39 results match your criteria: "Cervical Discogenic Pain Syndrome"
Painful Legs and Moving Toes Syndrome: Case Report and Review.
Neurol Int
November 2024
Second Clinic of Neurology with ICU and Stroke Unit, University Hospital "St. Marina", 9000 Varna, Bulgaria.
Article Synopsis
- Painful legs and moving toes (PLMT) syndrome is a rare movement disorder involving severe leg pain and involuntary toe movements caused by nerve issues in the lower limbs.
- This case study presents a 59-year-old man with PLMT due to multiple disc problems in his spine, highlighting how pregabalin, a medication, significantly improved his symptoms during a 90-day follow-up.
- The conclusion emphasizes that while PLMT is often overlooked by healthcare providers, early treatment with medications like pregabalin is crucial, with additional options available if conservative treatments fail.
Minimally invasive interventional therapy for pain.
J Interv Med
May 2023
Department of Pain Medicine, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui, Zhejiang Province, 323000, China.
Article Synopsis
- Pain interventional therapy is an innovative medical approach that uses neuroanatomy and nerve block technology to treat pain, making it a promising advancement in 21st-century healthcare.
- It is considered more effective and cost-efficient compared to traditional surgical methods, as it focuses on minimally invasive techniques.
- Recent techniques like spinal cord stimulation and intrasheath drug infusion have shown success in treating various painful conditions, such as post-herpetic neuralgia and cancer pain.
[The use of a fixed combination of diclofenac and orphenadrine in the treatment of acute pain syndrome in patients with discogenic lumbosacral radiculopathy and lumboischialgia].
Zh Nevrol Psikhiatr Im S S Korsakova
March 2023
Yaroslavl Clinical Hospital No 2, Yaroslavl, Russia.
Article Synopsis
- The paper examines acute pain syndromes related to discogenic lumbosacral radiculopathy and lumboischialgia, highlighting their potential to become chronic conditions.
- It reviews current conservative treatment methods and includes findings on the effectiveness and safety of a combination drug, Neodolpasse, for treating vertebrogenic pain syndromes based on the NEODOLEX study.
- The authors discuss why Neodolpasse may work well for patients dealing with discogenic radiculopathies and general back and neck pain, supported by their clinical observations.
The first experience with fully endoscopic posterior cervical foraminotomy and discectomy for radiculopathy performed in Viet Duc University Hospital.
Sci Rep
May 2022
Faculty of Surgery, Ha Noi Medical University, 1 Ton That Tung Str., Dong Da, Ha Noi, Viet Nam.
Article Synopsis
- - The article discusses the first use of full-endoscopic posterior cervical foraminotomy and discectomy at Viet Duc University Hospital for treating radiculopathy caused by issues like disk herniation and foraminal stenosis in 20 patients.
- - Prior to surgery, all patients underwent thorough imaging with CT and MRI, alongside additional tests like electroneuromyography to rule out instability.
- - Post-surgery evaluations using a VAS scale showed that all patients experienced significant pain relief immediately after the operation.
Article Synopsis
- * The aim of the updated guidelines is to provide evidence-based guidance for various therapeutic epidural procedures across the lumbar, cervical, and thoracic regions of the spine.
- * A comprehensive literature review, including 47 systematic reviews and 43 randomized controlled trials, has been conducted to inform recommendations regarding the efficacy and safety of epidural interventions, especially for conditions like disc herniation.
Static and Dynamic Changes of Amplitude of Low-Frequency Fluctuations in Cervical Discogenic Pain.
Front Neurosci
July 2020
Department of Radiology, The Affiliated Xi'an Central Hospital of Xi'an Jiaotong University, Xi'an, China.
Article Synopsis
- Cervical discogenic pain (CDP) is a common pain syndrome linked to cervical disk degeneration, and it affects brain function, but the specifics are not well understood.
- This study used resting-state functional MRI to compare brain activity in 40 CDP patients with 40 healthy controls, revealing significant differences in certain brain areas involving static and dynamic amplitude of low-frequency fluctuations.
- The results showed increased brain activity in areas like the left insula and decreased activity in regions such as the precentral/postcentral gyrus, with certain changes correlating to pain severity and duration, shedding light on the neurological underpinnings of CDP.
Article Synopsis
- Chronic neck pain is a significant source of disability in the U.S., with limited research on the cost effectiveness of cervical interlaminar epidural injections compared to other pain management interventions.
