scholarly journals Transdermal electroneurostimulation in patients with diabetic neuropathy

2021 ◽  
Vol 20 (2) ◽  
pp. 119-124
Author(s):  
Mustafa Kh. Al-Zamil ◽  
Natalia G. Kulikova
Keyword(s):  
Neuropathic Pain ◽  
Drug Therapy ◽  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Pain Syndrome ◽  
Diabetic Polyneuropathy ◽  
Control Group ◽  
Diabetic Neuropathic Pain ◽  
Neuropathic Pain Syndrome

BACKGROUND: The dynamics of pain syndrome determined using various algic tests in the treatment of patients with diabetic neuropathic pain syndrome using tansdermal electroneurostimulation has been little studied. AIMS: To study the dynamics of projection zones of neuropathic pain syndrome in patients with diabetic polyneuropathy while using TENS. MATERIAL AND METHODS: 75 patients with diabetic polyneuropathy were examined. The control group (n=25; 33.3%) received a course of standard pharmacotherapy. The main group consisted of 2 groups. The first group (n=25; 33.3%) underwent a course of high-frequency low-amplitude (HL TENS) transdermal electroneurostimulation, and the second group (n=25; 33.3%) underwent a course of low-frequency high-amplitude (LH TENS) therapy. Pain syndrome was determined using a visual analogue scale (VAS) and a body diagram before, after treatment and in the long-term period. RESULTS: Using a visual analogue scale (VAS), the dynamics of pain syndrome after the use of LF TENS was lower than after the use of HFTENS by an average of 35% (p 0.05). The data obtained indicate that the regression of pain syndrome after physiotherapeutic treatment of TENS in patients from the main comparison groups exceeds similar indicators in patients from the control group by an average of 63% (p 0.05) both immediately after the course of exposure and in the distant the observation period by 23%. Against the background of TENS, the area of pain syndrome according to the body pattern significantly decreased by 53% after treatment (p 0.05) and by 65.6% in the long-term period (p 0.05), compared with a decrease in the area of pain syndrome in the control group. CONCLUSION: There were revealed significant differences between the quantitative and projection forms of pain measurement. The use of TENS enhances the analgesic effect of drug therapy in the treatment of diabetic neuropathic pain syndrome by 1.37 times while maintaining this effect without negative dynamics for 2 months after the end of the course of non-drug therapy. The developed technique for assessing pain syndrome using a body diagram in combination with a visual analogue scale (VAS) in patients with diabetic polyneuropathy provides a more reliable assessment of pain syndrome.

scholarly journals Results of the Preformed Physical Factors Application in the Rehabilitation Treatment of Corneal Ulcerative Defects

2021 ◽  
Vol 20 (4) ◽  
pp. 126-132
Author(s):  
Olga V. Yurova ◽  
Yaroslav A. Soloviev ◽  
Tatiana V. Konchugova
Keyword(s):  
Visual Acuity ◽  
Drug Therapy ◽  
Low Frequency ◽  
Pain Syndrome ◽  
Control Group ◽  
Physical Factors ◽  
Standard Drug ◽  
Corneal Ulcers ◽  
Combined Use

Currently, an infectious corneal ulcer, a defect in the corneal epithelium, remains one of the main causes of monocular blindness,which necessitates the development of new effective methods of treatment. Aim. To develop and evaluate the effectiveness of the technique for the complex application of preformed physical factors of local andsegmental action in patients with corneal ulcers. Material and methods. The study involved 85 patients with corneal ulcers aged 18 to 60 years divided into three groups. Patients ofthe control group (29 people) received the standard drug therapy, the comparison group (29 people) underwent a course of magnetophoresiswith solcoseryl on closed eyelids against the background of standard drug therapy, patients of the main group (27 people)received standard drug therapy, magnetophoresis and low-frequency electrostatic fields on the collar area. All patients were evaluatedfor visual acuity, the size of the ulcer and the area of stromal infiltration. The subjective severity of pain syndrome (VAS scale),psychoemotional state (SAN test) were assessed. Statistical analysis of the data was performed using SPSS Statistics v.25. Results. Immediately after treatment, the use of preformed physical factors made it possible to shorten the period of the ulcer epithelializationand suppression of the inflammatory reaction in the cornea, which significantly improved the clinical and functionalparameters of the eye, as well as considerably reduced the severity of pain syndrome in comparison with standard drug treatment. Conclusion. In the long-term period, the use of preformed physical factors contributed to a significant decrease in the size of thecorneal infiltration area (residual opacities) and an improvement in the quality of life of patients according to the General MentalWellbeing scale, which exceeded the effectiveness of standard drug therapy, while the combined use of a low-frequency electrostaticfield and magnetophoresis allowed to noticeably improve the indicators of visual acuity in comparison with standard drug therapyand isolated use of magnetophoresis.

