Visual Analog Scale Scores for Labor Pain

Category: Midfoot/Forefoot Introduction/Purpose: To compare the outcomes of fixation methods for osteosynthesis of a type II symptomatic accessory navicular between screw and tension band wiring. Methods: Forty-four patients (mean age, 29.2 years; range, 13–54 years; 21 males and 23 females) who had undergone operative treatment after failed conservative treatment were chosen for the study between 2007 and 2014. The patients were divided into two groups by the method of osteosynthesis: group 1 (screw) and group 2 (tension band wiring). Pre and postoperative evaluations were performed, using the midfoot scale from the American Orthopaedic Foot & Ankle Society (AOFAS), a visual analog scale, time to return to social activities, and plain radiography. Results: The AOFAS midfoot and visual analog scale scores of both groups were improved at the last postoperative follow-up. The time to return to social activities was 12.3 weeks in the screw group and 11.9 weeks in the tension band wiring group (p = 0.394). A broken screw was observed in one case in the screw group and a broken k-wire was detected in two cases in the tension band wiring group. Nonunion was observed in two cases in each group. Conclusion: The tension band wiring technique could be another treatment choice of osteosynthesis for fixation of the accessory navicular bone.

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Reducing the Pain of Local 1% Lidocaine Infiltration with a Preceding Bacteriostatic Saline Injection

Journal of the American Podiatric Medical Association ◽

10.7547/1010223 ◽

2011 ◽

Vol 101 (3) ◽

pp. 223-230 ◽

Cited By ~ 1

Author(s):

Stephen L. Barrett ◽

Jim Maxka ◽

Jamie N. Mieras ◽

Kimbal E. Cooper

Keyword(s):

Benzyl Alcohol ◽

Visual Analog Scale ◽

Saline Solution ◽

Prospective Trial ◽

Injection Technique ◽

Medical Procedure ◽

Analog Scale ◽

Double Blind ◽

Scale Scores ◽

Lidocaine Injection

Background: Lidocaine injection for local anesthesia is a common podiatric medical procedure. We tested the hypothesis that injection of bacteriostatic saline solution containing 0.9% benzyl alcohol before the lidocaine infiltration can reduce the burning caused by lidocaine injection. Methods: This double-blind prospective trial involved 45 participants who each received four injections in two areas of the dorsum of the foot and rated the perceived pain on a visual analog scale. The order of the injections was designed to disguise the control and intervention arms of the study. Results: The sensation of the lidocaine injection after the injection of saline was reduced significantly (P = .028). The percentage of lidocaine injections with visual analog scale scores of 0 increased by 36% after preinjection with bacteriostatic saline solution containing 0.9% benzyl alcohol. Conclusions: The fact that 40% of the intervention visual analog scale pain scores for lidocaine injections were 0 suggests that a near painless lidocaine injection technique is an achievable goal and that the present technique is a simple and inexpensive method of reducing the pain of lidocaine injections. (J Am Podiatr Med Assoc 101(3): 223–230, 2011)

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Utilities Derived from Visual Analog Scale Scores in Patients with HIV/AIDS

Medical Decision Making ◽

10.1177/0272989x03256884 ◽

2003 ◽

Vol 23 (5) ◽

pp. 414-421 ◽

Cited By ~ 22

Author(s):

Joseph M. Mrus ◽

Michael S. Yi ◽

Kenneth A. Freedberg ◽

Albert W. Wu ◽

Robert Zackin ◽

...

Keyword(s):

Visual Analog Scale ◽

Analog Scale ◽

Scale Scores ◽

Hiv Aids

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Flexor Tendon Sheath as a Source of Pain in Lesser Metatarsal Overload

Journal of the American Podiatric Medical Association ◽

10.7547/0980129 ◽

2009 ◽

Vol 99 (2) ◽

pp. 129-134 ◽

Cited By ~ 1

Author(s):

Hugo R. Perez ◽

Joshua Roberts

Keyword(s):

