scholarly journals Visual Analog Pain Scale

2020 ◽  
Author(s):  
Keyword(s):  
Pain Scale ◽  
Visual Analog Pain Scale

Personalized multitarget biologic injection in the spine: prospective case series of multitarget platelet-rich plasma for low back pain

2021 ◽  
Author(s):  
Edilson S Machado ◽  
Mary A Ambach ◽  
José MP Caldas ◽  
Jason J Wei ◽  
Markus Bredemeier
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Platelet Rich Plasma ◽  
Case Series ◽  
Pain Scale ◽  
Roland Morris Disability Questionnaire ◽  
Low Back ◽  
Visual Analog Pain Scale ◽  
Paravertebral Muscles ◽  
Disability Questionnaire

Aim: To evaluate the use of a multitarget platelet-rich plasma (PRP) injection approach for the treatment of chronic low back pain (LBP). Materials & Methods: Forty-six patients with more than 12 weeks of LBP who failed conservative treatments were injected with PRP into the facet joints, intervertebral discs, epidural space and/or paravertebral muscles. Visual analog pain scale and Roland-Morris Disability Questionnaire scores were measured at baseline and predefined intervals. Results: Mean visual analog pain scale was reduced from 8.48 to 5.17 and mean Roland-Morris Disability Questionnaire from 18.0 to 10.98 at 12 weeks (p < 0.001). These statistically significant improvements were sustained over 52 weeks. No adverse effects were observed. Conclusion: Our PRP approach demonstrated clinically favorable results and may be a promising treatment for chronic LBP.

Treatment of infrapatellar Tendinitis: A Combination of Modalities and Transverse Friction Massage versus Iontophoresis

1994 ◽  
Vol 3 (2) ◽  
pp. 135-145 ◽  
Author(s):  
Geraldine L. Pellecchia ◽  
Holly Hamel ◽  
Peter Behnke
Keyword(s):  
Treatment Protocol ◽  
Pain Scale ◽  
Alternate Treatment ◽  
Functional Index ◽  
Visual Analog Pain Scale ◽  
Patient Status

The purpose of this study was to compare an established protocol of modalities and transverse friction massage (MOD & TFM) with iontophoresis of dexamethasone and lidocaine (IONTO) in the treatment of patients with infrapatellar tendinitis. Thirty cases with infrapatellar tendinitis were randomly assigned to either the MOD & TFM or the IONTO intervention. Subjects still symptomatic after six sessions of intervention received the alternate treatment protocol. Four measures were used to assess patient status: a functional index questionnaire, a visual analog pain scale, a rating of tenderness with palpation of the involved tendon, and the number of step-ups needed to elicit pain. In response to the MOD & TFM intervention, only the number of step-ups performed to elicit pain showed significant improvement. All status measures improved significantly with the IONTO intervention. The results suggest that iontophoresis may be more effective and efficient in decreasing pain, reducing inflammation, and promoting healing in patients with infrapatellar tendinitis.

scholarly journals Bupivacaine-lidocaine versus Ropivacaine-lidocaine Retrobulbar Anesthesia in Vitreoretinal Surgery

2021 ◽  
Vol 62 (12) ◽  
pp. 1600-1606
Author(s):  
Yeong A Choi ◽  
Areum Jeong ◽  
Min Sagong
Keyword(s):  
Vitreoretinal Surgery ◽  
Pain Scale ◽  
Gaze Direction ◽  
Visual Analog Pain Scale ◽  
Sensory Blockade ◽  
Retrobulbar Anesthesia ◽  
Ocular Movement ◽  
The Mean ◽  
Group 2 ◽  
Group 1

