scholarly journals EFFECT OF HYDROTHERAPY ON CHRONIC PAIN IN THE LUMBAR REGION

2020 ◽  
Vol 26 (4) ◽  
pp. 3485-3489
Author(s):  
Mariya Gramatikova ◽  
◽  
Stamenka Mitova ◽  
Nasko Valchev ◽  
◽  
...  
Keyword(s):  
Hip Joint ◽  
Pain Scale ◽  
Water Jet ◽  
Lower Limbs ◽  
Lumbar Pain ◽  
Visual Analogue Pain Scale ◽  
Lumbar Region ◽  
Visual Analogue Pain ◽  
Passive Flexion ◽  
Pain Symptoms

Purpose: To develop and study the effectiveness of methods and algorithms using a specialized magnetotherapy with underwater water-jet massage for chronic lumbar pain. Material/Methods: 30 subjects from two experimental groups (EG-1 from 15 athletes and EG-2 from 15 non-athletes) were examined, all with chronic lumbar pain. Testing is performed - before and after one month of physiotherapy. The test battery includes: anthropometry (height, body weight); visual-analogue pain scale; Laseg test - for the neurodynamics of n.ischiadicus. Physiotherapy includes hydrotherapy, with a water temperature of 360 – 370 and magnetotherapy with a duration of 30 - 35 min - treatment of the paravertebral muscle in the lumbar region, gluteus and lower limbs - dorsal and ventral. The procedures are applied 3 times a week for one month. Results: Methods and algorithms using a specialized magnetotherapy with underwater water-jet massage for patients with chronic lumbar pain have been developed. Pain on the Visual-Analog Scale of EG-1 athletes was studied - before physiotherapy (with hydrotherapy) X= 4.93±1.39mm, V% = 28.12%, which is an indicator of severe pain in the lumbar region. After 30 days, physiotherapy was reduced to X= 1.53±0.99mm, at V% = 64.59%. Its decrease is 31.03%, P<0.01. Pain beforehysiotherapy was found in EG-2 X= 6.87±1.64mm, at V% = 23.91%. After physiotherapy, it is reduced to X= 1.93±1.49mm, at V%=76.89%, P<0.01. A study of the neurodynamics of n.ischiadicus, through the Laseg test, found that passive flexion in the hip joint of the healthy leg - before physiotherapy with EG-1 hydrotherapy wasX=76.33±8.76o, at V% = 11.47%. After hydrotherapy increased to X= 86.33±5.51o, at V%=6.37%. Passive flexion in the hip joint of the injured leg before hydrotherapy was detected in EG-1. X= 69.67±10.43o, which indicates its strong limit. Post-hydrotherapy X= 80.33±10.08o, at V%=12.55%. P<0.0. In EG-2, the passive flexion in the hip joint – before hydrotherapy, the healthy leg was X= 71.67±14.1o, V% = 19.67%. After hydrotherapy increased to X= 81.53±8.37o. In V% = 10.26%. In the injured leg, passive flexion - before hydrotherapy wasv X= 71.00±11.37o, after it X= 82.07±7.70o, V% = 9.39%. P<0.01. Conclusion: The proven technique and algorithms of hydrotherapy, with a specialized with underwater water-jet massage, is effective for the recovery of persons with chronic lumbar pain. The technique reduces the neurological and pain symptoms and the restoration of n.ischiadicus.

scholarly journals Incidence and management of inguinodynia after inguinal plasty

2020 ◽  
Vol 8 (10) ◽  
pp. 3432
Author(s):  
Juan J. Granados-Romero ◽  
Jesus C. Ceballos-Villalva ◽  
Israel García-Olivo ◽  
Cruz Escobar Jonathan E. ◽  
María J. Corona-Torres ◽  
...  
Keyword(s):  
Hospital Costs ◽  
Laparoscopic Approach ◽  
Systematic Investigation ◽  
Pain Scale ◽  
Diagnostic Methods ◽  
Visual Analogue Pain Scale ◽  
Open Approach ◽  
Cross Sectional ◽  
Visual Analogue Pain ◽  
Quality Life

