Lancinating pain in post-laminectomy chronic sciatica

1985 ◽  
Vol 76 (3-4) ◽  
pp. 129-130
Author(s):  
J. K. Baruah
Keyword(s):  
Lancinating Pain ◽  
Chronic Sciatica

scholarly journals Gabapentin Superadded to a Pre-Existent Regime Containing Amytriptyline for Chronic Sciatica

Pain Medicine ◽  
2016 ◽  
Vol 17 (11) ◽  
pp. 2095-2099 ◽  
Author(s):  
Kelvin L. Robertson ◽  
Laurence A.G. Marshman
Keyword(s):  
Chronic Sciatica

scholarly journals Caso Clínico: Luxación Controlada de Cadera. Epifisiólisis de Cabeza Femoral

2018 ◽  
Vol 10 (2) ◽  
pp. 175-178
Author(s):  
Christian Romeo Bravo Aguilar ◽  
Franklin Xavier Bravo Aguilar ◽  
Adriana Abigail Guzmán Villa
Keyword(s):  
Femoral Head ◽  
High Body Mass Index ◽  
Long Term Results ◽  
Adequate Treatment ◽  
Surgical Dislocation ◽  
In Situ Fixation ◽  
Lancinating Pain ◽  
The Right ◽  
Dislocation Of The Hip

BACKGROUND: The epiphysiolysis of the femoral head is the displacement of the epiphysis with respect to the metaphysis, in anterosuperior direction; it is etiology is unknown, frequent in adolescents, peripubertal period, and with high body mass index, average age between 12 and 18 years. It is incidence is variable, 0.2 (Japan) to 10 (United States) per 100 000 inhabitants. It is characterized by progressive pain in the hip, with irradiation to the groin or knee, is associated with lameness; with the early detection, an adequate treatment can be established, the most accepted one is the in situ fixation with central screws. CASE REPORT: A 14-year-old female patient with no pathological history attended the Children's Orthopedic Service due to the chronic lancinating pain of the right hip, which increases with walking, it is diagnosed by clinical examination and complementary exams of femoral head epiphysiolysis. Surgical dislocation of the hip and anatomical open reduction with placement of spongy screws was performed. EVOLUTION: On the third day of surgery, hospital discharge is decided; walking with crutches and without support during a postoperative month. The osteosynthesis remained for a year with monthly controls and corresponding physiotherapy; it has been evidenced favorable evolution; hip mobility arches preserved, normal ambulation, without complications CONCLUSIONS: The initial treatment of a patient with epiphysiolysis of stable femoral head depends on the evolution time and is done by fixing with screws or needles with of anatomical dislocation of the hip and osteoplasty of femoral neck remodeling. Most patients do not develop necrosis or chondro- lysis and long-term results with in situ fixation are usually excellent, unlike patients with late diagnosis.

Acupuncture Treatment of Lumbar Disc Related Disorders

1998 ◽  
Vol 16 (1) ◽  
pp. 18-31 ◽  
Author(s):  
Wendy Longworth ◽  
Peter McCarthy
Keyword(s):  
Return To Work ◽  
Acute Pain ◽  
Trial Design ◽  
Acupuncture Treatment ◽  
Lumbar Disc ◽  
Previous Treatment ◽  
Epidural Injection ◽  
Small Scale ◽  
The Poor ◽  
Chronic Sciatica

There is evidence that acupuncture may be of benefit to chronic sciatica sufferers even when they have failed to respond to previous treatment by drugs, bedrest, epidural injection, physiotherapy, osteopathy, chiropractic and surgery. The benefits that have been reported in small scale studies include: reduction in medication, better return to work figures and a decrease in the need for more invasive forms of treatment including surgery The case for the efficacy of acupuncture in acute pain is weaker, but it may be that the poor methodology of the acute pain studies was to blame. Guidelines for more appropriate trial design are suggested.

scholarly journals Trial of Pregabalin for Acute and Chronic Sciatica

2017 ◽  
Vol 376 (12) ◽  
pp. 1111-1120 ◽  
Author(s):  
Stephanie Mathieson ◽  
Christopher G. Maher ◽  
Andrew J. McLachlan ◽  
Jane Latimer ◽  
Bart W. Koes ◽  
...  
Keyword(s):  
Chronic Sciatica

scholarly journals Efficacy of primary microvascular decompression versus subsequent microvascular decompression for trigeminal neuralgia

2017 ◽  
Vol 126 (5) ◽  
pp. 1691-1697 ◽  
Author(s):  
Debebe Theodros ◽  
C. Rory Goodwin ◽  
Matthew T. Bender ◽  
Xin Zhou ◽  
Tomas Garzon-Muvdi ◽  
...  
Keyword(s):  
Pain Relief ◽  
Trigeminal Neuralgia ◽  
Trigeminal Nerve ◽  
Microvascular Decompression ◽  
Pain Control ◽  
Surgical Intervention ◽  
Patient Records ◽  
Duration Of Symptoms ◽  
Facial Numbness ◽  
Lancinating Pain

