Journal on Recent Advances in Pain

Register      Login

Table of Content

2016 | September-December | Volume 2 | Issue 3

Total Views

EDITORIAL

DJMN Rohitha Jayamaha

Comprehensive Pain Care

[Year:2016] [Month:September-December] [Volume:2] [Number:3] [Pages:3] [Pages No:69 - 71]

   DOI: 10.5005/jp-journals-10046-0045  |  Open Access |  How to cite  | 

3,307

RESEARCH ARTICLE

Somnath Mandal, Sandip Roy, Anjana Bose, Mohan C Mandal, Gautam Choudhury

Comparative Study of Analgesic Effects of Intraarticular Administration of Equipotent Dose of Morphine and Fentanyl with Bupivacaine and Bupivacaine alone in Arthroscopic ACL Reconstruction

[Year:2016] [Month:September-December] [Volume:2] [Number:3] [Pages:5] [Pages No:72 - 76]

   DOI: 10.5005/jp-journals-10046-0046  |  Open Access |  How to cite  | 

Abstract

How to cite the article

Mandal S, Bhattacharya D, Roy S, Bose A, Mandal MC, Choudhury G. Comparative Study of Analgesic Effects of Intraarticular Administration of Equipotent Dose of Morphine and Fentanyl with Bupivacaine and Bupivacaine alone in Arthroscopic ACL Reconstruction. J Recent Adv Pain 2016;2(3):72-76.

3,030

RESEARCH ARTICLE

Kawsar Sardar, M Omar Faruque, Richard Hubbard, Nicholas CH Liang, Harvey Finkelstein, Pankaj N Surange, Geeta Joshi

A Comparison of Intradiscal Ozone with Transforaminal Triamcinolone and Bupivacaine to Ozone Therapy alone in the Treatment of Discogenic Sciatica

[Year:2016] [Month:September-December] [Volume:2] [Number:3] [Pages:5] [Pages No:77 - 81]

   DOI: 10.5005/jp-journals-10046-0047  |  Open Access |  How to cite  | 

Abstract

Introduction

Ozone disk nucleolysis is a nonsurgical percutaneous procedure for the treatment of discogenic sciatica, and published success rates of ozone disk nucleolysis vary significantly. This study assesses the outcome difference between two treatment modalities among patients with discogenic sciatica secondary to a herniated disk in Bangladesh: Intradiscal ozone injection and combination therapy with intradiscal ozone and transforaminal triamcinolone and bupivacaine injection.

Materials and methods

Prospectively recruited 50 patients (group I) received intradiscal injections of an oxygen–ozone mixture and 150 patients (group II) received identical oxygen– ozone injections, followed by transforaminal triamcinolone 20 mg in 2 mL of 0.25% bupivacaine, in relevant foramen. Discography was noted for each case. All patients underwent follow-up examinations at 1-week, 1-month, and 6-month time points. Clinical outcome was evaluated by using the verbal rating scale (VRS) and modified Macnab method.

Results

According to the modified Macnab method, group II showed “excellent and good” result of about 97, 90, and 88% in 1-week, 1-month and 6-month time points respectively, whereas group I showed 70, 70, and 68% at the same time point. The difference is significant in each time point. Groups I and II demonstrated similar VRS scores prior to intervention, but patients in group II had significantly better VRS pain scores at all three time points.

Conclusion

A combination of transforaminal triamcinolone and local anesthetic with intradiscal ozone provides clearly superior outcomes when compared with ozone therapy alone in discogenic sciatica.

How to cite the article

Sardar K, Faruque MO, Das G, Hubbard R, Liang NCH, Finkelstein H, Surange PN, Joshi G. A Comparison of Intradiscal Ozone with Transforaminal Triamcinolone and Bupivacaine to Ozone Therapy alone in the Treatment of Discogenic Sciatica. J Recent Adv Pain 2016;2(3):77-81.

3,012

RESEARCH ARTICLE

Aman Navani, Gang Li

Chronic Pain Challenge: A Statistical Machine-learning Method for Chronic Pain Assessment

[Year:2016] [Month:September-December] [Volume:2] [Number:3] [Pages:5] [Pages No:82 - 86]

   DOI: 10.5005/jp-journals-10046-0048  |  Open Access |  How to cite  | 

Abstract

Aim

The objective of Chronic Pain Challenge project is designing and construction of a machine-learning system to calculate the dynamic changes to the chronic pain risk score of an individual based on various weighted health behaviors.

Materials and methods

The visual analog scale (VAS) and Oswestry Disability Index (ODI) ratings of 218 subjects were studied for dynamic changes based on three weighted health behaviors, physical exercise, nutrition, and depression in order to predict their individual and cumulative impact on severity of chronic pain. The predictive function was used to produce confidence and prediction intervals for the calculation of new VAS and ODI scores using supervised and unsupervised machine-learning algorithms and R programing language for statistical computation.

Results

This 9 months research study resulted in the development of innovative design and construction of a machinelearning program that accurately predicted the changes to standardized tests, such as VAS and ODI based on weighted values for depression score (DS), nutrition score (NS) and physical activity score (PAS). The testing of both extreme and moderate ranges of health behavior values in a variety of subjects and comparison against simple weightage confirmed the accuracy and validity of the program.

Conclusion

Chronic Pain Challenge program is a valid and accurate method in predicting chronic pain risk of an individual based on the engagement in various health behaviors. The Chronic Pain Challenge program can predict and prevent progression of chronic pain and disability by global education and empowerment, thereby disrupting the current health care model with the emerging and accelerating technology.

