scholarly journals Transition from Deep Regional Blocks toward Deep Nerve Hydrodissection in the Upper Body and Torso: Method Description and Results from a Retrospective Chart Review of the Analgesic Effect of 5% Dextrose Water as the Primary Hydrodissection Injectate to Enhance Safety

2017 ◽  
Vol 2017 ◽  
pp. 1-17 ◽  
Author(s):  
Stanley K. H. Lam ◽  
Kenneth Dean Reeves ◽  
An-Lin Cheng
Keyword(s):  
Neuropathic Pain ◽  
Analgesic Effect ◽  
Rating Scale ◽  
Stellate Ganglion ◽  
Upper Body ◽  
Pain Rating ◽  
Perineural Injection ◽  
Numeric Pain Rating Scale ◽  
The Mean ◽  
Pain Rating Scale

Deep nerve hydrodissection uses fluid injection under pressure to purposely separate nerves from areas of suspected fascial compression, which are increasingly viewed as potential perpetuating factors in recalcitrant neuropathic pain/complex regional pain. The usage of 5% dextrose water (D5W) as a primary injectate for hydrodissection, with or without low dose anesthetic, could limit anesthetic-related toxicity. An analgesic effect of 5% dextrose water (D5W) upon perineural injection in patients with chronic neuropathic pain has recently been described. Here we describe ultrasound-guided methods for hydrodissection of deep nerve structures in the upper torso, including the stellate ganglion, brachial plexus, cervical nerve roots, and paravertebral spaces. We retrospectively reviewed the outcomes of 100 hydrodissection treatments in 26 consecutive cases with a neuropathic pain duration of 16±12.2 months and the mean Numeric Pain Rating Scale (NPRS) 0–10 pain level of 8.3±1.3. The mean percentage of analgesia during each treatment session involving D5W injection without anesthetic was 88.1%  ±  9.8%. The pretreatment Numeric Pain Rating Scale score of 8.3±1.3 improved to 1.9±0.9 at 2 months after the last treatment. Patients received 3.8±2.6 treatments over 9.7±7.8 months from the first treatment to the 2-month posttreatment follow-up. Pain improvement exceeded 50% in all cases and 75% in half. Our results confirm the analgesic effect of D5W injection and suggest that hydrodissection using D5W provides cumulative pain reduction.

IMMEDIATE EFFECT OF KINESIOLOGY TAPING IN TREATING UNDISPLACED RIB FRACTURE PAIN

2015 ◽  
Vol 18 (02) ◽  
pp. 1550010 ◽  
Author(s):  
Aarti Sareen ◽  
Piyush Jain ◽  
Venus Pagare
Keyword(s):  
Rating Scale ◽  
Rib Fracture ◽  
Age Group ◽  
Pain Rating ◽  
Deep Breathing ◽  
Orthopedic Surgeon ◽  
Before And After ◽  
Numeric Pain Rating Scale ◽  
The Mean ◽  
Pain Rating Scale

Purpose: To determine the immediate effect of kinesiology taping in treating undisplaced rib fracture pain. Method: The study is a retrospective in which 10 Patients (5 females and 5 males) with 1 or 2 undisplaced middle rib fractured (5th, 6th, 7th) were included. The age group of the patients was 27–57 years. The diagnosis was made by the orthopedic surgeon and referred to Institute of Kinesiology Taping. Numeric pain rating scale readings were obtained and documented before and after the taping session. Results: A significant decrease in pain before and after the kinesiology taping was found both while deep breathing ([Formula: see text]0.001) and during coughing ([Formula: see text]0.001). The Mean[Formula: see text] S.D of NPRS reading in case of pre and post taping for deep breathing was 5.7[Formula: see text]0.95 and 4.4[Formula: see text]0.84, respectively and that for coughing was 7.2[Formula: see text]0.63 and 4.7[Formula: see text]1.16, respectively. Conclusion: Kinesiology taping has immediate effect in treating undisplaced middle rib fracture pain.

scholarly journals Evaluation of full cup test and numeric pain rating scale in the assessment of orofacial pain

2021 ◽  
Vol 7 (4) ◽  
pp. 292-295
Author(s):  
Roland Prethipa P ◽  
Jimsha V K ◽  
Jonathan Daniel M
Keyword(s):  
Pain Assessment ◽  
Rating Scale ◽  
Orofacial Pain ◽  
Study Data ◽  
Self Report ◽  
P Value ◽  
Pain Rating ◽  
Cross Sectional ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale

Pain intensity is a common outcome domain assessed in pain clinical trials. The patient’s self-report is the gold standard and it appears to be embedded in everyday clinical practice. Most often pain assessment is considered to be the cornerstone for ideal treatment.The aim of this study was to assess the dental patients’ level of pain using Full Cup Test (FCT) and Numeric Pain Rating Scale (NPRS), and to compare and validate the Full Cup Test in the assessment of orofacial pain with Numeric Pain Rating Scale.A total of sixty patients presenting with various forms of orofacial pain were included in this cross-sectional study. Data collected include the patient demographic details and the diagnosis of each case was made after proper history taking, clinical examination and radiographic investigation. Pain assessment was done for each patient using both numeric pain rating scale and full cup test.All the data were analysed using inferential statistics Mann Whitney test and the analysis was carried out with SPSS 17.The comparison of mean pain scores using full cup test and numeric pain rating scale shows there was significant differences between acute and chronic pain with P- value of 0.023 and 0.005 respectively. FCT had shown 83 percent sensitivity and 94 percent specificity.Patients who presented with either acute or chronic dental conditions experienced moderate to severe level of pain. FCT is useful for both evaluating and discerning changes in pain and it can be used as a tool in pain assessment.

scholarly journals Initial experience of complete laparoscopic radical nephroureterectomy combined with transvesical laparoscopic excision of distal ureter in patients with upper urinary tract cancer

2020 ◽  
Author(s):  
Makito Miyake ◽  
Nobutaka Nishimura ◽  
Katsuya Aoki ◽  
Chihiro Ohmori ◽  
Takuto Shimizu ◽  
...  
Keyword(s):  
Rating Scale ◽  
Upper Urinary Tract ◽  
Initial Experience ◽  
Radical Nephroureterectomy ◽  
Specimen Extraction ◽  
Distal Ureter ◽  
Laparoscopic Excision ◽  
Numeric Pain Rating Scale ◽  
The Mean ◽  
Pain Rating Scale

Abstract Background: Selecting the treatment procedure for cancer patients is a challenging task. We report our initial experience of complete laparoscopic radical nephroureterectomy (RNU) for patients with upper urinary tract urothelial cancer (UTUC).Methods: A total of four patients with UTUC underwent complete laparoscopic RNU combined with transvesical laparoscopic excision of the distal ureter using three 5-mm ports. Transvaginal specimen extraction was applied in female patients to reduce incisional pain and improve cosmesis. Peri-operative complications were evaluated using the Clavien–Dindo classification system. Postoperative pain was evaluated during hospitalization using a numeric pain rating scale (scales of 1 to 10). Patients who underwent retroperitoneal laparoscopic surgery combined with open excision of the distal ureter during the same period were included as a control group (conventional RNU, consisting of laparoscopic nephrectomy with open bladder cuff excision) for pain scale evaluation.Results: The novel surgery was successfully completed for all four patients (two males and two females). The mean pneumoperitoneum time for retroperitoneoscopic nephroureterectomy and specimen extraction was 174 min, while the mean pneumovesicum time for the ureteral orifice excision was 88 min. One male patient had bladder leakage at the suture site of the bladder wall, which lasted for two weeks. No patient experienced recurrent disease during the follow-up period (median, 10 months). Mild to moderate pain lasted for 5 or 6 days after RNU. A couple of days after surgery, the numeric pain rating scale of complete laparoscopic RNU and conventional RNU group reached its peak level at 3.0 ± 1.8 and 5.3 ± 2.8, respectively. There was no statistical difference in the degree of postoperative pain (P=0.31).Conclusions: We described our initial experience and outcome of complete laparoscopic RNU for UTUC. Further experience and research are required to determine whether this advanced laparoscopic technique yields better outcomes and has true clinical value.

scholarly journals A De Quervain-féle tendinopathia kezelése konzervatív módszerekkel

2020 ◽  
Vol 161 (11) ◽  
pp. 419-424
Author(s):  
László Földvári-Nagy ◽  
Johanna Takács ◽  
Judit Réka Hetthéssy ◽  
Ágnes Andrea Mayer ◽  
Noémi Szakács ◽  
...  
Keyword(s):  
Rating Scale ◽  
Outcome Measure ◽  
Pain Rating ◽  
De Quervain ◽  
Numeric Pain Rating Scale ◽  
Microsoft Office ◽  
Pain Rating Scale

