Poster 481 Improved Outcomes in Postconcussive Syndrome (PCS) with Implementation of Integrative Pain Program: Retrospective Review of Data
| Autor: | Jeffrey E. Oken, Brendan J. Polun, Kathleen Ruroede |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Retrospective review
medicine.medical_specialty business.industry Multiple sclerosis Rehabilitation Mandibular nerve Physical Therapy Sports Therapy and Rehabilitation medicine.disease Neuromodulation (medicine) Nociception Neurology Refractory Trigeminal neuralgia Physical therapy medicine Etiology Neurology (clinical) business |
| Zdroj: | PM&R. 6 |
| ISSN: | 1934-1563 1934-1482 |
| DOI: | 10.1016/j.pmrj.2014.08.850 |
| Popis: | Setting: Outpatient Pain Management and Rehabilitation Clinic Results or Clinical Course: At 6 weeks post-ablation, that patient’s sharp electric-like pain in the right jaw was greatly improved, and she was able to gain weight and eat without significant pain. She did perceive a continued dull ache in the same distribution that was not there prior to nerve ablation, requiring continuation of her pain medications, and scheduled maintenance nerve blocks. Discussion: While functional improvement and overall pain reduction was achieved, residual nociceptive pain necessitated continued medications and injections. Neuromodulation is currently being considered for refractory pain. Conclusions: RFA of the mandibular nerve is a viable alternative for treatment of refractory V3 trigeminal neuralgia in patients in whom conservative measures have failed, and when there is no identifiable nerve entrapment. Indications include the various etiologies of mandibular nerve pain, which include dental pain, post-traumatic, post-surgical, idiopathic, multiple sclerosis, or postherpetic pain. |
| Databáze: | OpenAIRE |
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