scholarly journals Pulsed Compared to Thermal Radiofrequency to the Medial Calcaneal Nerve for Management of Chronic Refractory Plantar Fasciitis: A Prospective Comparative Study

2016 ◽  
Vol 8;19 (8;11) ◽  
pp. E1181-E1187
Author(s):  
Dina H. el-Hammady
Keyword(s):  
Comparative Study ◽  
Plantar Fasciitis ◽  
Rating Scale ◽  
Invasive Procedure ◽  
Pain Scale ◽  
University Hospital ◽  
Pulsed Radiofrequency ◽  
Prospective Comparative Study ◽  
Waking Up ◽  
Effective Analgesia

Background: Radiofrequency (RF) treatment is a minimally invasive procedure that has been used for more than 3 decades in treating various chronic pain syndromes. Conventional (continuous) RF treatment occasionally results in worsening or even initiating a new type of pain. The use of pulsed radiofrequency (PRF), which has a non- or minimally neurodestructive neuromodulatory effect, serves as an alternative to conventional RF therapy in many medical situations. Objectives: To evaluate the effect of applying PRF for 6 minutes vs. thermal radiofrequency (TRF) for 90 seconds to the medial calcaneal nerve for treatment of chronic refractory plantar fasciitis pain. Study Design: Prospective comparative study. Setting: Pain, Orthopedic, and Rheumatology and Rehabilitation Clinics of Assiut University Hospital. Methods: Twenty patients with refractory chronic bilateral plantar fasciitis received PRF to the medial calcaneal nerve for 6 minutes for one heel and TRF to the same nerve on the other heel (as their own control) for 90 seconds. Numerical verbal rating scale (NVRS) at waking up from bed and after prolonged walking, and satisfaction score were used for assessment of studied patients at one, 3, 6, 12, and 24 weeks from the intervention. Results: All studied patients showed significant improvement in their pain scale after the intervention that lasted for 24 weeks; however, the PRF heels had significantly better pain scale and satisfaction scores at the first and third weeks assessments when compared to the TRF heels. Effective analgesia was achieved after one week or less after PRF compared to 3 weeks for the TRF (P < 0.001). Limitations: No randomization. Conclusions: PRF to the medial calcaneal nerve is a safe and effective method for treatment of chronic plantar fasciitis pain. The onset of effective analgesia can be achieved more rapidly with PRF compared to TRF on the same nerve. Further randomized trials are needed to confirm the therapeutic effect and optimizing the dose of RF needed. Key words: Pulsed radiofrequency, thermal radiofrequency, medial calcaneal nerve, plantar fasciitis, plantar aponeurosis, visual analogue scale

scholarly journals Electroconvulsive therapy in mood diorders

2015 ◽  
Vol 4 (4) ◽  
pp. 19-23
Author(s):  
S R Adhikari
Keyword(s):  
Comparative Study ◽  
Social Status ◽  
Mood Disorders ◽  
Electroconvulsive Therapy ◽  
Therapeutic Efficacy ◽  
Rating Scale ◽  
Psychomotor Retardation ◽  
General Anesthetic ◽  
Young Mania ◽  
Prospective Comparative Study

Electroconvulsive therapy (ECT) is one of the less used somatic treatments in mood disorders, especially depressive phase. ECT use has importance during acute bipolar episode when patient extremely violent, suicidal and extreme psychomotor retardation. The aim of this study was to know about socio-demographic profile and therapeutic efficacy of the use of ECT in mood disorders. Methods: This is a prospective comparative study between patients who received ECT and who did not. Psychopathology was evaluated using Young Mania Rating Scale (YMRS) and Hamilton Depression Rating Scale (HDRS) between the groups at admission, at discharge, at 1st month, at 6th month and at 12th month. Modified ECT was performed using general anesthetic agent. Results: Twenty five patients received ECT as compared to 32 patients who were non-receivers. There was significant decrease in HDRS in ECT receiver as compared to non-receivers in patients with depression (both unipolar and bipolar) at discharge, 1st month, and 12th month; in YMRS in patient with mania at discharge, 1st month and at 12th month.Discussion: There was significant improvement in overall psychopathology and psycho-social status of patients who received ECT as compared to non-receivers. The improvement was shown by decrement in scores in HDRS and YMRS at the time of discharge, 1st month, 6th month and 1st year which were statistically significant.DOI: http://dx.doi.org/10.3126/jcmc.v4i4.11958

scholarly journals Effectiveness of a long-term Tecar Therapy treatment on Knee Pain: building T.T.E.S.S.K., an evaluating scale A systematic review and meta-analysis

