Acupuncture and DTI 2022

Inspired by Kim et al and Zhai et al 2022.[1,2] DTI – diffusion tensor imagingMRI – magnetic resonance imagingFA – fractional anisotropyEA – electroacupunctureTCSS – Toronto clinical scoring system key to acronyms I am sitting on a hotel room balcony in Bologna following an international medical acupuncture conference and contemplating the subject for this week’s … Continue reading Acupuncture and DTI 2022

Hearts lungs and eyes 2022

Inspired by four recent adverse event reports related to needling.[1–4] Photo by Cameron Venti on Unsplash. PMCT – post-mortem computed tomographyED – emergency departmentCT – computed tomographyCXR – chest x rayDSA – digital subtraction angiographyTAE – transcatheter arterial embolizationAEs – adverse eventsDED – dry eye diseasekey to acronyms This week I have a series of recent adverse events … Continue reading Hearts lungs and eyes 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

Looking inside the MTrP 2022

Inspired by Ball et al 2022.[1] Inside the trigger point drawn by MC on Paper 53 circa 2015. MTrP – myofascial trigger pointTrP – trigger point (exactly the same as MTrP for those wanting to save a keystroke)LTR – local twitch responseUS – ultrasoundVSE – vibration sonoelastographySWE – shear wave elastographyDN – dry needling aka … Continue reading Looking inside the MTrP 2022

Chronic pain and the PAG 2022

Inspired by Xu et al 2022.[1] Photo by TBS 44 on Unsplash. PAG – periaqueductal grayFC – functional connectivityMRI – magnetic resonance imagingfMRI – functional magnetic resonance imagingCNSP – chronic neck and shoulder painHC – healthy controlMA – manual acupunctureMC – metacarpalBOLD – blood oxygen level dependantpIns – posterior insulaPCS – pain catastrophising scalekey to … Continue reading Chronic pain and the PAG 2022

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

Floating needles

Inspired by Al-Sawat et al 2021, Chen et al 2021 & Ang et al 2021.[1–3] Seirin L type needle handle and shaft. Photograph by MC using Canon EOS 5D Mark III EF100mm f/2.8L Macro IS USM. SUI – stress urinary incontinenceFSN – Fu’s subcutaneous needlingMTrP – myofascial trigger pointkey to acronyms This is a set … Continue reading Floating needles