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All Journal Indian Journal of Forensic Medicine & Toxicology
Vasant Gawande
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Public Health

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A Comparative Study on Assessment of Pain as an Outcome by Vas Score in Patients of Adhesive Capsulitis Treated by Hydrodilatation with and without Corticosteroids Kunal.K.Saoji; Vasant Gawande; Tejas Sadavarte; Kiran M Saoji
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.15083

Abstract

Background: Adhesive Capsulitis is a painful condition commonly occurring in middle age group populationand injectable corticosteroids have shown significant improvement in the pain as an outcome variable.Methodology: A prospective study was conducted from June 2010 to June 2012 for a period of 2 year, at atertiary care hospital in central India. Results: The marked difference in pain relief was seen on VAS scaleon pre intervention to follow up of 3rd week. The mean on pre intervention of steroid group was (8.10) whilethat post intervention 3rd week was (4.90). On the same basis, the pre injection mean was (7.55) in salinegroup while post injection 3rd week mean came out to be (5.75). Thus, pain was relieved on injecting bothsolutions. But, more improvement was observed in steroid group than saline group. Conclusion: Intra salinegroup and steroid group analysis revealed a marked improvement in shoulder range of motion and pain reliefon immediate post intervention and follow up in hydro dilatation of steroid group of patients
Outcome Analysis of Percutaneous Vertebroplasty in Osteoporotic Compression Fractures Suvarn Gupta; Tejas Sadavarte; Shraddha Singhania; Vasant Gawande
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15433

Abstract

Introduction: Osteoporotic compression fracture of vertebra are very commonly occurring with increasing age. Pain and deformity are most common features. Vertebral augmentation procedures like percutaneous vertebroplasty is a common surgical modality used for osteoporotic compression fractures. Materials and Methods: This prospective observational study was conducted on 36 patients of vertebral compression fracture that underwent percutaneous vertebroplasty in Datta Meghe Medical College in association with Jawaharlal Nehru Medical College. A thorough clinical assessment including physical, neurological, and systemic examination was carried out before taking up patients for percutaneous vertebroplasty. Bony Tenderness at fracture site was examined. Results: This study was conducted in 36 patients of vertebral compression fractures at our institute from January 2019 to January 2020. In our study, out of 36 patients, 24 (66.6%) were females and 18 (33.3%) were males. The mean age was 56.5 ± 6.2 SD years. D12 vertebral fracture was most commonly involved vertebra. The VAS score was used to assess pre and post procedure improvement. The mean pre-operative score 7.4 ± 1.1 SD which reduced to 2.2 ± 0.8 SD at 1 month followup and 2.1 ± 0.5 SD at 1 year follow up. There was significant reduction in pain score post operatively when compared with pre-operative scoring (p value < 0.01). Conclusion: On the basis of this study, we concluded that vertebroplasty is a safe, cost-effective, and pain relieving treatment option available for geriatric patient with osteoporotic vertebral compression fractures which are not relieved by conservative management.
Co-Authors Kiran M Saoji Kunal.K.Saoji Shraddha Singhania Suvarn Gupta Tejas Sadavarte