scholarly journals Long-term Prednisolone in Post-stroke Complex Regional Pain Syndrome

2016 ◽  
Vol 8;19 (8;11) ◽  
pp. 565-574
Author(s):  
Jayantee Kalita
Keyword(s):  
Visual Analogue Scale ◽  
Complex Regional Pain Syndrome ◽  
Analogue Scale ◽  
Low Dose ◽  
Pain Syndrome ◽  
High Dose ◽  
Post Stroke ◽  
Group I ◽  
Group Ii

Background: There is no study on the long-term use of prednisolone in post-stroke complex regional pain syndrome-1 (CRPS1). Objective: To evaluate the efficacy and safety of long-term low dose prednisolone in post-stroke CRPS-I. Study Design: Open-labeled randomized controlled trial. Setting: Tertiary care teaching institute. Methods: Seventy-seven out of 396 (19.4%) patients with stroke had CRPS-1 and 58 met the inclusion criteria. Their clinical details and CRPS, Visual Analogue Scale (VAS), modified Rankin Scale (mRS), and Barthel Index (BI) scores were noted. The patients were prescribed 40 mg prednisolone for 2 weeks followed by tapering in the next 2 weeks. Patients who responded were randomly assigned prednisolone 10 mg daily (group I) or no prednisolone (group II). They were followed up for the first and second month of randomization and their CRPS, VAS, mRS, and BI scores were noted. The primary outcome was improvement in CRPS score and secondary outcomes were VAS, mRS, BI scores, and severe adverse events (SAE). Results: Fifty-six of fifty-eight (96.5%) patients responded to the initial high dose prednisolone and 26 each were assigned group I and group II treatment. Group I patients had further improvement in CRPS score. Fifty percent of patients in group II had deterioration at one month and needed reinstitution of prednisolone; following which 77% of them improved in the next month. The improvement in CRPS score paralleled the VAS score but not mRS and BI scores in the first and second months in group I compared to group II. There was no SAE necessitating withdrawal of prednisolone. Limitation: The design of the study is not double blind. Conclusion: In post-stroke CRPS-I, continuation of low dose prednisolone for 2 months is safe and effective. Key words: Shoulder hand syndrome, CRPS, corticosteroid, prednisolone, stroke, Visual Analogue Scale

scholarly journals PENERAPAN TERAPI MUSIK TERHADAP NYERI NEUROPATI PADA PENYANDANG DIABETES MELLITUS

2019 ◽  
Vol 3 (1) ◽  
pp. 21
Author(s):  
Jeanny Rantung
Keyword(s):  
Diabetes Mellitus ◽  
Neuropathic Pain ◽  
Visual Analogue Scale ◽  
Music Therapy ◽  
Pain Intensity ◽  
Analogue Scale ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Control Group ◽  
Key Words Pain

