scholarly journals Comparative study of peppering versus single injection technique in treatment of chronic lateral epicondylitis elbow

2020 ◽  
Vol 6 (4) ◽  
pp. 292-297
Author(s):  
R Sahaya Jose ◽  
◽  
K Vivek ◽  
K Visnu ◽  
◽  
...  
Keyword(s):  
Comparative Study ◽  
Single Injection ◽  
Lateral Epicondylitis ◽  
Injection Technique

scholarly journals Reducing Patient Discomfort during Digital Blockade: The Subcutaneous Single Injection Digital Block – A Simple, Safe and Fast Procedure

2003 ◽  
Vol 11 (1) ◽  
pp. 33-35 ◽  
Author(s):  
JP Brutus ◽  
A Nikolis ◽  
Y Baeten ◽  
N Chahidi ◽  
L Kinnen ◽  
...  
Keyword(s):  
Single Injection ◽  
Proximal Phalanx ◽  
Injection Technique ◽  
Dorsal Aspect ◽  
Single Finger ◽  
Volar Aspect ◽  
Tolerance Distribution ◽  
A Prospective Study ◽  
Fast Procedure ◽  
Digital Block

Background Regional anesthesia of a single finger is commonly achieved by the traditional ring block, which requires at least two painful injections in the digit. Single injection digital block techniques have been described to avoid this problem. Among these, the subcutaneous technique described by Harbison appears to be safe and to allow most procedures to be carried out with good tolerance. Objectives A prospective study was designed to evaluate the results of the subcutaneous technique in terms of patient tolerance, distribution of anesthesia and efficiency. Methods All blocks were performed by a single investigator. A visual analog scale was used to evaluate pain associated with the injection. Prick testing was used to evaluate the quality of anesthesia at the volar and dorsal aspects of the phalanxes. Tolerance to the surgical procedure and the need for additional injections were also recorded. Results This technique allowed surgery to be performed without complementary injection most of the time and was very well tolerated. The dorsum of the proximal phalanx, however, was unpredictably included in the anesthetized territory. Conclusion The subcutaneous single injection digital block is safe, efficient and easy to perform. It allows the treatment of all conditions on the volar aspect of the finger and on the dorsal aspect of the distal and middle phalanxes. For surgery on the dorsal aspect of the proximal phalanx, a combined single injection technique or a supplementary dorsal block should be used.

scholarly journals A Comparative Study to Evaluate the Efficacy of Supervised Exercise Program and Cyriax Physiotherapy on Pain and Function in Lateral Epicondylitis

2021 ◽  
pp. 87-97
Author(s):  
Gouri Kalaskar ◽  
Pratik Phansopkar
Keyword(s):  
Comparative Study ◽  
Tennis Elbow ◽  
Therapeutic Ultrasound ◽  
Lateral Epicondylitis ◽  
Exercise Programme ◽  
Research Subjects ◽  
Supervised Exercise ◽  
Group I ◽  
Post Test ◽  
And Function

Aims: To see the effectiveness of supervised exercises and cyriax physiotherapy both including therapeutic ultrasound for improving pain and function in adults with lateral epicondylitis. Study Design: Comparative study- to find out the efficacy of effectiveness of two different interventions for reducing pain and improving function in patients with lateral epicondylitis Place and Duration of Study: Department of Musculoskeletal  Physiotherapy Sciences, Ravi Nair Physiotherapy College, Sawangi (Meghe), Wardha, for 12 months. Methodology: A total of 30 people with lateral epicondylitis (tennis elbow) were selected to take part in a comparative research. Subjects were randomized 1:1 to either (1) supervised exercise programme group, or (2) cyriax physiotherapy group. Over just a 4-week period, three times each week for a sum of 12 sessions, promptly after baseline evaluation and randomization, subjects received static stretching of Extensor Carpi Radialis Brevis followed by eccentric strengthening of the wrist extensors and Therapeutic Ultrasound in supervised exercise programme group. While those in cyriax physiotherapy group received deep transverse friction massage for 10 min immediately followed by Mill’s manipulation and Ultrasound. The study concluded at the 4 weeks. Results: Out of 30 patients half were placed in each group, where p=.0001. Significant increase in mean in the group I and II in pre ad post-test VAS score (4.20±0.77 and 5.20±0.67) and TEFS score pre and post-test (17.33±1.44 and 19.80±1.42). analysis showed significant improvement in both the groups. Conclusion: From the observations and results, the conclusion drawn that there is significant improvement in both the groups but effect of cyriax physiotherapy in the form of deep friction massage and mills manipulation combined with therapeutic ultrasound for improving pain on VAS and function on TEF scale.

scholarly journals Femoral Nerve Block — the Anatomical Basis for a Single Injection Technique

1983 ◽  
Vol 11 (1) ◽  
pp. 40-42 ◽  
Author(s):  
S. T. Khoo ◽  
T. C. K. Brown
Keyword(s):  
Nerve Block ◽  
Femoral Artery ◽  
Femoral Nerve Block ◽  
Single Injection ◽  
Femoral Nerve ◽  
Injection Technique ◽  
Needle Placement ◽  
Anatomical Basis ◽  
Loss Of Resistance

A technique for blocking the femoral nerve using a single needle placement is described. It depends on an appreciation of the anatomy and the need to feel loss of resistance twice as two fascial layers are penetrated during insertion of the needle just lateral to the femoral artery. A single injection of bupivacaine 0.35-0.5 per cent of at least 0.3 ml/kg will produce a satisfactory block.

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