scholarly journals Trigger Point Injections for Pelvic Floor Myofascial Spasm Refractive to Primary Therapy

2017 ◽  
Vol 9 (2) ◽  
pp. 125-130 ◽  
Author(s):  
Lina S. Fouad ◽  
Paul D. Pettit ◽  
Marcus Threadcraft ◽  
Ali Wells ◽  
Audrey Micallef ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Trigger Point ◽  
Retrospective Chart Review ◽  
Primary Therapy ◽  
Post Injection ◽  
Vas Score ◽  
Pain Scores ◽  
Before And After ◽  
Vas Scores ◽  
The Difference

Introduction A retrospective chart review was conducted of visual analog scale (VAS) scores completed before and after trigger point injections (TPIs) for pelvic floor myofascial spasm to evaluate response. Methods Sixty-eight female patients who underwent TPIs from October 9, 2007 to March 12, 2015 were included. The primary end point was the difference between scores. Secondary analyses were conducted for patients who needed repeat TPIs. Descriptive and paired t test analyses were used. Results The key result was an improvement in VAS scores for 65% (44/68) of patients (p<0.0001). The median pre-injection VAS score was 7 (1 to 10), (mean 6.3). The median post-injection VAS score was 4 (0 to 9), (mean 4.3). The median difference between scores in patients who improved was 3 (1 to 8), (mean 3.6). Seventeen of 68 (25%) patients needed repeat TPI, and the median time between injections was 1.5 months (1 to 7 months), (mean 2.2 months). When analyzing pre-injection VAS scores in patients who underwent subsequent repeat injection when compared to patients who did not require repeat injection, there was no difference (p = 0.32). In addition, the differences between pre- and post-injection VAS scores in the patients who underwent repeat injection and those who did not was not significant (p = 0.26). Conclusions We report on 68 women who underwent TPIs, with an improvement in VAS pain scores in 65%. It appears that TPIs for pelvic floor myofascial spasm are successful in reducing pain scores for patients who are refractory to primary therapy.

scholarly journals Analgesic Effect of Apotel Versus Pethidine After Hemilaminectomy

2019 ◽  
Vol 5 (4) ◽  
pp. 185-189
Author(s):  
Mohammadreza Emamhadi ◽  
◽  
Hamid Behzadnia ◽  
Seifollah Jafari ◽  
Mohammadreza Zamanidoust ◽  
...  
Keyword(s):  
Recovery Process ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Vas Score ◽  
Relieve Pain ◽  
Present Cross Sectional Study ◽  
Significant Difference ◽  
Vas Scores ◽  
The Difference

Background: Postoperative pain is a common phenomenon, and its management affects considerably on the recovery process, and patients’ satisfaction. Apotel and pethidine are two conventional medicines used to relieve pain after operation. Objectives: The present study aimed to compare the effect of intravenous injection of Apotel and intramuscular injection of pethidine in relieving pain after hemilaminectomy. Materials & Methods: In the present cross-sectional study, 150 patients who underwent hemilaminectomy were recruited between May 2015 and November 2015. They were taking either Apotel (n=75) or pethidine (n=75) after the operation, which was done at Poursina Hospital affiliated to Guilan University of Medical Sciences, Rasht City, Iran. The patients’ pain levels were measured using visual analog scale (VAS), and the results were compared between the 2 groups. Results: There was no significant difference in the total VAS score between the Apotel and pethidine groups (P=0.189). However, there was a significant reduction in VAS score hours 2 (P=0.03) and 4 (P=0.004) hours after the injection of Apotel in this group, compared with those scores in the pethidine group. Also, VAS scores at other times (8, 12, 20, 28 hours after the injection) were lower than those in the pethidine group, but the difference was not significant. Conclusion: Apotel was better pain-killer in the early hours after the first injection compared to pethidine. But its effect was similar to pethidine at the late hours after the first injection. Therefore it seems that Apotel is better painkiller after laminectomy, especially in the early hours after the operation.

Transvaginal Trigger Point Injections Improve Pain Scores in Women With Pelvic Floor Hypertonicity and Pelvic Pain Conditions

2019 ◽  
Vol 74 (12) ◽  
pp. 713-714
Author(s):  
Jamie Bartley ◽  
Esther Han ◽  
Priyanka Gupta ◽  
Natalie Gaines ◽  
Kim A. Killinger ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Pain ◽  
Trigger Point ◽  
Pain Scores

scholarly journals Value of TCD Foaming Test in Screening Patent Foramen Ovale in Migraine Patients and Efficacy of PFO Occlusion

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Lilan Du ◽  
Xiaorong Guo ◽  
Honglin Zhang ◽  
Min Zhang ◽  
Guangli Zou
Keyword(s):  
Physical Examination ◽  
Patent Foramen Ovale ◽  
Clinical Symptoms ◽  
Control Group ◽  
Observation Group ◽  
Foramen Ovale ◽  
Occlusion Therapy ◽  
Vas Score ◽  
Before And After ◽  
The Difference