Abstrak   Nyeri neuropati adalah salah satu komplikasi kronik yang dapat dialami penyandang Diabetes Mellitus (DM) yang dapat menyebabkan gangguan fisik, sosial dan spiritual. Terapi musik adalah alah satu upaya yang dapat diberikan perawat untuk mengontrol nyeri selain terapi farmakologis yang diberikan oleh tim medis. Tujuan: menerapkan intervensi keperawatan nonfarmakologi dengan menggunakan terapi musik dalam mengurangi nyeri neuropati pada pasien DM. Metode: penelitian ini adalah penerapan Evidance Based Nursing (EBN) dengan melibatkan 10 orang responden yang dibagi menjadi kelompok intervensi terapi musik dan kelompok control, yang diperoleh dengan teknik accidental sampling. Intensitas nyeri diukur dengan menggunakan Visual Analogue Scale (VAS) yang dilakukan sebelum terapi musik diberikan, pada menit ke-30 dan menit ke-60. Hasil: responden yang mendapat terapi musik mengalami penurunan intensitas nyeri, dari nyeri sedang menjadi nyeri ringan, dan pada kelompok kontrol mengalami penurunan intensitas nyeri tapi masih dalam kategori nyeri sedang. Diskusi: Terapi musik merupakan intervensi keperawatan yang dapat menjadi pilihan terapi atau pengobatan terhadap nyeri neuropati pada penyandang diabetes sehingga menjadi pelengkap terhadap upaya medis yang sudah dilakukan.   Kata kunci: Nyeri, Neuropati, Terapi Musik   Abstract   Neuropathic pain is one of the chronic complications of diabetes mellitus (DM) that causes physical, social and spiritual disorders. Music therapy is one of the efforts that nurses can provide to control pain in addition to the pharmacological therapy provided by the medical team. Objective: to apply nonfarmacological nursing intervention by using music therapy to reduce neuropathic pain in type 2 DM patients. Method: the study was an aplication of Evidance Based Nursing (EBN) with 10 respondents involved who were divided into music therapy intervention group and control group, which were obtained by accidental sampling technigue. Pain intensity was measured using the Visual Analogue Scale (VAS) which was performed before music therapy was given, in the 30th minute and 60th minute. Results: respondents who received music therapy experienced a decrease in pain intensity, from moderate to mild pain, and the control group experienced a decrease in pain intensity but still in the moderate pain category. Discussion: Music therapy is a nursing intervention that can be an option of therapy or treatment for neuropathic pain among person with diabetes, so that it becomes a complement to the medical efforts that have been made.   Key words: Pain, Neuropathy, Music therapy

scholarly journals First experience of arthroscopic treatment of patients with false joint of the middle third scaphoid bone of the hand

2019 ◽  
Vol 26 (3) ◽  
pp. 14-20
Author(s):  
I. O Golubev ◽  
I. A Kutepov ◽  
G. G Baliura ◽  
M. V Merkulov ◽  
O. M Bushuev ◽  
...  
Keyword(s):  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Bone Fractures ◽  
Wrist Joint ◽  
Pain Syndrome ◽  
Long Term Results ◽  
Scaphoid Bone ◽  
Non Union ◽  
Active Flexion

Introduction. Fractures of the scaphoid bone are the most frequent - among wrist bone fractures and in 10-15% of cases they end with the development of a false joint. The pain is a restriction of movements in the wrist joint, a decrease in the strength of the hand, significantly limiting the working capacity of patients, as a rule, of young and middle age. In recent years, arthroscopic techniques have been widely used to treat non-union scaphoid in the middle third of the rook. Experience in the treatment of false joints of the scaphoid with the use of arthroscopic techniques in the N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics is presented in this review. Aim of Study: studying the effectiveness of arthroscopy during the healing of the non-union of the scaphoid bone. Material and methods. In the department of microsurgery and hand injuries. N.N. Priorova Ministry of Health of the Russian Federation from 2015 to 2018. 28 patients were treated with non-union scaphoid bone localized in the middle third of the bone’s body. The clinical examination included: measurement of movements in the wrist joint, the strength of the fist grasp; assessment of pain syndrome on a visual analogue scale (VAS), data from the DASH questionnaire; X-ray of the carpal joint in three projections (straight, lateral, ¾), computed tomography. Results. Consolidation of the non-union scaphoid was achieved in 24 (86%) patients within 8 weeks after surgery. Consolidation did not occur in 4 (14%) patients. Long-term results 6 months after surgery were followed up in 15 patients. The range of motion in the wrist joint was an extension of 68° (from 45° to 90°), the volume of active flexion of the hand, respectively, 66° (from 55° to 90°). Pain syndrome on a visual analogue scale (VAS) 1.5 points (from 1 to 3 points). Fist grasp strength 6 months after surgery was 41 kg (from 25 to 57 kg). DASH scale after surgery 10.5 points (from 5.5 to 16.3 points). Conclusion. Arthroscopic resection of the pseudarthrosis of the middle third of the bone with the plastic of the crushed spongy bone autograft from the ileal wing allows for consolidation of the scaphoid bone within 8 weeks. The first experience testifies to the effectiveness of this method and the need for further research in this direction, the analysis of long-term results.

scholarly journals EXPERIENCE IN THE APPLICATION OF CONTINUOUS INTRATHECAL OPIOID THERAPY IN THE TREATMENT OF PHARMACORESISTANT NEUROPATHIC PAIN SYNDROME

