scholarly journals Effectiveness of prolotherapy vs local anesthetic infiltration guided by ultrasound in the treatment of shoulder pain syndrome

2020 ◽  
Author(s):  
Juan A. Lira-Lucio ◽  
Guillermo Ochoa-Gaítan ◽  
Lizeth Hernández-Escobar ◽  
Christian I. Padilla-Rivera ◽  
Berenice C. Hernández Porras ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Local Anesthetic ◽  
Corticosteroid Injection ◽  
Local Treatment ◽  
Pain Syndrome ◽  
Interventional Therapy ◽  
Initial Therapy ◽  
Oncologic Patients ◽  
Local Anesthetic Injection ◽  
Chronic Shoulder Pain

BACKGROUNDChronic Shoulder Pain (CSP) is a health problem that affects almost 67% of the general population. Almost a third of patients with acute shoulder pain syndrome don’t respond to initial therapy with analgesics and need interventional therapy. Corticosteroid injection is the standard therapy. Prolotherapy has been demonstrated to be effective in other chronic pain syndromes, but not in CSP. The aim of this study was to determine the effectiveness of prolotherapy compared to local anesthetic injection in the treatment of chronic shoulder painMETHODSRetrospective and comparative study of 77 patients from the National Institute of Oncology in Mexico City who received treatment for Chronic Shoulder Pain guided by ultrasound between 2017-2019. 57 patients were kept in the study for further analysis. 39 received infiltration with corticosteroids and 17 prolotherapy. Effectiveness of therapies was determined based on the decrease in VAS score in next follow-up session. Statistical analysis were performed with SPSS and RStudio Software.RESULTS51% of patients with Chronic Shoulder Pain were unemployed. 84% of the patients needed 3 different types of analgesics before they received ultrasound guided local treatment. Prolotherapy was as efficient as local anesthetic injection, no matter basal pain severity or underlying shoulder diagnosis, despite prolotherapy being more used as treatment for Rotator Cuff Tendinopathy.CONCLUSIONSProlotherapy and corticosteroid injection guided by ultrasound have the same efficacy in pain relief for chronic shoulder pain in oncologic patients.

The effects of corticosteroid injection versus local anesthetic injection in the treatment of lateral epicondylitis: a randomized single-blinded clinical trial

2013 ◽  
Vol 133 (6) ◽  
pp. 757-763 ◽  
Author(s):  
Mohsen Mardani-Kivi ◽  
Mahmoud Karimi-Mobarakeh ◽  
Ali Karimi ◽  
Niloofar Akhoondzadeh ◽  
Khashayar Saheb-Ekhtiari ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Local Anesthetic ◽  
Corticosteroid Injection ◽  
Lateral Epicondylitis ◽  
Local Anesthetic Injection

scholarly journals Applications of hydrogel composite multifunctional depots systems in rendering palliative care in otorhinolaryngology

2019 ◽  
Vol 12 (4) ◽  
pp. 235-239
Author(s):  
Natalia Alexeevna Charkova
Keyword(s):  
Local Anesthetic ◽  
Malignant Tumors ◽  
Local Treatment ◽  
Standard Technique ◽  
Pain Syndrome ◽  
High Viscosity ◽  
Control Group ◽  
Oncological Patient ◽  
Surgical Access ◽  
Long Time

Relevance. Throat cancer is the most widespread malignant tumor of a throat and makes about 3% of all malignant tumors of the person. Bleedings at throat cancer is the most difficult and dangerous complication posing direct threat to life of the oncological patient. An intervention is usually characterized by the expressed painful syndrome in a zone of surgical access for patients with surgical pathology of ENT organs. For that reason, using of gel polymeric dressing means is the most modern and effective. Analgesic action is noted in the area of a postoperative wound within the first 60 - 90 minutes after imposing of such bandage. Aim of research is to determine efficiency of multifunctional depot-system of the prolonged action on a gel basis of Kolegel-ADL of various degree of viscosity at a tamponade of a throat and trachea for elimination of a local hemorrhage. Materials and methods. Koletes-ADL dressing was used at treatment of 39 patients with malignant tumors of a throat. Patients arrived in the emergency order with bleedings from a throat, were on hospitalization in acute hospital No. 1, Voronezh. A morphological variety of malignant tumors of this localization took place. The control group has included 19 people with similar destructive and tumorous processes complicated by bleeding treatment of which was carried out by the standard technique. Results. As criteria of a convalescence considered the speed of reduction of the reactive phenomena in a wound and maturing of young granulations. Such characteristics like high viscosity of hydrogel dressing means, elastic consistency, entered into its structure antiseptics and local anesthetic allow to use it as tampon for a long period. One of essential advantages of use of Kolegel-ADL is creation a barrier impeding penetration of an infection into a skull cavity. The local anesthetic of Lidokin entered into structure of dressing means allows us stop a pain syndrome for a long time that reduces the need for parenteral introduction of anesthetics. Gauze-based dressings were used in the control group. There was injury to the wound surface when changing bandages, and the remains of gauze fibers in the wound led to inflammation. Conclusion. Multifunctional depot-system on a gel basis can be recommended as local antiedematous, haemostatic, antiseptic and anesthetic for local treatment of wound process in otorhinolaryngology, for therapy and prevention of purulent complications of wound surfaces of patients with oncological pathology of the throat complicated by bleeding.

