The Korean Journal of Pain.2015;28(1):64-65. doi:10.3344/kjp.2015.28.1.64
No abstract available.
The Korean Journal of Pain
2002 (v1, n1) to Present ISSN: 1671-8925
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The Effect of Stellate Ganglion Block on Intractable Lymphedema after Breast Cancer Surgery.
The Korean Journal of Pain.2015;28(1):61-63. doi:10.3344/kjp.2015.28.1.61
Lymphedema of the upper limb after breast cancer surgery is a disease that carries a life-long risk and is difficult to cure once it occurs despite the various treatments which have been developed. Two patients were referred from general surgery department for intractable lymphedema. They were treated with stellate ganglion blocks (SGBs), and the circumferences of the mid-point of their each upper and lower arms were measured on every visit to the pain clinic. A decrease of the circumference in each patient was observed starting after the second injection. A series of blocks were established to maintain a prolonged effect. Both patients were satisfied with less swelling and pain. This case demonstrates the benefits of an SGB for intractable upper limb lymphedema.
Arm ; Autonomic Nerve Block ; Breast Neoplasms* ; Humans ; Lymphedema* ; Mastectomy ; Nerve Block ; Pain Clinics ; Stellate Ganglion* ; Upper Extremity
Arm ; Autonomic Nerve Block ; Breast Neoplasms* ; Humans ; Lymphedema* ; Mastectomy ; Nerve Block ; Pain Clinics ; Stellate Ganglion* ; Upper Extremity
Spinal Cord Stimulation for Intractable Visceral Pain Due to Sphincter of Oddi Dysfunction.
The Korean Journal of Pain.2015;28(1):57-60. doi:10.3344/kjp.2015.28.1.57
Sphincter of Oddi dysfunction (SOD) is a syndrome of chronic biliary pain or recurrent pancreatitis due to the functional obstruction of the pancreaticobiliary flow. We report a case of spinal cord stimulation (SCS) for chronic abdominal pain due to SOD. The patient had a history of cholecystectomy and had suffered from chronic right upper quadrant abdominal pain. The patient had been diagnosed as having SOD. The patient was treated with opioid analgesics and nerve blocks, including a splanchnic nerve block. However, two years later, the pain became intractable. We implanted percutaneous SCS at the T5-7 level for this patient. Visual analog scale (VAS) scores for pain and the amount of opioid intake decreased. The patient was tracked for more than six months without significant complications. From our clinical case, SCS is an effective and alternative treatment option for SOD. Further studies and long-term follow-up are necessary to understand the effectiveness and the limitations of SCS on SOD.
Abdominal Pain ; Analgesics, Opioid ; Cholecystectomy ; Humans ; Nerve Block ; Pancreatitis ; Sphincter of Oddi Dysfunction* ; Spinal Cord Stimulation* ; Splanchnic Nerves ; Visceral Pain* ; Visual Analog Scale
Abdominal Pain ; Analgesics, Opioid ; Cholecystectomy ; Humans ; Nerve Block ; Pancreatitis ; Sphincter of Oddi Dysfunction* ; Spinal Cord Stimulation* ; Splanchnic Nerves ; Visceral Pain* ; Visual Analog Scale
The Korean Journal of Pain.2015;28(1):52-56. doi:10.3344/kjp.2015.28.1.52
Painful periarticular calcification most commonly occurs within the rotator cuff of the shoulder and rarely around the elbow, hip, foot, and neck. As acute inflammatory reaction develops, severe pain, exquisite tenderness, local swelling, and limitation of motion with pain occur. In case of calcific tendinitis of the shoulder, it can be easily diagnosed according to the symptoms and with x-ray. However, in lesions of the hip, as it is a rare location and usually involves pain in the posterolateral aspect of the thigh, which can simulate radicular pain from a lumbar intervertebral disc, it could be difficult to diagnose. Hence, physicians usually focus on lumbar lesions; therefore, misdiagnosis is common and leads to a delayed management. Here, we report the case of a 30-year-old female patient with calcific tendinitis of the rectus femoris that was successfully managed with ultrasound-guided steroid injection. This study offers knowledge about the rectus femoris calcification.
Adult ; Diagnostic Errors ; Elbow ; Female ; Foot ; Hip ; Hip Joint ; Humans ; Intervertebral Disc ; Neck ; Quadriceps Muscle* ; Rotator Cuff ; Shoulder ; Tendinopathy ; Thigh ; Ultrasonography
Adult ; Diagnostic Errors ; Elbow ; Female ; Foot ; Hip ; Hip Joint ; Humans ; Intervertebral Disc ; Neck ; Quadriceps Muscle* ; Rotator Cuff ; Shoulder ; Tendinopathy ; Thigh ; Ultrasonography
Is Epidurogram a Reliable Tool for the Diagnosis of Epidural Adhesion?.
