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pain regional syndrome

Pepijn O Sun, Ruud W Selles, Miguel C Jansen, Harm P Slijper, Dietmar J O Ulrich, Erik T Walbeehm
OBJECTIVEThe aim of this study was to evaluate the self-reported outcome of revision surgery in patients with recurrent and persistent carpal tunnel syndrome (CTS) and to identify predictors of clinical outcome of revision surgery.METHODSA total of 114 hands in 112 patients were surgically treated for recurrent and persistent CTS in one of 10 specialized hand clinics. As part of routine care, patients were asked to complete online questionnaires regarding demographic data, comorbidities, and clinical severity measures...
February 15, 2019: Journal of Neurosurgery
James Thomas Patrick Decourcy Hallinan, Wilbur Wang, Mini N Pathria, Edward Smitaman, Brady K Huang
This article will review the anatomy and common pathologies affecting the peroneus longus muscle and tendon. The anatomy of the peroneus longus is complex and its long course can result in symptomatology referable to the lower leg, ankle, hindfoot, and plantar foot. Proximally, the peroneus longus muscle lies within the lateral compartment of the lower leg with its distal myotendinous junction arising just above the level of the ankle. The distal peroneus longus tendon has a long course and makes two sharp turns at the lateral ankle and hindfoot before inserting at the medial plantar foot...
February 15, 2019: Skeletal Radiology
Jae-Yeon Lee, Soo-Hee Choi, Ki-Soon Park, Yoo Bin Choi, Hee Kyung Jung, Dasom Lee, Joon Hwan Jang, Jee Youn Moon, Do-Hyung Kang
Complex regional pain syndrome (CRPS) and fibromyalgia (FM) share many features. Both can cause severe pain and are considered to have a mechanism of action, including dysfunction of the sympathetic nervous system. However, they have clinical differences in pain range and degree. The present study aimed to find neurophysiologic differences between CRPS and FM using quantitative electroencephalography (QEEG). Thirty-eight patients with CRPS and 33 patients with FM were included in the analysis. Resting-state QEEG data were grouped into frontal, central, and posterior regions to analyze for regional differences...
February 2019: Medicine (Baltimore)
Ayşegül Ceylan, İbrahim Aşık
Background/aim: We aimed to compare the effectivity of percutaneous disc coagulation therapy (PDCT) and navigable ablation decompression treatment (L-DISQ) in patients who were diagnosed with cervical disc herniation. Materials and methods: Visual analog scale (VAS) and Neck Pain Index (NPI) scores were recorded initially and at the 1st, 3rd, 6th, and 12th months after the procedures. Patient Satisfaction Scale (PSS) scores were recorded 12 months after the procedures Results: Mean VAS scores were 7...
February 11, 2019: Turkish Journal of Medical Sciences
Maria da Conceição Costa, Jamil Natour, Hilda A V Oliveira, Maria Teresa Terreri, Claudio A Len
INTRODUCTION: Musculoskeletal pain is a constant complaint in pediatric practice. The pain may be related to a number of organic diseases and / or be part of the amplified musculoskeletal pain syndromes. Idiopathic musculoskeletal pain (IMSP) is defined as the presence of intermittent pain in three or more body regions for at least three months, excluding organic diseases that could explain the symptoms. OBJECTIVE: To study the gait of children and adolescents with IMSP by dynamic baropodometry...
February 12, 2019: Advances in rheumatology
Bojana Bazika-Gerasch, Christoph Maier, Nina Kumowski, Carolin Fiege, Miriam Kaisler, Jan Vollert, Johannes W Dietrich
Local osteopenia and altered bone metabolism are major complications of complex regional pain syndrome (CRPS), but quantitative assessment is difficult unless using X-ray or dual-energy X-ray absorptiometry. Ultrasound-based measurement of bone density (UBD) is a possible alternative, but has never been used to detect unilateral disease such as CRPS. Therefore, the main outcome measure of this prospective study was the diagnostic utility of UBD in patients with lower limb CRPS. Second, we compared the extent of uni- and contralateral calcaneal bone density to that of other conditions with unilateral pain, general osteoporosis, and healthy subjects...
February 8, 2019: Pain
Winfried Häuser, Piercarlo Sarzi-Puttini, Mary-Ann Fitzcharles
Fibromyalgia syndrome (FM) is an enigma. During the past three decades, with the gradual acceptance of the validity of FM, it is variously under-, over and misdiagnosed. Evidence-based interdisciplinary guidelines have suggested a comprehensive clinical assessment to avoid this diagnostic conundrum. Every patient with chronic pain should be screened for chronic widespread pain (pain in four of five body regions) (CWP). Those with CWP should be screened for presence of additional major symptoms of FM: unrefreshed sleep and fatigue...
