A 41-year-old woman presented with cervical pain radiating to the left upper limb. Her medical history reveals no prior comorbidities, but she engages in frequent and vigorous exercise, notably CrossFit. The pain she experiences is persistent, exacerbated by physical exertion and exercise, and characterized by sensations of shock, pins and needles, and burning. On the Numeric Rating Scale (NRS), her baseline pain level is 4, spiking to 8 at its peak. The pain was distributed along the C7 dermatome. Physical examination Left neck pain, aggravated with the Spurling maneuver with a radicular pattern in the left C7 nerve root Pain described as shock, pins and needles, and burning sensations (DN4 7/10) No motor weakness in the left forearm or hand   MRI C6-7 posterior disc protrusion with a wide base Slight left uncarthrosis, moderately reducing the amplitude of the foramen MRI of the cervical spine revealing a protruding C6-C7 disc. Diagnosis   The patient was diagnosed with brachial plexus root pain, characterized by compression, irritation, or damage to the cervical roots, usually radiating to the neck and/or upper limb. The most common cause of cervical root pain is a herniated cervical disc.  Imaging, such as cervical spine MRI, is essential not only for the diagnosis but also for procedural planning, as it allows the identification of anatomic variations (namely of the vertebral arteries). Read more about the treatment, patient outcome, and other case studies in the Pain Rx App. Click HERE and get the ultimate app for fluoroscopy-guided pain treatments.

A 55-year-old woman, recently diagnosed with cervical uterine malignancy, presented with chronic lower abdominal and pelvic pain. The patient has no comorbidities and was diagnosed with moderately differentiated non-keratinizing squamous cell carcinoma of the uterine cervix six months ago. Described as constant and severe, her pain includes shooting, stabbing, and pressure-like sensations in the lower abdomen and pelvis. These painful episodes occur multiple times a day, with her pain levels peaking at 10 on the Numeric Rating Scale (NRS), while her baseline pain ranges from 7 to 8. Distribution of pain. Physical examination Deep tenderness in the lower abdomen Organomegaly Normal leg neurological exam MRI imaging Large mass in the lower uterine cervix/upper vagina Additional masses in the iliac, para-aortic, and adnexal regions Diagnosis The patient was diagnosed with cancer-related, chronic lower abdominal and pelvic pain, and pelvic malignancy. Read more about the treatment, patient outcome, and other case studies in the Pain Rx App. Click HERE and get the ultimate app for fluoroscopy-guided pain treatments.

A 59-year-old man, who has a history of celiac disease, presented with chronic left-hand pain after a wrist fracture from a traffic accident one year ago. The initial treatment for the fracture involved closed reduction, followed by surgical fixation. Unfortunately, the first surgical procedure led to a wound infection, which required further intervention through surgical debridement. Despite undergoing a second surgery, the patient has been suffering from persistent neuropathic pain in the left hand. This pain has progressively worsened over time, occasionally extending into the forearm and arm, and has been accompanied by intermittent episodes of discoloration and swelling in the affected areas. For pain management, the patient has been following a regimen of graded motor imagery and taking pregabalin (75 mg PO every 12 hours). The nature of the pain is persistent with intense episodes, scoring a baseline of 5 on the Numeric Rating Scale (NRS) and peaking at 8. Additionally, the patient has developed post-traumatic stress disorder (PTSD) following the traumatic experience and its subsequent complications. Physical examination Allodynia with mild trophic changes and erythema over the left hand and wrist.  No dystonia was noted.  Blood investigation Blood tests did not show leukocytosis or raised immune markers. Diagnosis The patient was diagnosed with complex regional pain syndrome (CRPS) of the left upper limb. CRPS is characterized by excessive, prolonged pain and inflammation following an injury to an arm or leg. Symptoms of CRPS include spontaneous pain, hyperalgesia, allodynia, changes in skin color, temperature, swelling in the affected limb, and alterations in skin texture. Read more about the treatment, patient outcome, and other case studies in the Pain Rx App. Click HERE and get the ultimate app for fluoroscopy-guided pain treatments

We are excited to share thrilling news with our community! NYSORA launches a new INTERVENTIONAL PAIN mobile app! With state-of-the-art, highly practical material from Springer’s best selling book “Interventional Pain: A Step-by-Step Guide for the FIPP Exam”, it’s a must-have for practitioners focusing on fluoroscopy-guided pain procedures. Read more about this great app here: https://www.nysora.com/nysora-interventional-pain-app/! The image-driven interventional pain procedures APP is created by the key opinion leaders with years of experience. With this app you will have instantaneous access to: Interventional Pain Procedures on the GO; Standardized Fluoroscopy-Guided Interventional Pain Procedures; Complete learning material for FIPP Exam on your mobile; Evidence-based recommendations asked at FIPP Exam; Tips on how to obtain the best images.. and much more! Download NYSORA’s Interventional Pain App on the buttons down below and start with your 7 days free trial!