Absztrakt: Bevezetés: A De Quervain-féle tendinopathia a csukló-kéz régióját érintő betegség. A hüvelykujj mozgatása fájdalmassá válik, a kéz funkciója jelentősen romlik. A betegség a legújabb kutatások szerint inkább degeneratív, semmint gyulladásos eredetű. Első lépésként a kéz sínezése, nemszteroid gyulladáscsökkentő szerek és különböző fizikoterápiás kezelések alkalmazása javasolt. Hatástalanságuk esetén további lehetőség az ínhüvelybe fecskendezett szteroidinjekció és a műtéti úton végzett ínhüvelybemetszés. Célkitűzés: Kutatásunkban megvizsgáltuk, hogy az excentrikus tréninggel kibővített konzervatív kezelés megfelelő alternatíváját nyújthatja-e a jelenleg elfogadott kezelési lehetőségeknek. Módszer: Az excentrikus tréning 8 hétig tartott, melyet indokolt esetben 12 hetesre bővítettünk. A betegek (n = 9) a betanítást követően naponta többször végezték a tréninget, amit a heti találkozók alkalmával kontrolláltunk. Az 1., a 8., valamint a 12. heti találkozó során az inspekciót követően mértük az ízületi mozgástartományt, az izomerőt, a fájdalmas régiók számát, illetve elvégeztük a ’Numeric Pain Rating Scale’, a ’Quick Disabilities of the Arm, Shoulder and Hand’, valamint a ’Patient-Rated Wrist Evaluation’ kérdőívek felvételét. A méréseket páros mintás t-teszttel és ismételt méréses varianciaanalízissel elemeztük. Az elemzéseket IBM SPSS Statistics 25.0 és Microsoft Office Excel Professional Plus 2016 programmal végeztük; p<0,05 esetén tekintettük statisztikailag szignifikánsnak eredményeinket. Eredmények: Szignifikáns javulást mértünk a fájdalom intenzitása (’Numeric Pain Rating Scale’ p = 0,005, n = 9) és a kéz, valamint a csukló funkciója terén (’Quick Disabilities of the Arm, Shoulder and Hand Outcome Measure’ kérdőív 1. rész p<0,001, 2. rész p<0,001, ’Patient-Rated Wrist Evaluation’ kérdőív p<0,001; n = 9). Következtetés: Eredményeink alapján megfelelő betegbeválasztás mellett az excentrikus tréninggel kibővített konzervatív kezelés valós alternatívája lehet a jelenleg alkalmazott kezeléseknek. Orv Hetil. 2020; 161(11): 419–424.

scholarly journals Responsiveness of pain, functional capacity tests, and disability level in individuals with chronic nonspecific low back pain

2019 ◽  
Vol 40 (01) ◽  
pp. 11-17 ◽  
Author(s):  
Prasert Sakulsriprasert ◽  
Roongtiwa Vachalathiti ◽  
Pathaimas Kingcha
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Functional Capacity ◽  
Rating Scale ◽  
Low Back ◽  
Pain Rating ◽  
Sit To Stand ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale ◽  
Disability Level

Background: Clinical outcomes are very important in clinical assessment, and responsiveness is a component inside the outcome measures that needs to be investigated, particularly in chronic nonspecific low back pain (CNSLBP). Objective: This study aimed to investigate the responsiveness of pain, functional capacity tests, and disability in individuals with CNSLBP. Methods: Twenty subjects were assessed in pain using the following methods: visual analog scale (VAS) and numeric pain rating scale (NPRS), functional capacity tests: functional reach test (FRT), five-time sit-to-stand test (5 TSST), and two-minute step test (2 MST), and disability level: modified Oswestry Disability Questionnaire (MODQ), Thai version before and after 2-week intervention session. For interventions, the subjects received education, spinal manipulative therapy, and individual therapeutic exercise twice a week, for a total of two weeks. The statistics analyzed were change scores, effect size (ES), and standardized response mean (SRM). Results: The most responsive parameter for individuals with CNSLBP was pain as measured by numeric pain rating scale (NPRS) (ES [Formula: see text]0.986, SRM [Formula: see text]0.928) and five-time sit-to-stand test (5 TSST) (SRM [Formula: see text]0.846). Conclusion: This study found that NPRS pain and 5 TSST were responsive in individuals with CNSLBP at two weeks after the beginning of interventions.

scholarly journals PENGARUH WILLIAM FLEXION EXERCISE TERHADAP PENURUNAN INTENSITAS NYERI HAID (DYSMENORRHEA) PADA SISWI SMAN 7 KOTA MALANG

