#rheumatlogy

[rheumatologyarthritisresearch]

Iris publishers-Open access journal of Rheumatology & Arthritis Research|Pain Management Strategies Postoperatively in Arthroscopy of Hip: A review Article

Authored by :Collin LaPorte

Abstract

Hip arthroscopy is an increasingly rapid field in the treatment of multiple hip conditions, owing to its important diagnostic and therapeutic benefit. As these patients lack a consistent pain relief plan, effective post-operative pain control appears to be a concern. Several methods were used to identify a method that decreases post-operative pain, narcotic intake and hospital and treatment system costs. This article aims to study and report the relevant findings of the previous paper “Post-operative pain management strategies in hip arthroscopy.” Latest research encourages the use of a multimodal approach to the treatment of postoperative pain in hip arthroscopic patients. In tandem with peripheral nerve blocks or intraoperative anesthetic injection a pre- and after-operative analgesic regimen is used, patients experience lower discomfort and post-operative narcotic use. Different methods are similar in post-operative pain and opioid use. However, of those undergoing intraarticular (IA) or Local Anesthetic Infiltration (LAI), postoperative risks relative to peripheral nervous blocks are smaller. Latest trials have demonstrated that the best and most reliable, multi-modal treatment for the reduction of postoperative pain in these patients may be intraoperative techniques such as IA injection or LAI in combination with a pre and postoperative analgesy. Furthermore, failure to use the peripheral nerve block can result in lower anesthesia procedural fees and operating room turnover, thereby lowering patients’ costs and increasing facility effectiveness.

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[treewithabark]

I have a date set for some intensive therapy starting in October. It's going to be 11 days and I'll be staying as an inpatient at the Rheumatlogy hospital. I'm really scared but this will be good for me as I'll learn all about my inflammatory condition and do a lot of hydro and physiotherapy. I'll be away from Hana in this time and I'm gonna miss her like hell but apparently this course will improve my wellbeing a huge amount and hopefully it'll reduce my flare ups and help me tackle them a lot easier.

Considering filming my progress and turning it into a vlog of some sort so I can look back at it in the future and maybe give some hope to other people going through the same thing? I'm thinking that it might give me some motivation to keep going and not give up.

[rheumatologyarthritisresearch]

Iris publishers-Open access journal of Rheumatology & Arthritis Research|A Case of Dermatomyositis presenting with Fulminant Rhabdomyolysis without Myoglobinuric Acute Kidney Injury-A Rare Clinical Manifestation

Authored by Richmond Ronald Gomes

Abstract

Rhabdomyolysis and myoglobinuria are a rare complication of dermatomyositis. Rhabdomyolysis has a wide range of presentations, from asymptomatic to life-threatening. The most dramatic presentation can result in acute renal failure, electrolyte imbalances, and/or disseminated intravascular coagulation (DIC). Recognition of this fact has important therapeutic implications as patients require immunotherapy in addition to the symptomatic treatment for renal failure. Here we present a 30 year old male banker presented with progressive muscle pain and weakness for 10 days and high colored urine for 3 days. Laboratory findings suggested rhabdomyolysis. A diagnosis of dermatomyositis was based upon the proximal muscle weakness on both upper and lower limbs, skin lesion over face and upper trunk, elevated muscle enzyme levels, muscle biopsy and skin biopsy findings. The patient was managed with high dose prednisolone and steroid sparing agent. His muscle power did improve slightly. In our view, this is an interesting case in that dermatomyositis cause fulminant rhabdomyolysis without causing myoglobinuric acute kidney injury (AKI) due to direct toxic effect of myoglobulin on renal tubule.

Read more: Full Text For more articles in Archives of Rheumatology & Arthritis Research please click on: https://irispublishers.com/arar/archive.php For more open access journals in Iris Publishers