PURPOSE There have been few prospective studies evaluating the results of nonsurgical treatment of a well-defined patient cohort with symptomatic basal joint osteoarthritis of the thumb. This prospective study uses a validated outcome instrument to examine the effectiveness of a single steroid injection and 3 weeks of splinting in patients with osteoarthritis in Eaton stages 1 to 4 with a minim...

BACKGROUND De Quervain's tenosynovitis is a disorder characterised by pain on the radial (thumb) side of the wrist and functional disability of the hand. It can be treated by corticosteroid injection, splinting and surgery. OBJECTIVES To summarise evidence on the efficacy and safety of corticosteroid injections for de Quervain's tenosynovitis. SEARCH STRATEGY We searched the following datab...

BACKGROUND Lumbar transforaminal epidural steroid injections (TFESIs) are procedures often utilized in the treatment of radicular pain. TFESIs with a preganglionic approach have been reported to be more effective than TFESIs performed using a classic approach. However, it is unknown whether TFESIs using a retrodiscal approach are as effective as other approaches. OBJECTIVE To investigate the ...

BACKGROUND Lumbar transforaminal epidural steroid injections (TFESIs) are performed to provide symptom relief in patients with radicular pain. Recent articles suggested that injected volume itself have analgesic effects and higher volumes are associated with better outcomes. To date, few studies have been conducted to investigate the effects of volume. Therefore, well-designed controlled studie...

I enjoyed reading the guidelines provided by the American Society of Interventional Pain Physicians (Pain Physician 2007; 10:7-111). The guidelines are extensive, informative, and practical. These continue to be an asset for practices in interventional pain management since 2005. However, I would like to point out an error. In the evidence section for transforaminal epidural steroid injections ...

OBJECTIVE To assess the relative effectiveness of three injections methods suprascapular nerve block (SSNB) alone, intra-articular steroid injection (IAI) alone, or both-on relief of hemiplegic shoulder pain. METHODS We recruited 30 patients with hemiplegic shoulder pain after stroke. SSNB was performed in 10 patients, IAI in 10 patients, and a combination of two injections in 10 patients. Al...

Abstract Background Plantar fasciitis is the most common cause of heel pain and difficult to treat in chronic severe forms. Management plantar includes non-surgical options such as non-steroidal anti-inflammatory drugs corticosteroids, physical therapy, orthotics, surgical management fasciotomy. Local injection platelet-rich plasma well local steroids an emerging concept treating recalcitrant t...

conclusions some children with cap have acnes. in all children with acnes, we recommended local nerve blocks. if the local block in 3 times is not helping, neurectomy of the peripheral nerve is method of choice. results in 12 pediatric patients with chronic abdominal pain, we diagnosed acnes. each presented with abdominal pain and a positive carnett sign. local nerve blocks using anesthetic and...

A young male patient developed chronic, severe, and disabling right sided groin pain following resection of his left testicular cancer. Since there is considerable overlap, ultrasound guided, selective diagnostic nerve blocks were done for ilioinguinal, iliohypogastric, and genitofemoral nerves, to determine the involved nerve territory. It was revealed that genitofemoral neuralgia was the like...