2022 ◽  
Author(s):  
Marco Sorrentino ◽  
Davide Ferrari
Keyword(s):  
Knee Joint ◽  
Rating Scale ◽  
Musculoskeletal Diseases ◽  
Meta Analysis ◽  
Invasive Procedure ◽  
Biceps Femoris ◽  
Pain Scale ◽  
The Body ◽  
Cochrane Library

Abstract Background T.E.C.a.R (Transfer of Energy Capacitive and Resistive) Therapy (TT) is a form of endogenous thermotherapy based on radio waves 1 . It is a non-invasive procedure, that makes use of a machine able to stimulate heat inside the body to repair the inflammatory processes. Although being well known in the physiotherapy and massage therapy ambient for its benefic effects, which are still not very explored especially physiological and biochemical ones; TT is commonly used by therapists for musculoskeletal diseases. Anyhow, TT is often used as a palliative remedy for musculoskeletal disease, or linked with an ibuprofen or antidolorific medical therapy, and not as a main cure. Current literature still lacks objective ways to evaluate TT treatment. This study aims to create an evaluating Scale for the knee joint lesions treated with TT, for athletes or sports enthusiasts. Methods PubMed, Embase, and Cochrane Library databases were screened to perform an extensive review. PRISMA guidelines were applied, and the risk of bias was assessed, as was the methodological quality of the included studies. 25 articles were reviewed. 178 patients (total amount of clinic cases in PubMed, Embase and Cochrane Library articles combined) have decreased their pain after a long-term TT treatment (> 3 or 5 sessions). Results Knee joint is often affected by non-sportive or sportive musculoskeletal lesions. ((At this point, not only the TT articles were reviewed, but also all the articles (122) that included these key aspects)). Six items were selected to evaluate the efficacy of TT on the impaired joint: Range of Motion (ROM), %MVIC of quadriceps, biceps femoris and gastrocnemius, Cincinnati Rating Scale System (CRSS), NRS Pain Scale, Muscle Fiber Orientation (MFO) and %Trigger Points. Conclusions Our study allows to build a new treatment methodology with TT. It guarantees the therapist to structure a long-lasting follow-up, which is not limited to the simple use of the machine. Applying this methodology, the patient receives a treatment that is not limited, but built on his own needs thanks to the distribution of the summing scores, strictly dependent on the type of clinical case that the therapist finds. Thanks to the six items we inserted in T.T.E.S.S.K. (“Tecar Therapy Evaluation Score System of the Knee”), every aspect of a musculotendinous pathology is recognized, and might be treated with TT by therapists.

scholarly journals A comparative study of clinical outcome following topical versus peribulbar anesthesia in phacoemulsification surgery

2022 ◽  
Vol 7 (4) ◽  
pp. 681-686
Author(s):  
Keerti S Sulakod ◽  
Srinivasa K H ◽  
Vandana Maganty
Keyword(s):  
Comparative Study ◽  
Intraoperative Complications ◽  
Invasive Procedure ◽  
Visual Outcome ◽  
Pain Scale ◽  
Postoperative Recovery ◽  
Topical Anesthesia ◽  
Visual Analogue Scale Pain ◽  
Visual Recovery ◽  
Peribulbar Anesthesia

The objective of our study was to evaluate and compare clinical outcomes, patients and surgeon’s satisfaction following topical versus peribulbar anesthesia in phacoemulsification surgery. A hospital based Randomized Prospective interventional Comparative Study done between November 2017 to May 2019. A total of 200 patients included in the study, ocular examination, biometry were done. Patients were randomly distributed into group1 TA (topical anesthesia) and group 2 PA (Peribulbar anesthesia), they underwent phacoemulsification with intraocular lens implantation, postoperative visual outcome and inflammation on day1 and after 1 week, VAS (Visual Analogue scale) pain scale used to analyse patients comfort and pain postoperatively. The Statistical analysis was performed by STATA 11.2 (College Station TX USA). In our study 200 participated, it was found in PA group, 60.47 ± 11.86 yrs and in TA group 59.01 ± 11.29yrs as mean age, majority were male. PA group had few complications during anesthesia and in both groups majority had no intraoperative complications. Log Mar visual acuity postoperative day 1, PA group was 0.65±0.40 and in TA was 0.49±0.32, post operative visual recovery was better in TA group patients and had less pain and more comfortable than PA. Surgeon had difficulty more with TA group patients. It was found, postoperative visual recovery was faster and better in patients with topical group with less postoperative inflammation and complications. Topical anesthesia being a non invasive procedure can be considered better than peribulbar when compared in terms of patients comfort and postoperative recovery.

