• Title/Summary/Keyword: Pain Clinics

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Chronic somatic painful conditions : Regional Myofacial Pain Syndrome, Fibromyalgia

  • 최창혁
    • Clinics in Shoulder and Elbow
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    • v.6 no.1
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    • pp.1-7
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    • 2003
  • Myofascial pain이나 filbrbomyalgia 등에 의한 만성 견관절통증은 보존적 치료로 치료적인 효과를 기대할 수 있는 질환이며, 수술적 치료가 필요한 다른 질환과의 감별을 요한다. 만성적인 견관절 동통의 치료는 증상의 원인과 악화요인을 확인하고 실질적으로 도움이 될 수 있는 적절한 치료법을, 단계적으로 적용하는 것이 효과적이며. 환자와 teamwork을 형성하여, 환자가 병증에 대해 충분히 이해하고 안심할 수 있도록 도와주는 것이 무엇보다 중요하다.

A Clinical Survey of Pain Clinic Patients over a 1-Year Period (통증치료실 환자의 1년간 통계고찰)

  • Lim, Kyung-Joon;Lee, Hyun-Young;Kim, Seung-Soo
    • The Korean Journal of Pain
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    • v.14 no.2
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    • pp.211-213
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    • 2001
  • Background: Recently, the number of pain clinics in Korea is gradually increasing. It is the purpose of this article to analyze and assess our patients over a 1-year period to improve the overall quality of pain management. Methods: We analyzed 1,133 patients who visited the Chosun University Hospital Pain Clinic from May 2000 to April 2001, according to months, age, sex, disease, and type of blocks administered. Results: The most frequent age group was in their sixties. About one half of the patients complained of lower back pain (45.6%) and epidural blocks (46.5%) were most frequently administered as a treatment. Conclusions: More personnel are required to be involved in pain management. Additionally, we should make every effort to conduct research to develop good quality treatments.

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Pain Management of Post-herpetic Neuralgia (대상포진 후 신경통의 통증관리)

  • Bae, Weon-Ho;Whang, Chung-Han;Min, Byung-Woo
    • The Korean Journal of Pain
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    • v.1 no.1
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    • pp.9-15
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    • 1988
  • Postherpetic neuralgia, the most feared complication of acute herpes zoster, may agonize the pain clinician because the appropriate management of intractable pain can fail inspite of various and prolonged therapeutic techniques. Of all patients with herpes zoster, approximately 5~10% will develop postherpetic neuralgia. Postherpetic neuralgia is very rare in young patient but very common in patients over 60. In other words, the older, the higher incidence. In our pain clinics, 13 postherpetic neuralgic patients were treated with sympathetic blocks, local infiltration with local anesthetics and steroids, TENS, Laser and various drugs including antiderpressant. The results of management of pain in 13 patents were as follows. 1. Excellent pain control :4(30.8%) 2. Good pain control :3(23.0%) 3. Fair pain control :2(15.4%) 4. No effect :4(30.8%).

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Keyform Analysis of Rasch Measurement Accessible to Clinicians in Rehabilitation Clinics

  • Choi, Bong-Sam
    • Physical Therapy Korea
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    • v.21 no.2
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    • pp.74-81
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    • 2014
  • The versions of the Oswestry disability questionnaire (ODQ) is regarded as one of the most extensively used condition-specific instruments measuring disability resulting from low back pain. It has been shown to have adequate psychometrics, reliability, validity, and responsiveness as a whole, yet the summated total score of the instrument often provide little information to rehabilitation clinicians. A keyform analysis based on Rasch measurement model is an innovative way of illustrating the specific test items that an individual may or may not perform. By applying the keyform of the Rasch measurement model to the ODQ, rehabilitation clinicians may able to select more challenging ODQ items matching an individual's ability and document them as attainable treatment goals. The results demonstrated how a keyform analysis assist to setting possible goals for the treatment of individuals with low back pain. Forty-two individuals with low back pain were recruited from rehabilitation clinics in Gainesville, Florida. A series of Rasch analyses on the 10 items of the ODQ were performed using Winsteps software. The performance of two individuals on those 10 items was illustrated on the keyform. The keyform analysis of the Rasch measurement model may be translated into a useful tool for making clinical judgements.

