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Successful Management of Chronic Postsurgical Pain Following Total Knee Replacement.
- Source :
-
Pain Medicine . Oct2014, Vol. 15 Issue 10, p1781-1785. 5p. 2 Black and White Photographs, 1 Diagram, 1 Graph. - Publication Year :
- 2014
-
Abstract
- We report reversal of chronic postsurgical pain (CPSP) along with functional restoration after total knee replacement (TKR) in two patients, using a combination therapy that included ultrasonographyguided pulsed radiofrequency (PRF) of nerves supplying the knee to provide pain relief, along with dry needling (DN) to relax myofascial triggers/bands that caused painful stiffness and restricted movement of muscles acting across the knee. Both patients showed demonstrable pain relief, as evidenced by changes in pain as assessed on the Numeric Rating Scale (patient 1: 4-9/10 [pretreatment] to 0-3/10 [6 months post-treatment]; patient 2: 5-9/10 to 0-4/10), Oxford Knee Score (patient 1: 17 to 40; patient 2: 12 to 39), Self- Administered Leeds Assessment of Neuropathic Symptoms and Signs score (patient 1: 16 to 0; patient 2: 18 to 0), and Patient Health Questionnaire-9 score (patient 1: 17 to 2; patient 2: 20 to 2). The selection of the PRF-and-DN combination for treating post-TKR CPSP was based on a new idea that CPSP is a neuromyopathic phenomenon involving both sensory and motor neuropathy. It has evolved from our experience of 8 years. Physiotherapy worked synergistically with DN, optimizing muscle performance and pain relief. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CHRONIC pain treatment
*POSTOPERATIVE pain treatment
*ACETAMINOPHEN
*HETEROCYCLIC compounds
*PREGABALIN
*CHRONIC pain
*COMBINED modality therapy
*HYPODERMIC needles
*KNEE
*COMPUTERS in medicine
*PHYSICAL therapy
*POSTOPERATIVE pain
*THERAPEUTICS
*TOTAL knee replacement
*TREATMENT effectiveness
*PRE-tests & post-tests
*ABLATION techniques
*DESCRIPTIVE statistics
*DIAGNOSIS
Subjects
Details
- Language :
- English
- ISSN :
- 15262375
- Volume :
- 15
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Pain Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 102210365
- Full Text :
- https://doi.org/10.1111/pme.12508