2018 ◽  
Vol 1 (69) ◽  
pp. 93-96
Author(s):  
Денис Переверзев ◽  
Denis Pereverzev ◽  
В Погорелов ◽  
V Pogorelov ◽  
Наталья Симонова ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Spinal Injury ◽  
Pain Syndrome ◽  
Opioid Therapy ◽  
Neuropathic Pain Syndrome ◽  
Central Origin ◽  
Clinic Practice

The article gives information about the way how the problem of pharmacoresistant neuropathic pain is solved. It presents the definitions of pharmacoresistant neuropathic pain, which makes it possible to accurately identify such patients and to plan tactics for their treatment. Intrathecal opioid analgesia has been used in clinic practice since 1979 and has gained a great popularity till now due to its high analgesic potency. The case of treatment of pharmacoresistant neuropathic pain syndrome of central origin in a patient who had spinal injury and stabilizing spinal surgery is presented. Conservative therapy for 3 years was considered to be ineffective and the patient was implanted with an intrathecal port for long-term opioid therapy. The follow-up period was 6 months. The effect of the procedure allowed the patient to abandon the massive drug therapy, as well as significantly improve the quality of life.

scholarly journals Role of Perioperative Pregabalin in the Management of Acute and Chronic Post-Thoracotomy Pain

2019 ◽  
Vol 7 (12) ◽  
pp. 1974-1978
Author(s):  
Sara Gaber ◽  
Emad Saleh ◽  
Somaya Elshaikh ◽  
Rafaat Reyad ◽  
Mohamed Elramly ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Side Effects ◽  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Pain Syndrome ◽  
Morphine Consumption ◽  
Chronic Neuropathic Pain ◽  
And Control ◽  
Symptoms And Signs

BACKGROUND: Post-thoracotomy pain syndrome (PTPS) can be challenging to treat. AIM: This study aimed to evaluate the efficacy of perioperative pregabalin in the prevention of acute and chronic post-thoracotomy pain. METHODS: Sixty patients scheduled for thoracotomy for oncologic surgeries were randomly allocated to one of two groups; Pregabalin and Control. In the Pregabalin group, pregabalin 150 mg was administered one hour before thoracotomy and 12 hours later, then every 12 hours for five days. Pain intensity was assessed using the Visual Analogue Scale (VAS) at rest (VAS-R) and dynamic (VAS-D) in the ICU and during the next four days. Morphine consumption and the frequency of side effects were recorded. Assessment of PTPS was done using the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) scale at 1, 2, and 3 months. RESULTS: The VAS-R and VAS-D scores and the total morphine consumption were significantly lower in Pregabalin group during days 0 through 4. Neuropathic pain, allodynia, and hyperalgesia were significantly lower in Pregabalin group after 1, 2, and 3 months. CONCLUSION: Pregabalin is effective in the reduction of chronic neuropathic pain at 1, 2, and 3 months after thoracotomy and it also reduces pain and opioid consumption during the acute postoperative period with few adverse effects.

First experience with chronic epidural spinal cord stimulation in Khanty-Mansi autonomous okrug — clinical observations

2021 ◽  
Vol LIII (2) ◽  
pp. 94-100
Author(s):  
Olga A. Bondarenko ◽  
Gaspar V. Gavrilov ◽  
Vadim A. Padurets ◽  
Roman V. Kasich
Keyword(s):  
Spinal Cord ◽  
Neuropathic Pain ◽  
Spinal Cord Stimulation ◽  
Pain Syndrome ◽  
Chronic Neuropathic Pain ◽  
Neuropathic Pain Syndrome ◽  
Epidural Stimulation ◽  
Cord Injury ◽  
Epidural Spinal Cord Stimulation ◽  
And Migration

Purpose of the work. The article is devoted to the first experience of epidural stimulation in the Khanty-Mansiysk Autonomous Okrug at the budgetary institution Surgut Clinical Trauma Hospital. Clinical examples are presented for two main indications for the application of this technique (disease of the operated spine, a consequence of spinal cord injury in combination with chronic neuropathic pain syndrome). Research methods. An assessment of the intensity of pain syndrome was given according to a visual analogue scale, the Pain Detect questionnaire; indicators of anxiety, depression on the HADS scale; quality of life according to the Oswestry questionnaire for a follow-up period of 6-12 months in patients with chronic epidural stimulation. Results. A positive assessment of the action during test neurostimulation was 63.3% (38 patients). Of the established permanent systems, a good result was achieved and persisted for 12 months or more in 96% (24 patients). It was necessary to change the stimulation parameters in 13% (3 patients). Revision of permanent systems was performed in 20% (5 patients), due to the progression of the degenerative-dystrophic process of the spine, damage and migration of system elements. Conclusions. Chronic epidural spinal cord stimulation has established itself as a personalized, highly effective, minimally invasive and safe method of treating chronic neuropathic pain syndromes. Multicomponent corrective action is of scientific interest and requires further study.

