J Pain Symptom Manage
August 2025
Introduction: Chronic shoulder pain is a common musculoskeletal complaint. This study evaluates the effectiveness of fluoroscopy-guided suprascapular (SSN) and subscapular (SCN) articular branch blocks in managing chronic shoulder pain. The primary objective was to assess pain relief using a numerical rating scale (NRS) and functional improvement using Shoulder Pain and Disability Index (SPADI) over 12 weeks.
View Article and Find Full Text PDFOchsner J
January 2025
Background: Pain management after sternotomy in cardiac surgery is vital for recovery. Opioids are commonly used, but they carry risk. Central neuraxial techniques and nerve blocks are options for a multimodality approach.
View Article and Find Full Text PDFBackground: Endotracheal intubation is commonly associated with postoperative sore throat. We evaluated the effect of the jaw thrust maneuver on the incidence and severity of sore throat.
Methods: A total of 110 female patients undergoing laparoscopic abdominal procedures were enrolled in the study, and 99 patients were included in the final analysis.
Ultrasonography (USG)-guided interventions have transformed pain medicine by enhancing precision, efficacy, and safety through real-time anatomical visualization. Despite these advantages, mastering USG techniques presents a steep learning curve, especially for practitioners transitioning from fluoroscopy-guided methods. Adapting the Transtheoretical Model of Behavior Change, this commentary outlines a five-phase framework for transitioning to USG-guided pain medicine interventions: overcoming initial reluctance, addressing sonoanatomy challenges, improving probe stabilization, needle visualization, and achieving expertise.
View Article and Find Full Text PDFKnee osteoarthritis is a chronic degenerative disease associated with pain and decreased mobility that affects advanced-age individuals, thus causing further debilitation. Radiofrequency ablation can benefit patients who are not ideal candidates for surgical intervention and for whom conservative management has been unsatisfactory. Currently, radiofrequency ablation is performed using either ultrasonography or fluoroscopy.
View Article and Find Full Text PDFBackground And Aims: Hydrodistension (HD) and suprascapular nerve block (SSNB) have been shown to reduce pain and improve shoulder function in frozen shoulder (FS). The aim of this study was to compare the efficacy of HD and SSNB in the treatment of idiopathic FS.
Material And Methods: This was a prospective observational study.
Background: Transforaminal epidural steroid injection (TFESI) is commonly used to relieve pain due to intervertebral disc displacements (IDD). Poorly defined selection criteria lead to post procedure dissatisfaction among patients. We aimed to find clinical and magnetic resonance imaging (MRI) predictors for pain relief at 3 months following a TFESI.
View Article and Find Full Text PDFBackground: Provocative discography (PD) is a test that is useful in diagnosing discogenic pain (DP). In this study, to diagnose DP, we used a posterolateral approach of needle placement and followed pressure criteria laid down by the Spine Intervention Society. The aim was to identify the correlation between magnetic resonance imaging (MRI) findings (desiccation, high intensity zone and change in shape and size of the disc) and the results of PD.
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