OBJECTIVETrigeminal neuralgia (TN) is characterized by intermittent, paroxysmal, and lancinating pain along the distribution of the trigeminal nerve. Microvascular decompression (MVD) directly addresses compression of the trigeminal nerve. The purpose of this study was to determine whether patients undergoing MVD as their first surgical intervention experience greater pain control than patients who undergo subsequent MVD.METHODSA retrospective review of patient records from 1998 to 2015 identified a total of 942 patients with TN and 500 patients who underwent MVD. After excluding several cases, 306 patients underwent MVD as their first surgical intervention and 175 patients underwent subsequent MVD. Demographics and clinicopathological data and outcomes were obtained for analysis.RESULTSIn patients who underwent subsequent MVD, surgical intervention was performed at an older age (55.22 vs 49.98 years old, p < 0.0001) and the duration of symptoms was greater (7.22 vs 4.45 years, p < 0.0001) than for patients in whom MVD was their first surgical intervention. Patients who underwent initial MVD had improved pain relief and no improvement in pain rates compared with those who had subsequent MVD (95.8% and 4.2% vs 90.3% and 9.7%, respectively, p = 0.0041). Patients who underwent initial MVD had significantly lower rates of facial numbness in the pre- and postoperative periods compared with patients who underwent subsequent MVD (p < 0.0001). The number of complications in both groups was similar (p = 0.4572).CONCLUSIONSThe results demonstrate that patients who underwent other procedures prior to MVD had less pain relief and a higher incidence of facial numbness despite rates of complications similar to patients who underwent MVD as their first surgical intervention.

Trigeminal Neuralgia: Current Concepts in the Medical Management

2010 ◽  
Vol 1 (1) ◽  
pp. 43-46 ◽  
Author(s):  
E Ceena Denny ◽  
K Jeena Priya
Keyword(s):  
Trigeminal Neuralgia ◽  
Accurate Diagnosis ◽  
Therapeutic Interventions ◽  
Surgical Approaches ◽  
Light Touch ◽  
Standard Drug ◽  
Drug Of Choice ◽  
Phenytoin Sodium ◽  
Lancinating Pain ◽  
Control Pain

ABSTRACT Trigeminal neuralgia (TN), also known as tic douloureux, is characterized by recurrent attacks of lancinating pain in the trigeminal nerve distribution. Typically, brief attacks are triggered by talking, chewing, teeth brushing, shaving, a light touch, or even a cool breeze. The pain is nearly always unilateral, and it may occur repeatedly throughout the day. The condition is characterized by intermittent one-sided facial pain. Trigeminal neuralgia can be classified based on the symptoms as typical and atypical trigeminal and according to etiology as primary or idiopathic and secondary or symptomatic. An early and accurate diagnosis of TN is important, because therapeutic interventions can reduce or eliminate pain attacks in the large majority of TN patients. Although various drugs have been used in the management of TN such as baclofen, gabapentin, phenytoin sodium, carbamazepine remains the gold standard drug of choice. Surgical approaches to pain management are performed when medication cannot control pain or patients cannot tolerate the adverse effects of the medication.

Nummular headache: Six new cases and lancinating pain attacks as possible manifestation

Cephalalgia ◽  
2009 ◽  
Vol 30 (2) ◽  
pp. 249-253 ◽  
Author(s):  
R Ruscheweyh ◽  
A Buchheister ◽  
N Gregor ◽  
A Jung ◽  
S Evers
Keyword(s):  
Nummular Headache ◽  
Lancinating Pain

Outcome After Chronic Sciatica as the Only Reason for Lumbar Microdiscectomy

2002 ◽  
Vol 15 (5) ◽  
pp. 415-419 ◽  
Author(s):  
A. Schoeggl ◽  
H. Maier ◽  
W. Saringer ◽  
M. Reddy ◽  
C. Matula
Keyword(s):  
Lumbar Microdiscectomy ◽  
Chronic Sciatica

scholarly journals Recurrent or refractory trigeminal neuralgia after microvascular decompression, radiofrequency ablation, or radiosurgery

2005 ◽  
Vol 18 (5) ◽  
pp. 1-6 ◽  
Author(s):  
Rene O. Sanchez-Mejia ◽  
Mary Limbo ◽  
Jason S. Cheng ◽  
Joaquin Camara ◽  
Mariann M. Ward ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Pain Relief ◽  
Trigeminal Neuralgia ◽  
Microvascular Decompression ◽  
Initial Treatment ◽  
Number Of Patients ◽  
Good Pain Relief ◽  
Facial Numbness ◽  
Neurosurgical Treatment ◽  
Lancinating Pain

Object Trigeminal neuralgia (TN) is characterized by paroxysmal lancinating pain in the trigeminal nerve distribution. When TN is refractory to medical management, patients are referred for microvascular decompression (MVD), radiofrequency ablation, or radiosurgery. After the initial treatment, patients may have refractory or recurrent symptoms requiring retreatment. The purpose of this study was to determine what factors are associated with the need for retreatment and which modality is most effective. Methods To define this population further, the authors evaluated a cohort of patients who required retreatment for TN. The mean follow-up periods were 51 months from the first treatment and 23 months from the last one, and these were comparable among treatment groups. Conclusions Trigeminal neuralgia can recur after neurosurgical treatment. In this study the authors demonstrate that the number of patients requiring retreatment is not negligible. Lower retreatment rates were seen in patients who initially underwent radiosurgery, compared with those in whom MVD or radiofrequency ablation were performed. Radiosurgery was more likely to be the final treatment for recurrent TN regardless of the initial treatment. After retreatment, the majority of patients attained complete or very good pain relief. Pain relief after retreatment correlates with postoperative facial numbness.

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