scholarly journals Fenugreek seed poultice versus cold cabbage leaves compresses for relieving breast engorgement: An interventional comparative study

2020 ◽  
Vol 10 (5) ◽  
pp. 82
Author(s):  
Hanan Elzeblawy Hassan ◽  
Eman Ali Abd El Moaty Sheha ◽  
Sharbat Thabet Hassanine ◽  
Wafaa Mostafa Ahmed Gamel
Keyword(s):  
Comparative Study ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Placebo Treatment ◽  
Nursing Intervention ◽  
Structured Interview ◽  
University Hospital ◽  
Painful Condition ◽  
Fenugreek Seed ◽  
The Impact

Background: Breast engorgement is an uncomfortable and painful condition affecting a large slid of mothers in their early postpartum period. Several approaches have been explored for pharmacological or non-pharmacological interventions applied to the treatment of breast engorgement. Some of the non-medical interventions include Fenugreek seed poultice and cold cabbage leaves compresses. Aim: Study the impact of nursing intervention on relieves of breast engorgement among puerperal breastfeeding women and compare Fenugreek seed poultice versus could cabbage leaves compresses as two different nursing care approaches of on relieving of breast-engorgement.Methods: Setting: Postnatal unit and outpatient clinic of Beni-Suef and El-Fayoum University Hospital. Design: A quasi-experimental comparative study. Subjects: A purposive sample of a total of 100 puerperal mothers; 50 in the Fenugreek group \& 50 in the cold Cabbage group. Tools: A specialized designed structured interview schedule and Breast Engorgement Assessment Scale (Numerical rating scale, Modified Reeda Scale, Six-points engorgement scale, Fever Chart, and LATCH breastfeeding charting scale).Results: A significant improvement of breast condition after intervention for both groups regardless of the applied measure was found; however, the improvement was better and shorter time among Fenugreek group than Cabbage group (p < .05). Conclusions: For the management of breast engorgement, both Fenugreek seed poultice and cold Cabbage leaves were effective. However, Fenugreek seed was more highly effective where breast engorgement was alleviated in a shorter time than cold Cabbage leaves. Recommendations: Further randomized controlled trials with possible placebo treatment should be carried out to elucidate the non-specific effects of Fenugreek seed poultice and cold Cabbage leaves application.

scholarly journals Comparison of Intraarticular Pulsed Radiofrequency and Intraarticular Corticosteroid Injection for Management of Cervical Facet Joint Pain

2017 ◽  
Vol 6 (20;6) ◽  
pp. E961-E967
Author(s):  
Min Cheol Chang
Keyword(s):  
Pain Relief ◽  
Joint Pain ◽  
Rating Scale ◽  
Facet Joint ◽  
Corticosteroid Injection ◽  
University Hospital ◽  
Pulsed Radiofrequency ◽  
Facet Joint Pain ◽  
Cervical Facet ◽  
Cervical Facet Joint

Background: Disorders of the facet joints are some of the most common sources of chronic spinal pain. Facet joint pain is responsible for approximately 50% of patients with chronic neck pain. Pulsed radiofrequency (PRF) stimulation, after placing needle electrodes into the joint space, has been recently reported for the management of joint pain. Objective: The aim of this study was to evaluate the effect of intraarticular (IA) PRF for the management of cervical facet joint (CFJ) pain. In addition, we compared the effect of IA PRF to IA corticosteroid injection. Study Design: Prospective observational study. Setting: University hospital. Methods: Forty patients with CFJ pain were included in the study and randomly assigned to one of 2 groups: the IA PRF group and the IA corticosteroid (ICI) group. There were 20 patients in each group. Pain intensity was evaluated using a numeric rating scale (NRS) at pre-treatment, and one, 3, and 6 months after treatment. Results: When compared to the pretreatment NRS scores, patients in both groups showed a significant decrease in NRS scores at one, 3, and 6 months after treatment (P = 0.000). Changes in the NRS scores over time were not significantly different between the groups (P = 0.227). Six months after treatment, 10 patients (50.0%) in the PRF group and 12 patients (60.0%) in the ICI group reported successful pain relief (pain relief of ≥ 50%). Limitations: A small number of participants. Conclusion: IA PRF stimulation is as effective as IA corticosteroid injection in attenuating CFJ pain. The use of PRF could decrease CFJ pain, while avoiding the adverse effects of steroids.

