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Comparing the clinical efficacy of preganglionic and preganglionic plus ganglionic transforaminal epidural steroid injections for lumbosacral radicular pain.
Neurosciences (Riyadh)
January 2025
From the Department of Algology (Göksu), Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, from the Department of Algology (Celik, Akcaboy, Şahin), University of Health Sciences Ankara City Hospital, Ankara, from Ankara Gaziler PMR Training and Research Hospital (Baran), University of Health Sciences, Ağrı, from the Department of Algology (Yıldız), University of Health Sciences Ankara Etlik City Hospital, Ankara, from the Department of Algology (Kaya), Adıyaman University Training and Research Hospital, Adıyaman, and from the Department of Algology (Ayhan), Dumlupinar University Kutahya Evliya Celebi Training and Research Hospital, Kütahya, Turkey.
Objectives: To compare the effectiveness of preganglionic transforaminal epidural steroid injection (TFESI) with preganglionic plus postganglionic TFESI.
Methods: Patients with unilateral radicular pain and disc pathology were randomly assigned to either the preganglionic group or the preganglionic plus postganglionic group. All patients were evaluated using a numeric rating scale (NRS) and a patient satisfaction scale (PSS) at the third week and the third month after treatment.
Effect of neuromodulation for chronic pain on the autonomic nervous system: a systematic review.
BJA Open
September 2024
STIMULUS Research Group, Cluster Neurosciences, Center for Neurosciences (C4N) and Pain in Motion (PAIN) Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium.
Article Synopsis
- There is increasing interest in neuromodulation techniques, like spinal cord and peripheral nerve stimulation, as alternatives for managing chronic pain, focusing on their effects on the autonomic nervous system (ANS).
- A systematic review analyzed 43 studies from various databases, assessing how neuromodulation impacts the ANS in chronic pain patients, with cardiovascular parameters being the most common outcome measured.
- Results showed a variety of ANS function indicators, emphasizing the need for better understanding of neuromodulation's role in chronic pain treatment and its interaction with the ANS.
The Physiotherapy Management of Postoperative Mid-shaft Clavicular Fracture With Brachial Plexus Injury: A Case Report.
Cureus
August 2024
Department of Neuro-Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Article Synopsis
- - Traumatic brachial plexus injury (BPI) is a serious condition mainly seen in young males, often caused by severe impacts, leading to loss of mobility and strength in the arm.
- - A case study discusses a 30-year-old female who suffered a mid-shaft clavicular fracture and BPI from a car accident, resulting in pain and impaired arm function, with imaging showing further complications.
- - The treatment involved surgery to fix the clavicle and a detailed rehabilitation program aimed at pain relief and restoring arm function, underlining the need for a team approach to effectively manage such injuries.
Radiofrequency stimulation of the dorsal root ganglion as a diagnostic tool for radicular pain syndromes: six representative cases.
J Anesth Analg Crit Care
September 2024
Department of Surgical, Pediatric and Diagnostic Sciences, University of Pavia, 27100, Pavia, PV, Italy.
Background: We discuss the diagnostic benefit of pulsed radiofrequency (PRF) of the dorsal root ganglion (DRG) in a case series of patients with different pathologies. We expand the diagnostic potential of DRG stimulation beyond paresthesia mapping by using DRG stimulation to help determine the role of the DRG in the patient's pain and narrow down the etiology. In some cases, DRG stimulation was also part of the treatment plan.
View Article and Find Full Text PDFRole of Na1.7 in postganglionic sympathetic nerve function in human and guinea-pig arteries.
J Physiol
July 2024
Johns Hopkins School of Medicine, Division of Clinical Immunology, Baltimore, MD, USA.
Na1.7 plays a crucial role in inducing and conducting action potentials in pain-transducing sensory nociceptor fibres, suggesting that Na1.7 blockers could be effective non-opioid analgesics.
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