Thomas P, Kumar S, Kumar A. Pain in Multiple Sclerosis: A South Indian Experience. J Recent Adv Pain 2015;1(1):8-12.

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.

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.

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.

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.

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.

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.

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.

Patients were randomly allocated into 2 groups of 30 each.

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.

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.

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.

Villano EQ, Das G, Sharma K, Rijhwani K. A Case of Piriformis Syndrome Mimicking Radiculopathy. J Recent Adv Pain 2015;1(1):24-25.

Dey S, Bhattacharyya P, Dev P. Intraarticular Injection of Platelet-rich Plasma in the Management of Chronic Low Back Pain due to Facet Arthropathy: A Case Report with 12 Months Follow-up. J Recent Adv Pain 2015;1(1): 26-27.

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

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.

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.

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

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

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.

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

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.

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.