Disruption of targeted muscle reinnervation due to heterotopic ossification in an amputated lower extremity
BMJ Case Rep. 2022 May 13;15(5):e249705. doi: 10.1136/bcr-2022-249705.ABSTRACTA patient in his late 40s presented after 1-year following below knee amputation and targeted muscle reinnervation (TMR) with new prosthesis intolerance and pinpoint pain, suspicious for neuroma. X-ray confirmed fibular heterotopic ossification (HO). Operative revision identified HO encompassing a TMR construct with a large neuroma requiring excision and neuroplasty revision. Now approximately 1-year post procedure, the patient remains active, pain-free and ambulating with a prosthetic. Amputated extremities can be at risk for development of HO. ...
Source: Pain Physician - May 14, 2022 Category: Anesthesiology Authors: Spencer R Anderson Nishtha Gupta Elise A Johnson Ron Michael Johnson Source Type: research

Orthopedic Telemedicine Outpatient Practice Diagnoses Set during the First COVID-19 Pandemic Lockdown-Individual Observation
Int J Environ Res Public Health. 2022 Apr 29;19(9):5418. doi: 10.3390/ijerph19095418.ABSTRACTThe COVID-19 pandemic has caused a substantial intensification of the telemedicine transformation process in orthopedics since 2020. In the light of the legal regulations introduced in Poland, from the beginning of the SARS-CoV-2 pandemic, physicians, including orthopedic surgeons, have had the opportunity to conduct specialist teleconsultations. Teleconsultations increase epidemiological safety and significantly reduce the exposure of patients and medical staff to direct transmission of the viral vector and the spread of infection...
Source: Pain Physician - May 14, 2022 Category: Anesthesiology Authors: Wojciech Micha ł Glinkowski Source Type: research

Functional Outcomes in Head and Neck Cancer Patients
We reported the functional outcomes of HNC patients using the HNC-Functional InTegrity (FIT) Scales, which is a validated tool for the rapid clinical assessment of functional status based on observable clinical criteria. Patients with newly diagnosed HNC treated at the Medical University of Innsbruck between 2008 and 2020 were consecutively included, and their status in the six functional domains of food-intake, breathing, speech, pain, mood, and neck and shoulder mobility was scored by the treating physician at oncological follow-up visits on a scale from 0 (loss of function) to 4 (full function). HNC-FIT scales were avai...
Source: Pain Physician - May 14, 2022 Category: Anesthesiology Authors: Herbert Riechelmann Daniel Dejaco Teresa Bernadette Steinbichler Anna Lettenbichler-Haug Maria Anegg Ute Ganswindt Gabriele Gamerith David Riedl Source Type: research

Self-Reported Practices and Emotions in Prescribing Opioids for Chronic Noncancer Pain: A Cross-Sectional Study of German Physicians
CONCLUSIONS: Physicians' emotional self-awareness represents the first step to identify such direct reactions to patient requests and to ensure a responsible, guideline-based opioid prescription approach for the long-term well-being of the patient.PMID:35566644 | DOI:10.3390/jcm11092506 (Source: Pain Physician)
Source: Pain Physician - May 14, 2022 Category: Anesthesiology Authors: Erika Schulte Frank Petzke Claudia Spies Claudia Denke Michael Sch äfer Norbert Donner-Banzhoff Ralph Hertwig Odette Wegwarth Source Type: research

Disruption of targeted muscle reinnervation due to heterotopic ossification in an amputated lower extremity
BMJ Case Rep. 2022 May 13;15(5):e249705. doi: 10.1136/bcr-2022-249705.ABSTRACTA patient in his late 40s presented after 1-year following below knee amputation and targeted muscle reinnervation (TMR) with new prosthesis intolerance and pinpoint pain, suspicious for neuroma. X-ray confirmed fibular heterotopic ossification (HO). Operative revision identified HO encompassing a TMR construct with a large neuroma requiring excision and neuroplasty revision. Now approximately 1-year post procedure, the patient remains active, pain-free and ambulating with a prosthetic. Amputated extremities can be at risk for development of HO. ...
Source: Pain Physician - May 14, 2022 Category: Anesthesiology Authors: Spencer R Anderson Nishtha Gupta Elise A Johnson Ron Michael Johnson Source Type: research