Objective: To explore the effect of TCD foaming test in screening patent foramen ovale in migraine patients, as well as in the treatment effect. Methods: From September 2019 to August 2020, 236 patients with migraine and 362 patients with normal physical examination were treated in our hospital. According to the random number table method, 60 patients with migraine were selected as the observation group, and 60 patients with normal physical examination were selected as the control group. 48 cases of PFO were confirmed by TCD foaming test Among the patients with migraine, 36 patients received interventional occlusion therapy. The therapeutic effect and VAS score of the two groups were analyzed. Results: Through TCD foaming test, the proportion of PFO in the observation group was 80%, and that in the control group was 13.33%. The proportion of PFO in the observation group was significantly higher than that in the control group, and the difference was statistically significant (X2 = 53.5714, P < 0.01);The symptoms disappeared in 30 patients and improved in 4 patients; Among the 36 patients who received interventional occlusion therapy, the VAS score of patients before and after the operation was significantly changed, and the proportion of patients whose pain disappeared after the operation was 83.33%, which was significantly lower than that before the operation, and the difference was comparable (X2 = 51.4286, P < 0.01). Conclusion: TCD foaming test for PFO screening has strong applicability, not only safe and convenient, will not cause trauma to patients, and through interventional occlusion treatment, can significantly improve the clinical symptoms of migraine patients and cure patients.

Intraoperative Measurements of Nerve Root Tension During Posterior Lumbar Interbody Fusion

2021 ◽  
Author(s):  
Zhi-yi Fu ◽  
Yujie Wu ◽  
Tong Zhu
Keyword(s):  
Nerve Root ◽  
Interbody Fusion ◽  
Lumbar Disc ◽  
Posterior Lumbar Interbody Fusion ◽  
Leg Pain ◽  
Lumbar Interbody Fusion ◽  
Important Indicator ◽  
Vas Score ◽  
Before And After ◽  
Vas Scores

Abstract Background There is no effective standard method to evaluate whether the nerve root tension is restored, which is an important indicator for the recovery of nerve function. This study aimed to demonstrate a technique for measuring nerve root tension during surgery. Methods A total of 54 consecutive patients (average age, 52.3 years; range, 28-68 years) received posterior lumbar interbody fusion for lumbar disc herniation comprised the patient sample.The nerve root tension was measured twice before and after intraoperative decompression by the nerve root tension meter modified from the transverse gauge by author. Clinical outcome was assessed by the visual analog scale (VAS) for leg pain, provided by patients before and after surgery. Results There was a significant improvement in the VAS score for leg pain after surgery compared with that before surgery (7.0 ± 2.24 vs. 0.8 ± 0.84, respectively; P < 0.01). Nerve root tension was significantly decreased after decompression compared with that before surgery (1.32 ± 0.22 N vs. 0.64 ± 0.17 N, respectively; P < 0.01). The nerve root tension was positively correlated with the VAS score (r = 0.772, P < 0.05; r = 0.715, P < 0.05). Conclusions This study shows that the nerve root tension meter can instantly and non-invasively measure nerve root tension during an operation. It was demonstrated that the nerve root tension of the patient is significantly reduced after decompression. Meanwhile, the VAS score improved significantly, and the nerve root tension and VAS scores were positively correlated.

scholarly journals Antibiotics, Steroids, and Combination Therapy in Chronic Rhinosinusitis without Nasal Polyps in Adults

2018 ◽  
Vol 97 (6) ◽  
pp. 167-172 ◽  
Author(s):  
Yuan F. Liu ◽  
Clare M. Richardson ◽  
Stewart H. Bernard ◽  
Christopher A. Church ◽  
Kristin A. Seiberling
Keyword(s):  
Combination Therapy ◽  
Chronic Rhinosinusitis ◽  
Nasal Polyps ◽  
Therapy Group ◽  
Retrospective Chart Review ◽  
Post Treatment ◽  
Entire Study ◽  
Symptom Scores ◽  
Before And After ◽  
The Difference

Despite a lack of robust data regarding their efficacy, oral antibiotics and steroids remain two of the most common treatments for chronic rhinosinusitis without nasal polyps (CRSsNP). We sought to objectively compare the efficacy of antibiotics and steroids, independently and in combination, for the initial treatment of CRSsNP. To that end, we conducted a retrospective chart review of 100 patients—51 men and 49 women, age 20 to 85 years (mean: 50)—who were treated for CRSsNP from January 2010 through January 2015. Of this group, 17 patients were treated with an antibiotic only, 28 with a steroid only, and 55 with both agents. All patients underwent computed tomography (CT) before and after treatment, and we compared the three groups’ pre- and post-treatment Lund-Mackay CT scores, symptom scores, and rates of surgery. The average time between the pre- and post-treatment visits was 4.4 weeks. The mean Lund-Mackay CT score for the entire study population was significantly lower after treatment than at baseline (6.3 vs. 9.1; p < 0.001); however, there were no significant differences among the three groups in either pre- or post-treatment scores. Symptom scores were significantly better in the combination therapy group than in the two monotherapy groups (p < 0.001). In all, 40 of the 100 patients underwent surgery; the difference in surgery rates among the three groups was not statistically significant (p = 0.884). Surgery was performed on 9 of the 52 (17.3%) patients who either were followed for at least 1 year or who had had surgery within the first year postoperatively; again, there were no significant differences among the three groups (p = 0.578). We conclude that although the Lund-Mackay CT scores decreased significantly in the antibiotic, steroid, and combination therapy groups, no one regimen was superior to any other for treating CRSsNP in our study.

