المؤلفون: Gaurav Chhabra MBBS, FRCA, FFPMRCA

المساهمون: J. David Sinclair MD, Joan Hester MBBS, FRCA, LRCP, MRCS, Beverly J. Collett MB BS, FRCA, FFPMRCA

Relation: Evaluation of upper extremity mononeuropathy; Epicondylitis; Tendonitis; Complex regional pain syndrome; Carpal tunnel syndrome; Osteoporosis; Osteomalacia; Wrist fractures; Osteoporotic spinal compression fractures; Overview of musculoskeletal pain; Evaluation of back pain; Evaluation of neck pain; Evaluation of abdominal pain in pregnancy; Evaluation of chronic abdominal pain in adults; Musculoskeletal lower back pain; Chronic pelvic pain; Pelvic inflammatory disease; Diabetic neuropathy; Postherpetic neuralgia; Trigeminal neuralgia; Evaluation of polyneuropathy; Evaluation of lower extremity mononeuropathy; Evaluation of cranial nerve mononeuropathy; Temporomandibular joint syndrome; Lumbar stenosis; Degenerative cervical spine disease; Lumbosacral intervertebral disk disorders; Peripheral vascular disease; Evaluation of acute headache; Migraine; Tension-type headache; Cluster headache; Subdural hematoma; Opioid abuse; Angle-closure glaucoma; Open-angle glaucoma; Myopathies, idiopathic inflammatory; Fibromyalgia; Polymyalgia rheumatica; Osteoarthritis; Rheumatoid arthritis; Reactive arthritis; Sjogren syndrome; Ankylosing spondylitis; Systemic lupus erythematosus; Giant cell (temporal) arteritis (GCA); Overview of diabetes; Hyperparathyroidism; Overview of thyroid dysfunction; Primary hypothyroidism; Central hypothyroidism; Chronic hepatitis C; Lyme disease; Multiple myeloma; Depression; Anxiety; Personality disorders; Overview of chronic alcoholism; HIV infection; Back pain (lower back); Breast pain; Endometriosis; Fibromyalgia: what is it?; Chronic fatigue syndrome (myalgic encephalomyelitis); Rotator cuff injury

المؤلفون: Anuj Aggarwal​ ​MD

المساهمون: Andre Tomasino MD, Ari Weinreb MD, PhD, Jonathan Berman MBBS

Relation: Evaluation of upper extremity mononeuropathy; Evaluation of lower extremity mononeuropathy; Chronic pain syndromes; Osteoporosis; Depression; Diabetic neuropathy; Deep vein thrombosis; Thrombophlebitis; Lymphedema; Gout; Pseudogout; Scleroderma; Tenosynovitis of the hand and wrist; Ankylosing spondylitis; Evaluation of polyneuropathy; Primary care; Neurology; Rheumatology; Internal medicine; Anesthesiology

المؤلفون: Editorial Team

Relation: Evaluation of abdominal pain in pregnancy; Evaluation of acute headache in adults; Evaluation of acute headache in children; Evaluation of back pain; Evaluation of chest pain; Evaluation of knee injury; Evaluation of neck pain; Acute cervical spine trauma; Thoracolumbar spine trauma; Adhesive capsulitis; Ankle fractures; Ankylosing spondylitis; Anterior cruciate ligament injury; Baker cyst; Brachial plexus injury; Bursitis; Carpal tunnel syndrome; Chronic fatigue syndrome; Chronic pain syndromes; Chronic pelvic pain; Coccygodynia; Compartment syndrome of extremities; Complex regional pain syndrome; Conversion and somatization disorders; Costochondritis; Degenerative cervical spine disease; Epicondylitis; Fibromyalgia; Ganglion cyst; Gout; Groin pain; Tenosynovitis of the hand and wrist; Herpes zoster infection; Hip fractures; Iliotibial band syndrome; Joint dislocation; Juvenile idiopathic arthritis; Leg cramps; Lumbosacral intervertebral disk disorders; Medial collateral ligament injury; Meniscal tear; Metastatic breast cancer; Multiple myeloma; Muscle sprains and strains; Musculoskeletal lower back pain; Osgood-Schlatter disease; Osteoarthritis; Osteochondritis dissecans; Osteomalacia; Osteomyelitis; Osteoporosis; Osteosarcoma; Overview of occupational overuse syndromes; Overview of sport-related injuries; Paget disease; Patellofemoral pain; Plantar fasciitis; Polymyalgia rheumatica; Prostate cancer; Pseudogout; Psoriatic arthritis; Reactive arthritis; Restless legs syndrome; Rhabdomyolysis; Rheumatoid arthritis; Rib fractures; Rickets; Rotator cuff injury; Scoliosis; Sickle cell anemia; Slipped capital femoral epiphysis; Soft-tissue sarcoma; Osteoporotic spinal compression fractures; Spinal stenosis; Temporomandibular joint syndrome; Tendinopathy; Tension headache; Thoracic outlet syndrome; Torsion of the lower limb in children; Transient synovitis of the hip; Vitamin C deficiency; Wrist fractures; Ankle sprain; Back pain (lower back); Breast cancer: DCIS (very early breast cancer) in women; Breast cancer: locally advanced; Fibromyalgia: what is it?; Lung cancer (non-small-cell); Tension-type headache; Tennis elbow; Whiplash; Chronic fatigue syndrome (myalgic encephalomyelitis)

