present a case of a 41-year-old man with a history of SCT who developed severe epigastric pain and nearly lost consciousness while traveling on a commercial airplane. His twin brother, who also has SCT, had a similar episode in the past and required a splenectomy. A splenic subcapsular hematoma was found in a computed tomography scan of the abdomen and pelvis with intravenous contrast. He was admitted and managed conservatively until his symptoms resolved. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Though SCT is prevalent in our population, the complications that can arise, such as altitude-associated splenic ...
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Lauren Santucci Anthony Almeida Source Type: research

Severe pain management in the emergency department: patient pathway as a new factor associated with IV morphine prescription
CONCLUSION: This bedside case-control study highlights that IV morphine avoidance in the ED could be associated with ambulatory pathways. It confirms the decreased choice of "NRS-only" IV morphine protocols for all patients, including non-trauma patterns. Modern pain education should propose new tools for pain evaluation that integrate the heterogeneity of ED pathways.PMID:38454991 | PMC:PMC10918692 | DOI:10.3389/fpubh.2024.1352833 (Source: Pain Physician)
Source: Pain Physician - March 8, 2024 Category: Anesthesiology Authors: Virginie E Lvovschi Florence Carrouel Karl Hermann Fr édéric Lapostolle Luc-Marie Joly Marie-Pierre Tavolacci Source Type: research

Stercoral Colitis-Induced Ischemia Mimicking acute Mesenteric Ischemia: A case report and Literature Review
Eur J Case Rep Intern Med. 2024 Feb 28;11(3):004328. doi: 10.12890/2024_004328. eCollection 2024.ABSTRACTStercoral colitis is a rare but serious condition characterized by inflammation of the colonic mucosa due to impacted and hardened faecal material. The word "stercoral" means "related to faeces". This condition usually develops due to the accumulation of hard stool masses in the colon, which cause localized inflammation and irritation. These faecalomas can exert persistent pressure on the colonic wall, causing damage and inflammation. Stercoral colitis presenting symptoms that mimic acute mesenteric ischemia is a diagno...
Source: Pain Physician - March 8, 2024 Category: Anesthesiology Authors: Mohammad N Kloub Ahmad Haddad Mohammad Abushanab Qusai Al-Maharmeh Muhammad Hussain Abdullah Al Qazakzeh Atheer Anwar Source Type: research

Ischaemic Gastropathy: An Under-Recognised cause of Abdominal Pain
We present a case involving a 42-year-old female with no history of vascular insufficiency who developed ischaemic gastropathy following a prolonged stay in the intensive care unit, from septic shock secondary to Escherichia coli bacteraemia due to complicated acute appendicitis. This case underscores the importance of the physician's awareness regarding this rare entity and the necessity to consider it in the differential diagnosis of abdominal pain and haematemesis. Prompt diagnosis and treatment may significantly improve survival outcomes in this less-documented pathology, especially in the younger adult population.LEAR...
Source: Pain Physician - March 8, 2024 Category: Anesthesiology Authors: Masara Touza Oluwatosin Emehinola Ruhma Ali Asma Jamil Muhammad Hussain Raed Atiyat Richard Miller Source Type: research

Severe pain management in the emergency department: patient pathway as a new factor associated with IV morphine prescription
CONCLUSION: This bedside case-control study highlights that IV morphine avoidance in the ED could be associated with ambulatory pathways. It confirms the decreased choice of "NRS-only" IV morphine protocols for all patients, including non-trauma patterns. Modern pain education should propose new tools for pain evaluation that integrate the heterogeneity of ED pathways.PMID:38454991 | PMC:PMC10918692 | DOI:10.3389/fpubh.2024.1352833 (Source: Pain Physician)
Source: Pain Physician - March 8, 2024 Category: Anesthesiology Authors: Virginie E Lvovschi Florence Carrouel Karl Hermann Fr édéric Lapostolle Luc-Marie Joly Marie-Pierre Tavolacci Source Type: research