Purpose: To compare efficacies of bupivacaine-lidocaine and ropivacaine-lidocaine mixtures in terms of inducing retrobulbar anesthesia during vitrectomy.Methods: Sixty patients who underwent retrobulbar anesthesia during vitrectomy were divided into two groups. Patients in group 1 received a mixture of bupivacaine and lidocaine (n = 30); patients in group 2 received a mixture of ropivacaine and lidocaine (n = 30). The effects of the two combinations were retrospectively compared and analyzed. The onset times of analgesia and akinesia were measured. Two hours after surgery, sensory blockade was assessed by touching the corneas with cotton swabs and by communicating with patients. Ocular movement was evaluated in four gaze direction quadrants. A 10-point visual analog pain scale was used to assess pain during and 2 hours after surgery. Intra- and postoperative complications were recorded.Results: The mean analgesia onset times in groups 1 and 2 were 94.62 ± 28.87 and 92.32 ± 35.53 seconds, respectively (p = 0.071); the mean akinesia onset times were 147.89 ± 59.35 and 132.57 ± 76.38 seconds (p = 0.223), respectively. Patients in group 2 reported significantly less postoperative pain and exhibited less postoperative ocular movement, compared with patients in group 1 (both p = 0.002). One patient in group 1 experienced respiratory depression after retrobulbar blockade.Conclusions: When retrobulbar anesthesia is required during vitrectomy, a ropivacaine-lidocaine mixture and a bupivacaine-lidocaine mixture induce anesthesia with similar rapidity. However, the ropivacaine-lidocaine mixture is safer and affords better-quality intra- and postoperative anesthesia.

Effectiveness of Low-Dye Taping for the Short-term Management of Plantar Fasciitis

2005 ◽  
Vol 95 (6) ◽  
pp. 525-530 ◽  
Author(s):  
Karl B. Landorf ◽  
Joel A. Radford ◽  
Anne-Maree Keenan ◽  
Anthony C. Redmond
Keyword(s):  
Therapeutic Effect ◽  
Plantar Fasciitis ◽  
Pain Scale ◽  
Term Treatment ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Visual Analog Pain Scale ◽  
Short Term ◽  
Short Term Treatment ◽  
Intention To Treat

Low-Dye taping is often used as a short-term treatment for plantar fasciitis. We evaluated the short-term effectiveness of low-Dye taping in relieving pain associated with plantar fasciitis. In this comparative study conducted at a university-based clinic, 65 participants with plantar fasciitis who received low-Dye taping for 3 to 5 days were compared with 40 participants who did not receive taping. Pain before and after treatment was measured using a visual analog pain scale. Analysis of the data was by the intention-to-treat principle, and a linear regression approach to analysis of covariance was used to compare effects. The visual analog pain scale score improved by a mean of 20 mm (from 44 to 24 mm) in the taping group and worsened by a mean of 6 mm (from 51 to 57 mm) in the control group. The analysis of covariance–adjusted difference in therapeutic effect favored the taping group by 31.7 mm (95% confidence interval, 23.6–39.9 mm) and was statistically significant (t = 7.71). In the short term, low-Dye taping significantly reduces the pain associated with plantar fasciitis. These findings are the first quantitative results to demonstrate the significant therapeutic effect of this treatment modality in relieving the symptoms associated with plantar fasciitis. (J Am Podiatr Med Assoc 95(6): 525–530, 2005)

scholarly journals Efficiency of gravitational therapy in complex rehabilitation of patients after arthroscopic knee operations

2021 ◽  
Vol 18 (3) ◽  
pp. 177-182
Author(s):  
Yevgeny S. Kulagin ◽  
Alexander V. Yashkov ◽  
Stanislav Yu. Borinsky ◽  
Elena V. Egorova ◽  
Marina V. Shelykhmanova
Keyword(s):  
Physical Activity ◽  
Knee Joint ◽  
Lower Extremities ◽  
Pain Scale ◽  
Medical Rehabilitation ◽  
Visual Analog Pain Scale ◽  
Arthroscopic Knee Surgery ◽  
Muscle Work ◽  
Complex Patients ◽  
Arthroscopic Knee

An analysis of the effectiveness of the complex of medical rehabilitation of patients with minimally invasive knee operations in the early and late postoperative periods, which provides for the use of gravity therapy with dosed muscle work of the lower extremities. To assess the effectiveness of the rehabilitation complex, patients of the studied groups were subjected to knee joint goniometry, rheovasography and electrothermometry of the lower extremities, as well as evaluation by the visual-analog pain scale and the total algofunctional Leken index. The result of the study shows that earlier inclusion of the gravitational factor in combination with dosed physical activity in the rehabilitation complex increases its effectiveness and can significantly reduce negative manifestations due to pathogenetic action in patients who have undergone arthroscopic knee surgery.

scholarly journals TERAPI AKUPRESUR SEBAGAI EVIDENCE BASED NURSING UNTUK MENGURANGI NYERI DADA PADA PASIEN SINDROM KORONER AKUT

