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Md Abu Bakar Siddiq,Suzon Al Hasan,Gautam Das,Amin Uddin A Khan 대한통증학회 2011 The Korean Journal of Pain Vol.24 No.4
Background:Interventional pain management (IPM) is a branch of medical science that deals with management of painful medical conditions using specially equipped x-ray and anatomical landmarks. Interventional physiatry is a branch of Physical Medicine and Rehabilitation that treat painful conditions by intervention in peripheral joints, spine, and soft tissues. Methods:A cross - sectional study was conducted using three years hospital records (2006 to 2008) of Physical Medicine and Rehabilitation Department, Chittagong Medical College Hospital, Bangladesh with a view to highlight current interventional pain practice in a tertiary medical college hospital. Results:Maximum intervention was done in degenerative peripheral joint disorders (600, 46.0%) followed by inflammatory joint diseases (300, 23.0%), soft tissue rheumatism (300, 23.0%), and radicular or referred low back conditions (100, 8.0%). Knee was the most commonly intervent peripheral joint. Motor stimulation guided intralesional injection methylprednisolone into piriformis muscle was given in 10 cases of piriformis syndrome refractory to oral medications and therapeutic exercises. Soft tissue rheumatism of unknown etiology was most common in the form of adhesive capsulitis (90, 64.3%) and discussed separately. Epidural steroid was practiced in different causes of lumbar radiculopathy except infective discitis. Conclusions:All procedures were performed using anatomical landmark as there was no facilities for c-arm/diagnostic ultrasound required for accurate and safe intervention. Dedicated IPM set up is required in all PMR departments for better pain management and reduce burden on other specialities. (Korean J Pain 2011; 24: 205-215)
Siddiq, Md. Abu Bakar,Hasan, Suzon Al,Das, Gautam,Khan, Amin Uddin A. The Korean Pain Society 2011 The Korean Journal of Pain Vol.24 No.4
Background: Interventional pain management (IPM) is a branch of medical science that deals with management of painful medical conditions using specially equipped X-ray machines and anatomical landmarks. Interventional physiatry is a branch of physical medicine and rehabilitation that treats painful conditions through intervention in peripheral joints, the spine, and soft tissues. Methods: A cross-sectional study was conducted using three years of hospital records (2006 to 2008) from the Physical Medicine and Rehabilitation Department at Chittagong Medical College Hospital in Bangladesh, with a view toward highlighting current interventional pain practice in a tertiary medical college hospital. Result: The maximum amount of intervention was done in degenerative peripheral joint disorders (600, 46.0%), followed by inflammatory joint diseases (300, 23.0%), soft tissue rheumatism (300, 23.0%), and radicular or referred lower back conditions (100, 8.0%). Of the peripheral joints, the knee was the most common site of intervention. Motor stimulation-guided intralesional injection of methylprednisolone into the piriformis muscle was given in 10 cases of piriformis syndrome refractory to both oral medications and therapeutic exercises. Soft tissue rheumatism of unknown etiology was most common in the form of adhesive capsulitis (90, 64.3%), and is discussed separately. Epidural steroid injection was practiced for various causes of lumbar radiculopathy, with the exception of infective discitis. Conclusion: All procedures were performed using anatomical landmarks, as there were no facilities for the C-arm/diagnostic ultrasound required for accurate and safe intervention. A dedicated IPM setup should be a requirement in all PMR departments, to provide better pain management and to reduce the burden on other specialties.
( Md Abu Bakar Siddiq ),( Suzon Al Hasan ),( Gautam Das ),( Amin Uddin A Khan ) 대한통증학회 2011 The Korean Journal of Pain Vol.24 No.4
Background: Interventional pain management (IPM) is a branch of medical science that deals with management of painful medical conditions using specially equipped x-ray and anatomical landmarks. Interventional physiatry is a branch of Physical Medicine and Rehabilitation that treat painful conditions by intervention in peripheral joints, spine, and soft tissues. Methods: A cross - sectional study was conducted using three years hospital records (2006 to 2008) of Physical Medicine and Rehabilitation Department, Chittagong Medical College Hospital, Bangladesh with a view to highlight current interventional pain practice in a tertiary medical college hospital. Results: Maximum intervention was done in degenerative peripheral joint disorders (600, 46.0%) followed by inflammatory joint diseases (300, 23.0%), soft tissue rheumatism (300, 23.0%), and radicular or referred low back conditions (100, 8.0%). Knee was the most commonly intervent peripheral joint. Motor stimulation guided intralesional injection methylprednisolone into piriformis muscle was given in 10 cases of piriformis syndrome refractory to oral medications and therapeutic exercises. Soft tissue rheumatism of unknown etiology was most common in the form of adhesive capsulitis (90, 64.3%) and discussed separately. Epidural steroid was practiced in different causes of lumbar radiculopathy except infective discitis. Conclusions: All procedures were performed using anatomical landmark as there was no facilities for c-arm/diagnostic ultrasound required for accurate and safe intervention. Dedicated IPM set up is required in all PMR departments for better pain management and reduce burden on other specialities.
Extra-spinal sciatica and sciatica mimics: a scoping review
Siddiq, Md Abu Bakar,Clegg, Danny,Hasan, Suzon Al,Rasker, Johannes J The Korean Pain Society 2020 The Korean Journal of Pain Vol.33 No.4
Not all sciatica-like manifestations are of lumbar spine origin. Some of them are caused at points along the extra-spinal course of the sciatic nerve, making diagnosis difficult for the treating physician and delaying adequate treatment. While evaluating a patient with sciatica, straightforward diagnostic conclusions are impossible without first excluding sciatica mimics. Examples of benign extra-spinal sciatica are: piriformis syndrome, walletosis, quadratus lumborum myofascial pain syndrome, cluneal nerve disorder, and osteitis condensans ilii. In some cases, extra-spinal sciatica may have a catastrophic course when the sciatic nerve is involved in cyclical sciatica, or the piriformis muscle in piriformis pyomyositis. In addition to cases of sciatica with clear spinal or extra-spinal origin, some cases can be a product of both origins; the same could be true for pseudo-sciatica or sciatica mimics, we simply don't know how prevalent extra-spinal sciatica is among total sciatica cases. As treatment regimens differ for spinal, extra-spinal sciatica, and sciatica-mimics, their precise diagnosis will help physicians to make a targeted treatment plan. As published works regarding extra-spinal sciatica and sciatica mimics include only a few case reports and case series, and systematic reviews addressing them are hardly feasible at this stage, a scoping review in the field can be an eye-opener for the scientific community to do larger-scale prospective research.