- This study aims to evaluate the cost utility of these injections for managing chronic neck and upper extremity pain due to conditions like cervical disc herniation and post-surgery syndrome, using data from three randomized trials.
- The analysis includes cost assessment based on patient outcomes and procedural expenses over a two-year follow-up period, highlighting the financial implications alongside the effectiveness of treatment.
Article Synopsis
- Epidural injections have been used since 1901 to treat low back pain and sciatica, but the effectiveness of these injections for managing chronic spinal pain remains debated despite various treatment options available.
- The study aims to systematically review randomized controlled trials evaluating the efficacy of epidural injections in addressing chronic spinal pain, focusing on pain relief and functional improvement.
- A total of 52 trials were included in the review, showing that epidural injections provide moderate evidence for long-term pain relief in conditions like lumbar and cervical disc herniation, but no considerable differences in results were found between various injection methods.
Do cervical epidural injections provide long-term relief in neck and upper extremity pain? A systematic review.
Pain Physician
November 2015
Pain Management Center of Paducah, Paducah, KY, and University of Louisville, Louisville, KY; New York University School of Medicine, New York, NY.
Article Synopsis
- Chronic neck pain is common and affects individuals' health and the economy, with various treatment options like surgery, conservative measures, and injections being explored for relief.
- The study aimed to evaluate the long-term effectiveness of cervical interlaminar and transforaminal epidural injections for conditions such as disc herniation and spinal stenosis.
- Findings revealed that while there is decent evidence supporting the interlaminar approach, especially for specific pain types, limited research exists on the transforaminal method, highlighting a need for more randomized trials.
Cervical spine clearance in the traumatically injured patient: is multidetector CT scanning sufficient alone? Clinical article.
J Neurosurg Spine
November 2013
Departments of Neurosurgery.
Article Synopsis
- The study examines how to determine if patients with cervical spine trauma are clear of serious injury, highlighting that a clinical exam suffices for neurologically intact patients, but imaging is necessary for those in pain or with altered mental status.
- It analyzed data from 1,004 trauma patients between 2004 and 2011 who underwent both MDCT and MRI, identifying reasons for MRI scans, which mainly included neck pain and altered mental status.
- Findings revealed that while many MRI scans showed normal results, 125 patients had ligamentous injuries, and a high percentage were documented as 'cleared' through various means, suggesting the need for radiological evaluation even when initial scans seem clear.
An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations.
Pain Physician
April 2013
American Society of Interventional Pain Physicians.
Article Synopsis
- The objective of the text is to create evidence-based clinical guidelines for diagnosing and treating chronic spinal pain using various interventional techniques.
- The methodology involves a systematic review of existing literature to evaluate the effectiveness of these procedures.
- Key findings highlight varying levels of evidence for different techniques, such as good evidence for lumbar facet joint nerve blocks and caudal epidural injections, but limited evidence for others like transforaminal epidural injections and certain intradiscal procedures.
Heterotopic ossification in vertebral interlaminar/interspinous instrumentation: report of a case.
Case Rep Surg
August 2012
Division of Neurosurgery, Department of Neuroscience and Rehabilitation, University-Hospital S. Anna, 8 Via Aldo Moro, 44124 Ferrara, Italy.
Article Synopsis
- This text discusses a rare case of heterotopic ossification occurring in an interspinous/interlaminar Coflex device, which is used for treating various spinal conditions.
- The patient, a male with L4-L5 stenosis, showed improvement after surgery but developed new stenosis due to abnormal ossification three years post-operation.
- The case is noted as the first report of this complication in such devices, suggesting that heterotopic ossification should be recognized as a potential risk associated with their use.
Article Synopsis
- Chronic neck pain is very common, affecting 48% of women and 38% of men, with many experiencing ongoing issues; treatments are becoming more varied, but there's still a lack of solid evidence on their effectiveness.
- The study focuses on evaluating cervical interlaminar epidural injections as a treatment for different chronic neck and upper extremity pain caused by various cervical spine problems.
- A systematic review was conducted using established criteria to assess the quality of existing literature on these injections, with outcomes centered on measuring pain relief.
Spine injuries in dancers.
Curr Sports Med Rep
May 2011
Medical College of Wisconsin, Department of Community and Family Medicine, Milwaukee, WI 53266, USA.
Article Synopsis
- Care for dancers requires understanding their unique needs as both athletes and artists, including specific dance terminology and techniques.
- The spine is the second most common injury site in dancers, often due to poor technique and muscle imbalances leading to various back problems.
