In recent years, the Department of pain in the Affiliated Hospital of Jiangnan University (the third hospital area) has been very popular in the development of shoulder joint pain characteristic therapy, and its efficacy has also been unanimously recognized by the public.
"A few days ago, we met a patient with a special shoulder pain. Maybe it was a coincidence. The patient who needed to have an operation finally used a single needle to relieve the pain for several months." Said Fang Ming, director of pain department of Affiliated Hospital of Jiangnan University.
For 3 months, the patient suffered from repeated pain on the right shoulder and back. At the beginning, he didn't take it seriously. As the pain increased, he felt wrong, so he rushed to the hospital for treatment.
During the inspection, it was found that:
? MR examination of the shoulder joint revealed fluid accumulation around the tendon sheath of the right supraspinatus muscle and local edema of the supraspinatus muscle.
? a mass of cystic fluid was found in the supraspinatus scapulae (in the supraspinatus muscle) by B-ultrasonography.
▲ the white highlight is cyst effusion
▲ the part circled in red is cyst effusion
Tendon sheath cysts are rare in the shoulder joint. The joint fluid continuously infiltrates into the damaged soft tissue, forming one-way valve effect, and finally forming cysts. Clinically, it is usually characterized by pain and weakness, which is easily confused with rotator cuff injury, making the diagnosis difficult. Through a series of examinations such as MRI and ultrasonography, experts judged that the fluid in the cyst increased and compressed the suprascapular nerve, resulting in supraspinatus and infraspinatus muscle pain.
General treatment methods are divided into conservative treatment and surgical treatment. Surgical treatment includes incision, arthroscopic surgery, arthroscopic combined incision and so on. Conservative treatment includes oral medication and external plaster.
Because of the deep location of the cyst, it is difficult for oral medicine and external plaster to take effect. If the cyst can not be extracted, surgery should be considered.
A pressing matter of the moment
Under the guidance of ultrasound
Fluid collection in cyst
Usually, 10 cm puncture needle is selected for the puncture of effusion, but considering the patient's shoulder pain for a long time, the time of effusion in the cyst is longer, the liquid will become viscous, and the general puncture needle may be difficult to extract. After comprehensive evaluation and analysis, director Fang, with the consent of the patient, decided to use the epidural puncture needle in the combined lumbar and epidural puncture bag.
▲ ultrasound guided puncture
In the course of treatment, director Fang quickly penetrated the puncture needle to the cyst. However, there was no effusion after the puncture needle was drawn back into the capsule. According to the experience of ultrasound-guided puncture for many years, the puncture needle did not really pierce the capsule wall.
In the face of difficult diagnosis and treatment, director Fang decisively uses the "waist hard joint puncture" technology to insert the slender waist hemp needle into the thick needle in the way of "needle in needle". The sharp sharp edge of the fine needle can effectively break through the thick capsule wall, and the thick needle can slide into the capsule smoothly.
At this time, there was a clear sense of "breakthrough" - puncture and puncture the capsule wall! The following is about 6ml thick yellow liquid.
After the puncture, the patient soon found that the pain disappeared! "Thumbs up repeatedly:" more than 3 months shoulder pain incredibly a needle to fix, the effect is really too fast! "
Recently, the patient came to the hospital for further consultation and informed that the shoulder pain disappeared and everything else returned to normal.
Department style and pain department is a characteristic specialty of Affiliated Hospital of Jiangnan University. The Department always takes "removing pain, improving function and improving the quality of life of patients" as the development concept, takes the integration of traditional Chinese and Western medicine as the means, multi-disciplinary combination as the feature, integrates diagnosis, treatment, prevention and rehabilitation as one, comprehensively uses nerve block technology, minimally invasive surgery technology, combination of drugs and physical therapy and other methods to deal with various acute and chronic pain diseases, and comprehensively arranges for patients with pain Worry and solve difficulties.
The Department conventionally carries out the mainstream pain treatment technologies at home and abroad:
? extracranial radiofrequency thermocoagulation of trigeminal nerve non semilunar ganglion;
? percutaneous cervical and lumbar disc ablation (ozone, radiofrequency, low temperature plasma ablation) for the treatment of disc herniation;
? radiofrequency control of dorsal root ganglion of spinal nerve to relieve intractable neuralgia;
? celiac plexus lesion;
? implantation of morphine pump infusion system to control late refractory cancer pain and spinal cord electrical stimulation (SCS) technology.
At the same time, the Department of pain actively expands and promotes characteristic diagnosis and treatment technology:
? ultrasound guided stellate ganglion block;
? ultrasound-guided intra-synovial injection of large joints (knee, shoulder, hip, etc.);
? ultrasound guided multi-mode combined diagnosis and treatment of peri shoulder pain (including rotator cuff injury and adhesive acromiocystitis, etc.);
? intractable myofascial and soft tissue pain was treated by internal heat acupuncture (percutaneous release of the attachment point of skeletal muscle);
? percutaneous foraminal surgery;
? percutaneous vertebroplasty for the treatment of metastatic pain of tumor centrum.
There are more than 600 outpatients, more than 300 invasive operations and more than 20 kinds of minimally invasive operations in the Department of pain every month. At the same time, it also undertakes the consultation task of acute and chronic pain in other departments inside and outside the hospital. It has been widely praised by patients and peers.
Appointment telephone
0510-81195435
0510-81195865