Retrospective analysis of minimal-incision, endoscopic, and open procedures for heel spur syndrome

1998 ◽  
Vol 88 (2) ◽  
pp. 64-72 ◽  
Author(s):  
MK Brekke ◽  
DR Green
Keyword(s):  
Patient Satisfaction ◽  
Retrospective Analysis ◽  
Pain Reduction ◽  
Surgical Correction ◽  
Heel Spur ◽  
Minimal Incision ◽  
Reduction Of Pain ◽  
Plantar Fasciotomy ◽  
Postoperative Problems

Forty-four patients with recalcitrant heel spur syndrome who underwent surgical correction (54 procedures) were studied retrospectively. The results of minimal-incision, endoscopic, and open plantar fasciotomy procedures were compared. This study focuses on patient satisfaction, pain reduction, convalescence, and postoperative problems. Although all procedure groups reported high degrees of patient satisfaction and reduction of pain, some notable differences among the three groups were observed.

Retrospective Analysis and Patient Satisfaction Assessment of Insulin Pump Therapy in Patients with Type 2 Diabetes

2011 ◽  
Vol 104 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Chad K. Gentry ◽  
L. Brian Cross ◽  
Benjamin N. Gross ◽  
M. Shawn McFarland ◽  
William H. Bestermann
Keyword(s):  
Type 2 Diabetes ◽  
Patient Satisfaction ◽  
Retrospective Analysis ◽  
Insulin Pump ◽  
Insulin Pump Therapy ◽  
Pump Therapy

scholarly journals Treatment of degenerative chronic low back pain with fluoroscopically guided epidural procaine-corticosteroid injection

2008 ◽  
Vol 65 (7) ◽  
pp. 507-511 ◽  
Author(s):  
Slobodan Culafic ◽  
Dara Stefanovic ◽  
Dragan Dulovic ◽  
Ljubodrag Minic ◽  
Andrijana Culafic
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Conservative Therapy ◽  
Corticosteroid Injection ◽  
Pain Reduction ◽  
Lumbosacral Spine ◽  
Low Back ◽  
Military Medical Academy ◽  
Reduction Of Pain

Background/Aim. Low back pain is one of the most common painful conditions in the modern age. Therefore, it is very important to establish the most effective protocol for the treatment of this condition. The aim of this study was to find out if fluoroscopically, guided epidural procainecorticosteroid injection is effective in the treatment of degenerative chronic low back pain. Methods. This prospective cohort study was performed in the Military Medical Academy from September 2005 to June 2006 and included 60 patients of both sexes, 34-85 years of age. Degenerative changes of lumbosacral spine were determined by magnetic resonance imaging. The intensity of low back pain was evaluated by subjective (Roland's scale) and objective parameter (Lazarevic sign). Epidural procaine-corticosteroid injection was applied in the patients with low back pain not responding to conservative therapy. After the application of injection, effects of the therapy were followed up. Results. In 92% of the patients there was a reduction of pain intensity for three months, in 4.8% a reduction for a month, but after another injection they felt pain reduction for the next three months. One patient (2.3%) had pain reduction for one month. Conclusion. In the treatment of degenerative chronic low back pain, not responding to conservative therapy with nonsteroidal anti-inflammatory drugs, epidural procaine-corticosteroid injection have a satisfactory short-term as well as a long-term analgesic effect.

scholarly journals Contribuições do cuidado de enfermagem na redução da dor em clientes com dermatoses imunobolhosas: avaliação pela lógica fuzzi

2016 ◽  
Vol 15 (4) ◽  
pp. 675 ◽  
Author(s):  
Euzeli Da Silva Brandão ◽  
Iraci Dos Santos ◽  
Regina Serrão Lanzillotti
Keyword(s):  
Fuzzy Logic ◽  
Pain Intensity ◽  
Nursing Care ◽  
Pain Reduction ◽  
Low Level ◽  
Before And After ◽  
Reduction Of Pain ◽  
High Level