- The article discusses common causes of low back pain in dancers and emphasizes the importance of tailored treatment and maintaining participation in dance to ease anxiety.
An algorithmic approach for clinical management of chronic spinal pain.
Pain Physician
October 2009
Pain Management Center of Paducah, Paducah, KY, USA.
Article Synopsis
- * A proposed algorithmic approach aims to standardize the diagnosis and management of chronic spinal pain by following evidence-based guidelines, focusing on thorough patient history, examination, and medical decision-making.
- * The algorithm emphasizes assessing common sources of chronic low back pain, prioritizing facet joints and considering interventions like epidural injections or sacroiliac joint blocks, before resorting to more invasive measures.
Comprehensive review of therapeutic interventions in managing chronic spinal pain.
Pain Physician
October 2009
Pain ManagementCenter of Paducah, Paducah, KY, USA.
Article Synopsis
- There is significant variability in how interventional pain management is defined and practiced, with a need for clear clinical guidelines for treating chronic spinal pain.
- The strength of evidence for various interventional techniques was assessed using U.S. Preventive Services Task Force criteria, with most recommended treatments falling between Level I and Level II-2.
- The evidence supports certain interventions like caudal epidural steroid injections and percutaneous adhesiolysis, but the overall guidelines are limited due to insufficient literature and outdated information.
Article Synopsis
- Comprehensive guidelines for interventional techniques aimed at managing chronic spinal pain are developed based on evidence to assist clinicians in their practice.
- The study involved a systematic review of existing literature and categorized the strength of evidence using U.S. Preventive Services Task Force criteria.
- Key findings include high-level evidence supporting diagnostic and therapeutic procedures like facet joint nerve blocks and epidural steroid injections for effective pain management.
Cervical disc herniation and Brown-Sequard syndrome: a case report.
Afr J Med Med Sci
June 2008
Department of Medicine, Ladoke Akintola University of Technology, College of Health Sciences, Osogbo, Nigeria.
Article Synopsis
- Brown-Sequard syndrome due to a herniated cervical disc is uncommon, as exhibited by a case of a 45-year-old woman.
- She experienced right-sided weakness and loss of pain and temperature sensation on the left, linked to a disc herniation at the C4/C5 level, which caused anterior cord compression.
- Despite the severity of her condition, she opted out of recommended surgery and instead received effective symptomatic and supportive therapy, including physiotherapy.
Metastatic gastric cancer presenting with shoulder-hand syndrome: a case report.
J Med Case Rep
July 2008
Rheumatology Unit, IRCCS Humanitas Clinical Institute, University of Milan, Via Manzoni, 20089 Rozzano, Milan, Italy.
Article Synopsis
- Shoulder-hand syndrome is a rare condition classified as a complex regional pain syndrome type 1, characterized by a painful frozen shoulder and various changes in the affected hand.
- The exact cause is unclear, but it seems to involve sympathetic factors affecting nerves and blood supply; it is often linked to various health issues, especially after events like heart attacks or certain medical conditions.
- In a notable case, a 67-year-old woman was diagnosed with shoulder-hand syndrome as the first sign of metastatic gastric cancer, highlighting the need for thorough examinations in atypical cases.
Interventional techniques: evidence-based practice guidelines in the management of chronic spinal pain.
Pain Physician
January 2007
American Society of Interventional Pain Physicians, Paducah, KY 42001, USA.
Article Synopsis
- The guidelines aim to provide evidence-based recommendations for managing chronic spinal pain using interventional techniques, designed for clinicians in the U.S.
- The guideline development involved thorough literature reviews, consensus evaluations, and a structured method for assessing the quality of evidence, ranging from conclusive to indeterminate.
- Findings show strong accuracy for certain diagnostic interventions, such as facet joint nerve blocks and lumbar discography, while evidence for others, like cervical discography and diagnostic sacroiliac joint injections, is more limited or moderate.
Interventional techniques in the management of chronic spinal pain: evidence-based practice guidelines.
Pain Physician
January 2005
Department of Anesthesiology, University Hospitals of Cleveland Case School of Medicine, Cleveland, Ohio 44106, USA.
Article Synopsis
- * The study aimed to create evidence-based clinical practice guidelines for managing chronic spinal pain, involving a thorough review and consensus from specialists across various fields.
- * Results indicated that facet joint nerve blocks are reliable for diagnosing lumbar and cervical pain, while lumbar discography shows strong evidence, but less certainty exists for cervical cases.