Major dietary patterns in relation to chronic low back pain; a cross-sectional study from RaNCD cohort
CONCLUSIONS: Higher adherence to the high protein diet was inversely related to chronic LBP prevalence. In addition, we found that following energy dense diet was positively associated with chronic LBP.PMID:35546233 | PMC:PMC9097067 | DOI:10.1186/s12937-022-00780-2 (Source: Pain Physician)
Source: Pain Physician - May 13, 2022 Category: Anesthesiology Authors: Yahya Pasdar Behrooz Hamzeh Sheno Karimi Shima Moradi Sahar Cheshmeh Mohammad Bagher Shamsi Farid Najafi Source Type: research

Efficacy of Sacroiliac Joint Injection With Anesthetic and Corticosteroid: A Prospective Observational Study
Cureus. 2022 Apr 11;14(4):e24039. doi: 10.7759/cureus.24039. eCollection 2022 Apr.ABSTRACTSacroiliac joint injection aims to provide pain relief, improve work status, and early return to work. We aimed to investigate the role of corticosteroid and anesthetic mixture to provide short- and long-term pain relief in patients with sacroiliac joint pain. This prospective observational study included 27 patients with sacroiliac joint dysfunction who received a combination of triamcinolone and ropivacaine for sacroiliac joint injection followed by three scheduled visits at four weeks, eight weeks, and six months. The pain was asse...
Source: Pain Physician - May 13, 2022 Category: Anesthesiology Authors: Siti Nur Fudhlana Ab Aziz Zamzuri Zakaria Mohamad Rajandra Kumar Karupiah Aminudin Che Ahmad Ahmad Sabri Omar Source Type: research

Unnecessary Use of Corticosteroids for managing early mild symptoms of COVID-19 may lead to Rhino-ortibal-cerebral mucormycosis in Patients with Diabetes - a case series from Lahore, Pakistan
Ther Adv Infect Dis. 2022 May 6;9:20499361221097417. doi: 10.1177/20499361221097417. eCollection 2022 Jan-Dec.ABSTRACTRhino-orbital-cerebral mucormycosis (ROCM), a rare but fatal fungal infection, has recently emerged as a serious complication after corticosteroids therapy in COVID-19 patients, predominantly in diabetic and immunocompromised patients. The World Health Organization (WHO) COVID-19 current guidelines recommend corticosteroids administration in hospitalized COVID-19 patients requiring supplementary oxygen or mechanical ventilation. Herein, we report a case series of seven patients with COVID-19; three mild, th...
Source: Pain Physician - May 13, 2022 Category: Anesthesiology Authors: Somia Iqtadar Masooma Hashmat Muhammad Nabeel Akbar Chaudhry Sami Ullah Mumtaz Sajid Abaidullah Domingo A Pascual-Figal Amjad Khan Source Type: research

Gastrointestinal manifestations in patients with coronavirus disease-2019 (COVID-19): Impact on clinical outcomes
CONCLUSION: While COVID-19 was predominantly diagnosed in males, GI symptoms were more commonly reported by females. The results indicated that GI symptoms in COVID-19 patients are common, and the symptoms are not correlated with the severity of the disease. Moreover, the presence of GI symptoms was positively related to milder disease. Among COVID-19 positive patients, the clinical outcomes of the GI group were promising, compared to those of non-GI group.PMID:35548178 | PMC:PMC9081509 | DOI:10.4103/jrms.jrms_641_21 (Source: Pain Physician)
Source: Pain Physician - May 13, 2022 Category: Anesthesiology Authors: Elham Tabesh Maryam Soheilipour Ramin Sami Marjan Mansourian Faezeh Tabesh Forogh Soltaninejad Mehrnegar Dehghan Niloofar Nikgoftar Ali Gharavinia Khojasteh Ghasemi Peyman Adibi Source Type: research

