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Transcranial direct current stimulation along with Fz-C7 montage shows a significant impact in refractory chronic cluster headache (rCCH) management, especially among the patients with low pain threshold. The condition of CCH from last < 1 month with unsubstantial remissions is referred to as refractory CCH with the high rate of severe sleeplessness and depression.

9min read    

Recent advancements in dentistry are developing ways to reduce chronic dental pain. One such approach is the LED phototherapy that presents significant efficacy in pain management after the introduction of the elastic tooth separators. The LED photography has a similar response but is cost-effective as compared to laser lights.

7min read    

Out of the musculoskeletal injuries among athletes, ankle sprains are the most frequently occurring lower extremity musculoskeletal injury that leads to chronic ankle instability (CAI). The altered dynamic posture control is the major problem mentioned by the players with CAI.

6min read    

Posterior‐lateral (PL) and posterior‐medial (PM) reach directions of the Single‐Leg Hop Test (SLHT), and Star Excursion Balance Test (SEBT) tests displayed a significant advantage during pre-season screening to identify athletes with the risk of lateral ankle sprain. The ankle sprain is a severe sports injury that requires ample time to rehab.

6min read    

Restless legs syndrome (RLS), an urge to move the legs is a sensorimotor and circadian sleep disorder. The recent meta-analysis found that the migraine patients are at higher risk of developing RLS. A number of previously conducted studies also showed this relationship, but the data had considerable variations.

6min read    
Key Take-Away:

Occipital nerve blockade is a useful modality to diagnose cervicogenic headache. This case series study by Todd D Rozen revealed that high-volume anaesthetic suboccipital nerve blocks (HVSON) show consistent response over long-term use with pain relief.

Introduction

To determine the efficacy of HVSON for chronic cluster headache (CCH) and to define consistency of response over long‐term use.There are studies which show the efficacy of greater occipital and suboccipital nerve block injections for CCH and also their most likely use as a preventive treatment modality. But, the data about the long‐term efficacy of repetitive greater occipital and suboccipital nerve injections in CCH was scarce. HVSON has not been studied for CH.

8min read    
Key Take-Away:

Corticosteroids are prescribed for a variety of painful conditions like arthritis, RA, lupus etc. This meta-analysis conclusively revealed that preoperative prednisolone was able to reduce the incidence of postoperative pain in single-visit nonsurgical endodontic treatment.

Introduction:

This study explained the following population, comparator, intervention, outcome, timing, study design and setting question in patients suffering from preoperative pain who undergo single-visit nonsurgical endodontic treatment, what is the comparative efficacy of corticosteroids as compared to other analgesics or placebo in lowering postoperative pain and the occurrence of adverse events.

7min read    
Key Take-Away:

Deeply infiltrating endometriosis presents an endometriotic lesion penetrating the retroperitoneal space or wall of pelvic organs to a depth of at least 5mm. Most of the patients presented at follow-up had a retroverted and retroflexed uterus. The laparoscopic hysteropexy to correct the uterine position significantly improved the symptoms.

Introduction:

The retrodisplacement of the uterus (retroflexion and/or retroversion) may be connected with pelvic pain symptoms and posterior deep infiltrating endometriosis (DIE). The earliest studies in symptomatic women with retrodisplacement of the uterus showed the efficacy of hysteropexy for pain symptoms improvement. This study evaluated the sonographic, clinical and surgical outcomes of a hysteropexy technique.

7min read    
Key Take-Away:

Non-surgical endodontic retreatment may be divided into categories example coronal disassembly, locating previously missed canals, removing obturation materials, negotiating blocks, bypassing ledges, repairing perforations, treatment planning fractures etc. This randomised clinical trial revealed a preference for a single visit rather than two-visit nonsurgical retreatment as it significantly decreased the postoperative pain in patients with a root canal–treated teeth.

Introduction:
This study aimed to evaluate postoperative pain after single-visit and 2-visit non-surgical endodontic retreatments with 2 different intracanal medicaments.

7min read    
Key Take-Away:

Many previous studies have put some insights into the fact that pituitary adenylate cyclase-activating polypeptide-38 (PACAP-38) plays a prominent role in the activation of the trigeminovascular system. This study revealed a significant correlation between diffusion parameters of the white matter and interictal plasma PACAP38-LI in patients with migraine in the occipital white matter.

Introduction:

To investigate if interictal plasma pituitary adenylate cyclase-activating peptide 38-like immunoreactivity (PACAP38-LI) depicts a correlation with microstructural integrity of the white matter in migraine.

6min read    
Education
Presentations

Arthritis encompasses more than 100 different arthritic conditions which are a chronic, painful, and debilitating group of diseases.

15 min read    
Education
Presentations

Rheumatoid arthritis (RA) is a chronic inflammatory disorder with an estimated prevalence of 0.5-1% of the population worldwide; it is also reported that women are more affected than men are. [1].

15 min read    
Education
Presentations

Vitamins are organic compounds essential for normal physiological functions.

15 min read    
Education
Presentations

The World Health Organization (WHO) describes the rational use of medicines as, “patients receive medications appropriate to their clinical needs, in doses that meet their own individual requiremen

5 min read    
Education
Smart Guidelines

The guidelines for clinical practice are focused on the preferred approaches to medical problems exhibited by scientifically valid research.

15 min read    
February 20, 2019

Transcranial direct current stimulation along with Fz-C7 montage shows a significant impact in refractory chronic cluster headache (rCCH) management, especially among the patients with low pain threshold. The condition of CCH from last < 1 month with unsubstantial remissions is referred to as refractory CCH with the high rate of severe sleeplessness and depression.

Key Take-Away:

Occipital nerve blockade is a useful modality to diagnose cervicogenic headache. This case series study by Todd D Rozen revealed that high-volume anaesthetic suboccipital nerve blocks (HVSON) show consistent response over long-term use with pain relief.

Introduction

To determine the efficacy of HVSON for chronic cluster headache (CCH) and to define consistency of response over long‐term use.There are studies which show the efficacy of greater occipital and suboccipital nerve block injections for CCH and also their most likely use as a preventive treatment modality. But, the data about the long‐term efficacy of repetitive greater occipital and suboccipital nerve injections in CCH was scarce. HVSON has not been studied for CH.

8min read    
Education
Presentations

Arthritis encompasses more than 100 different arthritic conditions which are a chronic, painful, and debilitating group of diseases.

15 min read