Sham acupuncture in chronic pain

Inspired by Zhou et al 2022.[1] Photo by Sven Mieke on Unsplash. MA – meta-analysisNMA – network meta-analysisIPDM – individual patient data meta-analysisRA – real acupunctureSA – sham acupunctureNPSA – non-penetrative SAPSA – penetrative SANA – no acupunctureRCT – randomised controlled trialHRQoL – health-related quality of lifeANCOVA – analysis of covarianceES – effect sizeEA – … Continue reading Sham acupuncture in chronic pain

Chronic primary MSK pain 2022

Inspired by a perspective and commentaries in Pain Reports.[1–3] Photo by Mateo Krössler on Unsplash. View of Heidelberg... MSK – musculoskeletalMPS – myofascial pain syndromeWA – Western Australia key to acronyms A couple of these papers popped up on my searches on Friday 19th August, and since transport disruption had led to a cancelled clinic, … Continue reading Chronic primary MSK pain 2022

Where to start in LBP

Stimulated by Harwood et al 2022.[1] Photo by Adam Jones on Unsplash. Photo by Olenka Kotyk on Unsplash. LBP – low back painUS – United States of AmericaHCCI – Heath Care Cost InstituteED – emergency departmentEM – emergency medicinekey to acronyms This is very large retrospective observational cohort from the US examining opioid use, other … Continue reading Where to start in LBP

Burkholderia pseudomallei

Inspired by Xiao et al 2022.[1] Cerevisae, CC BY-SA 4.0, via Wikimedia Commons.  DM – diabetes mellitusT6SS – type VI secretion systemT3SS – type III secretion systemCT – computed tomographyTB – tuberculosisMRI – magnetic resonance imagingIV – intravenouskey to acronyms Also known as Pseudomonas pseudomallei, sure enough this Gram-negative, bipolar, aerobic, motile, rod bacterium appears … Continue reading Burkholderia pseudomallei

PID regression 2021

Inspired by Hu et al 2021.[1] Photo by Neonbrand on Unsplash. PID – prolapsed intervertebral discIMHO – in my humble opinionMRI – magnetic resonance imagingkey to acronyms Over the years I have seen many patients with back pain, including those with the source of pain in the back that presents as pain somewhere in the … Continue reading PID regression 2021

Needle retrieval 2021

Inspired by Ikoma et al 2021.[1] Photo by SUNBEAM PHOTOGRAPHY on Unsplash. I have mentioned embedded needle fragments and the surgical retrieval of such fragments several times previously on this blog. But this is the first account of successful image-guided percutaneous retrieval of needle fragments using myocardial biopsy forceps. myocardial biopsy forceps The report includes … Continue reading Needle retrieval 2021

Fatal bilateral pneumothoraces

Inspired by Yamaguchi et al 2021.[1] PMCT – post-mortem computed tomographyEA – electroacupunctureCPR – cardiopulmonary resuscitationCXR – chest x ray filmBMI – body mass indexkey to acronyms Photo by Robina on Unsplash. This case report comes from Tokyo and involves PMCT. The last reported case was from Shanghai, and I highlighted it on this blog in November 2018. … Continue reading Fatal bilateral pneumothoraces

Does acupuncture reduce opioid use?

Stimulated by Pham et al 2021.[1] Photo by Alexandru G Stavrică on Unsplash.Woman in a field of poppies... the original source of opiates – the natural subset of opioids. NSAIDs – non-steroidal anti-inflammatory drugsPT – physical therapyTENS – transcutaneous electrical nerve stimulationED – emergency departmentkey to acronyms This is another large retrospective observational cohort trial, … Continue reading Does acupuncture reduce opioid use?