Background: Hernia is defined as a defect of fascial and muscle-aponeurotic structures, allowing the protrusion of elements. The most frequent is inguinal region, prevailing in men 3:1 vs female. The most frequent complications are persistent chronic pain.Methods: A descriptive, prospective and cross-sectional study was performed in postoperative inguinal plasty patients, using a laparoscopic approach and open approach, the presence or absence of inguinodynia was studied using the visual analogue pain scale (VAS) and the Semmes-Weinstein monofilament, in addition to a systematic investigation in the following PubMed, Medline, Clinical Key and Index Medicus databases, with articles from July 2019 to April 2020.Results: Inguinodynia was present in laparoscopic surgery and open approach, 58 patients had inguinodynia at two weeks associated with the inflammatory response of the tissues and the presence of a foreign body (mesh), 77% of the patients with persistence of pain at 3 months reported mild pain (VAS 1-4), 21% moderate pain that did not limit their daily activities (VAS 5-8) and 2% of the patients reported severe pain which limited physical activity and effort   (VAS 9-10).Conclusions: Inguinodynia has an impact on hospital costs and quality life, we consider it is essential to domain the anatomical variants of the region. We propose an extensive follow-up of this group of patients, to make a comparison of diagnostic methods, as well as conservative management vs. modern techniques for pain control.

scholarly journals Buccal Mucosal Grafts for Urethroplasty: Comparison of Postoperative Oral and Perineal Morbidity

2009 ◽  
Vol 91 (2) ◽  
pp. 116-117 ◽  
Author(s):  
Khalid Abdel-Galil ◽  
Ian Eardley ◽  
Richard Loukota
Keyword(s):  
Donor Site ◽  
Pain Scale ◽  
Perineal Pain ◽  
Visual Analogue Pain Scale ◽  
Urethral Reconstruction ◽  
Visual Analogue Pain ◽  
Buccal Mucosa Graft ◽  
Buccal Mucosal Graft ◽  
Graft Harvest ◽  
Scale Scores

INTRODUCTION A prospective study of postoperative oral and perineal pain experienced by a group of patients undergoing buccal mucosal graft harvest for urethral reconstruction. PATIENTS AND METHODS A consecutive group of 24 male patients undergoing buccal mucosa graft harvest for urethral recon8truction of stricture disease was prospectively studied between June 2006 and December 2008. All patients were examined pre-operatively and entered into the study prospectively. After surgery, all patients were reviewed at 24 h and 48 h. On both occasions, they were asked to complete a proforma containing visual analogue pain scales for both the oral donor site as well as the perineum. RESULTS A statistically significant higher level of pain was experienced from the perineum than the oral donor site on both the first and second postoperative days. CONCLUSIONS Comparative analysis of visual analogue pain scale scores between oral donor site and perineum showed that patients experience significantly more pain from the latter postoperatively.

scholarly journals Transcutaneous Electrical Stimulation and Postoperative Total Knee Arthroplasty Pain

1998 ◽  
Vol 3 (2) ◽  
pp. 101-104
Author(s):  
Mohamed N Mahomed ◽  
Gianni L Maistrelli ◽  
Ayoob Mossanen ◽  
Derek Glazier
Keyword(s):  
Electrical Stimulation ◽  
Total Knee Replacement ◽  
Range Of Motion ◽  
Pain Scale ◽  
Control Group ◽  
Visual Analogue Pain Scale ◽  
Transcutaneous Electrical Stimulation ◽  
Visual Analogue Pain ◽  
Total Knee ◽  
Analgesic Use

OBJECTIVE: To determine the efficacy of the Synaptic 2000 in reducing total knee replacement postoperative pain in a prospective randomized controlled trial.DESIGN: Patients were prospectively randomly assigned to two groups, one receiving seven days of transcutaneous electrical stimulation (TES) therapy in addition to standard postoperative care, and the other receiving standard postoperative care. Both groups received postoperative patient-controlled analgesia and were switched to oral opiates.SETTING: Patients were treated at a university teaching hospital for elective primary unilateral total knee replacement.PATIENTS: All patients consented to enter the study. All had primary osteoarthritis. Fifteen patients were entered into each arm of the study, and all patients completed the study. The mean age of patients was 64 years for treatment and 71 years for controls.OUTCOME MEASURES: Outcome measures were analgesic consumption, return of knee range of motion and score on a visual analogue pain scale.RESULTS: No significant differences were noted in postoperative analgesic use, knee range of motion, length of stay or visual analogue pain scale score. Mean total analgesic use of morphine was 148 mg in the TES group and 108 mg in the control group. The TES group mean knee range of motion on postoperative day 7 was 75.3°; it was 73.6° in the control group. Group mean length of stay was 9.5 days in the TES group and 8.3 days in the control group.