scholarly journals Shoulder pain across more movements is not related to more rotator cuff tendon findings in people with chronic shoulder pain diagnosed with subacromial pain syndrome

PAIN Reports ◽  
2021 ◽  
Vol 6 (4) ◽  
pp. e980
Author(s):  
Rafael Krasic Alaiti ◽  
J.P. Caneiro ◽  
Juliana T. Gasparin ◽  
Thais Cristina Chaves ◽  
Eduardo A. Malavolta ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shoulder Pain ◽  
Pain Syndrome ◽  
Rotator Cuff Tendon ◽  
Subacromial Pain Syndrome ◽  
Chronic Shoulder Pain

The Short-term Effect of Graded Motor Imagery on the Affective Components of Pain in Subjects with Chronic Shoulder Pain Syndrome: Open-Label Single-Arm Prospective Study

Pain Medicine ◽  
2020 ◽  
Vol 21 (10) ◽  
pp. 2496-2501
Author(s):  
Felipe Araya-Quintanilla ◽  
Héctor Gutiérrez-Espinoza ◽  
María Jesús Muñoz-Yanez ◽  
David Rubio-Oyarzún ◽  
Iván Cavero-Redondo ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Pain Syndrome ◽  
Short Term ◽  
Open Label ◽  
Cohen’S D ◽  
Shoulder Flexion ◽  
Affective Components ◽  
Cohen's D ◽  
Graded Motor Imagery ◽  
Chronic Shoulder Pain

Abstract Objective To determine the short-term effect of graded motor imagery (GMI) on the affective components of pain and range of motion in subjects with chronic shoulder pain syndrome. Design Open-label single-arm prospective study. Setting The Physical Therapy Laboratory, Universidad de las Americas. Subjects One hundred seven patients with chronic shoulder pain syndrome. Methods The subjects received a six-week GMI program based on laterality training, imagined movements, and mirror therapy. We assessed pain intensity using a visual analog scale (VAS), fear of movement was assessed using the Tampa Scale of Kinesiophobia (TSK), and catastrophizing was assessed using the Pain Catastrophizing Scale (PCS). The patient’s flexion active range of motion (AROM) was also recorded. Results At the end of treatment, the VAS showed a decrease of 4.2 cm (P < 0.001, Cohen’s d = 3.3), TSK showed a decrease of 17.0 points (P < 0.001, Cohen’s d = 2.8), catastrophizing showed a decrease of 19.2 points (P < 0.001, Cohen’s d = 3.2), and shoulder flexion AROM showed an increment of 30.3º (P < 0.000, Cohen’s d = 1.6). Conclusions We conclude that a short-term GMI program improves the affective components of pain and shoulder flexion AROM in patients with chronic shoulder pain syndrome.

scholarly journals Which Treatment is More Effective in Myofascial Pain Syndrome? Local Anesthetic Injection or Kinesio Taping?

2020 ◽  
Vol 23 (3) ◽  
pp. 209-216
Author(s):  
Fulya Sultan KEKİK DİLEN ◽  
Özlem BÖLGEN ÇİMEN ◽  
Orhan GÜVENER ◽  
Didem DERİCİ YILDIRIM
Keyword(s):  
Local Anesthetic ◽  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Kinesio Taping ◽  
Local Anesthetic Injection

scholarly journals Poststroke Pain

2021 ◽  
Vol 41 (01) ◽  
pp. 067-074
Author(s):  
Seoyon Yang ◽  
Min Cheol Chang
Keyword(s):  
Quality Of Life ◽  
Complex Regional Pain Syndrome ◽  
Shoulder Pain ◽  
Conventional Treatment ◽  
Pain Syndrome ◽  
Psychological State

AbstractPain is common but often underrecognized after stroke. Poststroke pain (PSP) hinders recovery, impairs quality of life, and is associated with the psychological state of patients with stroke. The most common subtypes of PSP include central PSP, complex regional pain syndrome, shoulder pain, spasticity-related pain, and headache. The pathophysiologies of these PSP subtypes are not yet clearly understood, and PSP is refractory to conventional treatment in many patients. However, recent studies have proposed potential pathophysiologies of PSP subtypes, which may help prioritize therapies that target specific mechanisms.

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