January 2019: Clinical and Experimental Rheumatology
Tsung-Yen Ho, Ming-Jen Ke, Liang-Cheng Chen, Yung-Tsan Wu
Metatarsalgia is characterized by pain in the forefoot, which is associated with increased stress over the metatarsal head region. Despite the availability of a variety of conservative or surgical treatments for this condition, a few cases have demonstrated relapse or poor response to treatment. Pulsed radiofrequency (PRF) can provide pain relief in patients with diverse chronic conditions without causing neural injury. Recently, studies have shown that ultrasound-guided PRF may be beneficial for adhesive capsulitis, carpal tunnel syndrome, tarsal tunnel syndrome, and recalcitrant plantar fasciitis...
November 2018: Journal of the American Podiatric Medical Association
Yu Yu Vinnik, V V Borisov
AIM: to study the course of chronic abacterial prostatitis with the inflammatory component (CAPIC) depending on the somatotype in men of the first period of mature age taking complex treatment with a use of local and systemic ozone therapy. MATERIALS AND METHODS: A total of 306 men of asthenic, normostenic and pyknic somatotypes with CAPIC were followed-up. Along with standard therapy, all patients received systemic and local ozone therapy. Patients complaints were recorded before and after treatment...
December 2018: Urologii︠a︡
Sanghwa Lee, Jung-Man Namgoong, Hwan Yeul Yu, Miyeon Jue, Gwanho Kim, Sangmin Jeon, Dong-Myung Shin, Myung-Soo Choo, Jinmyoung Joo, Chan-Gi Pack, Jun Ki Kim
To evaluate the feasibility of ZnO nanorod-based surface enhanced Raman scattering (SERS) diagnostics for disease models, particularly for interstitial cystitis/bladder pain syndrome (IC/BPS), ZnO-based SERS sensing chips were developed and applied to an animal disease model. ZnO nanorods were grown to form nano-sized porous structures and coated with gold to facilitate size-selective biomarker detection. Raman spectra were acquired on a surface enhanced Raman substrate from the urine in a rat model of IC/BPS and analyzed using a statistical analysis method called principal component analysis (PCA)...
February 7, 2019: Nanomaterials
Young Chan Lee, Geon-Ho Jahng, Chang-Woo Ryu, Jae Yong Byun
BACKGROUND: The purpose of this study was to evaluate alterations in gray matter volume (GMV) and cerebral blood flow (CBF) using structural MRI and arterial spin labeling (ASL) perfusion MRI, respectively, in burning mouth syndrome (BMS) patients. METHODS: We prospectively enrolled 12 patients with BMS and 14 healthy controls. Volumetric T1-weighted magnetization-prepared rapid gradient-echo imaging and pseudo-continuous ASL were performed to obtain GMV and CBF, respectively...
February 8, 2019: Journal of Oral Pathology & Medicine
Gijsbrecht A J van Velzen, Frank J P M Huygen, Maarten van Kleef, Frank V van Eijs, Johan Marinus, Jacobus J van Hilten
BACKGROUND: Complex Regional Pain Syndrome (CRPS) is much more prevalent in women than men but potential differences in clinical phenotype have not been thoroughly explored to date. Differences in the clinical presentation between sexes may point at new avenues for a more tailored management approach of CRPS. We therefore explored if in CRPS the patient's sex is associated with differences in clinical and psychological characteristics. METHODS: In this cross-sectional study of 698 CRPS patients (599 females) fulfilling the Budapest clinical or research criteria, CRPS signs and symptoms, CRPS severity, pain (average pain intensity in the previous week and McGill pain rating index), pain coping (Pain Coping Inventory), physical limitations (Radboud Skills Questionnaire (upper limb), Walking and Rising questionnaire (lower limb)), anxiety and depression (Hospital Anxiety and Depression scale) and kinesiophobia (Tampa scale for kinesiophobia) were evaluated...
February 8, 2019: European Journal of Pain: EJP
Theodosios Saranteas, Iosifina Koliantzaki, Olga Savvidou, Marina Tsoumpa, Georgia Eustathiou, Vasileios Kontogeorgakos, Rizos Souvaltzoglou
Pain is the most common complaint amongst trauma patients throughout the perioperative period. Multimodal analgesia is currently being regarded the mainstay, with regional anesthesia techniques constituting an integral part of it. Ultrasound imaging techniques display a plethora of advantages that have pervaded regional anesthesia practice. In this review, we set out to provide several examples of injuries, to elucidate the precise anatomy of fractured bones (osteotomes), and to elaborate on certain peripheral nerve blocks employed in pain management of trauma patients...
