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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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List of All Articles
1.  CASE REPORT
Coccydynia with Central Sensitization plays an Important Role as Pain Generator
Sunny Malik, Gautam Das, Monika Dabgotra, Mousumi Datta
[Year:2016] [Month:May-August] [Volume:2 ] [Number:2] [Pages:31] [Pages No:62-64] [No of Hits : 1260]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10046-0043 | FREE

ABSTRACT

Introduction: Reported is a case of “idiopathic coccydynia” with chronic pain which was refractory to conservative, medical, and interventional treatment. A diagnosis of central sensitization with coccydynia was made, and the patient responded very well to desensitization program with lignocaine and clonidine mixture. Central sensitization has proven its identity in fibromyalgia, chronic low back pain, and arthritis. But reports in coccydynia are lacking. This case report highlights the role and successful treatment of central sensitization in chronic “idiopathic coccydynia.”

Keywords: Central sensitization, Coccydynia, Hyperalgesia.

How to cite this article: Malik S, Das G, Dabgotra M, Datta M. Coccydynia with Central Sensitization plays an Important Role as Pain Generator. J Recent Adv Pain 2016;2(2):62-64.

Source of support: Nil

Conflict of interest: None

 
2.  CASE REPORT
The Diagnostic Dilemma of a Genitofemoral-ilioinguinal Overlap Syndrome
Pravin Thomas, Gautam Das
[Year:2015] [Month:May-August] [Volume:1 ] [Number:1] [Pages:63] [Pages No:28-30] [No of Hits : 2189]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10046-0009 | FREE

ABSTRACT

Background: It is sometimes difficult to clinically delineate genitofemoral and ilioinguinal neuralgias because of the overlap in the clinical symptomatology.

Case description: A young male with a past history of transurethral removal of ureteral calculi presented with severe, debilitating neuropathic pain in the groin. He had hyperpathia and allodynia in the distribution of genitofemoral nerve, and hence a clinical diagnosis of genitofemoral neuralgia was made. An ultrasound guided diagnostic block of the genitofemoral nerve with local anesthetic produced only a mild reduction in pain (VAS 2 reduction). A repeat diagnostic block of the ilioinguinal nerve produced complete resolution of pain.
Literature search showed a limited number of case reports of ultrasound guided blocks for genitofemoral neuralgia; and overlap syndromes have been addressed with differential nerve blocks.

Clinical relevance: Our hypothesis is that an aberrant reinnervation from the ilioinguinal to genitofemoral nerve may present with features favoring a genitofemoral neuralgia. In situations where radiofrequency treatment is being considered, such cases may pose a failed intervention if both nerves are not separately targeted.

Keywords: Genitofemoral, Ilioinguinal, Neuralgia.

How to cite this article: Thomas P, Das G. The Diagnostic Dilemma of a Genitofemoral-ilioinguinal Overlap Syndrome. J Recent Adv Pain 2015;1(1):28-30.

Source of support: Nil

Conflict of interest: None

 
3.  International Conference on Recent Advances in Pain 2015
A Survey on Knowledge and Attitude toward Chronic Pain among Interns in Yenepoya University, Mangalore, South India
Ajay Basarigidad, Rammurthy, Syed Fazal Mahmood, S Padmanabha
[Year:2015] [Month:May-August] [Volume:1 ] [Number:1] [Pages:63] [Pages No:36-63] [No of Hits : 1084]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10046-0012 | FREE

ABSTRACT

BACKGROUND AND AIMS

Interns, being budding doctors and future prospects, have a key role in effective pain management; therefore, interns’ knowledge is of critical importance in treating pain. The interns’ accurate assessment, prompt intervention, and adequate evaluation of pain relief measures are necessary for better clinical outcomes.
Hence, we take up this study to evaluate the knowledge and attitude with a questionnaire, regarding chronic pain management among interns in Yenepoya University, Mangalore city, South India.

 
4.  CASE REPORT
Lipoma Arborescens in Bicipitoradial Bursae: A Rare Anterior Painful Elbow Swelling with Dual Morphology
Mohammad Moin Uddin, Md Abu Bakar Siddiq, Aminuddin A Khan
[Year:2015] [Month:May-August] [Volume:1 ] [Number:1] [Pages:63] [Pages No:33-35] [No of Hits : 766]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10046-0011 | FREE

ABSTRACT

Lipoma arborescens (LA) is a benign rare synovial neoplasm characterized by hyperplastic proliferation of fatty tissue that replaces the subsynovial connective tissue layer. Lipoma arborescens usually grows inside the joints, but it is also rarely found inside a bursae. This is a case of LA inside bicipitoradial bursae of a 50 years lady. Although six cases of LA in bicipitoradial bursae had been previously described in literature, this case is unique as features of two different types of morphology documented in the same lipoma. Here, in this write-up we describe common clinical features and sonographic findings LA in a middle-aged Bangladeshi woman.

Keywords: Bicipitoradial bursae, Dual morphology, Elbow swelling, Lipoma arborescens, Ultrasound.

