Ultrasound-guided erector spinae nerve block for relief of chest pain from pneumonia in the emergency department
We present the case of a 58-year-old male presenting to the ED with chest pain from pneumonia which remained unmanageable after acetaminophen, NSAID, and opioid administration. An ultrasound-guided erector spinae plane block was performed in the ED and the patient had a significant reduction in his chest pain.PMID:38693022 | DOI:10.1016/j.ajem.2024.04.026 (Source: Herpes)
Source: Herpes - May 1, 2024 Category: Infectious Diseases Authors: Robert Stenberg Laine Goff Erin L Simon Source Type: research
Neurologic Approach to Radiculopathy, Back Pain, and Neck Pain
Prim Care. 2024 Jun;51(2):345-358. doi: 10.1016/j.pop.2024.02.003. Epub 2024 Mar 11.ABSTRACTBack pain and neck pain are common in clinical practice, but significant challenges and pitfalls exist in their diagnosis, treatment, and management. From the neurologic standpoint, cervical radiculopathy and lumbosacral radiculopathy are characterized by neck pain or back pain accompanied by sensory and motor symptoms in an arm or leg. The basic neurologic examination is vital, but testing like electromyography and MRI is often needed especially in cases that fail conservative management. Oral medications, injection-based therapies...
Source: Primary Care - May 1, 2024 Category: Primary Care Authors: Canaan Coker Jade Park Ryan D Jacobson Source Type: research
Recognizing Myopathy in Patients with Muscle Weakness or Pain
Prim Care. 2024 Jun;51(2):311-326. doi: 10.1016/j.pop.2024.02.005. Epub 2024 Mar 19.ABSTRACTMuscle weakness and pain can be seen in orthopedic, rheumatologic, cardiac, and musculoskeletal conditions in addition to neurologic disorders. Myopathy, which describes a heterogenous group of hereditary and acquired disorders that affect muscle channels, structure, and metabolism, is one possible cause. This review focuses on essential information to support primary care providers as they assess patients with muscle weakness and pain for myopathy. As with most neurologic disorders, a thorough clinical history and physical examinat...
Source: Primary Care - May 1, 2024 Category: Primary Care Authors: Melissa A Elafros Arjun Seth Source Type: research
Evaluating the effect of a mobile-based symptom monitoring system for improving physical function in patients with cancer during chemotherapy: study protocol for a multicentre randomised controlled trial
This study is a multicentre, open-label, parallel-group, randomised controlled trial. We will recruit 372 patients at three tertiary hospitals located in Seoul, South Korea. Study participants will be randomly assigned to either an intervention group receiving the ePRO-CTCAE app and a control group receiving routine clinical practice only. The primary outcome is changes in physical function from commencement to completion of planned chemotherapy. A linear mixed model will be performed under the intention-to-treat principle. The secondary outcomes include physical activity level; changes in pain interference; changes in dep...
Source: Cancer Control - May 1, 2024 Category: Cancer & Oncology Authors: Mangyeong Lee Danbee Kang Yesol Um Bokyung Jo Jeong Rhue Sehhoon Park Yoo-Young Lee Joseph J Noh Yun-Gyoo Lee Dong-Hoe Koo Kyong-Hwa Park Soohyeon Lee Jin Seok Ahn Dongryul Oh Juhee Cho Source Type: research
Characterizing the presentation, management, and clinical outcomes of patients with intradural spinal chordomas: a systematic review
CONCLUSIONS: Treatment of intradural spinal chordomas primarily involves resection and radiotherapy. A significant challenge and complication in management is spinal tumor seeding after resection, with 9 studies proposing seeding as a mechanism of tumor metastasis in 11 cases. Factors such as tumor size, Ki-67 positivity, and distant metastasis may correlate with worse outcomes and demonstrate potential as prognostic indicators for intradural spinal chordomas. Further research is needed to improve understanding of this tumor and develop optimal treatment paradigms for these patients.PMID:38691865 | DOI:10.3171/2024.2.FOCUS...
