Journal of Anesthesiology and Pain

Background and aims: Plantar calcaneal spurs are common however their pathophysiology is
poorly understood. This study aimed to evaluate the outcome of corticosteroid injection and
ultrasound usage.
Methods and materials: We chose124 subjects, divided into two groups. One treated by
corton and the other received ultrasound waves. Pain levels after treatment were compared
between these two groups.
Results: We had no significant differences between pain level of these two group but detected
major differences among before and after position. BMI more than 30 also could increase pain
level.
Conclusion: Both of the methods could be used as non surgical treatments. But more study
needed to evaluate more about these methods.

Abstract

Aims and background: The purpose of this study was to compare ultrasound-guided ilioinguinal/iliohypogastric nerve block and transversus abdominis plane block for postoperative pain control after open inguinal hernia repair.

Materials and methods: 88 patients undergoing open inguinal hernia surgery in  Rasoul e Akram Hospital were randomly assigned into two groups. One group received ultrasound-guided ilioinguinal/iliohypogastric nerve block and the other received transversus abdominis plane (TAP) block. Patients were monitored for visual analogue scale (VAS) scores at rest, in recovery,  at 4, 8, 12,and  24h postoperatively, and also during walking at 24, 36 and 48h after surgery. The data was then analyzed using SPSS 22 software

Findings: VAS pain scores were lower in ilioinguinal group than TAP block group both at rest and during movement. The difference was statistically significant during movement (p=0.017). In addition, analgesic satisfaction was significantly greater in the ilioinguinal group than the TAP block group (Mean score 2.43 vs. 1.84, p=0.001). Postoperative narcotic requirements was not statistically different between the two groups.

Conclusion: This study suggests that ultrasound-guided ilioinguinal/iliohypogastric nerve block provided better pain control than transversus abdominis plane block after open inguinal hernia repair.

Background: Aging come with muscle weakness and musculoskeletal-related pain. This study aimed to examine the effects of core stabilization exercise on ultrasonic changes of multifidus muscle and chronic low back pain of aged-women.

Methods: Twenty-nine aged-women (69±3.4 year old) with chronic low back pain were allocated into core stabilization exercise (9 women) and control (20 women) groups according to subject's needed calculation (statistic power test). Exercise training were performed 10 weeks (3days/week) and consisted of eight core stabilization exercises. Ultrasonic characteristics of lumbar multifidus muscle (lumbar forth vertebrate) of both groups were measured before and after 10 weeks. Multifidus cross sectional area, anterio-posterior border, and Lateral border also were measured. Moreover, pain status was examined with visual analogue scale in three times (pre-, middle, and post-intervention).

Results: Ten weeks core stabilization exercise leaded to significant increase in lumbar multifidus's two anterio-posterior and lateral borders (p<0/05). Ten weeks core stabilization exercise significantly increased multifidus cross sectional area as well (-1.98±1.31, confidence interval= -3.36 to -0.59). Also, pain significantly decreased in two middle and post-intervention phases compare to pre-intervention in core stabilization exercise group (p<0.05).

Conclusion: Core stabilization exercise not only increased cross sectional area of multifidus but also, decreased chronic low back pain of aged women. Also, at least five weeks core stabilization exercise lead to low back pain reduction.

Aims and background: The infraclavicular nerve block as a method for anesthesia or analgesia in upper
extremities that can be performed under guide of nerve stimulation or ultrasound. One of the adverse reaction
to this method is the local anesthetic systemic toxicity that has been decreased when using the ultrasound to
avoid intravascular injection.
Case report: This case report explains an infraclavicular block under guide of ultrasound in a 52-year-old
patient who was experienced local anesthetic systemic toxicity with lidocaine due to anomalous vasculature
that normally cannot be visualized in ultrasound guide. The epilepsy was controlled by barbiturate and after
one day, he was discharged.