Immunochemical and Electromyographic Indicators for Assessment of Pain Status in Reflex Syndrome

Author(s):  
A. I. Levashova ◽  
M. A. Myagkova ◽  
I. A. Moseikin
Keyword(s):  
2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 309-309
Author(s):  
Julie Kircher ◽  
Susan Charles ◽  
Nancy Sin ◽  
David Almeida

Abstract Chronic pain is a common condition in later life that is related to high levels of anxiety and depression. One reason why chronic pain is related to affective distress is that this condition may prevent people from deriving the same positive emotions from enjoyable activities. Few studies, however, have examined how exposure and reactivity to daily events differ by chronic pain status. We hypothesized that those with chronic pain will have less exposure and less positive affect reactivity to positive daily events compared to those without chronic pain. Participants from the diary substudy of MIDUS (N = 1,733; nChronicPain = 658, nNoPain = 1,075; M = 56 years-old) completed eight interview days. Chronic pain status was unrelated to the frequency of positive events. Multi-level models revealed that although people with chronic pain had lower levels of daily positive affect, they reacted more positively to daily events (γ = -.033, SE = .010, p < .0001). As a result, levels of daily positive affect on days when people experienced a positive event did not vary by pain status (MChronicPain = 2.73, MNoPain = 2.75). People with chronic pain averaged higher levels of daily negative affect compared to people without chronic pain (MChronicPain = .21, M NoPain =.20), but, on days when they experience a positive event, those with chronic pain had a greater decrease in their negative affect. Findings suggest that positive events impact those with chronic pain more than they do individuals without chronic pain.


2021 ◽  
Vol 15 (12) ◽  
pp. 3264-3267
Author(s):  
Safia Khatoon ◽  
Muhammad Ilyas Shaikh ◽  
Arslan Mahmood ◽  
Priya Rani Harjani ◽  
Sarang Suresh ◽  
...  

Background: Evaluate the efficacy of using combination drug treatment to relieve post extraction pain of impacted mandibular third molar by using Naproxen plus Gabapentin versus Naproxen alone. Aim: To evaluate the efficacy of using combination drug treatment to relieve post extraction pain of impacted mandibular third molar by using Naproxen plus Gabapentin versus Naproxen alone. Methods: Randomized control study, outcome was evaluated by measuring Pre – Operative and 24-Hour Post – Operative Pain status on Visual Analogue Scale and Wong Baker’s Face Pain Rating Scale. Results: Combination therapy (Naproxen and Gabapentin) was effective in significant pain reduction at 12 Hour and 24-Hour Post Extraction period. With 26 patients out 31 presented with Pain Scale of 0 on combination therapy while only 3 out of 31 for naproxen alone after 24 hours. Conclusion: Enhanced effect of combination therapy of naproxen with gabapentin in reducing post extraction pain of impacted mandibular third molar with respect to naproxen alone. Keywords: Naproxen, Gabapentin, Combination Therapy, Post Extraction Pain, Post Extraction Analgesia, Efficacy.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Masoud Hatefi ◽  
Lida Nouri

Background: Elderly is one of the most important and critical periods of life, and paying attention to the issues and problems of this period is very important. Objectives: The present study was performed to investigate the relationship between pain and disability in the elderly with dementia in 2021. Methods: In the present cross-sectional descriptive study, 120 elderly people with dementia were included. The instruments used in the four sections were the demographic profile form, the P-APS pain observation tool, and Stanford Disability Questionnaire questions. the researcher identified the elderly with dementia by available sampling method and if the elderly with dementia were eligible and written informed consent was obtained from the elderly and their primary caregivers, the questionnaires were completed. Conditions of pain and disability were described by descriptive tests, and then the relationship between pain and the degree of disability in patients was analyzed by statistical analysis using SPSS16 software. Results: The results showed mean (SD) pain score was 14.45 (4.23), disability score was 12.75 (3.09), and fall score was 37 (30.8%). According to pain score status classification, 4 (3.3%) of the elderly had no pain, 8 (6.7%) had mild pain, 27 (22.5%) had moderate pain, and 81 (67.5%) had severe pain. There is a significant relationship between pain status and disability in the elderly with dementia. By increase in pain, the patients had more disability (P = 0.000, F = 79.971). Conclusions: As the pain increased, the disability of the elderly with dementia decreased. For this reason, preventive interventions are explained in this field.