Epidural Morphine plus Bupivacaine for Relief of Postoperative Pain following Harrington Rod Insertion for Correction of Idiopathic Scoliosis

1995 ◽  
Vol 23 (3) ◽  
pp. 211-217 ◽  
Author(s):  
Y Adu-Gyamfi
Keyword(s):  
Side Effects ◽  
Idiopathic Scoliosis ◽  
Pain Score ◽  
Epidural Catheter ◽  
Epidural Morphine ◽  
Pain Scale ◽  
Injection Pain ◽  
Visual Analogue Pain Scale ◽  
Visual Analogue Pain ◽  
Harrington Rod

The aim of this study was to assess the efficacy of epidural morphine plus bupivacaine for post-operative pain control following Harrington rod insertion. In 22 scoliotic patients, studied prospectively, the epidural catheter was positioned under direct vision, intra-operatively before wound closure. Post-operatively, the patients received 2 mg morphine in 4 ml of 0.25% bupivacaine through the epidural catheter whenever they complained of pain. The pain score was assessed before and after every injection, using the Visual Analogue Pain Scale, and side-effects were monitored. All patients had adequate pain relief following analgesic administration. The mean (± SD) pre-injection pain score decreased from 2.5 ± 0.15 on the first post-operative day to 0.7 ± 0.2 by the fourth day. The side-effects, including nausea, vomiting and pruritus, were minimal. It is concluded that morphine, in 0.25% bupivacaine administered through an intra-operatively placed epidural catheter, provides a safe and effective post-operative analgesia in patients undergoing Harrington rod insertion for idiopathic scoliosis.

scholarly journals EndoTech® minimally invasive trigger thumb release

2021 ◽  
Vol 3 (2) ◽  
pp. 157-160
Author(s):  
Michael J Fitzmaurice
Keyword(s):  
Minimally Invasive ◽  
Pain Scale ◽  
Minimally Invasive Technique ◽  
Endoscopic Technique ◽  
Invasive Technique ◽  
Visual Analogue Pain Scale ◽  
Trigger Thumb ◽  
Visual Analogue Pain ◽  
Minimal Incision

We describe a novel minimally invasive technique for the treatment of trigger thumb. 37 patients with a total of 41 thumbs were included in the study. A visual analogue pain scale was used before surgery and also at 2 week and 6 month follow up visits. The pain was significantly improved from a pre op of 7.92 (+/- 1.6) to .65 (+/- .8) at the 2 week follow up and finally .29 (+/- 1.8) at the 6 month follow up. All of the patients had relief of triggering and only 1 patient required any therapy. This endoscopic technique for trigger thumb allows the surgeon to perform a trigger release with a minimal incision and provides excellent relief without any complications.

scholarly journals Effect of unicornuate uterus on women's reproductive health

2019 ◽  
Keyword(s):  
Quality Of Life ◽  
Reproductive Health ◽  
Clinical Symptoms ◽  
Normal Karyotype ◽  
Pain Scale ◽  
Control Group ◽  
Visual Analogue Pain Scale ◽  
Visual Analogue Pain ◽  
Unicornuate Uterus

Objectives. The effect of the unicornuate uterus on the reproductive health and quality of life of woman has been analyzed. Materials and methods. The study included 26 patients with unicornuate uterus aged 25 to 42 years and 20 women without gynecological pathology. Diagnosis of uterine abnomalies was based on patient complaints, medical history and life history, as well as clinical and laboratory and instrumental examinations. The severity of dysmenorrhea was determined using a visual analogue pain scale, women's quality of life was assessed using a short SF-12 health questionnaire. Results. The average age of the surveyed women was 30.2 ± 3.9 years. All patients with unicornuete uterus by subclasses were distributed as follows: subclass U4a (unicornuate uterus with rudimentary cavity) – 69.2% of patients, subclass U4b (unicornuate uterus without rudimentary cavity in the contralateral horn or with its aplasia) – 30.8%. In all patients was confirmed normal karyotype – 46XX. The combination of a unicornuate uterus with a defect of the urinary system (aplasia, doubling, or kidney dystopia) occurred in 23.1% of women. It has been found that in women with unicornuate uterus, clinical symptoms in 76.9% of cases are accompanied by dysmenorrhea. The unicornuate uterus in 69.2% of cases causes negative reproductive outcomes, among which 26.9% – early spontaneous abortions, 11.5% – ectopic pregnancy. In 46.2% of cases the unicornuate uterus is combined with other gynecological pathology, whereby the incidence of concomitant gynecologic pathology is significantly more frequent in U4a patients than in the U4b subclass (˂0.01). The severity of dysmenorrhea in the main group was 5.8 ± 1.8 points (the difference was significant compared with the control group, p = 0.0032). Conclusions. Due to the low physical subunit, the unicornuate uterus significantly impairs the quality of life of women, which was significantly lower in the group of patients with unicornuate uterus compared to the control group (total SF-12 score: 85.4 ± 11.2 vs. 95.8 ± 12.1; p = 0.002).