Pain Assessment Documentation After Opioid Administration at a Community Teaching Hospital

2018 ◽  
Vol 32 (2) ◽  
pp. 179-185
Author(s):  
Megan E. Phillips ◽  
Rod A. Gilmore ◽  
Melody C. Sheffield ◽  
Stephanie V. Phan
Keyword(s):  
Nursing Education ◽  
Pain Score ◽  
Pain Assessment ◽  
Retrospective Chart Review ◽  
Time Frame ◽  
Primary Objective ◽  
Opioid Dose ◽  
Pain Scores ◽  
Opioid Administration ◽  
Before And After

Purpose: To compare pain assessment documentation postopioid administration in hospitalized patients before and after implementing nurse education. Methods: Patients 18 years and older were randomly selected for inclusion if they received 1 opioid dose while admitted to the hospital. Through retrospective chart review, opioid data, including date and time, were collected for each opioid administered. Pain score data, including time and date of documentation, were recorded for analysis. The primary objective of this study was to determine whether a nursing education intervention would improve documentation of pain scores within an appropriate time frame postadministration of an opioid medication. The intervention was a training presentation uploaded to the institution’s intranet with an assessment. The primary outcome was measured by comparing the frequency by which nurses documented pain scores following opioid administration before and after education. Results: Three hundred twenty patients (160 patients per time period) were evaluated. The percentage of pain scores recorded within the appropriate assessment time following opioid administration increased from 32.9% to 37.8% ( P = .003). The proportion of appropriate pain score documentation increased 4.9% (95% confidence interval [CI]: 1.6%-8.2%). Conclusion: An increase in the documentation of efficacy assessments after opioid administration was demonstrated after nursing education. Further studies should be done to identify additional strategies to increase monitoring as well as to identify a benchmark for institutions with regard to pain management monitoring.

Transvaginal Trigger Point Injections Improve Pain Scores in Women with Pelvic Floor Hypertonicity and Pelvic Pain Conditions

2019 ◽  
Vol 25 (5) ◽  
pp. 392-396 ◽  
Author(s):  
Jamie Bartley ◽  
Esther Han ◽  
Priyanka Gupta ◽  
Natalie Gaines ◽  
Kim A. Killinger ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Pain ◽  
Trigger Point ◽  
Pain Scores

scholarly journals Music Intervention Reduces Persistent Fibromyalgia Pain and Alters Functional Connectivity Between the Insula and Default Mode Network

Pain Medicine ◽  
2020 ◽  
Vol 21 (8) ◽  
pp. 1546-1552
Author(s):  
Chie Usui ◽  
Eiji Kirino ◽  
Shoji Tanaka ◽  
Rie Inami ◽  
Kenya Nishioka ◽  
...  
Keyword(s):  
Functional Connectivity ◽  
Default Mode Network ◽  
Network Connectivity ◽  
Music Intervention ◽  
Default Mode ◽  
Pain Scores ◽  
Short Period ◽  
Before And After ◽  
The Difference ◽  
The Right

Abstract Objective The aims of the present study were to examine the effects of short-term music interventions among patients with fibromyalgia (FM) and to clarify the alterations in functional connectivity and persistent pain. Design Pilot study. Setting All participants were evaluated at Juntendo University from November 2017 to January 2019. Subjects We enrolled female patients who had been clinically diagnosed with FM (N = 23). Methods All participants listened to Mozart’s Duo for Violin and Viola No. 1, K. 423, in a quiet room for 17 minutes. We compared the degree of pain using resting-state functional magnetic resonance imaging and the numeric rating scale before and after listening to music. Results Pain scores were significantly reduced after listening to music. Further, we observed there was a significant difference in connectivity between the right insular cortex (IC) and posterior cingulate cortex (PCC)/precuneus (PCu) before and after listening to music. We also found that the difference between the right IC-PCu connectivity and the difference in pain scores were significantly correlated. Conclusions We found that a short period of music intervention reduced chronic pain and altered functional IC–default mode network connectivity. Furthermore, music potentially normalized the neural network via IC–default mode network connectivity, yielding temporary pain relief in patients with FM. Further longitudinal studies with larger sample sizes are required to confirm these results.

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