Aim: to evaluate the intensity of the client’s pain with autoimmune bullous  dermatoses,  before  and  after the  protocol  of  nursing  care  is  applied to  a  client with autoimmune bullous dermatoses. Method: the data were treated using fuzzy logic. Results: when associating the implementation of the protocol with pain reduction in the 14 study subjects the following stand out: in T0, seven subjects presented high levels of pain, with a pertinence of 1.0; in T1, 24 hours after intervention, eight presented a low level of pain, with pertinences ranging from 1.0 and 0.75, and only one with high level of pain;  in  T2,  only  one  remained  with  a  high  level  of  pain.  Discussion:  the  use  of analgesics prior to application of the protocol demonstrates that change in pain intensity was  not  influenced  by  use  of  medication,  but  rather  by  the  implemented  care. Conclusion: based on the classifications of fuzzy logic, there was a significant reduction of pain levels, especially in the first 24 hours.

Radiologic Efficacy and Patient Satisfaction after Minimally Invasive Unilateral Laminotomy and Bilateral Decompression in Patients with Lumbar Spinal Stenosis: A Retrospective Analysis

2020 ◽  
Vol 81 (06) ◽  
pp. 475-483
Author(s):  
Seung-Kook Kim ◽  
Sungmo Ryu ◽  
Eun-Sang Kim ◽  
Sun-Ho Lee ◽  
Su-Chan Lee
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Minimally Invasive ◽  
Retrospective Analysis ◽  
Spinal Stenosis ◽  
Surgical Procedure ◽  
Lateral Recess ◽  
Lateral Recess Stenosis ◽  
Lumbar Spinal

Abstract Background and Study Aims Lumbar spinal stenosis (LSS) is the most common spinal disease in older adults. Although surgical modalities are recommended in patients who are unresponsive to conservative treatment, the most appropriate minimally invasive surgical procedure for patients with LSS remains controversial. Moreover, few previous studies have focused on patient-centered outcomes with radiologic correlation. In the present study, we aimed to investigate radiologic efficacy and patient satisfaction following bilateral decompression via unilateral laminotomy. Materials and Methods We performed a retrospective analysis of radiologic efficacy and patient satisfaction in a series of surgical patients treated at our institution. We classified patients into two groups based on the primary pathology (i.e., central or lateral recess stenosis). Medical records were analyzed retrospectively for radiologic outcomes and clinical parameters including pain and changes in quality of life. Data related to outcomes were collected at 2 weeks, 3 months, and 12 months after surgery in the outpatient clinic. Results Among the 122 patients enrolled in this study, 51 had central spinal stenosis; 71 had lateral recess stenosis. Radiologically, we observed significant improvements in the anteroposterior diameter and cross-sectional area of the dural sac (central stenosis) and the lateral width of the central canal and depth of the lateral recess (lateral recess stenosis). Two weeks and 12 months after the surgical procedure, we observed significant improvements in the extent of symptoms, patient satisfaction, and quality of life (including physical function). Conclusion Our findings suggest that bilateral decompression via a unilateral approach shows improved radiologic outcomes, varying based on the type of stenosis. Furthermore, patient satisfaction significantly improved regardless of the type of disease.

Biomechanical Consequences of Total Plantar Fasciotomy

2009 ◽  
Vol 99 (5) ◽  
pp. 422-430 ◽  
Author(s):  
Jo L. Tweed ◽  
Mike R. Barnes ◽  
Mike J. Allen ◽  
Jackie A. Campbell
Keyword(s):  
Center Of Pressure ◽  
Plantar Fascia ◽  
In Vivo Studies ◽  
Medial Longitudinal Arch ◽  
Foot Structure ◽  
Longitudinal Arch ◽  
Plantar Fasciotomy ◽  
Postoperative Problems