NYSORA launches NEW Interventional Pain App by Springer, published by the world’s top experts on Interventional Chronic Pain management. We are excited to share thrilling news with our community! NYSORA has launched a new mobile app – Interventional Pain on July 19th, 2021. This state of the art, highly practical material from Springer’s best selling book “Interventional Pain : A Step-by-Step Guide for the FIPP Exam” by Springer Nature, is a must-have for practitioners with focus on fluoroscopy-guided pain procedures.  Why should you get this APP? The image-driven interventional pain procedures APP is created by the key opinion leaders with years of experience. With this app you will have instantaneous access to: Interventional Pain Procedures on the GO; Standardized Fluoroscopy-Guided Interventional Pain Procedures; Complete learning material for FIPP Exam on your mobile; Evidence-based recommendations asked at FIPP Exam; Tips on how to obtain best images; Amazing mnemonics for remembering tips for success and complications;  Best resource for both examinees and examiners; Improves patient care and safety; Fluoroscopic guidance for everything from cervical spine interventions, to sacroiliac and facet injections, to radiofrequency ablations. The newest edition, thoroughly updated with latest recommendations that cover the entire therapeutic area applicable to Fluoroscopic-guided Interventional Pain Medicine.  NYSORA’s lead, Dr. Hadzic points out that this app is the single best resource featuring all standardized and evidence-based interventions in the practice of interventional pain medicine. Importantly, the app features clear guidance to diagnostic and therapeutic evidence-based recommendations, and it is the single best resource for preparing for the FIPP examination, administered by the World Institute of Pain (WIP).  “We are committed to continually expand the educational resources utilizing our 20 years experience of transferring knowledge. Our educational mobile learning platforms benefit thousands of students and professionals who use NYSORA apps. For this new APP, we listened […]

A 41-year-old woman presented with cervical pain radiating to the left upper limb. Her medical history reveals no prior comorbidities, but she engages in frequent and vigorous exercise, notably CrossFit. The pain she experiences is persistent, exacerbated by physical exertion and exercise, and characterized by sensations of shock, pins and needles, and burning. On the Numeric Rating Scale (NRS), her baseline pain level is 4, spiking to 8 at its peak. The pain was distributed along the C7 dermatome. Physical examination Left neck pain, aggravated with the Spurling maneuver with a radicular pattern in the left C7 nerve root Pain described as shock, pins and needles, and burning sensations (DN4 7/10) No motor weakness in the left forearm or hand   MRI C6-7 posterior disc protrusion with a wide base Slight left uncarthrosis, moderately reducing the amplitude of the foramen MRI of the cervical spine revealing a protruding C6-C7 disc. Diagnosis   The patient was diagnosed with brachial plexus root pain, characterized by compression, irritation, or damage to the cervical roots, usually radiating to the neck and/or upper limb. The most common cause of cervical root pain is a herniated cervical disc.  Imaging, such as cervical spine MRI, is essential not only for the diagnosis but also for procedural planning, as it allows the identification of anatomic variations (namely of the vertebral arteries). Read more about the treatment, patient outcome, and other case studies in the Pain Rx App. Click HERE and get the ultimate app for fluoroscopy-guided pain treatments.

A 55-year-old woman, recently diagnosed with cervical uterine malignancy, presented with chronic lower abdominal and pelvic pain. The patient has no comorbidities and was diagnosed with moderately differentiated non-keratinizing squamous cell carcinoma of the uterine cervix six months ago. Described as constant and severe, her pain includes shooting, stabbing, and pressure-like sensations in the lower abdomen and pelvis. These painful episodes occur multiple times a day, with her pain levels peaking at 10 on the Numeric Rating Scale (NRS), while her baseline pain ranges from 7 to 8. Distribution of pain. Physical examination Deep tenderness in the lower abdomen Organomegaly Normal leg neurological exam MRI imaging Large mass in the lower uterine cervix/upper vagina Additional masses in the iliac, para-aortic, and adnexal regions Diagnosis The patient was diagnosed with cancer-related, chronic lower abdominal and pelvic pain, and pelvic malignancy. Read more about the treatment, patient outcome, and other case studies in the Pain Rx App. Click HERE and get the ultimate app for fluoroscopy-guided pain treatments.