scholarly journals Comparative analysis of different methods of anesthesia in patients with acute pancreatitis using pain scales

2016 ◽  
Vol 97 (2) ◽  
pp. 217-221
Author(s):  
V N Shilenok ◽  
E V Nikitina
Keyword(s):  
Acute Pancreatitis ◽  
Comparative Analysis ◽  
Visual Analogue Scale ◽  
Pain Intensity ◽  
Epidural Anesthesia ◽  
Analogue Scale ◽  
Pain Syndrome ◽  
Opioid Analgesics ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

Aim. To conduct a comparative analysis of used anesthesia methods in patients with acute pancreatitis in intensive care units settings using pain scales.Methods. Depending on the anesthesia type, 44 patients with acute pancreatitis were divided into three groups: the first group received intramuscular injections of nonsteroidal anti-inflammatory drugs and spasmolytics, the second group - intramuscular injections of non-steroidal anti-inflammatory drugs and opioid analgesics, the third group - epidural anesthesia with local anesthetics. Comparative analysis of pain character, intensity was conducted, its dynamics in patients of all groups amid anesthesia was evaluated using a visual analogue scale, verbal rating scale, verbal descriptor scale, McGill pain questionnaire.Results. Baseline pain intensity in patients of all groups was high. Patients estimated this pain as «very strong». The time and the level of pain intensity reduction for various anesthesia types had differences. Pain syndrome was eliminated slower in patients of the second group. By the end of the 1st day, patients of this group continued to complain of «strong» pain. Pain intensity decreased only on the 2nd day - patients reported «moderate» pain. Pain syndrome was not completely eliminated in these patients for 2 days of anesthesia. 97.7% of patients reported that the visual analogue scale is the most acceptable pain assessment scale for them.Conclusion. In patients with acute pancreatitis, the most optimal anesthesia types are intramuscular nonsteroidal anti-inflammatory drugs with spasmolytics and prolonged epidural anesthesia with local anesthetics; intramuscular administration of opioid analgesics with non-steroidal anti-inflammatory drugs is less effective in relieving pain.

scholarly journals Dry needling is effective in reducing acute pain in patients with severe knee osteoarthritis

2020 ◽  
Vol 7 (3) ◽  
pp. 154
Author(s):  
Amanda Machado Antonio ◽  
Thaina Cristina Vieira Gaspardi ◽  
Evelyn Regina Couto ◽  
Gustavo Constantino De Campos ◽  
João Batista De Miranda ◽  
...  
Keyword(s):  
Visual Analogue Scale ◽  
Knee Osteoarthritis ◽  
Acute Pain ◽  
Analogue Scale ◽  
Brief Pain Inventory ◽  
Trigger Points ◽  
Control Group ◽  
Static Stretching ◽  
Dry Needling ◽  
Timed Up And Go

<p class="abstract"><strong>Background:</strong> The objectives of the study was to evaluate the efficacy of dry needling inactivation of trigger points in acute pain relief and function improvement in patients with severe knee osteoarthritis.</p><p class="abstract"><strong>Methods:</strong> Thirty participants choose between dry needling or static stretching. It was analyzed the immediate effects of a single dry needling intervention, compared to a control group that received static stretching. Outcomes of the study was timed up and go test; visual analogue scale and brief pain inventory.</p><p class="abstract"><strong>Results:</strong> The group treated with dry needling had a better result on the visual analogue scale and on the brief pain inventory scale. There was no difference in time up and go performance in relation to the control group. The muscle group with the highest prevalence of trigger points was the thigh adductors (83.3%), despite valgus or varus frontal plane misalignment of the limb.</p><p class="abstract"><strong>Conclusions: </strong>The inactivation of trigger points by dry needling in patients with acute pain due to severe osteoarthritis of the knees obtained better relief compared to static stretching of the musculature.</p>

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