2019 ◽  
Vol 9 (1) ◽  
pp. 39
Author(s):  
Jaenal Abidin ◽  
Supriyadi Supriyadi ◽  
Mulyani Surendra
Keyword(s):  
Rating Scale ◽  
Sampling Technique ◽  
Control Group ◽  
Pain Rating ◽  
Menstrual Pain ◽  
Control Group Design ◽  
Group Design ◽  
Equivalent Control ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale

AbstrakTujuan penelitian ini untuk mengetahui pengaruh William Flexion Exerciseterhadap penurunan intensitas nyeri haid. Penelitian ini menggunakan rancanganeksperimen semu dengan desain non equivalent control group design. Populasi dalampenelitian ini adalah seluruh siswi kelas XI SMAN 7 Kota Malang yang mengalaminyeri haid yang berjumlah 143 orang. Sampel yang diambil 20 orang untuk masingmasingkelompok. Teknik pengambilan sampel menggunakan purposive sampling.Instrumen yang digunakan yaitu Numeric Pain Rating Scale (NPRS). Hasil ujiANOVA diperoleh nilai p = 0,006. Berdasarkan hasil analisis data dapat disimpulkanbahwa terdapat pengaruh William Flexion Exercise terhadap penurunan intensitasnyeri haid (Dysmenorrhea) antara kelompok eksperimen dan kelompok kontrol padasiswi SMAN 7 Kota Malang.Kata Kunci: nyeri haid, william flexion exerciseAbstractThe purpose of this study was to determine the effect of william flexion exerciseon decreasing the intensity of menstrual pain. This study used quasy experimentaldesign with a non equivalent control group design. The population in this study wereall XI of SMAN 7 Malang City who experienced 143 people. Samples were taken by 20people for each group. The sampling technique used purposive sampling instrument.Used is the Numeric Pain Rating Scale (NPRS). ANOVA test results obtained values p= 0,006. Based on the reluts of data analysis it can be concluded that there are in theinfluence of william flexion exercise on the decrease in menstrual pain intensity(Dysmenorrhea) between control group on female students of SMAN 7 Malang City.Keywords: dysmenorrhea, william flexion exercise

scholarly journals EFFECTIVENESS OF CERVICAL MANUAL MOBILIZATION TECHNIQUES VERSUS STRETCHING EXERCISES FOR PAIN RELIEF IN THE MANAGEMENT OF NECK PAIN

2021 ◽  
Vol 12 (3) ◽  
pp. 261-264
Author(s):  
Nida Waheed ◽  
Muhammad Amir ◽  
Rabia Noureen ◽  
Sumaira Nawaz ◽  
Raza Zaidi Syeda Wajeeha
Keyword(s):  
Neck Pain ◽  
Rating Scale ◽  
Pain Rating ◽  
Pain Disability Index ◽  
Pain Disability ◽  
Strengthening Exercises ◽  
History Of ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale ◽  
Stretching Exercises

Introduction. A huge literature is available regarding the efficacy of various physiotherapy techniques for neck pain (NP), however, comparative study is still in scarcity. Therefore, this study aimed to compare effectiveness of stretching exercises versus manual mobilization techniques in the management of NP. Material and method. A randomized controlled trial parallel-group design study was conducted on the patients suffering from NP. Participants with the history of NP, aged between 19 to 60 years, NP without radiculopathy, and no history of trauma were included in the study. Two outcome measures were used i.e., Numeric pain rating scale (NPRS) and neck pain disability index (NDI) questionnaire. Two groups were equally divided had twenty-five patients each. Group A received cervical stretching with strengthening exercises as home-treatment program and group B received manual mobilization with strengthening exercises as home-treatment program. Six sessions were given on alternate basis and assessed pre- and post-treatment information of all patients. Results and discussions. Independent sample t-test was run to compare the post difference between stretching exercises and manual mobilization at 95% confidence interval (p<0.05). The Post NPRS difference between the groups shows no significant improvement (p=0.32). Similarly no significant difference was found in post NDI Disability (p=0.57). Therefore, both the treatment strategies are equally effective in improving NP and disability. Conclusions. This clinical trial concluded that stretching or manual mobilization is equally effective to reduce pain and disability. Hence, improve the quality of life in neck pain survivors. Keywords: Manual Mobilization Technique, Neck Pain, , Neck Pain Disability Index Questionnaire, Numeric Pain Rating Scale, Range of Motion, Stretching Exercises,

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