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Vascular access for percutaneous interventionsand angiography
Published in Debabrata Mukherjee, Eric R. Bates, Marco Roffi, Richard A. Lange, David J. Moliterno, Nadia M. Whitehead, Cardiovascular Catheterization and Intervention, 2017
Nay Htyte, Christopher J. White
Vessel perforation of the proximal radial artery away from the arteriotomy site can lead to bleeding and hematoma into the neuromuscular compartments of the forearm or upper arm. Caution should be taken when hydrophilic guidewires are used as these wires have a higher risk for causing vessel perforation. Bleeding into the forearm can raise intracompartmental pressure, leading to ischemic compression of nerves and vessels contained within the compartment. Permanent neurologic damage can occur with compartment syndrome without decompressive open fas-ciotomy. Loss of motor and/or sensory function associatedwith increased pain and swelling in the upper arm or fore-arm should raise suspicion for hemorrhage and should bepromptly evaluated.
The Small Intestine (SI)
Published in Narda G. Robinson, Interactive Medical Acupuncture Anatomy, 2016
The distribution of trigger point pathology in breast cancer patients following lumpectomy or mastectomy affects the infraspinatus, upper trapezius, sternocleidomastoid, levator scapulae, scalene, and pectoralis major muscles.5 Widespread pain hypersensitivity and myofascial trigger points in the neck and shoulder in patients with postmastectomy pain develop as a result, at least in part, of peripheral and central sensitization.6 Acupuncture and ischemic compression therapy reduce symptoms in patients with chronic shoulder pain of myofascial origin.7,8
Treatment of Myofascial Pain Syndromes
Published in Mark V. Boswell, B. Eliot Cole, Weiner's Pain Management, 2005
Robert D. Gerwin, Jan Dommerholt
Simons et al. (1999) also describe direct manual compression of the trigger point to inactivate trigger points. Although it previously has been described as ischemic compression, it is now termed trigger point pressure release or trigger point compression. The patient can apply direct compression for self-treatment using a Thera Cane® (Thera Cane Co., Denver, CO) or a similar device. Acupressure may be another form of direct compression of trigger points (Kodratoff & Gaebler, 1993). Following the Simons et al. (1999) protocol or using acupressure guidelines, compression of trigger points is moderately painful.
Physiotherapy interventions for patients with chronic pelvic pain: A systematic review of the literature
Published in Physiotherapy Theory and Practice, 2019
Pedro Fuentes-Márquez, Irene Cabrera-Martos, Marie Carmen Valenza
Eight manuscripts met the inclusion criteria. Physiotherapy interventions in the manuscripts included in this review were manual therapy and electrotherapy (de Bernardes, Marques, and Ganunny, 2010; FitzGerald et al., 2013, 2012; Istek et al., 2014; Kessler et al., 2014; Lamina, Hanif, and Gagarawa, 2011; Montenegro et al., 2015; Napadow et al., 2012). In recent years, the use of electrotherapy techniques for chronic pain treatment has increased with promising results. Benefits of electrotherapy in patients with CPP have shown a positive effect on pain score, temporal summation of mechanical pain, quality of life, and prostatitis symptoms (de Bernardes, Marques, and Ganunny, 2010; Istek et al., 2014; Kessler et al., 2014; Lamina, Hanif, and Gagarawa, 2011; Napadow et al., 2012). Manual therapy included massage, myofascial therapy, and ischemic compression of trigger points (FitzGerald et al., 2013, 2012; Montenegro et al., 2015). Myofascial therapy has shown a response significantly better than global massage (FitzGerald et al., 2013, 2012). The intervention proposed for tenderness of skeletal muscles phenotype focused on ischemic compression showed no change (Montenegro et al., 2015). Nevertheless, previous studies have reported improvements in symptoms scores (Weiss, 2001), pelvic pain, and sexual dysfunction (Anderson, Wise, Sawyer, and Chan, 2006). None of the RCTs included investigated other physiotherapy interventions. Trials assessing the effects of other physiotherapy approaches such as exercise, education, and information programs are still lacking. In addition, it is also important to conduct RCTs comparing multimodal and interdisciplinary interventions.
Effectiveness of manual therapy in patients with tension-type headache. A systematic review and meta-analysis
Published in Disability and Rehabilitation, 2022
Danilo Harudy Kamonseki, Erika Plonczynski Lopes, Hedwig Aleida van der Meer, Letícia Bojikian Calixtre
The guideline from the European Federation of Neurological Society has recommended non-pharmacologic treatments for patients with TTH [7], which includes acupuncture and dry needling [8], cognitive-behavioral therapy [9], biofeedback training [10], relaxation training, manual therapy [11,12] and physical modalities [7]. Manual therapy is one of the most common approach used by physical therapists for TTH treatment. It comprises joint mobilization or manipulation, and soft tissue focused interventions, such as muscular ischemic compression, myofascial release and dry-needling [11,12]. These modalities can be applied solely or combined with other modalities in rehabilitation protocols.
Hip bone marrow edema presenting as low back pain: a case report
Published in Physiotherapy Theory and Practice, 2020
Firas Mourad, Filippo Maselli, Fabio Cataldi, Denis Pennella, César Fernández-De-Las-Peñas, James Dunning
In order to improve range of motion and reduce pain intensity, TrPs of the medius gluteus were re-treated by manual ischemic compression. Moreover, multidirectional end-range traction combined with techniques to the hip joint were performed.