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Comparative Study Between the Analgesic Effect of Prednisolone and Pregabalin in Managing Post Dural Puncture Headache After Lower Limb Surgeries.
Pain Physician
December 2024
Departments of Anesthesia, Intensive Care, and Pain Management, Faculty of Human Medicine, Zagazig University Alsharkia, Egypt.
Background: Post dural puncture headache (PDPH) is a major challenging complication and may be a cause of morbidity after spinal anesthesia. Currently there is no definitive management for PDPH, so the search for effective treatment continues.
Objectives: Our aim was to investigate the analgesic effectiveness of oral prednisolone vs oral pregabalin for managing PDPH subsequent to spinal anesthesia for lower limb surgeries.
Dry Needling Plus Cervical Interlaminar Epidural Steroid Injections: Do We Have More Favorable Results in Cervical Disc Herniation? A Randomized Sham-Controlled Clinical Study.
Am J Phys Med Rehabil
December 2024
From the Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, Istanbul, Turkey (GY, CST); and Division of Pain Medicine, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, Istanbul, Turkey (SS, OHG).
Article Synopsis
- The study aimed to assess how dry needling impacts pain relief in patients undergoing interlaminar epidural steroid injections for cervical disc herniation with active trigger points.
- Three groups were formed: one received both steroid injections and dry needling, another received steroid injections and a sham treatment, and the third received only injections.
- Results showed that the combination of steroid injections and dry needling significantly lowered pain levels more than the other treatments and increased pain thresholds, highlighting its effectiveness.
Spinal intracord injection damage during interlaminar cervical epidural steroid injection: a case report and review of the literature.
J Med Case Rep
November 2024
Department of Orthopedics, Xinqiao Hospital, Army Medical University, 183 Xinqiao Street, Shapingba District, Chongqing, 400037, China.
Article Synopsis
- * The procedure was guided using fluoroscopy, but shortly after, she lost consciousness and became quadriplegic, leading to her transfer for treatment which included standard therapy and alternative methods like acupuncture.
- * Remarkably, despite the initial severity of her condition, she experienced significant neurological recovery over eight months, regaining normal strength in her limbs with only minor residual symptoms.
Increased Risk of Osteoporotic Vertebral Compression Fractures Following Epidural Steroid Injections in Patients with Lumbar Degenerative Disease: A Retrospective Cohort Study.
J Clin Med
October 2024
Department of Orthopedics, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970473, Taiwan.
: Lumbar degenerative disease is a common age-related condition, with epidural steroid injection (ESI) being a widely employed conservative treatment approach. However, the potential effect of ESI on osteoporosis and fracture risk remains unclear. This study investigated the risk of osteoporotic vertebral compression fractures (OVCFs) in patients with lumbar degenerative disease who underwent ESI treatment.
View Article and Find Full Text PDFEffects of dexamethasone combined with vitamin B12 on percutaneous endoscopic interlaminar discectomy early outcomes: a randomized controlled trial.
J Orthop Surg Res
November 2024
Department of Orthopedic, The 908th Hospital of Chinese People's Liberation Army Joint Logistic Support Force, Nanchang, 330002, Jiangxi, China.
Background: Residual low back and leg pain can occur after percutaneous endoscopic interlaminar discectomy (PEID) and compromise early surgical outcomes. This study aimed to determine the efficacy of combining dexamethasone with vitamin B12 (VB12) via epidural injection in improving the symptoms of low back and leg pain after PEID, and the underlying mechanism of action.
Methods: Patients who underwent PEID for lumbar disc herniation (LDH) were enrolled and randomly assigned to the single surgery (SS) group, where disc removal was performed via PEID alone, or the combined treatment (CT) group, which received epidural injections of dexamethasone and VB12 alongside surgery.
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