A 59-year-old man, who has a history of celiac disease, presented with chronic left-hand pain after a wrist fracture from a traffic accident one year ago. The initial treatment for the fracture involved closed reduction, followed by surgical fixation. Unfortunately, the first surgical procedure led to a wound infection, which required further intervention through surgical debridement. Despite undergoing a second surgery, the patient has been suffering from persistent neuropathic pain in the left hand. This pain has progressively worsened over time, occasionally extending into the forearm and arm, and has been accompanied by intermittent episodes of discoloration and swelling in the affected areas. For pain management, the patient has been following a regimen of graded motor imagery and taking pregabalin (75 mg PO every 12 hours). The nature of the pain is persistent with intense episodes, scoring a baseline of 5 on the Numeric Rating Scale (NRS) and peaking at 8. Additionally, the patient has developed post-traumatic stress disorder (PTSD) following the traumatic experience and its subsequent complications. Physical examination Allodynia with mild trophic changes and erythema over the left hand and wrist.  No dystonia was noted.  Blood investigation Blood tests did not show leukocytosis or raised immune markers. Diagnosis The patient was diagnosed with complex regional pain syndrome (CRPS) of the left upper limb. CRPS is characterized by excessive, prolonged pain and inflammation following an injury to an arm or leg. Symptoms of CRPS include spontaneous pain, hyperalgesia, allodynia, changes in skin color, temperature, swelling in the affected limb, and alterations in skin texture. Read more about the treatment, patient outcome, and other case studies in the Pain Rx App. Click HERE and get the ultimate app for fluoroscopy-guided pain treatments

We are excited to share thrilling news with our community! NYSORA launches a new INTERVENTIONAL PAIN mobile app! With state-of-the-art, highly practical material from Springer’s best selling book “Interventional Pain: A Step-by-Step Guide for the FIPP Exam”, it’s a must-have for practitioners focusing on fluoroscopy-guided pain procedures. Read more about this great app here: https://www.nysora.com/nysora-interventional-pain-app/! The image-driven interventional pain procedures APP is created by the key opinion leaders with years of experience. With this app you will have instantaneous access to: Interventional Pain Procedures on the GO; Standardized Fluoroscopy-Guided Interventional Pain Procedures; Complete learning material for FIPP Exam on your mobile; Evidence-based recommendations asked at FIPP Exam; Tips on how to obtain the best images.. and much more! Download NYSORA’s Interventional Pain App on the buttons down below and start with your 7 days free trial!

NYSORA launches NEW Interventional Pain App by Springer, published by the world’s top experts on Interventional Chronic Pain management. We are excited to share thrilling news with our community! NYSORA has launched a new mobile app – Interventional Pain on July 19th, 2021. This state of the art, highly practical material from Springer’s best selling book “Interventional Pain : A Step-by-Step Guide for the FIPP Exam” by Springer Nature, is a must-have for practitioners with focus on fluoroscopy-guided pain procedures.  Why should you get this APP? The image-driven interventional pain procedures APP is created by the key opinion leaders with years of experience. With this app you will have instantaneous access to: Interventional Pain Procedures on the GO; Standardized Fluoroscopy-Guided Interventional Pain Procedures; Complete learning material for FIPP Exam on your mobile; Evidence-based recommendations asked at FIPP Exam; Tips on how to obtain best images; Amazing mnemonics for remembering tips for success and complications;  Best resource for both examinees and examiners; Improves patient care and safety; Fluoroscopic guidance for everything from cervical spine interventions, to sacroiliac and facet injections, to radiofrequency ablations. The newest edition, thoroughly updated with latest recommendations that cover the entire therapeutic area applicable to Fluoroscopic-guided Interventional Pain Medicine.  NYSORA’s lead, Dr. Hadzic points out that this app is the single best resource featuring all standardized and evidence-based interventions in the practice of interventional pain medicine. Importantly, the app features clear guidance to diagnostic and therapeutic evidence-based recommendations, and it is the single best resource for preparing for the FIPP examination, administered by the World Institute of Pain (WIP).  “We are committed to continually expand the educational resources utilizing our 20 years experience of transferring knowledge. Our educational mobile learning platforms benefit thousands of students and professionals who use NYSORA apps. For this new APP, we listened […]