The Korean Journal of Pain.2012;25(2):133-134. doi:10.3344/kjp.2012.25.2.133
No abstract available.
Motor Paresis Caused by Herpes Zoster in Patients with Rotator Cuff Tear: A report cases.
The Korean Journal of Pain.2006;19(2):299-302. doi:10.3344/kjp.2006.19.2.299
Segmental zoster paresis is characterized by focal, asymmetric motor weakness in the myotome corresponding to the dermatome of the rash. A 73-year-old man, who presented with severe right shoulder pain and shoulder girdle muscle weakness, was diagnosed with segmental zoster paresis involvement of the C5 C6 motor roots as a complication of herpes zoster. Girdle muscles (supraspinatus, deltoid and infraspinatus) atrophy had developed in his right shoulder. An MRI showed rotator cuff tearing in his right shoulder; therefore, an arthroscopic rotator cuff repair was performed. Herein, this case is presented to emphasize the importance of considering post-herpetic segmental motor paresis in the differential diagnosis of acute painful motor weakness of the upper extremities.
Acute Pain ; Aged ; Atrophy ; Diagnosis, Differential ; Exanthema ; Herpes Zoster* ; Humans ; Magnetic Resonance Imaging ; Muscle Weakness ; Muscles ; Muscular Atrophy ; Paresis* ; Rotator Cuff* ; Shoulder ; Shoulder Pain ; Upper Extremity
Acute Pain ; Aged ; Atrophy ; Diagnosis, Differential ; Exanthema ; Herpes Zoster* ; Humans ; Magnetic Resonance Imaging ; Muscle Weakness ; Muscles ; Muscular Atrophy ; Paresis* ; Rotator Cuff* ; Shoulder ; Shoulder Pain ; Upper Extremity
The Treatment of a Droopy Shoulder Syndrome Patient: A case report.
The Korean Journal of Pain.2006;19(2):296-298. doi:10.3344/kjp.2006.19.2.296
Droopy shoulder syndrome (DSS) is a rare disease, characterized by drooping shoulders, which stretches the brachial plexus, and causes pain, but without any signs of neurological impairment. These patients suffer from pain in the neck, shoulders, arms and hands, which result in long, graceful, swan necks, low-set shoulders, and horizontal or down sloping clavicles. No abnormalities in the vascular, neurological or electrical findings have also been known. The T1 and/or T2 bodies can be seen in the lateral view in a radiological study of the cervical spine. In the majority of cases, conservative treatments, such as postural correction and shoulder girdle strengthening exercise, are commonly recommended. However, DSS may be misdiagnosed as severe thoracic outlet syndrome or herniated cervical disc disease, leading to unnecessary and hazardous invasive treatments. The presented case was consistent with DSS, and was treated with stellate ganglion block, trigger point injection, and shoulder girdle strengthening exercise.
Arm ; Brachial Plexus ; Clavicle ; Hand ; Humans ; Neck ; Rare Diseases ; Shoulder* ; Spine ; Stellate Ganglion ; Thoracic Outlet Syndrome ; Trigger Points
Arm ; Brachial Plexus ; Clavicle ; Hand ; Humans ; Neck ; Rare Diseases ; Shoulder* ; Spine ; Stellate Ganglion ; Thoracic Outlet Syndrome ; Trigger Points
Treatment Experiences of Abdominal Cutaneous Nerve Entrapment Syndrome: A report of 3 cases.
The Korean Journal of Pain.2006;19(2):292-295. doi:10.3344/kjp.2006.19.2.292
The diagnosis of chronic abdominal pain due to abdominal cutaneous nerve entrapment can be elusive. Tenderness in patients with abdominal pain is naturally assumed to be of either peritoneal or visceral origin. Studies have shown that some patients suffer from prolonged pain in the abdominal wall and are often misdiagnosed, even after unnecessary and expensive diagnostic tests, including potentially dangerous invasive procedures, and treated as having a visceral source for their complaints, even in the presence of negative X-ray findings and atypical symptoms. Abdominal cutaneous nerve entrapment syndrome is rarely diagnosed, which is possibly due to failure to recognize the condition rather than the lack of occurrence. The accepted treatment for abdominal cutaneous nerve entrapment syndrome is a local injection, with infiltration of anesthetic agents coupled with steroids. Careful history taking and physical examination, in conjunction with the use of trigger zone injections, can advocate the diagnosis of abdominal cutaneous nerve entrapment and preclude any unnecessary workup of these patients. Herein, 3 cases of abdominal cutaneous nerve entrapment syndrome, which were successfully treated with local anesthetics and steroid, are reported.