scholarly journals Catastrophization is related to the patient and not to the severity of migraine

2021 ◽  
Vol 79 (8) ◽  
pp. 682-685
Author(s):  
Eduardo Almeida Guimarães Nogueira ◽  
Flavia Rodrigues de Oliveira ◽  
Vitor Martinez de Carvalho ◽  
Carina Telarolli ◽  
Yara Dadalti Fragoso
Keyword(s):  
Online Survey ◽  
Depression Scale ◽  
Pain Scale ◽  
Anxiety And Depression ◽  
Visual Analogue Pain Scale ◽  
Depression And Anxiety ◽  
Hospital Anxiety ◽  
Visual Analogue Pain ◽  
One Year ◽  
The Individual

ABSTRACT Background: Catastrophization is a psychological aspect of pain that alters its perception and expression. Objective: To investigate the feature of catastrophization in migraine. Methods: An online survey of individuals suffering from migraine attacks at least twice a month, for at least one year was carried out. Confidentiality was assured and participants gave details of their headache (including a visual analogue pain scale) and answered the Hospital Anxiety and Depression Scale and the Catastrophization Scale questionnaires. Results: The survey included 242 individuals with migraine attacks at least twice a month. The median scores observed in this group of individuals were 7 for pain, 11 for anxiety, 7 for depression, and 2 for catastrophization. Catastrophization had no correlation with the duration (p=0.78) or intensity (p=0.79) of the migraine. There was no correlation between catastrophization and headache frequency (p=0.91) or the monthly amount of headache medication taken (p=0.85). High scores for catastrophization (≥3.0) were identified in one third of the participants. These high scores were not associated with age, headache duration, pain severity, frequency of attacks, or traits of depression or anxiety. There was a moderate association between both depression and anxiety traits with catastrophization. Conclusions: Catastrophization seems to be a trait of the individual and appears to be unrelated to the characteristics of the migraine.

scholarly journals Late follow-up of peripheral neural decompression in leprosy: functional and clinical outcomes

2021 ◽  
Vol 79 (8) ◽  
pp. 716-723
Author(s):  
Liliane Marques de Pinho Tiago ◽  
Maria Fernanda Ferreira Barbosa ◽  
Diogo Fernandes dos Santos ◽  
Adelmo Divino Faria ◽  
Maria Aparecida Gonçalves ◽  
...  
Keyword(s):  
Functional Results ◽  
Complementary Therapy ◽  
Pain Scale ◽  
Surgical Decompression ◽  
Visual Analogue Pain Scale ◽  
Neural Function ◽  
Cross Sectional ◽  
Visual Analogue Pain ◽  
Assessment Protocol

ABSTRACT Background: Peripheral neural surgical decompression (PNSD) is used as a complementary therapy to the clinical treatment of neuritis to preserve neural function. Objective: To evaluate the long-term (≥ 1 year) clinical and functional results for PNSD in leprosy neuritis. Methods: This cross-sectional study included leprosy patients who were in late postoperative period (LPO) of surgical decompression of ulnar, median, tibial, and fibular nerves. Socioeconomic, epidemiological, and clinical data were collected. The following instruments were used in this evaluation: visual analogue pain scale (VAS), Douleur Neuropathique en 4 Questions (DN4), SALSA scale, and simplified neurological assessment protocol. The preoperative (PrO) and 180-day postoperative (PO180) results were compared. Results: We evaluated 246 nerves from 90 patients: 56.6% were on multidrug therapy (MDT) and 43.3% discharged from MDT. Motor scores and pain intensity showed statistically significant improvement (p<0.01). There was an increase in sensory scores only for bilateral ulnar nerves (p<0.05). Of the operated cases, 26.0% of patients were referred for surgery of ulnar neuritis and 23.6% of tibial neuritis. Neuropathic pain was reported in 41% of cases. Daily dose of prednisone reduced from 39.6 mg (±3.0) in PrO, 16.3 mg (±5.2) in PO180, to 1.7 mg (±0.8) in LPO. The SALSA scale results showed mild activity limitation in 51% and moderate in 34% of patients. Eighty percent of individuals reported that the results reached their expectations. Conclusions: PNSD in leprosy was effective in the long term to decrease the prevalence and intensity of pain, improve motor function, and reduce the dose of corticosteroids, which is reflected in the patients’ satisfaction.

