Inspired by a few rare case reports and a prospective survey.[1–4] Figure 6 from Abe et al (2022) illustrating the trajectory of the lost 40mm needle shaft.[4] AEs – adverse eventsWMA – Western medical acupunctureVP shunt – ventriculoperitoneal shunt (tube connecting one cerebral ventricle to the peritoneal cavity)CSF – cerebrospinal fluidVVAVF – vertebra-vertebral arteriovenous fistulaMRA … Continue reading AEs in Korea and Japan 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
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
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
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
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
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
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
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
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
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