Abdominal Pain ; Abdominal Wall ; Anesthetics ; Anesthetics, Local ; Diagnosis ; Diagnostic Tests, Routine ; Humans ; Nerve Compression Syndromes* ; Physical Examination ; Steroids
Abdominal Pain ; Abdominal Wall ; Anesthetics ; Anesthetics, Local ; Diagnosis ; Diagnostic Tests, Routine ; Humans ; Nerve Compression Syndromes* ; Physical Examination ; Steroids
The Korean Journal of Pain.2006;19(2):288-291. doi:10.3344/kjp.2006.19.2.288
Epidural analgesia using an epidural catheter is an effective method to relieve the pain during the rehabilitating procedure for postoperative orthopedic patients. Total spinal anesthesia is one of the possible complications of epidural catheterization which can lead to a life-threatening condition. Achondroplasia is the most common form of short-limbed dwarfism resulting from a failure of endochondral bone formation. In patients suffering with short stature syndrome like achondroplasia, the incidence and risk of total spinal anesthesia during epidural anesthesia may increase because of the technical difficulty and structural anomaly of the spine. We report here on a 35-year old female patient with a height of a 115 cm. She was diagnosed as achondroplasia and she had a previous Ilizarov operation; both tibial lengthening and correction of valgus were done. No specific event occurred during epidural catheterization. Immediately after the injection of a test dose via epidural catheter, the patient became hypotensive, drowsy and showed weakness of both her upper and lower extremities. The symptoms were disappeared after 40 minutes. The catheter was removed on the next day. We concluded that the total spinal anesthesia was caused by intrathecal injection of local anesthetics through the epidural catheter, and the anesthesia then migrated into the subarachonoid space.
Achondroplasia* ; Adult ; Analgesia, Epidural ; Anesthesia ; Anesthesia, Epidural ; Anesthesia, Spinal* ; Anesthetics, Local ; Catheterization ; Catheters ; Dwarfism ; Female ; Humans ; Incidence ; Injections, Spinal ; Lower Extremity ; Orthopedics ; Osteogenesis ; Spine
Achondroplasia* ; Adult ; Analgesia, Epidural ; Anesthesia ; Anesthesia, Epidural ; Anesthesia, Spinal* ; Anesthetics, Local ; Catheterization ; Catheters ; Dwarfism ; Female ; Humans ; Incidence ; Injections, Spinal ; Lower Extremity ; Orthopedics ; Osteogenesis ; Spine
Naproxen-induced Immune Thrombocytopenia: A case report.
The Korean Journal of Pain.2006;19(2):285-287. doi:10.3344/kjp.2006.19.2.285
Hundreds of drugs have been implicated as the causes of antibody-mediated thrombocytopenia. Naproxen is a commonly used nonsteroidal anti-inflammatory drug, and it is generally considered to be safe with few hematological side effects such as thrombocytopenia. In this case, severe thrombocytopenia associated with petechia and epistaxis appeared after initiation of naproxen therapy in the 59-year-old man. We report here on a case of severe thrombocytopenia that was recognized at 10 days after the use of naproxen, and the patient rapidly recovered to a normal platelet count without bleeding symptoms or any complications, although immunoglobulin or steroid was not used.
Epistaxis ; Hemorrhage ; Humans ; Immunoglobulins ; Middle Aged ; Naproxen ; Platelet Count ; Thrombocytopenia*
Epistaxis ; Hemorrhage ; Humans ; Immunoglobulins ; Middle Aged ; Naproxen ; Platelet Count ; Thrombocytopenia*
Country
Republic of Korea
Publisher
ElectronicLinks
http://www.epain.org/Editor-in-chief
Kyung Hoon Kim
painfree@hanafos.com
Abbreviation
Korean J Pain
Vernacular Journal Title
대한통증학회지
ISSN
1226-2579
EISSN
Year Approved
2007
Current Indexing Status
Currently Indexed
Start Year
Description
The Korean Journal of Pain (Korean J Pain) is the official journal of the Korean Pain Society founded in 1986. It has been published since 1988. It publishes peer reviewed original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy.
Current Title
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