Extracorporeal Shockwave Therapy: A Case Study

* Acupuncture is said to help relieve pain by either diverting or changing the painful sensations that are sent to the brain to then alert you to the pain within the body. (Arthritis Research UK)

Considerable cautions have been obtained throughout the United States to decrease the misuse of prescription opioids and helps to minimize opioid overdoses and related complications. Even though the pain medications have a significant part in the treatment of acute and chronic pain situations, it sometimes happen that the high dose prescription or the prescribed medications, without having enough monitoring, can create bad outcomes. It is always a dilemma for the providers to find who is really in need of pain medications and to identify those who are questionably misusing opioids.

During the few number of sessions with the patient, there were discussion addressing the patient opioid use and focus on his recovery process. Before the patient's departure from the clinic, he was able to abstain one negative UDS result on 02/23/2016. Since his admission to the clinic, the patient has only accumulated 4

Acupuncture is a traditional Chinese medical treatment for multiple issues, and is characterized by needles being strategically inserted into pressure points on the body to relieve symptoms. This is believed to reset you qi or life force within your body. This practice is carried out by acupuncturists all over the world. In western medicine, while we don’t know the exact mechanism of action, it is thought to increase blood flow and raise natural painkiller levels in the body. This rise in natural painkillers and increased blood flow are the major benefits of acupuncture. The risks are very few, there is a very limited chance of organ damage, infection, or soreness after a treatment (Mayo Clinic 2012).

There are many various kinds of prescription of pain relievers, which include: opioids, corticosteroids, antidepressants and anticonvulsants (anti-seizure medications). Among them I would like to focus on opioid medications and its side effects. Opioid medications are narcotic pain medications that contain natural poppy plant, synthetic opiates such as; methadone, fentanyl, tapentadol and tramadol, as well as the semi- synthetic opioids such as; oxycodone, hydrocodone, oxymorphone, hydromorphone and heroin. Opioid prescriptions are morphine (C17H19NO3), heroin (C21H23NO5), codeine (C18H21NO3) and thebaine (C19H21NO3). They are highly addictive substances are called opiates. Opioid medications have been used for hundreds and thousands of years to treat both pain and mental health problems. It is also use in a short-term pain after surgery. According to the survey in the past two decades, the prescription of opioid in the United States has been increased to the higher levels that is more than 600% (Paulozzi & Baldwin, 2012). However, that opioid medications are very dangerous to the patients’ respiratory system, other parts of the internal body and even can cause death. It should be only being use after wise discernment and with a great care.

The patient has medical problems and knee issues even before this injury. Opioids have been used since 2007 for pain control. The August QME report showed that Fentanyl patch and Percocet have been used since at least 2012. The latest progress report noted a history of chronic low back pain and right lower extremity pain. The patient has a spinal cord stimulator since 01/30/15. His pain is 5/10-scale level with the use of medications and 8/10-scale levels without the use of medication. The medications and rest allow him to continue his activities of daily living. However, the QME report indicated that it is unfortunate, that following SCS placement, opiates medications have not been tapered. An opiate detoxification and functional restoration program had been referred. In addition, there is a lack of documentation of the

Responsibility lies on all parties to be educated on the risks of prescription drugs such as painkillers. Strict guidelines for physicians who aggressively treating patients’ pain. For example, a gateway to other resources for patients that may develop any physiological or psychological issues while being treated for chronic pain. Continue background check of patients’ medications, length of use of opioid pain meds, effectiveness of pain treatment, alternative treatment services, and number / kind of pain meds prescribed with a three to six months’ time

Doctor Eric Hinze, a well known practitioner can provide relief to the chronic pain with his acupuncture services. He implements needless electical stimulation process to alleviate the pain. Through this technique, he ensures that the nervous, circulatory, digestive, respiratory, eliminatory, reproductive, and hormonal systems of the patients are functioning properly. Acupuncture is best to

The patient states that she continues to have pain, every single day. Her shoulder pain has started to radiate up to her neck. Shoulder pain is rated to a 9/10 without medications, and 5/10 with medication.

Low back pain has been a major activity limitation for many people below the age of 45 years in the United States (Andersson, 1999). According to a study conducted in the U.S. in 1997, there are 54 percent patients that report back pain and using complementary therapy (Wolsko et al., 2003). Another survey conducted in 2002 indicated that while back pain led to most frequent patient visits to acupuncturists across U.S (Cherkin et al., 2002). Western countries still experience many case of chronic low back pain which can be attributable to high medical expenses, decline in productivity, as well as disability. There still exists a variety of standard treatments although some have not been cleared as affective. Acupuncture is a contemporary as well as alternative treatment strategy for patients wilt low back pains although there are questions from previous systematic reviews that were inconclusive on the results of acupuncture treatment strategy for low back pain. These statistics indicate a high level of public concern hence strengthening the relevance for asking whether acupuncture gives positive results in the treatment of back pain. Therefore this research seeks to gain evidence from randomized controlled trials (RCTs) on the positive results of acupuncture in treatment of low back pain.

Acupuncture is gaining popularity as numerous claims are being made to its validity and effectiveness. Although many studies and experiments regarding acupuncture have been done, the scientific basis of the principles of this alternative approach still remains unclear (http://www.health.org/pubs/acu-nih.htm).

ESWL or Extracorporeal Shock Wave Lithotripsy is a non-invasive treatment of kidney stones (urinary calculosis) that uses an acoustic pulse to break kidney stones into small pieces that can more easily travel through the urinary tract and pass from the body. How does this work?

Shock waves are compression waves that can propagate in elastic medium such as water, air and tissue. They are represented as discontinuities in nature and fluid properties such as density, pressure and velocity change across these waves. Shockwaves can be used in the treatment of a variety of diseases, such as non-union of long bones, delay of tumour growth and kidney stones. In this report the focus will be Extracorporeal Shock Wave Lithotripsy (ESWL). This refers to the procedure where shock waves are used to break down stones either in the kidney, bladder or ureter [1] into smaller fragments that can be naturally expelled from the body without any pain [2].

ESWL or Extracorporeal shock wave lithotripsy is a non-invasive treatment for kidney stones and biliary calculi using an acoustic pulse. Shock waves from outside the body are targeted at a kidney stone causing the stone to fragment into tiny pieces.

The present study evaluated the profiles of patients with cardiogenic shock and the prognostic role of HsCRP. Our study showed a mortality rate of 24% following cardiogenic shock. Statistically significant association exists between age, females aged more than 50 years, anterior wall myocardial infarction, diabetic patients, prognosis, ejection fraction and TIMI score with HsCRP. HsCRP significantly higher in patients who died of cardiogenic shock.