Publications by authors named "Ho-Young Gil"
: Atelocollagen is used for soft tissue repair and reconstruction by replacing defective or damaged muscles, membranes, ligaments, and tendons. This study aimed to evaluate the clinical efficacy and safety of additional paraspinal intramuscular injection of atelocollagen on lumbar epidural steroid injection for reducing pain and improving functional capacity of patients with chronic low back pain (CLBP). We retrospectively enrolled 608 consecutive patients with CLBP who received lumbar epidural steroid injection with or without additional paraspinal intramuscular injection of atelocollagen.
View Article and Find Full Text PDFPercutaneous plasma disc decompression (PPDD) is a minimally invasive treatment for discogenic low back pain and herniated disc-related symptoms. However, there are no known outcome predictive variables during the procedure. The purpose of this study was to evaluate and validate epidurography as an intra-procedure outcome predictor.
View Article and Find Full Text PDFObjective: Nonsurgical spinal decompression therapy (NSDT) is a conservative treatment for the lumbosacral herniated intervertebral disc (L-HIVD). This study aimed to evaluate the clinical effectiveness of the NSDT and change in disc volume through magnetic resonance imaging (MRI) in subacute L-HIVD.
Methods: Sixty patients with subacute L-HIVD were randomized into either the decompression group (group D, = 30) or the nondecompression group (group N, = 30).
Background: Deciding whether to continue or discontinue aspirin prior to interventional procedures is a major concern for pain physicians. Many guidelines have been published on the discontinuation of aspirin before invasive procedures; however, the recommendations are inconsistent and do not consider individual platelet function. Furthermore, many studies have shown a high prevalence of aspirin resistance in patients taking this medication.
View Article and Find Full Text PDFThe objective of this study was to compare facial temperatures and the visual analogue scale (VAS) between the drip method and the topical method of transnasal sphenopalatine ganglion block (SPGB). The transnasal SPGB is administered to patients with facial or head and neck pain. In the transnasal approach, the drip and topical methods are frequently used.
View Article and Find Full Text PDFArticle Synopsis
- Research investigated the effects of palonosetron on remifentanil's ability to suppress cough after extubation during surgery.
- 45 female patients were divided into two groups, one receiving palonosetron and the other receiving normal saline.
- Results showed no significant differences in the required remifentanil concentration to suppress cough between the palonosetron and control groups, suggesting palonosetron did not enhance remifentanil's cough-suppressing effects.
Background: Zoster-related pain (ZRP) has many negative effects on a patient's quality of life. The transforaminal steroid injection (TFESI), which reduces neural inflammation and pain, has been advocated by pain physicians. Many reports demonstrated that early administration of TFESI showed better efficacy; however, the golden period during which TFESI is most effective remains unclear.
View Article and Find Full Text PDFArticle Synopsis
- Percutaneous epidural neuroplasty (PEN) is a treatment for radicular pain, but not all procedures show contrast runoff to the spinal nerve root, which can affect success rates.
- A study of 112 patients divided into three groups (Runoff, Non-runoff, Transforaminal) found significant differences in success rates, particularly between the Non-runoff and Transforaminal groups.
- The findings suggest that contrast runoff impacts PEN effectiveness and that adding transforaminal epidural blocks can enhance success rates when runoff is absent.
Article Synopsis
- * The study compared the effectiveness of two approaches—safe-triangle and Kambin's-triangle—for PTFA in 30 patients with chronic unilateral L5 radiculopathy.
- * Both approaches showed high success rates and significant improvements in pain and disability scores after 3 months, indicating that Kambin's-triangle could be a viable alternative when the safe-triangle approach is difficult.
Osteoarthritis (OA) is considered to be one of the most disabling diseases. The intra-articular opioid injection has been widely studied for its simplicity, safety, and efficacy in OA. In this study, however, we suggest a novel method of buprenorphine transdermal patch (BTDP) to painful knee joints of OA patients, instead of intra-articular opioid injection, and subsequently compared the knee application with conventional chest application.
View Article and Find Full Text PDFArticle Synopsis
- Hypertonic saline (HS) injections can cause pain during decompressive neuroplasty (DN), and this study aimed to compare pain levels between bolus injections and continuous infusion of HS.
- Fifty patients were randomly assigned to receive either HS via four separate injections (bolus) or a continuous infusion over an hour, with pain levels measured using an 11-point scale.
- While both methods had similar initial pain levels, the continuous infusion method significantly reduced pain from the second assessment onward, though there were no long-term differences in pain or disability scores three months after the procedure.
Article Synopsis
- Sphenopalatine ganglion block (SPGB) is a technique from the 1990s aimed at relieving head and neck pain, with a newer version called transnasal sphenopalatine ganglion block (TN-SPGB) gaining popularity.
- This study aimed to objectively validate TN-SPGB’s effectiveness by measuring facial temperature changes before and 30 minutes after the procedure using digital infrared thermal imaging (DITI).
- Results showed significant temperature decreases in the forehead area post-TN-SPGB, but no link was found between temperature changes and pain relief, suggesting DITI could be a useful tool for assessing the success of TN-SPGB.
Purpose: Complex regional pain syndrome (CRPS) is a rare but refractory pain disorder. Recent advanced information retrieval studies using text-mining and network analysis have suggested nuclear factor kappa B (NFκB) as a possible central mediator of CRPS. The brain is also known to play important roles in CRPS.
View Article and Find Full Text PDF