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Source: PM and R
Condition: Pain

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Total 15 results found since Jan 2013.

Poster 328: Bilateral Vertebral Artery Dissection, Spinal Cord Infarct and Brainstem Stroke in a Patient with Posterior Neck Pain Before Cervical Manipulation: A Case Report
Sima Patel: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Sima C. Patel Source Type: research

Poster 429: Uncovering Central Post-Stroke Pain in the Setting of Diabetic Neuropathy and Lumbar Radiculopathy: A Case Report
Kevin Pelletier: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Kevin C. Pelletier Source Type: research

Poster 368: Retroperitoneal Hematoma Causing Right Hip Pain Status Post Recombinant Tissue Plasminogen Activator (rt-PA) Administration for Acute Ischemic Stroke: A Case Report
Simon Willis: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Simon M. Willis, Rachna Malhotra Source Type: research

Poster 23 An Unusual Cause of Leg Pain in a Stroke Patient: A  Case Report
James Liadis: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - August 31, 2016 Category: Rehabilitation Authors: James G. Liadis Source Type: research

Effect of Wheelchair Stroke Pattern on Arm Muscle Fatigue
Brittany Bickelhaupt: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - August 31, 2016 Category: Rehabilitation Authors: Brittany L. Bickelhaupt, Michelle Trbovich, Jon Benfield, Keith Burau, Sakiko Oyama Tags: Best Pain and Spine Medicine Research Podium Presentations Source Type: research

Demystifying post-stroke pain: from etiology to treatment
Unintended dural punctures with cerebral spinal fluid (CSF) leak are recognized as a frequent complication of spinal surgery. Although there are conservative and invasive options to treat post-operative CSF leaks, existing literature defines neither an algorithmic treatment approach nor a universally accepted standard of care. We believe that a transforaminal epidural blood patch (EBP) can serve as a minimally invasive, cost-effective option to treat post-surgical CSF leaks that do not resolve with conservative management.
Source: PM and R - June 14, 2016 Category: Rehabilitation Authors: Bradly Goodman, Sridhar Vallabhaneni, Bradley Cubitt, Srinivas Mallempati Source Type: research

Demystifying Poststroke Pain: From Etiology to Treatment
Pain after stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This situation occurs in part because of the esoteric nature of poststroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who experience pain include central poststroke pain, complex regional pain syndrome, and pain associated with spasticity and shoulder subluxation. Each disorder carries its own intricacies that require specific approaches to treatment and understanding.
Source: PM and R - June 14, 2016 Category: Rehabilitation Authors: Andrew K. Treister, Maya N. Hatch, Steven C. Cramer, Eric Y. Chang Tags: Narrative Review Source Type: research

Time for Food—Including Nutrition on Physiatrists' Tables
Unhealthy nutrition is a leading factor in various rehabilitation diagnoses such as stroke and several musculoskeletal complications. Further, the association between nutrition, pain management, and brain plasticity support the importance of having rehabilitation patients follow healthy nutrition guidelines. The goal of this brief report is to emphasize the importance of nutritional counseling to physiatrists and to briefly describe recommended communication skills, behavioral change strategies, and opportunities for interprofessional collaborations.
Source: PM and R - March 31, 2016 Category: Rehabilitation Authors: Rani Polak, Marie L. Dacey, Edward M. Phillips Tags: Emerging Issue Source Type: research

The Analgesic Effect of Abobotulinum and Incobotulinum Toxins Type A in Central Poststroke Pain: Two Case Reports
The International Association for the Study of Pain defines central pain as “pain initiated or caused by primary lesion or dysfunction of the central nervous system” [1]. If it results from a stroke, it is referred to as central poststroke pain (CPSP) [1]. CPSP prevalence reports vary from 8% to 46% [3-5]. This wide variation is possibly related to the heterogeneity of stroke lesions between the populations surveyed, differences in study design, and different timing of evaluations after stroke [6].
Source: PM and R - December 12, 2015 Category: Rehabilitation Authors: Alexandre Andre Gaspar de Camoes-Barbosa, Ana-Filipa Neves Tags: Case Presentation Source Type: research

Abobotulinum and incobotulinum toxins type A analgesic effect in central post-stroke pain: two case reports
Source: PM and R - December 12, 2015 Category: Rehabilitation Authors: Alexandre Andre Gaspar de Camoes-Barbosa, Ana-Filipa Neves Source Type: research

A Medication Combination for the Treatment of Central Post-Stroke Pain (CPSP) via the Adjuvant use of Prednisone with Gabapentin: A Case Report
CPSP is a neuropathic pain syndrome that can occur from pathology of the brain. The case presented is of a female with multiple comorbidities and who was found to have an acute infarct in the left middle and anterior cerebral artery territories. She began to complain of worsening diffuse right upper and lower extremity pain, and central post-stroke pain was diagnosed. First-line agents were contraindicated due to medical comorbidities, and chronic kidney disease only permitted the use of low dose gabapentin.
Source: PM and R - September 23, 2015 Category: Rehabilitation Authors: Luis Batlle, Ryan Mattie, Robert Irwin Source Type: research

A Novel Use of Regional Anesthesia for Spastic Hemiplegia Evaluation and Treatment: A Case Report
Spastic hemiplegia is a common sequela of stroke. Spasticity not optimally reduced with systemic therapy is often treated with intramuscular botulinum toxin injections. Spastic tone can increase the difficulty of appropriately positioning the patient for botulinum toxin injections, lengthen procedure duration, and increase peri-procedural pain. Our case is a 53-year-old female unable to be adequately positioned to receive botulinum toxin injections to her left upper extremity due to challenging flexion synergy posturing and related positional pain.
Source: PM and R - August 4, 2015 Category: Rehabilitation Authors: Ameet S. Nagpal, Maxim S. Eckmann, Jon Benfield Source Type: research

Use of a Resting Hand Orthosis for the Hemiparetic Hand After Stroke
A 50-year-old right-handed man has been admitted to your stroke service after sustaining a left middle cerebral artery stroke. This is his first stroke. After an acute hospital stay of 5 days, he was admitted to inpatient rehabilitation. On admission to the rehabilitation unit, he presented with an essentially flaccid right arm, which demonstrated some synergistic movements (Fugl-Meyer, 8/66). Right upper extremity range of motion was well preserved, with no evidence of pain with passive movement. Sensation was diminished throughout the right side, with decreased perception of sharpness and extinction with double simultane...
Source: PM and R - January 27, 2014 Category: Rehabilitation Authors: Nathaniel H. Mayer, Richard L. Harvey, Thomas K. Watanabe Tags: Point/Counterpoint Source Type: research