Source: Neurosurgical Focus - May 1, 2024 Category: Neurosurgery Authors: Max A Saint-Germain Patrick Kramer Carly Weber-Levine Kelly Jiang Abdel-Hameed Al-Mistarehi Kristin J Redmond Sang H Lee Chetan Bettegowda Nicholas Theodore Daniel Lubelski Source Type: research
Dry needling in the management of chronic tension ‐type headache associated with levator scapulae syndrome: A case report
Dry needling to the levator scapulae muscle and its distal enthesis in the management of chronic tension-type headache. Key Clinical MessageThe use of DN to the muscular trigger points and distal periosteal enthesis of the levator scapulae may be a useful adjunct intervention within a multi-modal plan of care for the management of work-related chronic tension-type headaches associated with LSS.AbstractChronic tension-type headaches (CTTH) have a lifetime prevalence of 42% and account for more lost workdays than migraine headaches. Dry needling (DN) is being increasingly used by physical therapists in the management of CTTH...
Source: Clinical Case Reports - May 1, 2024 Category: General Medicine Authors: Peter Gagnon,
James Dunning,
Paul Bliton,
Casey Charlebois,
Nathan Henry,
Patrick Gorby,
Firas Mourad Tags: CASE REPORT Source Type: research
Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management
This randomized clinical trial assesses whether the addition of a serratus anterior plane block to emergency department protocolized care bundles increases the likelihood of early favorable analgesic outcomes and reduces opioid requirements in patients with rib fractures in Australia. (Source: JAMA Surgery)
Source: JAMA Surgery - May 1, 2024 Category: Sports Medicine Source Type: research
Chiropractic spinal manipulation and likelihood of tramadol prescription in adults with radicular low back pain: a retrospective cohort study using US data
Conclusions
This study found that US adults initially receiving CSM for radicular LBP had a reduced likelihood of receiving a tramadol prescription over 1-year follow-up. These findings should be corroborated by a prospective study to minimise residual confounding. (Source: BMJ Open)
Source: BMJ Open - May 1, 2024 Category: General Medicine Authors: Trager, R. J., Cupler, Z. A., Srinivasan, R., Casselberry, R. M., Perez, J. A., Dusek, J. A. Tags: Open access, Complementary medicine Source Type: research
Evaluating the effect of a mobile-based symptom monitoring system for improving physical function in patients with cancer during chemotherapy: study protocol for a multicentre randomised controlled trial
This study is a multicentre, open-label, parallel-group, randomised controlled trial. We will recruit 372 patients at three tertiary hospitals located in Seoul, South Korea. Study participants will be randomly assigned to either an intervention group receiving the ePRO-CTCAE app and a control group receiving routine clinical practice only. The primary outcome is changes in physical function from commencement to completion of planned chemotherapy. A linear mixed model will be performed under the intention-to-treat principle. The secondary outcomes include physical activity level; changes in pain interference; changes in dep...