Clinical significance

The Chronic Pain Challenge program is an innovative statistical machine-learning program for chronic pain predictability based on individual's health behavior patterns.

How to cite this article

Navani A, Li G. Chronic Pain Challenge: A Statistical Machine-learning Method for Chronic Pain Assessment. J Recent Adv Pain 2016;2(3):82-86.

2,830

RESEARCH ARTICLE

R Gurumoorthi, N Vanathi

Sacroiliac Joint Injection

[Year:2016] [Month:September-December] [Volume:2] [Number:3] [Pages:3] [Pages No:87 - 89]

   DOI: 10.5005/jp-journals-10046-0049  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Gurumoorthi R, Vanathi N. Sacroiliac Joint Injection. J Recent Adv Pain 2016;2(3):87-89.

6,022

REVIEW ARTICLE

Kawsar Sardar, Md A Rashid, Mahmudur R Khandoker, ANMN Khan

Anticonvulsants and Antidepressants in Chronic Pain Management

[Year:2016] [Month:September-December] [Volume:2] [Number:3] [Pages:4] [Pages No:90 - 93]

   DOI: 10.5005/jp-journals-10046-0050  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Sardar K, Rashid MA, Khandoker MR, Khan ANMN. Anticonvulsants and Antidepressants in Chronic Pain Management. J Recent Adv Pain 2016;2(3):90-93.

5,489

REVIEW ARTICLE

Nelson Hendler

Why Chronic Pain Patients are Misdiagnosed 40 to 80% of the Time?

[Year:2016] [Month:September-December] [Volume:2] [Number:3] [Pages:5] [Pages No:94 - 98]

   DOI: 10.5005/jp-journals-10046-0051  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Hendler N. Why Chronic Pain Patients are Misdiagnosed 40 to 80% of the Time? J Recent Adv Pain 2016;2(3):94-98.

3,126

REVIEW ARTICLE

Rammurthy Kulkarni

Management of Chronic Pain in Children

[Year:2016] [Month:September-December] [Volume:2] [Number:3] [Pages:3] [Pages No:99 - 101]

   DOI: 10.5005/jp-journals-10046-0052  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kulkarni R, Das G. Management of Chronic Pain in Children. J Recent Adv Pain 2016;2(3):99-101.

3,388

CASE REPORT

Komal Kashyap, Silvy Varghese

Scrambler Therapy for Treatment of Chronic Nonmalignant Pain

[Year:2016] [Month:September-December] [Volume:2] [Number:3] [Pages:4] [Pages No:102 - 105]

   DOI: 10.5005/jp-journals-10046-0053  |  Open Access |  How to cite  | 

Abstract

Aim

The aim of this study is to investigate scrambler therapy as a modality of treatment for chronic pain.

Materials and methods

Four patients with chronic drugresistant severe pain were treated with scrambler therapy, a new bioengineering-based method for treating pain, especially neuropathic pain. The effectiveness of the treatment was evaluated using numeric rating score (NRS); reduction in amount of pain medications and side effects if any were also noted. Each patient was given 10 cycles (or the number of cycles required for complete pain relief) of 30 minutes duration each, and the above parameters were noted.

Three of the four patients had chronic neuropathic pain, and the fourth patient had somatic (bony) pain. All of them showed more than 80% reduction in their pain scores and reduction in the consumption of pain medications.

How to cite this article

Kashyap K, Varghese S, Bhatnagar S. Scrambler Therapy for Treatment of Chronic Nonmalignant Pain. J Recent Adv Pain 2016;2(3):102-105.

1,910

CASE REPORT

Mousumi Datta, Deepika Soni

Atypical Presentation of Cervical Facet Arthropathy: Neck Pain along with Numbness and Weakness of Upper Limb

[Year:2016] [Month:September-December] [Volume:2] [Number:3] [Pages:3] [Pages No:106 - 108]

   DOI: 10.5005/jp-journals-10046-0054  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Soni D, Das G, Datta M. Atypical Presentation of Cervical Facet Arthropathy: Neck Pain along with Numbness and Weakness of Upper Limb. J Recent Adv Pain 2016;2(3):106-108.

2,807

CASE REPORT

Peeyush Shivhare, Amit Vyas, Arti Dalal

Single Injection Combined Femoral Sciatic Nerve Block in Lower Limb Orthopedic Surgery in a High-risk Patient

[Year:2016] [Month:September-December] [Volume:2] [Number:3] [Pages:3] [Pages No:109 - 111]

   DOI: 10.5005/jp-journals-10046-0055  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Shivhare P, Chansoria M, Vyas A, Dalal A. Single Injection Combined Femoral Sciatic Nerve Block in Lower Limb Orthopedic Surgery in a High-risk Patient. J Recent Adv Pain 2016;2(3):109-111.

352

CASE REPORT

Surabhi Shekhar, Shridhar Khandelwal

Intraperitoneal Instillation of Ropivacaine for Postoperative Pain Relief in Laparoscopic Cholecystectomy in a Comorbid Patient

[Year:2016] [Month:September-December] [Volume:2] [Number:3] [Pages:3] [Pages No:112 - 114]

   DOI: 10.5005/jp-journals-10046-0056  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Shekhar S, Chansoria M, Singh M, Khandelwal S. Intraperitoneal Instillation of Ropivacaine for Postoperative Pain Relief in Laparoscopic Cholecystectomy in a Comorbid Patient. J Recent Adv Pain 2016;2(3):112-114.

3,462

© Jaypee Brothers Medical Publishers (P) LTD.