Scale Score ◽

Visual Analog Scale ◽

Flexor Tendon ◽

Metatarsophalangeal Joint ◽

Visual Analog Scale Score ◽

Tendon Sheath ◽

Pain Scale ◽

Analog Scale ◽

Scale Scores ◽

Flexor Tendon Sheath

Background: Lesser metatarsal overload may lead to pathologic conditions ranging from plantar metatarsophalangeal joint pain to dislocation. The flexor tendon sheath lies directly plantar to the joint. The increased pressure associated with lesser metatarsal overload may lead to synovitis and pain of the flexor tendon sheath. Methods: Fifteen consecutive patients with lesser metatarsal overload had visual analog scale scores determined at three metatarsophalangeal joint areas to determine the source of pain. The patients underwent seven maneuvers to determine the pain scale score: single-leg heel raise and palpation of the second and third metatarsophalangeal joints on the plantar proximal, plantar distal, and dorsal aspects. The patients were then injected with 0.5 mL of lidocaine, 2%, into the second and third flexor tendon sheaths, and the maneuvers were repeated. Results: Before the injection, the second metatarsophalangeal joint had a significantly greater visual analog scale score plantar than dorsal (6.9 and 2.6, P ≤ .01). The flexor tendon sheath injection significantly improved all seven pain scale scores. Conclusions: Patients with lesser metatarsal overload experienced significantly greater visual analog scale pain scores on the plantar than the dorsal aspect of the second metatarsophalangeal joint. The scores significantly improved after diagnostic injection in the flexor tendon sheaths. The flexor tendon sheaths are probably involved in patients with primarily plantar pain. (J Am Podiatr Med Assoc 99(2): 129–134, 2009)

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Systemic lupus erythematosus in three ethnic groups. XI. Sources of discrepancy in perception of disease activity: A comparison of physician and patient visual analog scale scores

Arthritis & Rheumatism ◽

10.1002/art.10512 ◽

2002 ◽

Vol 47 (4) ◽

pp. 408-413 ◽

Cited By ~ 56

Author(s):

Graciela S. Alarcón ◽

Gerald McGwin ◽

Kemi Brooks ◽

Jeffrey M. Roseman ◽

Barri J. Fessler ◽

...

Keyword(s):

Systemic Lupus Erythematosus ◽

Disease Activity ◽

Ethnic Groups ◽

Visual Analog Scale ◽

Lupus Erythematosus ◽

Systemic Lupus ◽

Analog Scale ◽

Scale Scores ◽

Perception Of Disease

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Topical capsaicin versus topical ibuprofen in acute musculoskeletal injuries: A randomized, double-blind trial

Hong Kong Journal of Emergency Medicine ◽

10.1177/1024907920975368 ◽

2020 ◽

pp. 102490792097536

Author(s):

Sultan Tuna Akgol Gur ◽

Sinem Dogruyol ◽

Abdullah Osman Kocak ◽

Tugba Sanalp Menekse ◽

Ilker Akbas ◽

...

Keyword(s):

Emergency Department ◽

Side Effects ◽

Confidence Interval ◽

Visual Analog Scale ◽

Musculoskeletal Injuries ◽

Analog Scale ◽

Scale Scores ◽

Systemic Side Effects ◽

Anti Inflammatory ◽

Topical Capsaicin

Background: Acute musculoskeletal pain is one of the common causes of emergency admissions. Topical analgesics are an easily tolerated option in the treatment of these pains. Objective: This study aimed to compare the efficacy of topical capsaicin and topical non-steroidal anti-inflammatory drugs in acute musculoskeletal injuries. Methods: In this prospective, randomized, controlled, double-blinded study, patients were allocated to two groups—the topical non-steroidal anti-inflammatory drug (n = 60) and topical capsaicin (n = 59). For both groups, the first dose treatment was applied as a thin layer in the emergency department to a maximum area of 5 × 5 cm. The remaining doses were administered at home by the patients for 72 h. The initial visual analog scale scores were compared with the 60th and 120th minute as well as the 24th and 72nd hour values. Differences between the visual analog scale scores, clinical response to the treatment, and side effects were evaluated. Results: The proportional reduction in visual analog scale scores for topical capsaicin was significantly higher, especially at 36 and 72 h. These rates were 0.75 (95% confidence interval: 0.77–1.42; p = 0.029) and 9.08 (95% confidence interval: 1.02–17.14; p = 0.028) at 36 h, respectively. At 72 h, they were 1.27 (95% confidence interval: 0.48–2.05; p = 0.002) and 17.07 (95% confidence interval: 8.39–25.76; p < 0.001), respectively. In the topical capsaicin group, the clinical response to treatment was significantly higher (p = 0.001). Treatment-related systemic side effects were experienced only in the topical non-steroidal anti-inflammatory drug group (1.7%). Conclusion: Topical capsaicin can be used safely in patients presenting to the emergency department with acute pain with its high analgesic efficacy and absence of systemic side effects.

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