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KMID : 0363120110240040205
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Korean Journal of Pain
2011 Volume.24 No. 4 p.205 ~ p.215
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Interventional Pain Management in Rheumatological Diseases - A Three Years Physiatric Experience in a Tertiary Medical College Hospital in Bangladesh
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Siddiq Md Abu Bakar
Hasan Suzon Al
Das Gautam
Khan Amin Uddin A
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Abstract
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Background: Interventional pain management (IPM) is a branch of medical science that deals with management of painful medical conditions using specially equipped x-ray and anatomical landmarks. Interventional physiatry is a branch of Physical Medicine and Rehabilitation that treat painful conditions by intervention in peripheral joints, spine, and soft tissues.
Methods: A cross - sectional study was conducted using three years hospital records (2006 to 2008) of Physical Medicine and Rehabilitation Department, Chittagong Medical College Hospital, Bangladesh with a view to highlight current interventional pain practice in a tertiary medical college hospital.
Results: Maximum intervention was done in degenerative peripheral joint disorders (600, 46.0%) followed by inflammatory joint diseases (300, 23.0%), soft tissue rheumatism (300, 23.0%), and radicular or referred low back conditions (100, 8.0%). Knee was the most commonly intervent peripheral joint. Motor stimulation guided intralesional injection methylprednisolone into piriformis muscle was given in 10 cases of piriformis syndrome refractory to oral medications and therapeutic exercises. Soft tissue rheumatism of unknown etiology was most common in the form of adhesive capsulitis (90, 64.3%) and discussed separately. Epidural steroid was practiced in different causes of lumbar radiculopathy except infective discitis.
Conclusions: All procedures were performed using anatomical landmark as there was no facilities for c-arm/diagnostic ultrasound required for accurate and safe intervention. Dedicated IPM set up is required in all PMR departments for better pain management and reduce burden on other specialities.
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KEYWORD
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interventional pain management, rheumatological diseases, physiatry
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