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Therapy: Pain Management
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Total 666 results found since Jan 2013.
International Urogynecology consultation chapter 2 committee 3: the clinical evaluation of pelvic organ prolapse including investigations into associated morbidity/pelvic floor dysfunction
ConclusionsThe clinical pelvic examination remains the central tool for evaluation of POP and a system such as the POP-Q or S-POP should be used to describe and quantify. The value of investigation for urinary tract dysfunction was discussed and findings presented. The routine addition of GI radiographic or physiological testing is currently not recommended. There are no data on the role of the routine assessment of pain or sexual function, and this area needs more study. Imaging studies alone cannot replace clinical examination for the assessment of POP.
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 22, 2023 Category: OBGYN Source Type: research
Ollier Disease: A Case Report and Review of Treatment Options
In this report, we describe the case of an 11-year-old female who presented to her physician with pain and swelling of her right ring and small fingers after playing in a swimming pool with no obvious mechanism of trauma. A routine, plain radiographic evaluation of her hand revealed the presence of multiple enchondromatosis. We hope to use this case to highlight the surgical management options for young patients with Ollier disease and discuss circumstances in which surgical management may not be indicated.PMID:37731444 | PMC:PMC10509006 | DOI:10.7759/cureus.43815
Source: Pain Physician - September 21, 2023 Category: Anesthesiology Authors: Hunter D Kramer Michael J Valentine Nicholas Pettinelli James Kim Robert C Kramer Source Type: research
Surgical treatment of congenital scoliosis
Oper Orthop Traumatol. 2023 Sep 19. doi: 10.1007/s00064-023-00827-5. Online ahead of print.ABSTRACTOBJECTIVE: Early correction of congenital scoliosis including short fusion, while minimizing both mobility restrictions and growth impairment.INDICATIONS: Congenital scoliosis with marked deformity, proven progression, significant compensatory curves, and/or impairment of trunk balance. Furthermore, in case of compression of neural structures or pain due to secondary degeneration.CONTRAINDICATIONS: No absolute contraindication.SURGICAL TECHNIQUE: Posterior approach to the apex of the deformity. In the growing spine the perios...
Source: Operative Orthopadie und Traumatologie - September 19, 2023 Category: Orthopaedics Authors: Michael Ruf Source Type: research
Repair of Distal Fibula Fractures with Minimally Invasive Intramedullary Nailing in the Elderly
J Am Podiatr Med Assoc. 2023 Jul-Aug;113(4):22-121. doi: 10.7547/22-121.ABSTRACTAnkle fractures have been well documented and are common, especially in the elderly, behind hip and distal radius fractures. Open reduction and internal fixation (ORIF) is the standard of treatment for displaced and unstable ankle fractures. Traditionally, ankle fractures in the elderly population have been treated with nonoperative methods; however, nonoperative methods have been associated with increased mortality. Thus, there has been a shift toward operative management for the elderly and less healthy patients. However, these patients often...
Source: Journal of the American Podiatric Medical Association - September 19, 2023 Category: Podiatry Authors: Rayven Bridges Angelica Saulabiu Source Type: research
Radiocarpal arthrodesis revision with a pyrocarbon implant
We report the case of a patient who was dissatisfied with the outcome of radiocarpal arthrodesis, due to lack of motion despite complete absence of pain. We replaced arthrodesis by a pyrocarbon interposition implant. At 20 months' follow-up, the results showed complete absence of pain, partially restored range of motion and the implant in good position on radiographs. We believe that pyrocarbon implants may be a solution for patients dissatisfied with palliative treatment by arthrodesis.PMID:37709254 | DOI:10.1016/j.hansur.2023.08.010
Source: Hand Surgery - September 14, 2023 Category: Surgery Authors: Thomas Daoulas Dominique Le Nen Marie Fernandez Christophe Andro Francois Ducournau Ho ël Letissier Source Type: research
An Unusual Cause of Fever, Neck Pain, and Neck Stiffness: Acute Calcific Tendinitis of the Longus Colli Muscle
J Emerg Med. 2023 Jun 10:S0736-4679(23)00316-5. doi: 10.1016/j.jemermed.2023.05.023. Online ahead of print.ABSTRACTBACKGROUND: Acute calcific tendinitis (ACT) of the longus colli muscle (LCM) is an inflammatory response due to deposition of calcium hydroxyapatite crystals. It is typically correlated with whiplash and overuse injuries. A common presentation of this inflammatory response is acute but progressive neck pain. It is a rare but important cause of neck pain that should be considered on a differential diagnosis when distinguishing between life-threatening conditions and non-life-threatening causes of neck pain.CASE...
Source: Pain Physician - September 10, 2023 Category: Anesthesiology Authors: Isabella Reitz Christopher Allen Douglas E Rappaport Source Type: research
No Difference Between One-shot Co-injection of Corticosteroids and Hyaluronic Acid in a Three-injection Regimen for Knee Osteoarthritis: A Randomized, Double-blind Trial
CONCLUSION: We found that a single co-injection of corticosteroids along with HA did not confer any additional benefit regarding patient-reported outcomes or physical function compared with a three-injection regimen of HA. Therefore, we do not recommend a one-shot co-injection of corticosteroids alongside the three-injection regimen of HA for patients with knee OA, and because prior research found HA to be ineffective, HA should not be used with or without corticosteroids for patients with knee OA.LEVEL OF EVIDENCE: Level I, therapeutic study.PMID:37669538 | DOI:10.1097/CORR.0000000000002793
Source: Clinical Orthopaedics and Related Research - September 5, 2023 Category: Orthopaedics Authors: Ru-Lan Hsieh Wen-Chung Lee Source Type: research
Hip dysplasia hiding in plain sight: A retrospective analysis of radiology reports
ConclusionHip dysplasia should be considered in all adolescents/young adults presenting with hip pain. Causes of radiologist under reporting are likely multifactorial. Clinical information can cause cognitive biases and result in selective looking. A systematic approach to pelvis radiographs should include assessment of acetabular coverage and active search for evidence of femoral head migration.
Source: Journal of Medical Imaging and Radiation Oncology - September 1, 2023 Category: Radiology Authors: Rebecca M Woodward,
Nicholas J Lightfoot,
Renuka M Vesey,
Stephanie A Dijck,
Jacob T Munro,
Matthew J Boyle Tags: Medical Imaging —Original Article Source Type: research
Understanding Chest CT Scan Usage Among Adolescent Blunt Trauma Patients at Adult Trauma Centers
CONCLUSION: While CCT may provide valuable information, clinical exam coupled with low-ionizing radiographic imaging (i.e., CXR) may sufficiently identify chest trauma after blunt mechanisms. This shift in management can potentially reduce the risk of radiation without compromising the care of adolescent trauma patients at adult trauma centers.PMID:37619987 | DOI:10.1177/00031348231198121
Source: The American Surgeon - August 24, 2023 Category: Surgery Authors: Lilly Groszman Kem-Maria McCook Laurel Xiang Laurel Parker Laurie Lynne Villamor Deepika Koganti Randi Nicole Smith Richard Sola Source Type: research