المؤلفون: Melanie Walker, Michael R. Levitt

المصدر: BMJ Case Rep

مصطلحات موضوعية: 0301 basic medicine, Adult, Male, medicine.medical_specialty, Clinical Neurology, 030105 genetics & heredity, 03 medical and health sciences, 0302 clinical medicine, Hematoma, Aneurysm, Postoperative Complications, medicine.artery, Occlusion, Medicine, Humans, Ropivacaine, cardiovascular diseases, Radial artery, Anesthetics, Local, medicine.diagnostic_test, business.industry, Vasospasm, Intracranial Aneurysm, Nerve Block, General Medicine, medicine.disease, Surgery, Catheter, Complex regional pain syndrome, Angiography, cardiovascular system, Arm, Female, Stents, Chronic Pain, business, Vascular Surgical Procedures, 030217 neurology & neurosurgery, Complex Regional Pain Syndromes, Vascular Access Devices

الوصف: Access site complications from transradial approaches for endovascular interventions are uncommon and many are preventable. Complications described in the literature include hematoma, radial artery occlusion, vasospasm, and even compartment syndrome. Mild post-procedure discomfort reported by patients is typically self-limited and managed symptomatically with oral analgesics. Pain that has no obvious structural correlate and is unresponsive to intravenous narcotics is very unusual. We describe the diagnosis and management of a case of complex regional pain syndrome of the upper extremity after transradial stent-assisted coil embolization of a cerebral aneurysm.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::88d2f3ab34feceed03998c76b13f2bda
https://europepmc.org/articles/PMC6936568/

المؤلفون: Duncan Neuhauser, Frans Bruyninckx, J Chu

المصدر: BMJ Innovations

مصطلحات موضوعية: medicine.medical_specialty, Neurology, musculoskeletal, business.industry, Pulse (signal processing), inventions, neurology, Diastole, global health, General Medicine, medicine.disease, Pulse pressure, Medical Devices, Autonomic nervous system, Blood pressure, Complex regional pain syndrome, trauma, Anesthesia, Heart rate, Medicine, business

الوصف: IntroductionFavourable pain relief results on evoking autonomous twitches at myofascial trigger points with Electrical Twitch Obtaining Intramuscular Stimulation (ETOIMS).AimTo document autonomic nervous system (ANS) dysfunction in Complex Regional Pain Syndrome (CRPS) from blood pressure (BP) and pulse/heart rate changes with ETOIMS.Methods and materialsA patient with persistent pain regularly received serial ETOIMS sessions of 60, 90, 120 or ≥150 min over 24 months. Outcome measures include BP: systolic, diastolic, pulse pressure and pulse/heart rate, pre-session/immediate-post-session summed differences (SDPPP index), and pain reduction. His results were compared with that of two other patients and one normal control. Each individual represented the following maximal elicitable twitch forces (TWF) graded 1–5: maximum TWF2: control subject; maximum TWF3: CRPS patient with suspected ANS dysfunction; and maximum TWF4 and TWF5: two patients with respective slow-fatigue and fast-fatigue twitches who during ETOIMS had autonomous twitching at local and remote myotomes simultaneously from denervation supersensitivity. ETOIMS results between TWFs were compared using one-way analysis of variance test.ResultsThe patients showed immediate significant pain reduction, BP and pulse/heart rate changes/reduction(s) except for diastolic BP in the TWF5 patient. TWF2 control subject had diastolic BP reduction with ETOIMS but not with rest. Linear regression showed TWF grade to be the most significant variable in pain reduction, more so than the number of treatments, session duration and treatment interval. TWF grade was the most important variable in significantly reducing outcome measures, especially pulse/heart rate. Unlike others, the TWF3 patient had distinctive reductions in SDPPP index.ConclusionsMeasuring BP and pulse/heart rate is clinically practical for alerting ANS dysfunction maintained CRPS. SDPPP index (≥26) and pulse/heart rate (≥8) reductions with almost every ETOIMS treatment, plus inability to evoke autonomous twitches due to pain-induced muscle hypertonicity, are pathognomonic of this problem.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f1ea3ab569c4d07a4ced381957ef2920
http://europepmc.org/articles/PMC5754870

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