scholarly journals Acute Effects of Global Postural Re-Education on Non-Specific Low Back Pain. Does Time-of-Day Play a Role?

2021 ◽  
Vol 18 (2) ◽  
pp. 713
Author(s):  
David Merinero ◽  
Manuel Rodríguez-Aragón ◽  
Javier Álvarez-González ◽  
Álvaro López-Samanes ◽  
Joaquín López-Pascual
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Functioning ◽  
Pain Scale ◽  
Time Of Day ◽  
Visual Analogue Pain Scale ◽  
Low Back ◽  
Acute Effects ◽  
Education Session ◽  
Visual Analogue Pain

Low back pain is one the most common forms of musculoskeletal disorders. Thus, several physiotherapeutic strategies (e.g., global postural re-education therapy) have been used for reducing low back pain. The aim of this study was to determinate if acute application of global postural re-education session associated effects are influenced by the time-of-day when this physical therapy is applied. Eight participants in a randomized, counterbalanced order were acutely tested both before and 24 h after a global postural re-education therapy session (10 min session) in three different time-of-day points; morning (i.e., AM; 7:00–9:00 h), midday (i.e., AM; 12:00–14:00 h) and afternoon (i.e., PM; 18:00–20:00 h). In each session, low back pain Visual Analogue Pain Scale [VAS]), flexibility, function capacity (Roland Morris Questionnaire [RMQ], and physical functioning Oswestry Disability Index [ODI]) were recorded. Results showed a pain reduction (VAS Scale) 24 h post Global postural re-education [GPR] session (p = 0.001) and increasing of flexibility pre-post GPR session in all the time-of-day points (morning, midday, and afternoon) (p = 0.001) while no differences were reported in RMQ (p = 0.969) and ODI (p = 0.767). Thus, acute GPR session produces the same effects on flexibility, low back pain, function capacity, and physical functioning values independently of time-of-day when it is applied.

scholarly journals Late Prosthetic Shoulder Hemiarthroplasty after Failed Management of Complex Proximal Humeral Fractures

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
A. Panagopoulos ◽  
P. Tsoumpos ◽  
K. Evangelou ◽  
Christos Georgiou ◽  
I. Triantafillopoulos
Keyword(s):  
Constant Score ◽  
Humeral Fracture ◽  
Primary Treatment ◽  
Pain Scale ◽  
Visual Analogue Pain Scale ◽  
Shoulder Hemiarthroplasty ◽  
Visual Analogue Pain ◽  
Reconstructive Option ◽  
Complex Proximal Humeral Fractures

Background. The purpose of this study was to report our experience with shoulder hemiarthroplasty in the context of old trauma.Methods. 33 patients with failed treatment for a complex proximal humeral fracture underwent prosthetic hemiarthroplasty. There were 15 men and 18 women with a mean age of 58.1 years. The average period from initial treatment was 14.9 months. Sequelae included 11 malunions, 4 nonunions, 15 cases with avascular necrosis (AVN) and 3 neglected posterior locked dislocations. Follow up investigation included radiological assessment and clinical evaluation using the Constant score and a visual analogue pain scale.Results. After a mean follow up of 82.5 months the median Constant score was 75.7 points, improved by 60% in comparison to preoperative values. Greater tuberosity displacement, large cuff tears and severe malunion were the factors most affected outcome. No cases of stem loosening or severe migration were noted. 60% of the patients were able to do activities up to shoulder level compared with 24% before reconstruction.Conclusions. Late shoulder hemiarthroplasty is technically difficult and the results are inferior to those reported for acute humeral head replacement, nonetheless remains a satisfactory reconstructive option when primary treatment fails.

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