2020 ◽  
Vol 2 (2) ◽  
pp. 69-73
Author(s):  
Irwan Kambu
Keyword(s):  
Chest Pain ◽  
Rating Scale ◽  
Sampling Technique ◽  
Complementary Therapy ◽  
Pain Scale ◽  
Evidence Based ◽  
Visual Analog Pain Scale ◽  
Purposive Sampling ◽  
Coronary Syndrome ◽  
Evidence Based Nursing

Abstrak Penyakit jantung koroner secara klinis ditandai dengan nyeri dada akibat sumbatan di arteri coroner. Akupresur merupakan bagian terapi komplementer yang mampu meningkatkan kadar endorfin untuk merangsang penurunan nyeri. Pelaksanaan evidence based nursing akupresur ini diberikan pada 8 pasien dengan teknik pemilihan purposive sampling. Instrument penerapan menggunakan skala penilaian nyeri visual analog scale. Penerapan akupresur diberikan selama 20 menit pada titik akupresur L14 dengan skala nyeri 0 sampai 5. Hasil dari 8 sampel yang diberikan akupresur semua pasien mengalami penurunan skala nyeri. Penekanan atau sentuhan pada titik akupresur dapat meningkatkan kadar endorfin dalam darah maupun sistemik. Endorfin merupakan opiat tubuh secara alami dihasilkan oleh kelenjar pituitary yang berguna untuk mengurangi nyeri, mempengaruhi memori dan mood yang kemudian akan memberikan perasaan relaks. Terapi akupresur terbukti mampu menurunkan nyeri sehingga bermanfaat untuk diterapkan pada pasien akut koroner sindrom dengan keluhan nyeri dada.   Abstract Coronary heart disease is clinically characterized by chest pain due to a blockage in the coronary arteries. Acupressure is part of complementary therapy that is able to increase endorphin levels to stimulate pain reduction. The implementation of evidence based nursing acupressure was given to 8 patients with a purposive sampling technique. The application instrument uses a visual analog pain scale rating scale. The application of acupressure was given for 20 minutes at the L14 acupressure point with a pain scale of 0 to 5. The results of the 8 samples given acupressure all patients experienced a decrease in pain scale. Emphasis or touch on the acupressure point can increase blood and systemic endorphin levels. Endorphins are the body's opiates naturally produced by the pituitary gland which are useful for reducing pain, affecting memory and mood which will then relax. Acupressure therapy has been proven to reduce pain so it is useful to apply to acute coronary syndrome patients with chest pain.  

scholarly journals Femoral Nerve Block Improves Analgesia Outcomes after Total Knee Arthroplasty

2010 ◽  
Vol 113 (5) ◽  
pp. 1144-1162 ◽  
Author(s):  
James E. Paul ◽  
Aman Arya ◽  
Lindsay Hurlburt ◽  
Ji Cheng ◽  
Lehana Thabane ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Nerve Block ◽  
Knee Arthroplasty ◽  
Femoral Nerve ◽  
Pain Scale ◽  
Controlled Trials ◽  
Visual Analog Pain Scale ◽  
Randomized Controlled ◽  
Pain Scores ◽  
Total Knee

Background Femoral nerve blockade (FNB) is a common method of analgesia for postoperative pain control after total knee arthroplasty. We conducted a systematic review to compare the analgesia outcomes in randomized controlled trials that compared FNB (with and without sciatic nerve block) with epidural and patient-controlled analgesia (PCA). Methods We identified 23 randomized controlled trials that compared FNB with PCA or epidural analgesia. These studies included 1,016 patients, 665 with FNB, 161 with epidural, and 190 with PCA alone. Results All 10 studies of single-shot FNB (SSFNB) used concurrent PCA opioids. SSFNB was found to reduce PCA morphine consumption at 24 h (-19.9 mg, 95% credible interval [CrI]: -35.2 to -4.6) and 48 h (-38.0 mg, 95% CrI: -56.0 to -19.7), pain scores with activity (but not at rest) at 24 and 48 h (-1.8 visual analog pain scale, 95% CrI: -3.3 to -0.02 at 24 h; -1.5 visual analog pain scale, 95% CrI: -2.9 to -0.02 at 48 h) and reduce the incidence of nausea (0.37 odds ratio, 95% CrI: 0.1 to 0.9) compared with PCA alone. SSFNB had similar morphine consumption and pain scores compared with SSFNB plus sciatic nerve block, and SSFNB plus continuous FNB. Conclusions SSFNB or continuous FNB (plus PCA) was found to be superior to PCA alone for postoperative analgesia for patients having total knee arthroplasty. The impact of adding a sciatic block or continuous FNB to a SSFNB needs to be studied further.