Background: Plantar fascia release for chronic plantar fasciitis has provided excellent pain relief and rapid return to activities with few reported complications. Cadaveric studies have led to the identification of some potential postoperative problems, most commonly weakness of the medial longitudinal arch and pain in the lateral midfoot. Methods: An electronic search was conducted of the MEDLINE, ScienceDirect, SportDiscus, EMBASE, CINAHL, Cochrane, and AMED databases. The keywords used to search these databases were plantar fasciotomy and medial longitudinal arch. Articles published between 1976 and 2008 were identified. Results: Collectively, results of cadaveric studies suggested that plantar fasciotomy leads to loss of integrity of the medial longitudinal arch and that total plantar fasciotomy is more detrimental to foot structure than is partial fasciotomy. In vivo studies, although limited in number, concluded that although clinical outcomes were satisfactory, medial longitudinal arch height decreased and the center of pressure of the weightbearing foot was excessively medially deviated postoperatively. Conclusions: Plantar fasciotomy, in particular total plantar fasciotomy, may lead to loss of stability of the medial longitudinal arch and abnormalities in gait, in particular an excessively pronated foot. Further in vivo studies on the long-term biomechanical effects of plantar fasciotomy are required. (J Am Podiatr Med Assoc 99(5): 422–430, 2009)

Patient Satisfaction After Surgical Correction of Adolescent Idiopathic Scoliosis

Spine ◽  
2011 ◽  
Vol 36 (12) ◽  
pp. 965-968 ◽  
Author(s):  
Leah Yacat Carreon ◽  
James O. Sanders ◽  
Mohammad Diab ◽  
Peter F. Sturm ◽  
Daniel J. Sucato
Keyword(s):  
Patient Satisfaction ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Surgical Correction

Evaluation of Long-term Outcomes Following Plantar Fasciotomy

2018 ◽  
Vol 39 (11) ◽  
pp. 1312-1319 ◽  
Author(s):  
Rebekah Gibbons ◽  
Katherine E. Mackie ◽  
Todd Beveridge ◽  
Dana Hince ◽  
Peter Ammon
Keyword(s):  
Patient Satisfaction ◽  
Plantar Fasciitis ◽  
Satisfaction Score ◽  
Satisfaction Survey ◽  
Long Term Outcomes ◽  
Short Term ◽  
Patient Reported ◽  
Plantar Fasciotomy

Background: Plantar fasciitis is a common condition prevalent in both athletic and nonathletic populations. Approximately 10% of patients do not respond to conservative treatment and suffer chronic recalcitrant plantar fasciitis. Outcomes following plantar fasciotomy vary but short-term studies have reported excellent early pain relief and return to activity, and significant improvements in symptoms. Previous study limitations include small patient cohorts, short-term duration of follow-up or lack of validated outcome measures. We therefore aimed to investigate the long-term outcomes following complete plantar fasciotomy. Methods: Patients who underwent complete plantar fasciotomy surgery from a single surgeon within the past 10 years (minimum 7 months) were invited to participate in this retrospective survey study. To evaluate patient-reported function, participants were asked to complete the Foot and Ankle Outcome Score (FAOS). To assess subjective outcome, the participants were provided a satisfaction survey. The satisfaction survey was designed to include the 3 key factors for assessing postoperative patient satisfaction, which are preoperative expectations, symptom relief, and hospital experience. A total of 74 questionnaires were returned. Results: The median global satisfaction score was 85.4 (IQR=37.5) points out of 100. Significant correlations between the global patient satisfaction score and all FAOS subscale scores were identified. Only 3 participants (4%) reported a complication following surgery; however, 32 participants (44.4%) indicated that they still experienced swelling and/or tenderness in their foot at the time of the survey (mean follow-up time 4.8 ± 2.8 years) but for the majority of patients this was improved from before surgery. Conclusion: Long-term patient satisfaction was experienced by the majority of patients following plantar fasciotomy. Although 44% of patients continue to have postoperative complaints, 73% indicated that they were satisfied with their symptoms postoperatively, and 74% would undergo a similar procedure again. Level of Evidence: Level IV, case series.

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