2015 ◽  
Vol 28 (4) ◽  
pp. 731-737 ◽  
Author(s):  
Venus K. Pagare ◽  
Teena Dhanraj ◽  
Dhaval Thakkar ◽  
Aarti Sareen ◽  
Tushar J. Palekar

2009 ◽  
Vol 24 (3) ◽  
pp. 119-123
Author(s):  
Alen Miletic ◽  
Radmila Kostic ◽  
Ana Bozanic ◽  
Durdica Miletic

Various dance techniques and performances have different effects on the biomechanics of the body and may lead to different injury profiles. Few studies have analyzed the risk of injury associated with particular types of dance, especially in adolescents when accelerated growth compounds the risk of injury. Ninety-six female dancers with international competitive dance experience from four Balkan European countries were selected from a population of 347 adolescent dancers for this study. Their average age was 13.8 yrs (range, 12 to 16). The subjects were divided into four groups according to their dance styles: cheerleading, dance show, disco dance, and standard and Latin dance. The first aim of the study was to identify differences between the various dance style groups in body mass index (BMI) and dance sport involvement. According to Wilks' test (oneway MANOVA), there was a significant multivariate effect (F = 13.8; p < 0.001) between the four dance groups. The dancers belonging to the disco group started systematic training earlier than the other dancers, the standard and Latin dancers practiced the most intensively, and the show dancers had considerably lower BMI than the disco dancers. The second aim of the study was to define the pain status in 14 body regions for dancers in the various dance styles by monitoring their pain status with the SEFIP questionnaire. The most common locations for pain were the calves (43.7%), knees (32.7%), and ankles (27.2%). According to the χ2 test, cheerleading dancers reported a significantly higher frequency of knee injuries, and standard and Latin dancers reported a significantly higher frequency of toe injuries. The specific way in which some dance disciplines are practiced and their dance techniques do induce characteristic injuries.


Author(s):  
Tsukasa Kato

Background: Psychological inflexibility based on an acceptance and commitment therapy model is theoretically well-established as a process to exacerbate psychological distress, such as depressive symptoms and sleep disturbance. This study aimed to examine the associations of psychological inflexibility with depressive symptoms and sleep distribution. We hypothesized that psychological inflexibility would be associated with higher levels of depressive symptoms and sleep disturbance in women with chronic pain. Methods: Female college students in Japan answered a questionnaire on pain status, treatment, and psychological inflexibility as measured by the Acceptance and Action Questionnaire-Ⅱ before answering questionnaires on depressive symptoms and sleep disturbance eight months after. Results: Women with chronic pain (n = 320) reported more severe depressive symptoms and sleep disturbances compared to women without chronic pain (n = 90). Hierarchical multiple regressions revealed that psychological inflexibility predicted higher levels of depressive symptoms and sleep disturbance, independent of the pain intensity, whether they consulted a doctor or used pain medication. Conclusion: Based on our findings self-management interventions aimed at reducing psychological inflexibility should be developed for individuals who are experiencing chronic pain.


2020 ◽  
Vol 133 (2) ◽  
pp. 411-416 ◽  
Author(s):  
Marion A. Hughes ◽  
Ronak H. Jani ◽  
Saeed Fakhran ◽  
Yue-Fang Chang ◽  
Barton F. Branstetter ◽  
...  

OBJECTIVEThe aim of this study was to identify preoperative imaging predictors of surgical success in patients with classic trigeminal neuralgia (cTN) undergoing microvascular decompression (MVD) via retrospective multivariate regression analysis.METHODSAll included patients met criteria for cTN and underwent preoperative MRI prior to MVD. MR images were blindly graded regarding the presence and severity (i.e., mild or severe) of neurovascular compression (NVC). All patients were contacted by telephone to determine their postoperative pain status.RESULTSA total of 79 patients were included in this study. Sixty-two patients (78.5%) were pain-free without medication following MVD. The following findings were more commonly observed with the symptomatic nerve when compared to the contralateral asymptomatic nerve: NVC (any form), arterial compression alone, NVC along the proximal trigeminal nerve, and severe NVC (p values < 0.0001). The only imaging variable that was a statistically significant predictor of being pain-free without medication following MVD was severe NVC. Patients with severe NVC were 6.36 times more likely to be pain-free following MVD compared to those without severe NVC (p = 0.007).CONCLUSIONSIn patients with cTN undergoing MVD, severe NVC on preoperative MRI is a strong predictor of an excellent surgical outcome.


2018 ◽  
pp. bcr-2018-224702
Author(s):  
Vinicius Tieppo Francio ◽  
Brandon Barndt ◽  
Chris Towery ◽  
Travis Allen ◽  
Saeid Davani

A 34-year-old man with a history of gunshot wound (GSW) to the right upper chest developed secondary aortic valve endocarditis (AVE) and was treated with an artificial valve placement (AVP). Three months after, he presented to an outpatient pain management clinic right arm pain and was diagnosed with complex regional pain syndrome type II (CRPS II). The patient underwent a diagnostic sympathetic ganglion block, before undergoing endoscopic thoracic sympathectomy surgery. Successful outcomes revealed decreased pain, opioid utilisation and improved tolerance to therapy and activities of daily living. To our knowledge, this is the first case reporting CRPS II arising from a GSW complicated by AVE followed by AVP, which emphasises how unforeseen syndromes can arise from the management of seemingly unrelated pathology. This case demonstrates the importance of timely and proper diagnosis of uncharacterised residual pain status post-trauma and differential diagnosis and management of chronic pain syndromes.


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