Safety and Efficacy of Ultrasound-Guided Cryoablation for Benign Breast Fibroepithelial Lesions

2019 ◽  
Vol 1 (4) ◽  
pp. 324-328 ◽  
Author(s):  
Michael J Plaza ◽  
Aswin V Kumar ◽  
Marcos A Sanchez-Gonzalez
Keyword(s):  
Clinical Success ◽  
Surgical Excision ◽  
Pain Scale ◽  
Technical Success ◽  
Ultrasound Guided ◽  
Visual Analog Pain Scale ◽  
Satisfaction Rating ◽  
Safety And Efficacy ◽  
Mass Volume

Abstract Objective The purpose of this study is to evaluate the safety and efficacy of cryoablation for benign breast fibroepithelial lesions (FELs) that otherwise warrant surgical excision, including symptomatic fibroadenomas, growing fibroadenomas, and cellular FELs. Methods All patients from 2016–2018 who had ultrasound-guided cryoablation of a symptomatic and/or growing fibroadenoma or cellular fibroepithelial lesion were reviewed. The electronic medical record was reviewed for any procedure-related complications and reduction in mass volume by ultrasound and was recorded to assess for efficacy. Patients were surveyed using a seven-point Likert scale to assess satisfaction with the procedure and a ten-point visual analog pain scale to assess level of discomfort. Results Twenty-four women (average age 37.1 years, range 19–57 years) with 26 FELs were treated with no adverse events and 100% technical success. Thirteen cellular FELs and 13 symptomatic and/or growing fibroadenomas were ablated. Twenty-two patients had an average imaging follow-up of 11.7 months (range 5–23 months), and 18 patients completed the follow-up survey. There was 92% (22/24) clinical success, defined as a greater-than-50% reduction in mass volume. Average reduction in mass volume was 86% overall. Eighty-five percent (17/20) would recommend the procedure to others and reported pain during the procedure to be minimal (average 2.4 out of 10) with overall satisfaction rating of 6.2 out of 7. Twelve symptomatic masses demonstrated a significant reduction in pain after cryoablation (P = 0.01). Conclusion Cryoablation is a safe and efficacious minimally invasive nonsurgical alternative for the treatment of benign breast FELs.

A Prospective, Randomized, Double-blinded Study with Crossover to Determine the Efficacy of Radio-frequency Nerve Ablation for the Treatment of Heel Pain

2013 ◽  
Vol 103 (1) ◽  
pp. 8-15 ◽  
Author(s):  
Adam S. Landsman ◽  
Dominic J. Catanese ◽  
Steven N. Wiener ◽  
Douglas H. Richie ◽  
Jason R. Hanft
Keyword(s):  
Radio Frequency ◽  
Randomized Study ◽  
Treated Group ◽  
Pain Scale ◽  
Heel Pain ◽  
Visual Analog Pain Scale ◽  
Sham Treatment ◽  
Blinded Study ◽  
Average Pain ◽  
Double Blinded

Background: Previous studies have demonstrated that radio-frequency nerve ablation (RFNA) can be an effective treatment for plantar fasciosis. This study provides additional evidence in support of this treatment, with statistically significant data that demonstrate the success of this technique. Methods: In this multicenter, randomized, prospective, double-blinded study with crossover, 17 patients were divided into two groups, with eight initially receiving RFNA treatment and nine initially receiving sham treatment. If no improvement was observed after 4 weeks, a crossover was offered. Results of the treatment were evaluated by the patient and by a blinded physician using a visual analog pain scale to rate first-step pain, average pain, and peak pain in the heel region. Results: We observed a statistically significant improvement in the symptoms of plantar fasciosis in patients actively treated with RFNA and no significant improvement in the sham-treated group. More important, those treated with sham subsequently demonstrated statistically significant improvement after subsequent RFNA treatment. Conclusions: Using a prospective, randomized study with sham treatment and crossover, this study demonstrates the efficacy of RFNA for the treatment of plantar fasciosis. (J Am Podiatr Med Assoc 103(1): 8–15, 2013)

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