February 7, 2019: Minerva Anestesiologica
Justin C Haghverdian, Jin-Wen Y Hsu, Neil G Harness
PURPOSE: Osteotomy of the distal radius for a fracture malunion is a challenging procedure. The purpose of this study was to review a series of osteotomies to determine the type and risk of complications. METHODS: A retrospective cohort study was performed, including all Kaiser Permanente Southern California patients who were aged 18 years or older between January 1, 2007, and September 25, 2015, and underwent osteotomy for an extra-articular distal radius fracture malunion...
February 4, 2019: Journal of Hand Surgery
V Dimova, F Birklein
The acute phase of complex regional pain syndrome (CRPS) is pathophysiologically characterized by an activation of the immune system and its associated inflammatory response. During the course of CRPS, central nervous symptoms like mechanical hyperalgesia, loss of sensation, and body perception disorders develop. Psychological factors such as pain-related anxiety and traumatic events might have a negative effect on the treatment outcome. While the visible inflammatory symptoms improve, the pain often persists...
February 4, 2019: Der Anaesthesist
C Fiquet, N White, R Gaillard, E Servien, P Neyret, S Lustig
Patella infera is an uncommon but potentially crippling pathology of the knee, resulting in stiffness and anterior knee pain. Several surgical methods have been described for its treatment, but there remains no clear technique of choice. We present the case of a 63-year-old male with patella infera, affecting a native knee, following Complex Regional Pain Syndrome. This patient was treated with a combined technique of Patellar Tendon lengthening and partial Hourglass Extensor Mechanism Allograft reconstruction...
January 31, 2019: Knee
Ajay P Abad
PURPOSE OF REVIEW: Sellar and parasellar lesions are numerous and varying in terms of their patholphysiology and physical and radiographic characteristics but often incite pain syndromes that are similar in semiology. The goal of this review was to familiarize the reader with a variety of sellar and parasellar lesions grouped together based on common clinical symptomatology, with a focus on important imaging characteristics that are often distinguishing features diagnostically. RECENT FINDINGS: In most cases, tissue acquisition via surgical resection or stereotactic biopsy are the mainstay for definitive diagnosis of sellar and parasellar lesions...
February 2, 2019: Current Pain and Headache Reports
M Kohler, S Strauss, U Horn, I Langner, T Usichenko, N Neumann, M Lotze
Spatial integration of parts of the body is impaired in patients with complex regional pain syndrome (CRPS). Since the training of mental rotation (MR) has been shown to be among the effective therapy strategies for CRPS, impairment of MR is also important for the pathophysiological understanding of CRPS. The aim of this study was to evaluate whether differences in neural representation of MR occur between CRPS patients and healthy controls. Therefore we included 15 chronic CRPS patients and 15 age-/gender matched healthy controls...
January 30, 2019: Journal of Pain: Official Journal of the American Pain Society
Saeed Siri, Franz Maier, Longtu Chen, Stephany Santos, David M Pierce, Bin Feng
Visceral pain is one of the principal complaints of patients with Irritable Bowel Syndrome (IBS), and this pain is reliably evoked by mechanical distension/stretch of distal colon and rectum (colorectum). This study focuses on the biomechanics of the colorectum that could play critical roles in mechanical neural encoding. We harvested the distal 30 mm of the colorectum from mice, divided evenly into three 10-mm-long segments (colonic, intermediate and rectal), and conducted biaxial mechanical stretch tests and opening-angle measurements for each tissue segment...
January 31, 2019: American Journal of Physiology. Gastrointestinal and Liver Physiology
JungHyun Park, Yun Jae Lee, Eung Don Kim
Pulsed radiofrequency (PRF) to the thoracic sympathetic ganglion (TSG PRF) or to the cervical sympathetic chain (CSC PRF) can be performed to overcome transient effects of single sympathetic blocks in patients with upper-extremity complex regional pain syndrome (CRPS).We retrospectively compared the clinical effects of TSG PRF and CSC PRF. Seven TSG PRF cases and 10 CSC PRF cases were enrolled in the present analysis. We assessed effectiveness with multiple clinical measurements: a numerical rating scale (NRS) of pain before and 1 week after the procedure, postprocedure temperature, effect duration, and a self-described patient satisfaction score...
February 2019: Medicine (Baltimore)
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