How to cite this article: Uddin MM, Siddiq MAB, Khan AA. Lipoma Arborescens in Bicipitoradial Bursae: A Rare Anterior Painful Elbow Swelling with Dual Morphology. J Recent Adv Pain 2015;1(1):33-35.

Source of support: Nil

Conflict of interest: None

 
5.  ORIGINAL ARTICLE
Evaluation of Transversus Abdominis Plane Block for Analgesia after Cesarean Section
Mayank Chansoria, Sevras Hingwe, Ashish Sethi, Ruchi Singh
[Year:2015] [Month:May-August] [Volume:1 ] [Number:1] [Pages:63] [Pages No:13-17] [No of Hits : 716]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10046-0005 | FREE

ABSTRACT

Background: This study is intended to evaluate the transversus abdominis plane (TAP) block for analgesia over the first 24 postoperative hours after lower segment cesarean section.

Materials and methods: Fifty female parturients of American society of Anesthesiologists (ASA) physical status II undergoing lower segment cesarean section were randomized to undergo a bilateral TAP block with ropivacaine (group 1 = 25) or to undergo a bilateral TAP block with 0.9% saline (group 2 = 25). In addition, all patients received standard analgesic injection tramadol 100 mg and im injection diclofenac 75 mg as required in the postoperative period. All patients received standard spinal anesthesia, and TAP block was performed at end of the surgery. Each patient was assessed after operation at each half an hours up to 24 hours after surgery in postoperative period.

Results: The mean visual analog scale (VAS) score of group 1 was statistically less than mean VAS score of group 2 (p < 0.001). The mean of total number analgesic requirement for first 24 hours postoperatively was significantly less in group 1 (1.68 ± 0.9) than group 2 (2.8 ± 0.33) respectively.

Conclusion: Transversus abdominis plane block holds considerable promise as part of a multimodal analgesic regimen for post cesarean delivery analgesia. Transversus abdominis plane block is easy to perform and provided reliable and effective analgesia.

Keywords: Analgesia, Lower segment cesarean section, Transversus abdominis plane block.

How to cite this article: Chansoria M, Hingwe S, Sethi A, Singh R. Evaluation of Transversus Abdominis Plane Block for Analgesia after Cesarean Section. J Recent Adv Pain 2015;1(1):13-17.

Source of support: Nil

Conflict of interest: None

 
6.  Editorial 1
Ultrasound-guided Interventions in Chronic Pain: Are We Ready for It Yet?
Samarjit Dey
[Year:2015] [Month:May-August] [Volume:1 ] [Number:1] [Pages:63] [Pages No:1-2] [No of Hits : 636]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10046-0001 | FREE

ABSTRACT

Intervention is an integral part of chronic pain management, whether it is diagnostic or therapeutic. The precision of correct needle positioning is of utmost importance. Most of the interventions need image guidance for better safety and selectivity. Traditionally anatomical landmarks, computed tomography (CT) or fluoroscopy has been the third eye of an interventional pain physician. However, fluoroscopy is more feasible than CT and safer in account of radiation exposure. Though ultrasound is a well established modality in acute pain management and peripheral nerve blocks, its major role in chronic pain management and interventions, though has passed the embryonic stages but still developing.

 
7.  CASE REPORT
Atypical Presentation of S1 Radiculopathy Like Plantar Fasciitis
Sripurna Mandal, Gautam Das, B Sarvesh, Pravin Thomas, Istiana Sari
[Year:2015] [Month:May-August] [Volume:1 ] [Number:1] [Pages:63] [Pages No:31-32] [No of Hits : 532]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10046-0010 | FREE

ABSTRACT

Objective: This case report presents a patient that had an atypical presentation of radiculopathy which was misdiagnosed as plantar fasciitis.

Clinical features: A 67-year-old male patient had presented with primary complain of continuous, aching, pain involving the sole of both feet, aggravated with walking. He had been treated as a case of plantar fasciitis, including depot steroid injection. He had presented to our clinic failing these measures. Clinical evaluation and neurophysiologic study diagnosed him to be a case of bilateral S1 radiculopathy.

Conclusion: This case emphasizes the importance of differentiation between neuropathic and nociceptive pain by clinical examination and nerve conduction study.

Keywords: Plantar fasciitis, Radiculopathy, Low back pain.

How to cite this article: Mandal S, Das G, Sarvesh B, Thomas P, Sari I. Atypical Presentation of S1 Radiculopathy Like Plantar Fasciitis. J Recent Adv Pain 2015;1(1):31-32.

Source of support: Nil

Conflict of interest: None

 
8.  ORIGINAL ARTICLE
Comparison between Additive Doses of Fentanyl and Clonidine to Lignocaine with Adrenaline in Lower Limb Surgeries under Lumbar Plexus/Sciatic Block
Mayank Chansoria, Arvind Kumar Rathiya, Ashish Sethi, Rita Upadhyay, Neha Vyas
[Year:2015] [Month:May-August] [Volume:1 ] [Number:1] [Pages:63] [Pages No:18-23] [No of Hits : 513]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10046-0006 | FREE

ABSTRACT

Introduction: There are situations in which block anesthesia would be the technique of choice, if the technique or techniques of blocking the lumbar and sacral plexus could be simplified, as they have been for brachial plexus.