Patient satisfaction survey for implant surgical guides in some areas of Jeollanam-do (전남 일부 지역 임플란트 수술용 가이드 이용 환자 만족도 조사)

  • Yoon, So-Ra;Choi, Choong-Ho
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.4
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    • pp.281-287
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    • 2022
  • Objectives: This study, investigated the satisfaction of patients who received the procedure using an implant guide to identify factors affecting satisfaction in dental hospitals and clinics in Jeollanam-do. Methods: From December 2021 to February 2022, questionnaires randomly were collected from 128 patients aged 20 to 90 years visiting dental hospitals and clinics using surgical guides in some areas of Jeollanam-do. Results: There was a negative correlation between the overall satisfaction average and Visual Analog Scale (VAS) pain level (r=-0.414, p<0.001), and a negative correlation between VAS pain level and VAS satisfaction (r=-0.273, p<0.05), As subjective pain decreased, subjective satisfaction increased, and as subjective pain increased, the overall satisfaction average also decreased, showing an inverse correlation. Factors affecting satisfaction with the guide for implant surgery were whether you would like to recommend it to people around you (β=0.556), whether you would like to explain the guide (β=0.194), and whether you thought it was good to receive the guide (β=0.199). Conclusions: Therefore, in order to increase the satisfaction of the implant surgical guide procedure, it is considered important to perform a sufficient explanation of the implant surgical guide before the procedure.

Treatment Experience with Polymyalgia Rheumatica -A report of two cases- (류마티스성 다발성 근육통의 치료 경험 -증례보고-)

  • Jung, Jang Hwan;Yoon, Duck Mi;Hwang, Kyu Hyun;Yoon, Kyung Bong
    • The Korean Journal of Pain
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    • v.21 no.3
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    • pp.241-243
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    • 2008
  • Polymyalgia rheumatica is characterized by bilateral shoulder or pelvic girdle pain, morning stiffness of greater than 45 minutes' duration, constitutional symptoms, an elevated erythrocyte sedimentation rate and a rapid response to prednisolone (${\leq}20mg/day$). Although it is not a rare disease, many cases might be neglected and treated inappropriately in pain clinics. We describe here two cases of polymyalgia rheumatica that was neglected and treated inappropriately.

The Effect of SGB in Lagophthalmos Caused by Facial Nerve Palsy -A case report- (안면 신경 마비로 인한 토안에서 성상신경절 차단의 효과 -증례보고-)

  • Kim, Soo-Young;Nam, Dae-Hee
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.116-118
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    • 1998
  • Stellate ganglion block(SGB) is frequently performed in pain clinics. Facial palsy produces asymmetry of the face, lagophthalmos and incomplete eyelid closure. Exposure keratitis and eyeball pain can be induced by prolonged lagophthalmos. SGB was performed on a 51-year-old female patient who had exposure of keratitis and eyeball pain due to facial nerve palsy after an operation for chronic otitis media. After 31 stellate ganglion blocks, eyeball pain and keratitis nearly subsided. SGB is an effective method to treat lagophthalmos caused by facial nerve palsy.

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Scapular muscle endurance, shoulder pain, and functionality in patients with rotator-cuff-related shoulder pain: a matched, case-control study

  • Ugur Sozlu;Selda Basar;Ulunay Kanatli
    • Clinics in Shoulder and Elbow
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    • v.27 no.1
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    • pp.52-58
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    • 2024
  • Background: Deficiency in scapular muscle endurance (SME) is a risk factor for rotator-cuff-related shoulder pain (RCRSP). However, the exact relationship among SME, pain, and functionality remains unclear. This study aims to compare SME, pain, and functionality in RCRSP patients to those in age-sex-matched healthy controls. Methods: Twenty-three patients with RCRSP and 23 age-sex matched healthy controls were included in the study. SME was measured using a 1-kg dynamometer. Self-reported pain level was assessed using a visual analog scale. The Functional Impairment Test-Hand, Neck, Shoulder, and Arm (FIT-HaNSA) was also used to assess functional impairment. Results: The control group had higher SME and total FIT-HaNSA scores than the patient group (P<0.05). There was a statistically significant and positive correlation between SME and FIT-HaNSA scores in both groups (P<0.05). Conclusions: SME was affected by RCRSP. Pain and functional impairment were correlated with low SME.

Neural Blockade and Trigger Point Injection for Chronic Shoulder Pain (만성 어깨통증을 위한 신경차단과 방아쇠점 주사)

  • Shin, Keun-Man
    • Clinics in Shoulder and Elbow
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    • v.6 no.2
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    • pp.108-114
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    • 2003
  • The shoulder is a complex area which makes it vulnerable to painful pathologic processes. Chronic shoulder pain has become more common recently due to increased use of computers and a ,generally more sedentary life style among most people . Trigger point injection and neural blockade are useful for the management of chronic shoulder pain which has not improved with conservative treatment. Published articles concerning trigger point injection or neural blockade for chronic shoulder pain were reviewed to evaluate promising methods. If we are careful to remain aware of the details and complications in addition to adhering to effective treatments, these should be good armamentarium for doctors enthusiastic about the management of chronic shoulder pain.