Journal of back and musculoskeletal rehabilitation
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J Back Musculoskelet Rehabil · Jan 2011
Is chronic opioid use a negative predictive factor for response to cervical epidural steroid injections?
Cervical epidural steroid injections (ESIs) are often used to treat patients with neck and upper extremity pain associated with a cervical radiculopathy. The effect of chronic opioid use in cervical radiculopathy patients managed with ESIs is unknown; past studies suggest that these patients may behave differently than opioid naïve patients. The purpose of this study is to determine the effect of chronic (greater than 6 months) opioid use on the immediate outcome of cervical ESIs. ⋯ Patients managed with opioids chronically may respond in a different manner to ESIs when compared to opioid naïve patients.
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J Back Musculoskelet Rehabil · Jan 2011
Case ReportsOsteopoikilosis associated with fibromyalgia and active myofascial trigger point in upper trapezius muscles.
Osteopoikilosis is a sclerosing bone dysplasia, characterized by multiple oval spots of radiodensities within the trabecular bone. It occurs equally common among men and women. ⋯ Most reported cases have been found incidentally on roentgenograms taken for other purposes. We present a 58-year-old woman with OPK associated with fibromyalgia and active myofascial trigger point in upper trapezius muscles.
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J Back Musculoskelet Rehabil · Jan 2011
Evaluation of patients' response to pulsed radiofrequency treatment applied to the suprascapular nerve in patients with chronic shoulder pain.
The aim of this study was to evaluate patient satisfaction, efficacy and safety of the pulsed radiofrequency (PRF) technique applied to the suprascapular nerve for the treatment of refractory shoulder pain. ⋯ Pulsed radiofrequency technique application to the suprascapular nerve for 480 seconds shows remarkable improvement at patients' chronic shoulder pain.