Source: BMJ Open - May 1, 2024 Category: General Medicine Authors: Lee, M., Kang, D., Um, Y., Jo, B., Rhue, J., Park, S., Lee, Y.-Y., Noh, J. J., Lee, Y.-G., Koo, D.-H., Park, K.-H., Lee, S., Ahn, J. S., Oh, D., Cho, J. Tags: Open access, Health services research Source Type: research
American Society for Pain Management Nursing and Hospice and Palliative Nurses Association Position Statement: Pain Management at the End of Life
Fundamental to the quality of life is assisting patients in relieving pain including at the end of life. Compassionate, effective, evidence-based pain care for the dying improves the quality of life for patients and may reduce distress and complicated bereavement in the loved ones witnessing this death. However, efforts designed to mitigate the consequences of the opioid epidemic have seriously compromised pain care at the end of life. This has created an urgent need to focus on the barriers to relief, and solutions necessary to provide safe and effective pain and symptom management in this population. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 1, 2024 Category: Nursing Authors: Patrick Coyne, Sarah Lowry, Carol Mulvenon, Judith A. Paice Source Type: research
Feasibility of In-Home Virtual Reality for Chronic Pain in Sickle Cell Disease
Sickle cell disease (SCD), the most commonly inherited group of red blood cell disorders in the United States (National Human Genome Research Institute, 2020), affects more than 100,000 people (Centers for Disease Control and Prevention, 2022). This pain condition causes a significant burden to individuals, families, and the healthcare infrastructure, with medical costs totaling approximately $2.98 billion annually (Huo et al., 2018). Chronic pain in SCD is ongoing pain that was present, in one or more locations, on most days for more than 6 months (Dampier et al., 2017). (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 1, 2024 Category: Nursing Authors: Nadine Matthie, Melinda Higgins, Ardith Doorenbos, Todd Maddox, Coretta Jenerette Tags: Original Research Source Type: research
Recent clinical practice guidelines for the management of low back pain: a global comparison
Low back pain (LBP) is a significant health problem worldwide, with a lifetime prevalence of 84% in the general adult population. To rationalise the management of LBP, clinical practice guidelines (CPGs) have ... (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - May 1, 2024 Category: Orthopaedics Authors: Tianyu Zhou, David Salman and Alison. H. McGregor Tags: Research Source Type: research
Telehealth Follow-up for Cervical Dystonia Patients Treated with Neurotoxin Injection: Patient Reported Outcomes
Background: Cervical dystonia (CD) is characterized by involuntary contraction of the cervical musculature leading to sustained or intermittent twisting or movement of the head, neck, or shoulders1 –3. Left untreated, the head is abnormally positioned, causing moderate to severe pain in 71% of patients1. Neurotoxin injection is the first-line therapy for management of CD and peak effectiveness occurs within the first month. Telehealth is convenient and cost-effective for patients and provide rs4,5. (Source: Parkinsonism and Related Disorders)
Source: Parkinsonism and Related Disorders - May 1, 2024 Category: Neurology Authors: K. Harper, S. Sharp, M. Turchan, M. Hacker, J. Meystedt, N. Jones, S. Ploucher, D. Makini, A. Terala, D. Charles Source Type: research
A Delayed Diagnosis of Bilateral Pediatric Trigger Thumbs: A Case Report and Literature Review
We describe the case of a 6-year-old female who presented with tender nodules and fixed flexion of her thumbs, diagnosed as bilateral pediatric trigger thumb. Though present since infancy, her condition was not diagnosed in prior clinical visits. Pediatric trigger digit is a clinical diagnosis, often missed if the digit's range of motion is not assessed routinely. Given the duration, pain, and severity of her condition, conservative management was deferred, and she was referred for surgery. An approach to clinical management is discussed. (Source: Journal of Pediatric Health Care)
Source: Journal of Pediatric Health Care - April 30, 2024 Category: Pediatrics Authors: Aneeb Mohideen, Lindsay Taylor Ber, Hafsa Hussain, Zachary M. Gohsman Tags: Primary Care Case Report Source Type: research
Hemophilic pseudotumor of the knee joint: Emphasizing prevention and early diagnosis in a rare disease
Key Clinical MessageHemophilic pseudotumors are rare complications occurring in individuals with severe hemophilia, characterized by progressive cystic swellings in muscles and/or bones due to recurrent bleeding. Timely initiation of factor VIII replacement is crucial.AbstractHemophilic pseudotumors are rare complications occurring in individuals with severe hemophilia, characterized by progressive cystic swellings in muscles and/or bones due to recurrent bleeding. Although their incidence has decreased with the advent of factor VIII replacement therapy, they still create challenges, particularly in regions with limited ac...
Source: Clinical Case Reports - April 30, 2024 Category: General Medicine Authors: Shritik Devkota,
Sugat Adhikari,
Samiksha Lamichhane,
Dipendra Adhikari,
Bhola Bika,
Shayeri Roy Choudhary,
Tajinder Bhalla Tags: CASE REPORT Source Type: research
