Chronic abdominal and pelvic pain is a common condition that has significant impact on quality of life,and causes billions of dollars in direct and indirect costs.Emerging data suggest that transcranial direct current...Chronic abdominal and pelvic pain is a common condition that has significant impact on quality of life,and causes billions of dollars in direct and indirect costs.Emerging data suggest that transcranial direct current stimulation(t DCS),alone or in combination with transcutaneous electrical nerve stimulation(TENS),could be a promising therapeutic avenue to reduce chronic pain.The encouraging results coming from these studies prompted us to try combining TENS and t DCS in 4 of our patients who suffered from chronic abdominal/pelvic pain and to compare the effect with 5other patients who received TENS alone.Pain intensity was assessed with a visual analog scale before,during and after the stimulation.We observed that there was a slight decrease in pain which was similar in both patient groups(TENS alone and TENS combined with t DCS).These observations suggest that combining TENS and t DCS in patients suffering from chronic pelvic and/or abdominal pain produces no additional benefit,compared to TENS alone.Future studies,looking at the effect of several/consecutive TENS and t DCS sessions should be conducted.展开更多
To investigate the influence of hip a nd pelvic fracture, especially acetabular fracture complicated by sciatic nerve injury on clinical features and prognosis of sciatic nerve injury. Methods: From January 1987 to Ja...To investigate the influence of hip a nd pelvic fracture, especially acetabular fracture complicated by sciatic nerve injury on clinical features and prognosis of sciatic nerve injury. Methods: From January 1987 to January 2000, 17 patients (14 mal e and 3 female) who had hip and pelvic fractures complicated by sciatic nerve in jury were treated with operative reduction and internal fixation and followed up from 10 months to 5 years. The average age was 38 years (ranging 23 56 years). The left extremities were involved in 11 patients and the right in 6. Twelve pa tients underwent primary exploration and neurolysis and 5 patients underwent sec ondary operation. Results: Preoperatively, 8 patients were treated with large dos es of oral narcotics to control their severe sciatic pain. Three of the 8 patien ts underwent patient controlled analgesia and epidural analgesia. After operati on, excellent and good rates of reduction and functional recovery of sciatic ner ve were 94.1 % and 88% respectively. Four patients still had sciatic pain and 2 patients failed to recover. Sciatic nerve function improved within 3 6 month s after surgery in 11 patients. Conclusions: Hip and pelvic fractures can result in sciatic ner ve injury, especially common peroneal nerve injury and prognosis is poor. Open r eduction and internal fixation combined with nerve exploration and neurolysis sh ould be used as early as possible for severe sciatic pain.展开更多
基金the Fonds de recherche en santédu Québec(FRQS)No.29182
文摘Chronic abdominal and pelvic pain is a common condition that has significant impact on quality of life,and causes billions of dollars in direct and indirect costs.Emerging data suggest that transcranial direct current stimulation(t DCS),alone or in combination with transcutaneous electrical nerve stimulation(TENS),could be a promising therapeutic avenue to reduce chronic pain.The encouraging results coming from these studies prompted us to try combining TENS and t DCS in 4 of our patients who suffered from chronic abdominal/pelvic pain and to compare the effect with 5other patients who received TENS alone.Pain intensity was assessed with a visual analog scale before,during and after the stimulation.We observed that there was a slight decrease in pain which was similar in both patient groups(TENS alone and TENS combined with t DCS).These observations suggest that combining TENS and t DCS in patients suffering from chronic pelvic and/or abdominal pain produces no additional benefit,compared to TENS alone.Future studies,looking at the effect of several/consecutive TENS and t DCS sessions should be conducted.
文摘To investigate the influence of hip a nd pelvic fracture, especially acetabular fracture complicated by sciatic nerve injury on clinical features and prognosis of sciatic nerve injury. Methods: From January 1987 to January 2000, 17 patients (14 mal e and 3 female) who had hip and pelvic fractures complicated by sciatic nerve in jury were treated with operative reduction and internal fixation and followed up from 10 months to 5 years. The average age was 38 years (ranging 23 56 years). The left extremities were involved in 11 patients and the right in 6. Twelve pa tients underwent primary exploration and neurolysis and 5 patients underwent sec ondary operation. Results: Preoperatively, 8 patients were treated with large dos es of oral narcotics to control their severe sciatic pain. Three of the 8 patien ts underwent patient controlled analgesia and epidural analgesia. After operati on, excellent and good rates of reduction and functional recovery of sciatic ner ve were 94.1 % and 88% respectively. Four patients still had sciatic pain and 2 patients failed to recover. Sciatic nerve function improved within 3 6 month s after surgery in 11 patients. Conclusions: Hip and pelvic fractures can result in sciatic ner ve injury, especially common peroneal nerve injury and prognosis is poor. Open r eduction and internal fixation combined with nerve exploration and neurolysis sh ould be used as early as possible for severe sciatic pain.
