Journal on Recent Advances in Pain

Register      Login

Table of Content

2015 | May-August | Volume 1 | Issue 1

Total Views

EDITORIAL

Ultrasound-guided Interventions in Chronic Pain: Are We Ready for It Yet?

[Year:2015] [Month:May-August] [Volume:1] [Number:1] [Pages:2] [Pages No:1 - 2]

   DOI: 10.5005/jp-journals-10046-0001  |  Open Access |  How to cite  | 

3,004

EDITORIAL

Pravin Thomas

Changing Paradigms in Understanding Pain: The Role of Networks, Genomics and Proteomics

[Year:2015] [Month:May-August] [Volume:1] [Number:1] [Pages:2] [Pages No:3 - 4]

   DOI: 10.5005/jp-journals-10046-0002  |  Open Access |  How to cite  | 

2,839

EDITORIAL

Opioid Receptors in Pain Management: Past, Present and Future

[Year:2015] [Month:May-August] [Volume:1] [Number:1] [Pages:3] [Pages No:5 - 7]

   DOI: 10.5005/jp-journals-10046-0003  |  Open Access |  How to cite  | 

7,522

RESEARCH ARTICLE

Anand Kumar, Pravin Thomas

Pain in Multiple Sclerosis: A South Indian Experience

[Year:2015] [Month:May-August] [Volume:1] [Number:1] [Pages:5] [Pages No:8 - 12]

   DOI: 10.5005/jp-journals-10046-0004  |  Open Access |  How to cite  | 

Abstract

How to cite this article

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

6,574

RESEARCH ARTICLE

Sevras Hingwe, Ashish Sethi

Evaluation of Transversus Abdominis Plane Block for Analgesia after Cesarean Section

[Year:2015] [Month:May-August] [Volume:1] [Number:1] [Pages:5] [Pages No:13 - 17]

   DOI: 10.5005/jp-journals-10046-0005  |  Open Access |  How to cite  | 

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.

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.

2,280

RESEARCH ARTICLE

Ashish Sethi, Arvind Kumar Rathiya

Comparison between Additive Doses of Fentanyl and Clonidine to Lignocaine with Adrenaline in Lower Limb Surgeries under Lumbar Plexus/Sciatic Block

[Year:2015] [Month:May-August] [Volume:1] [Number:1] [Pages:6] [Pages No:18 - 23]

   DOI: 10.5005/jp-journals-10046-0006  |  Open Access |  How to cite  | 

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.

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.

5,304

CASE REPORT

Emmanuell Q Villano, Kishan Rijhwani

A Case of Piriformis Syndrome Mimicking Radiculopathy

[Year:2015] [Month:May-August] [Volume:1] [Number:1] [Pages:2] [Pages No:24 - 25]

   DOI: 10.5005/jp-journals-10046-0007  |  Open Access |  How to cite  | 

Abstract

How to cite this article

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

4,852

CASE REPORT

Prithwis Bhattacharyya, Priyanka Dev

Intra-articular 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

[Year:2015] [Month:May-August] [Volume:1] [Number:1] [Pages:2] [Pages No:26 - 27]

   DOI: 10.5005/jp-journals-10046-0008  |  Open Access |  How to cite  | 

Abstract

How to cite this article

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.

2,156

CASE REPORT

Pravin Thomas

The Diagnostic Dilemma of a Genitofemoral-ilioinguinal Overlap Syndrome

[Year:2015] [Month:May-August] [Volume:1] [Number:1] [Pages:3] [Pages No:28 - 30]

   DOI: 10.5005/jp-journals-10046-0009  |  Open Access |  How to cite  | 

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.

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.

5,518

CASE REPORT

Pravin Thomas, Sripurna Mandal, B Sarvesh, Istiana Sari

Atypical Presentation of S1 Radiculopathy Like Plantar Fasciitis

[Year:2015] [Month:May-August] [Volume:1] [Number:1] [Pages:2] [Pages No:31 - 32]

   DOI: 10.5005/jp-journals-10046-0010  |  Open Access |  How to cite  | 

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.

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.

2,199

CASE REPORT

Mohammad Moin Uddin, Md Abu Bakar Siddiq, Aminuddin A Khan

Lipoma Arborescens in Bicipitoradial Bursae: A Rare Anterior Painful Elbow Swelling with Dual Morphology

[Year:2015] [Month:May-August] [Volume:1] [Number:1] [Pages:3] [Pages No:33 - 35]

   DOI: 10.5005/jp-journals-10046-0011  |  Open Access |  How to cite  | 

Abstract

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.

2,977

RESEARCH ARTICLE

Ajay Basarigidad, Rammurthy , Syed Fazal Mahmood, S Padmanabha

A Survey on Knowledge and Attitude toward Chronic Pain among Interns in Yenepoya University, Mangalore, South India

[Year:2015] [Month:May-August] [Volume:1] [Number:1] [Pages:28] [Pages No:36 - 63]

   DOI: 10.5005/jp-journals-10046-0012  |  Open Access |  How to cite  | 

3,516

© Jaypee Brothers Medical Publishers (P) LTD.