Performing parotidectomy postoperative follow-ups via telemedicine: Experience at a tertiary care, multiple-surgeon otolaryngology center
CONCLUSION: Postoperative parotidectomy evaluation is highly amenable to being performed by video. A telemedicine option offers convenience for patients in the majority of cases without compromising clinical assessment and judgment for the physician.PMID:35549759 | DOI:10.1177/1357633X221095319 (Source: Pain Physician)
Source: Pain Physician - May 13, 2022 Category: Anesthesiology Authors: Luis A Antezana Katherine Z Xie Linda X Yin Andrew J Bowen Sarah Yeakel Ashley M Nassiri Eric J Moore Source Type: research

Annual prevalence estimation of lymphatic malformation with a cutaneous component: observational study of a national representative sample of physicians
CONCLUSIONS: The study indicates that while rare, LMC affects a substantial number of people in the US (79,920) who are being managed by one or more specialists. By better understanding the prevalence of people living with LMC who require treatment, efforts to both increase disease awareness and to identify underserved populations in need of potential new treatments can be better focused.PMID:35550604 | PMC:PMC9097327 | DOI:10.1186/s13023-022-02336-3 (Source: Pain Physician)
Source: Pain Physician - May 13, 2022 Category: Anesthesiology Authors: Jack Ray Gallagher J Martini S Carroll A Small J Teng Source Type: research

ACR Appropriateness Criteria ® Imaging of Facial Trauma Following Primary Survey
J Am Coll Radiol. 2022 May;19(5S):S67-S86. doi: 10.1016/j.jacr.2022.02.013.ABSTRACTMaxillofacial trauma patients comprise a significant subset of patients presenting to emergency departments. Before evaluating for facial trauma, an emergency or trauma physician must perform a primary survey to ensure patient stabilization. Following this primary survey, this document discusses the following clinical scenarios for facial trauma: tenderness to palpation or contusion or edema over frontal bone (suspected frontal bone injury); pain with upper jaw manipulation or pain overlying zygoma or zygomatic deformity or facial elongation...
Source: Pain Physician - May 13, 2022 Category: Anesthesiology Authors: Expert Panel on Neurological Imaging Matthew S Parsons Bruno Policeni Amy F Juliano Mohit Agarwal Elizabeth R Benjamin Judah Burns Timothy Doerr Prachi Dubey Elliott R Friedman Maria K Gule-Monroe Karol A Gutowski Mari Hagiwara Vikas Jain Tanya J Rath Bri Source Type: research

Excellent chronic pain guideline
Can Fam Physician. 2022 May;68(5):322. doi: 10.46747/cfp.6805322.NO ABSTRACTPMID:35552228 | DOI:10.46747/cfp.6805322 (Source: Pain Physician)
Source: Pain Physician - May 13, 2022 Category: Anesthesiology Authors: Roger Suss Source Type: research

Musculoskeletal Considerations in Pelvic Health
FASEB J. 2022 May;36 Suppl 1. doi: 10.1096/fasebj.2022.36.S1.0I640.ABSTRACTPatients seek rehabilitation services for various conditions related to pelvic muscle dysfunction. If not referred by their physician, patients often refer themselves. Healthcare providers treating patients with pelvic concerns must be sensitive and authentic when communicating with patients about their pelvic health and sexuality. Individualized care and respectful interaction are imperative in developing an effective therapeutic relationship. Pelvic health physical therapists evaluate and treat patients of all genders with musculoskeletal conditio...
Source: Pain Physician - May 13, 2022 Category: Anesthesiology Authors: Karen Snowden Source Type: research

Ibuprofen, Ketorolac, and Diclofenac Are Equivalent for the Treatment of Acute, Nonradicular Low Back Pain
Am Fam Physician. 2022 May 1;105(5):Online.NO ABSTRACTPMID:35559637 (Source: Pain Physician)
Source: Pain Physician - May 13, 2022 Category: Anesthesiology Authors: David C Slawson Source Type: research