scholarly journals Sutureless versus conventional thyroidectomy

2017 ◽  
Vol 4 (4) ◽  
pp. 1385
Author(s):  
Wael Barakaat Ahmed Mohamed ◽  
Ahmed Eisa Ahmed
Keyword(s):  
Postoperative Complications ◽  
Comparative Study ◽  
Total Thyroidectomy ◽  
Operative Time ◽  
University Hospital ◽  
Energy Devices ◽  
Conventional Thyroidectomy ◽  
Bipolar Energy ◽  
Significant Difference ◽  
Prospective Comparative Study

Background: The thyroid gland is a highly-vascularized organ, prompt and effective hemostasis is a crucial part of the procedure. Nowadays with the major advent of energy devices such as ultrasonic coagulation (Harmonic Scalpel, Ethicon) and bipolar energy (LigaSure, Valleylab) for cutting and hemostasis introducing new methods of vessel ligation and division without increasing the risk of postoperative complications. The aim of this study was to compare the outcome of the use of the Harmonic® FOCUS and conventional suture ligation technique in a prospective comparative study of open total thyroidectomy.Methods: This was prospective comparative study at Sohag University Hospital, Sohag, Egypt. Patients were divided into two groups, the first group included patients who had the Harmonic® FOCUS thyroidectomy group or Sutureless thyroidectomy (S group), and the second group included patients who received Conventional thyroidectomy group (C group).Results: Between September 2014 and September 2016, 69 patients, with thyroid disease were enrolled in this study. 34 patients (49.3%) had a Sutureless total thyroidectomy and 35 patients (50.7%) had a conventional total thyroidectomy, the mean age for Sutureless thyroidectomy was39.85±8.47 years and for conventional group was 43.17±9.69 years. the operative time, intraoperative blood loss, postoperative, drainage volume, transient hypocalcaemia, overall postoperative complications and hospital stay were significantly lower in Sutureless thyroidectomy group. no significant difference between both group as regard recurrent laryngeal nerve function.Conclusions: Sutureless thyroidectomy is the procedure of choice for treatment of thyroid diseases as it had shorter operative time, reduction of overall complications rate and good function results.

scholarly journals A prospective comparative study of efficacy of pulse jet irrigation and conventional irrigation techniques in prevention of surgical site infections in laparotomy wounds

2019 ◽  
Vol 6 (2) ◽  
pp. 557
Author(s):  
Sharath Kumar V. ◽  
Naveen N. ◽  
Purushotham T. S.
Keyword(s):  
Comparative Study ◽  
Wound Care ◽  
Invasive Procedure ◽  
Surgical Site Infections ◽  
P Value ◽  
Emergency Laparotomy ◽  
Wound Irrigation ◽  
Superficial Infection ◽  
Study Results ◽  
Prospective Comparative Study

Background: Surgical Site Infections (SSIs) are infections of tissues, organs or spaces exposed by surgeons during performance of an invasive procedure and continue to be a major source of morbidity following operative procedures. Wound irrigation is the steady flow of a solution across an open wound surface meant to remove cellular debris and surface pathogens contained in wound exudates or residue from topically applied wound care products.Methods: This prospective comparative study was conducted to compare the effectiveness of Pressurized Pulse Irrigation (PPI) and Standard Irrigation Technique (SIT) in laparotomy wounds. Duration of the study was for a period of 12 months and included 100 consecutive patients undergoing laparotomy.Results: 13% of patients who underwent laparotomy had SSI out of which 9 patients had superficial infection only. 8% of 50 patients who had PPI developed SSI, whereas 18% of those who underwent SIT had SSI. Though PPI had less incidence of SSI, statistically it was insignificant.Conclusions: The study showed a decrease in the incidence of postoperative SSI in both elective and emergency laparotomy wounds irrigated with PPI compared to SIT, though the study was statistically insignificant since the p value was less than 0.005 with a odds ratio of 2.52. The study results suggested that there was decrease in the incidence of SSI in PPI patients and also that it decreases the postoperative stay, morbidity and cost.

Sign in / Sign up

Export Citation Format

Share Document