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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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1.  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 : 614]
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

 
2.  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 : 1438]
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

 
3.  CASE REPORT
Interspinous Ligament as a Pain Generator
Rammurthy Kulkarni, RM Ramyashree
[Year:2016] [Month:May-August] [Volume:2 ] [Number:2] [Pages:31] [Pages No:54-55] [No of Hits : 613]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10046-0040 | FREE

ABSTRACT

Introduction: Interspinous ligament is an uncommon but potential pain generator in the spinal column that can give rise to chronic low backache. Interspinous ligament sprain is difficult to diagnose with radiologic imaging, such as X-ray, and magnetic resonance imaging. Only meticulous history and diagnostic block help in making a proper diagnosis. This case report describes a case of interspinous ligament sprain in a young male patient who presented with a history of chronic low back pain. His imaging studies revealed no abnormalities and the diagnostic local anesthetic infiltration confirmed the diagnosis.

Keywords: Interspinous ligament, Low back pain, Pain generator.

How to cite this article: Kulkarni R, Ramyashree RM. Interspinous Ligament as a Pain Generator. J Recent Adv Pain 2016;2(2):54-55.

Source of support: Nil

Conflict of interest: None

 
4.  ORIGINAL ARTICLE
Comparative Efficacy of Intraarticular Injection of Combination of Ozone and Steroid and Ozone alone in Patients with Primary Knee Osteoarthritis: A Prospective and Randomized Clinical Analysis
Mayank Chansoria, Sachin Upadhyay, Sheetal Panwar, Piyush Shivhare, Neha Vyas
[Year:2016] [Month:January-April] [Volume:2 ] [Number:1] [Pages:36] [Pages No:11-14] [No of Hits : 541]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10046-0027 | FREE

ABSTRACT

Background: Osteoarthritis (OA) is the most prevalent chronic degenerative joint disorder worldwide and is associated with significant pain, disability and economic impact on society. The primary objective of the present research is to validate the hypothesis that combination of intraarticular injection of ozone and steroid has better outcome than using ozone alone in patients with primary knee OA.

Materials and methods: Cohort comprises of 80 patients of American Society of Anesthesiologists (ASA) I and II between age 45 and 70 years of either sex with primary knee OA with radiographic evidence (grade 0, I, and II; Lawrence and Kellgren radiological criteria) of severity of knee joint. The patients were randomized to receive single intraarticular injection of either ozone alone or combination of ozone with steroid. All patients were assessed using Western Ontario and McMaster University Osteoarthritis (WOMAC) index, and the visual analog pain scale (VAS) at 1, 3, and 6 months of follow-up. Statistical Package for the Social Science (SPSS) for Windows software was used for data management and statistical analysis. The level of significance was set at 0.05 for all statistical tests.

Result: Both the group treated with the combination of ozone and steroid and the group treated with ozone alone demonstrated improvements from baseline parameters. At 1 month patients in both group showed significant improvement in VAS and WOMAC (p < 0.05). Group treated with combination of ozone and steroid showed significant difference (p < 0.05) with respect to WOMAC, or VAS results at the end of 6 months of follow-up.

Conclusion: Ozone treatment was highly effective in relieving pain and improving functional outcome in patients with primary knee OA. Significant differences were detected between patients treated with intraarticular injections combination of ozone and steroid and those treated with the ozone alone with respect to pain relief or function at 6 months of follow-up.

Keywords: Intraarticular injections, Osteoarthritis, Ozone, Steroid.

How to cite this article: Chansoria M, Upadhyay S, Panwar S, Shivhare P, Vyas N. Comparative Efficacy of Intraarticular Injection of Combination of Ozone and Steroid and Ozone alone in Patients with Primary Knee Osteoarthritis: A Prospective, Randomized Clinical Analysis. J Recent Adv Pain 2016;2(1):11-14.

Source of support: Nil

Conflict of interest: None

 
5.  PRACTITIONER’S SECTION
S1 Transforaminal: Technique and Troubleshooting
Pankaj Surange
[Year:2016] [Month:January-April] [Volume:2 ] [Number:1] [Pages:36] [Pages No:15-17] [No of Hits : 520]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10046-0028 | FREE

ABSTRACT

Role of interventions in pain medicine is one of the important aspects. Even if we diagnose the condition correctly but if we are not familiar with the interventions and their troubleshooting we may land up in a problem. Every patient is different; every procedure is a challenge to the pain physician. S1 transforaminal is such a procedure which every pain physician should know including its troubleshooting. We must be through with the technical aspects of the interventions .In this article of practitioner’s corner, the technique and troubleshooting is being discussed to increase our clinical and intervention accuracy.

Keywords: Epidural steroid injection, S1 foramina, Transforaminal.

How to cite this article: Surange P. S1 Transforaminal: Technique and Troubleshooting. J Recent Adv Pain 2016;2(1): 15-17.

Source of support: Nil

Conflict of interest: None

 
6.  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 : 2328]
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

 
7.  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 : 1210]
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.

 
8.  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 : 882]
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

 
9.  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 : 821]
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

 
10.  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 : 741]
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.

 
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