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Septic Shock From Pan-Spinal Epidural Abscess Attributed to Recent Acupuncture and Trigger Point Injections for Acute Lower Back Pain in a Previously Undiagnosed Diabetic Patient: A Case Report
We report the case of a 60-year-old woman with undiagnosed diabetes mellitus who presented to the hospital with a complaint of progressive altered mental status for the past two days. Eight days prior to presentation, the patient tripped over a pillow at home and developed mildly nagging, acute lower back pain. Upon the recommendation of her friends, she underwent two sessions of acupuncture around the lumbar area on days six and five prior to being brought to the hospital. She also saw her primary care physician on day three prior to presentation, who performed a history and physical examination and, after feeling that sh...
Source: Pain Physician - June 9, 2023 Category: Anesthesiology Authors: Shaheryar Usman Faraz Badar Carlos Collado Andrew Weber Alan Kaell Source Type: research

Fire Needling Therapy versus Manual Acupuncture in Post-Stroke Complex Regional Pain Syndrome of the Upper Limb: Study Protocol for a Pilot Randomised Controlled Trial
Source: Journal of Pain Research - July 11, 2023 Category: Anesthesiology Tags: Journal of Pain Research Source Type: research

HIT-Heparin Induced Thrombocytopenia Simulation Case
Discussion: The simulation improved awareness of the symptoms of HIT and contraindications of immediate platelet and/or heparin initiation upon vessel occlusion and thrombocytopenia discovery.Topics: Heparin-induced thrombocytopenia, pain control, resuscitation efforts, coagulation disorders, history taking, undifferentiated patient, arterial occlusion, hematology, emergency medicine simulation.PMID:37465544 | PMC:PMC10332759 | DOI:10.21980/J89Q0M
Source: Pain Physician - July 19, 2023 Category: Anesthesiology Authors: Shaza Aouthmany Alyssa Siano De Ante' Russ Mark Bustillo Source Type: research

The Impact of Burst Motor Cortex Stimulation on Cardiovascular Autonomic Modulation in Chronic Pain: A Feasibility Study for a New Approach to Objectively Monitor Therapeutic Effects
ConclusionFour months of adjunctive burstMCS was associated with an increase in parameters reflecting both total and parasympathetic autonomic modulation and baroreceptor reflex sensitivity. In contrast, sympathetic tone declined in our three patients, suggesting stimulation-associated improvement not only in subjectively perceived VAS pain scores, but also in objectifiable parameters of autonomic cardiovascular modulation.
Source: Pain and Therapy - August 2, 2023 Category: Anesthesiology Source Type: research

Diabetes mellitus and functional limitations among older adults: Evidence from a large, representative Ghanaian aging study
CONCLUSIONS: In this representative study, older adults with DM showed higher odds for FL, and this association was partially explained by physical activity and health variables. Investing in a holistic management approach might be helpful for public health planning efforts to address DM-induced FL in old age.PMID:37677886 | DOI:10.1016/j.jpsychores.2023.111481
Source: Pain Physician - September 7, 2023 Category: Anesthesiology Authors: Razak M Gyasi Julius Odei Mohammed Gazali Hambali Nelson Gyasi-Boadu Bernard Obeng Moses Asori Andr é Hajek Louis Jacob Yvonne Ami Dodzi Adjakloe Jones Opoku-Ware Lee Smith Ai Koyanagi Source Type: research

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