Objectives Corticosteroid (CS) injection is commonly used in partial-thickness rotator cuff tears... more Objectives Corticosteroid (CS) injection is commonly used in partial-thickness rotator cuff tears to decrease pain. However, this could result in unwanted side effects, such as tendon rupture. Alternatively, platelet-rich plasma (PRP) injection is frequently used to treat tendinopathies because it enhances healing. This study aimed to compare the differences in tear size and functional scores between intralesional PRP and subacromial CS injections. Methods Patients with symptomatic partial-thickness tears of the supraspinatus tendon who underwent conservative treatment for ≥ 3 months were enrolled. All patients underwent magnetic resonance imaging (MRI) to confirm the diagnosis. Fourteen and 15 patients were randomized to receive intralesional PRP and subacromial CS injections, respectively. Tears were measured in the coronal and sagittal planes. The patients underwent another MRI 6 months after the injection. Tear size was compared between the two MRI results. The American Shoulder...
Background: Partial supraspinatus tendon tears have frequently been treated using a subacromial c... more Background: Partial supraspinatus tendon tears have frequently been treated using a subacromial corticosteroid injection or surgery. The clinical use of a platelet-rich plasma (PRP) injection is an alternative treatment method for the condition, despite the paucity of evidence of its efficacy. Purpose: To compare pain relief, functional improvement, and complications after an intratendinous PRP injection versus a subacromial corticosteroid injection for partial supraspinatus tears. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: A total of 32 patients with partial supraspinatus tears were randomly assigned to receive a leukocyte-poor PRP (LP-PRP) injection or a corticosteroid injection. One patient withdrew from the PRP group, leaving 15 patients in the PRP group and 16 patients in the corticosteroid group. The ultrasound-guided procedures were performed by a single experienced pain physician. Pain relief and functional improvement were evaluated using the ...
Background: Post total knee replacement pain iscategorized as moderate to severe pain. Well manag... more Background: Post total knee replacement pain iscategorized as moderate to severe pain. Well managementof postoperative pain will enhance patient recovery. Thestudy aims to compare between 0.04% levobupivacainefor femoral nerve catheter in combination with 0.1 milligramintrathecal morphine with only 0.1% levobupivacaine forfemoral nerve catheter.Methods: An experimental study, double blinded,randomized-controlled trial was conducted in total kneereplacement.Pateints in LBM group received 0.04% levobupivacainecombined with 0.1 milligram intrathecal morphine, BMgroup received only 0.1% levobupivacaine for femoralnerve catheter for 48 hours after surgery. Postoperativepain scores were assessed at 6, 12, 24, 48 hours.Morphine consumption, nausea-vomiting, itchiness andmuscle weakness of the legs were also assessed.Results: There were 46 patients included in the study.Pain scores at rest and while movement at 6 hours weresignificant lower in LBM group (3.88 vs 1.61, p=0.005), (5.88 vs 3.3...
Objectives Corticosteroid (CS) injection is commonly used in partial-thickness rotator cuff tears... more Objectives Corticosteroid (CS) injection is commonly used in partial-thickness rotator cuff tears to decrease pain. However, this could result in unwanted side effects, such as tendon rupture. Alternatively, platelet-rich plasma (PRP) injection is frequently used to treat tendinopathies because it enhances healing. This study aimed to compare the differences in tear size and functional scores between intralesional PRP and subacromial CS injections. Methods Patients with symptomatic partial-thickness tears of the supraspinatus tendon who underwent conservative treatment for ≥ 3 months were enrolled. All patients underwent magnetic resonance imaging (MRI) to confirm the diagnosis. Fourteen and 15 patients were randomized to receive intralesional PRP and subacromial CS injections, respectively. Tears were measured in the coronal and sagittal planes. The patients underwent another MRI 6 months after the injection. Tear size was compared between the two MRI results. The American Shoulder...
Background: Partial supraspinatus tendon tears have frequently been treated using a subacromial c... more Background: Partial supraspinatus tendon tears have frequently been treated using a subacromial corticosteroid injection or surgery. The clinical use of a platelet-rich plasma (PRP) injection is an alternative treatment method for the condition, despite the paucity of evidence of its efficacy. Purpose: To compare pain relief, functional improvement, and complications after an intratendinous PRP injection versus a subacromial corticosteroid injection for partial supraspinatus tears. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: A total of 32 patients with partial supraspinatus tears were randomly assigned to receive a leukocyte-poor PRP (LP-PRP) injection or a corticosteroid injection. One patient withdrew from the PRP group, leaving 15 patients in the PRP group and 16 patients in the corticosteroid group. The ultrasound-guided procedures were performed by a single experienced pain physician. Pain relief and functional improvement were evaluated using the ...
Background: Post total knee replacement pain iscategorized as moderate to severe pain. Well manag... more Background: Post total knee replacement pain iscategorized as moderate to severe pain. Well managementof postoperative pain will enhance patient recovery. Thestudy aims to compare between 0.04% levobupivacainefor femoral nerve catheter in combination with 0.1 milligramintrathecal morphine with only 0.1% levobupivacaine forfemoral nerve catheter.Methods: An experimental study, double blinded,randomized-controlled trial was conducted in total kneereplacement.Pateints in LBM group received 0.04% levobupivacainecombined with 0.1 milligram intrathecal morphine, BMgroup received only 0.1% levobupivacaine for femoralnerve catheter for 48 hours after surgery. Postoperativepain scores were assessed at 6, 12, 24, 48 hours.Morphine consumption, nausea-vomiting, itchiness andmuscle weakness of the legs were also assessed.Results: There were 46 patients included in the study.Pain scores at rest and while movement at 6 hours weresignificant lower in LBM group (3.88 vs 1.61, p=0.005), (5.88 vs 3.3...
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