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Category: Pain Management

Medications for Lower Back Pain

Medications for Lower Back Pain

(ĐTĐ) – When your lower back is achy and sore, everything you do — from reaching into a kitchen cabinet to bending over to pet the dog — can trigger an excruciating jolt of pain. At that time, it may feel as if nothing is more important than finding relief. Medications, like the ones listed in this guide, may help. But they should be used along with exercise and physical therapy for effective pain relief.   If you are considering…

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Fibromyalgia Medications

Fibromyalgia Medications

(ĐTĐ) – There are many different medications used to treat fibromyalgia symptoms, including pain medicines, sleeping pills, and antidepressants. Some fibromyalgia medicines help ease pain. Others boost mood and improve sleep. Working with your doctor will help you find the right fibromyalgia medication to add to your treatment regimen. That way, you can manage your symptoms effectively.   What is the initial treatment for fibromyalgia? The first medication doctors will often try for people with fibromyalgia is an antidepressant, which…

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Prescription or Over the Counter, Pain Pill Mistakes Common

Prescription or Over the Counter, Pain Pill Mistakes Common

(ĐTĐ) – Sharing prescriptions, hoarding expired drugs, and more no-nos for taking prescription and over-the-counter pain medications.   It’s been a hard day, and Joe’s back is killing him. His wife has some Percocet left over from a trip to the dentist, and there’s that big bottle of Tylenol under the sink, so Joe grabs a couple of each and washes them down with a slug of beer. Luckily for Joe, he’s a fictional character invented for this article. But…

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Hyaluronic Acid Injections for Osteoarthritis

Hyaluronic Acid Injections for Osteoarthritis

(ĐTĐ) – Exercise and other physical activity is important when you have osteoarthritis (OA). But joint pain and stiffness in a knee can make it difficult just to walk, even with medication and other treatments. If that sounds like your situation, or if you can’t take oral arthritis medicine, hyaluronic acid injections may help. Tiếng Việt >> Also called visco supplements, these injections add to the joint’s natural supply of hyaluronic acid, a part of the joint fluid that helps…

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Should You Give Injectables a Shot for Osteoarthritis Pain?

Should You Give Injectables a Shot for Osteoarthritis Pain?

(ĐTĐ) – A number of injectables, including corticosteroids and hyaluronic acid, are now available to treat painful knee osteoarthritis. Finding relief from knee pain can be a trying experience for the nearly 27 million Americans who live with osteoarthritis. Non-steroidal anti-inflammatory drugs (NSAIDs) help many, but these medications can have serious side effects, including ulcers and serious gastrointestinal bleeding. What’s more, supplements such as glucosamine and chondroitin, which were once hailed as miracles, have not always lived up to their…

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Saphenous Nerve Block

Saphenous Nerve Block

Introduction Clinicians in the emergency department and other acute care settings frequently encounter patients who have sustained trauma to the lower leg or foot and require anesthesia for repair. Regional block of the saphenous nerve, a pure sensory nerve of the leg, allows for rapid anesthetization of the anteromedial lower extremity, including the medial malleolus. Regional blocks have several advantages compared with local infiltration, such as fewer injections required to attain adequate anesthesia, smaller volume of anesthetic required, and less…

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Superficial Peroneal Nerve Block

Superficial Peroneal Nerve Block

Introduction Emergency practitioners and other clinicians working in acute care settings frequently encounter patients who have trauma to or pathology of the dorsum of the foot and require anesthesia for treatment and repair. Regional block of the superficial peroneal nerve allows for rapid anesthetization of the dorsum of the foot, which allows for management of lacerations, fractures, nail bed injuries, or other pathology involving the dorsum of the foot. Regional blocks have several advantages compared to local infiltration, such as fewer injections…

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Posterior Tibial Nerve Block – Technique

Posterior Tibial Nerve Block – Technique

<< Posterior Tibial Nerve Block Technique Explain the procedure, benefits, risks, and complications to the patient and/or patient’s representative, and inform the patient of the possibility of paresthesia during the procedure. Obtain informed consent in accordance with hospital protocol. Perform and document neurovascular and musculoskeletal examinations prior to the procedure. Testing the posterior tibial nerve prior to block includes the following: Sensation of sole of the foot, as shown below Flexion, abduction, and adduction of the digits Using nonsterile gloves,…

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Posterior Tibial Nerve Block

Posterior Tibial Nerve Block

Introduction Pratitioners in the emergency department frequently encounter patients who have sustained trauma to the sole of the foot and require anesthesia for repair. This tender area is relatively difficult to anesthetize locally. Regional block of the posterior tibial nerve allows for rapid anesthetization of the heel and plantar regions of the foot. Regional blocks have several advantages compared to local infiltration, such as fewer injections necessary to attain adequate anesthesia, smaller volume of anesthetic required, and less distortion of…

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Radial Nerve Block

Radial Nerve Block

Introduction Radial nerve block is a simple procedure that can be performed at various levels along the course of the radial nerve. Surgical anesthesia, postoperative analgesia, and palliative measures for acute painful conditions are all indications for radial nerve block. Radial nerve anatomy The radial nerve is 1 of the 4 important branches of the posterior cord of the brachial plexus and has the root values of C5, C6, C7, C8, and T1. The mnemonic STAR (Subscapular, Thoracodorsal, Axillary, Radial)…

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