Aims and objectives: Aim of the study is to evaluate the effect of adding fentanyl and clonidine to Lignocaine with adrenaline in lumbar/sciatic block with regard to the following parameters: onset of complete motor and sensory block, duration of motor and sensory block, duration of analgesia, sedative effect of fentanyl and clonidine, hemodynamic changes, complications due to adjuvants and to compare both these adjuvants.

Method study design: Patients were randomly allocated into 2 groups of 30 each.

Groups: Groups L and C (lignocaine with adrenaline + clonidine)- 30 patients received 35 ml lignocaine with adrenaline + 10 ml distilled water diluted clonidine containing 100 µg + 5 ml distilled water, and groups L and F (lignocaine with adrenaline + fentanyl)-30 patients received 35 ml lignocaine with adrenaline + 10 ml distilled water diluted fentanyl containing 100 µg + 5 ml distilled water.

Results: From present study, it can be concluded that Clonidine appears to be better adjuvant for prolongation of anesthesia and analgesia in lower limb surgeries under lumbar plexus/ sciatic block.

Keywords: Clonidine, Fentanyl, Lumbar/sciatic block.

How to cite this article: Chansoria M, Rathiya AK, Sethi A, Upadhyay R, Vyas N. Comparison between Additive Doses of Fentanyl and Clonidine to Lignocaine with Adrenaline in Lower Limb Surgeries under Lumbar Plexus/Sciatic Block. J Recent Adv Pain 2015;1(1):18-23.

Source of support: Nil

Conflict of interest: None

 
9.  ORIGINAL ARTICLE
Multimodal Cocktail Injection relieves Postoperative Pain and improves Early Rehabilitation following Total Knee Replacement: A Prospective, Blinded and Randomized Study
Vikram I Shah, Sachin Upadhyay, Kalpesh Shah, Ashish N Sheth, Amish Kshatriya, Deepak Saini
[Year:2017] [Month:January-April] [Volume:3 ] [Number:1] [Pages:57] [Pages No:14-24] [No of Hits : 152]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10046-0060 | FREE

ABSTRACT

Objectives: An effective postoperative analgesia following total knee arthroplasty (TKA) would shorten the rehabilitation period and improve patient satisfaction. The primary objective of the present study is to test the hypothesis that intraoperative multimodal cocktail injection can significantly reduce the consumption of analgesics and duration of time required to perform straight-leg raise, and improve range of motion (ROM) and patient satisfaction rate following TKA.

Materials and methods: A total of 126 osteoarthritic knees in patients with a mean age of 68 years (58–80 years) scheduled for primary TKA were prospectively randomized into three groups. Patients in all three groups received the same anesthesia and postprocedure pain control and rehabilitation protocol. The assessor was blind with regard to multimodal cocktail injection for the duration of study. Assessment was done preoperatively at 1, 2, 3, and 4 postoperative days, and at 1, 2, and 3 months postoperatively. The primary outcome was function measured with Western Ontario and McMaster Universities Arthritis Index. Pain and patient satisfaction rate were established using visual analog scale and Likert scale respectively. Consumption of analgesic during the postoperative days (1–4 days), hospital stay, and ROM were recorded and evaluated. Outcome measures were critically analyzed. The level of significance was set at <0.05.

Results: Pain, functional scores, and satisfaction rates were significantly better in cocktail group than in the control group (p < 0.05). Consumption of nonsteroidal anti-inflammatory drugs was significantly lower in groups with multimodal cocktail injection than in the control group (p < 0.05). Mean follow-up time was 3 months with no patient lost to follow-up. No complications related to the infiltration of the local anesthetic and/or steroids were observed.

Conclusion: Multimodal cocktail injection offered improved postoperative pain control, thus facilitating early rehabilitation.

Keywords: Likert scale, Nonsteroidal anti-inflammatory drugs, Total knee arthroplasty, Visual analog scale, Western Ontario and McMaster Universities Arthritis Index.

How to cite this article: Shah VI, Upadhyay S, Shah K, Sheth AN, Kshatriya A, Saini D. Multimodal Cocktail Injection relieves Postoperative Pain and improves Early Rehabilitation following Total Knee Replacement: A Prospective, Blinded and Randomized Study. J Recent Adv Pain 2017;3(1):14-24.

Source of support: Nil

Conflict of interest: None

 
10.  EDITORIAL
Inevitable Evolution: How Technology has transformed Physician–Patient Partnership?
Annu Navani
[Year:2017] [Month:January-April] [Volume:3 ] [Number:1] [Pages:57] [Pages No:1-2] [No of Hits : 140]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10046-0057 | FREE

ABSTRACT

The history of medicine is as old as civilization. The Hippocratic oath written in Greece in the fifth century BCE is still considered the basic foundation of medical ethics. Early medical traditions started in Babylon, China, Egypt, and India, whereas Italy led the way in systematic training of physicians through universities around the thirteenth century.1

 
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