Influence of the phrenic nerve in shoulder pain: A systematic review

Fernández-López, Isidro; Peña-Otero, David; Atín-Arratibel, María de los Ángeles; Eguillor-Mutiloa, María

doi:10.1016/j.ijosm.2020.03.003

Cited by 8 publications

(4 citation statements)

References 64 publications

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“…Shoulder pain, likely caused by compression of sensitive branches of phrenic nerve at the level of diaphragm, is a common and usually benign and self-limited symptom following the procedure. The pain seems neuropathic in origin, and it is distributed in the dermatome of the phrenic nerve [ 32 ]. In our experience, only a small proportion of patients (around 5%) describe persistent pain over 3 or 4 weeks resistant to conventional/opioid analgesia.…”

Section: Dedicated Devicesmentioning

confidence: 99%

Caval Valve Implantation (CAVI): An Emerging Therapy for Treating Severe Tricuspid Regurgitation

Altisent

Benetis

Rumbinaitė

et al. 2021

JCM

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Severe tricuspid regurgitation remains a challenging heart-valve disease to effectively treat with high morbidity and mortality at mid-term. Currently guideline-directed medical treatment is limited to escalating dose of diuretics, and the rationale and timing of open-heart surgery remains controversial. Emerging percutaneous therapies for severe tricuspid regurgitation continue to show promising results in early feasibility studies. However, randomized trial data is lacking. Additionally, many patients are deemed unsuitable for these emerging therapies due to anatomical or imaging constraints. Given the technical simplicity of the bicaval valve implantation (CAVI) technique compared to other transcatheter devices, CAVI is postulated as a suitable alternative for a wide variety of patients affected with severe+ tricuspid regurgitation. In this review we illustrate the current evidence and ongoing uncertainties of CAVI, focusing on the novel CAVI-specific devices.

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Section: Dedicated Devicesmentioning

confidence: 99%

Caval Valve Implantation (CAVI): An Emerging Therapy for Treating Severe Tricuspid Regurgitation

Altisent

Benetis

Rumbinaitė

et al. 2021

JCM

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“…Although the mechanism of pain relief is unclear, we observed substantial and prolonged relief of referred shoulder pain, resulting in reduced analgesic consumption and deferral of dose escalation to minimize analgesic-related systemic side effects, similar to what has been previously described for other pain conditions. 14 This extended pain relief exceeds the expected duration of the injected local anesthetic. Such clinical benefits are frequently observed in the practice of interventional pain management for chronic pain despite remaining poorly understood.…”

Section: Discussionmentioning

confidence: 97%

Phrenic Nerve Block for Diaphragmatic Pain: Case Report

Thanaboriboon,

Vargas,

Alexopoulos

et al. 2024

A&A Practice

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Referred chronic shoulder pain may arise from diaphragmatic irritation. It can potentially be alleviated by blockade of the phrenic nerve. There is literature describing its use in acute pain conditions; yet for chronic pain, there are no reports. We present 2 cases of chronic diaphragmatic irritation causing ipsilateral referred shoulder pain. Patients experienced significant pain relief and a reduction in opioid consumption after receiving an ultrasound-guided phrenic nerve block. While the phrenic nerve block shows promise for pain relief, carefully evaluating its benefits and risks is recommended before considering its application in selected cases.

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“…Gallstone disease may present as an abdominal, shoulder, or backpain, fever, nausea, and vomiting [35] , [36] , [37] , [38] . Jaundice and dark urine may occur because of Common Bile Duct (CBD) obstruction leading to the entry of bilirubin into the bloodstream [39] , [40] .…”

Section: Discussionmentioning

confidence: 99%

Pearl-white gallstones: A report of a case and a chemical analysis by FTIR and XRD

Dowais

Sharie

Araydah

et al. 2021

International Journal of Surgery Case Reports

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Introduction Gallstones' color is usually yellow, brown, black or more commonly a mixture of two or more of these colors in different proportions, depending on their composition, with yellow being the most commonly encountered color. Pearl-white gallstones are a very rare entity that has not been studied and reported sufficiently. Case presentation Our patient is a 44-year-old lady who was suffering from recurrent attacks of epigastric and right hypochondrial abdominal pain that was aggravated by consumption of fatty meals. Ultrasound Imaging revealed multiple gallbladder stones. After an elective cholecystectomy unusual pearl-white gallstones were found inside a distended gallbladder filled with transparent thick fluid. Chemical analysis To evaluate the chemical composition of these stones Fourier-transform infrared (FTIR) spectroscopy and X-Ray Diffraction (XRD) tests were performed and revealed that these stones are composed of cholesterol (99.6%) and calcium carbonate (0.4%). Discussion Gallstones are bile depositions of a solid consistency formed inside the gallbladder. Cholesterol, bilirubin, and other substances are involved in the composition of different kinds of gallstones. The presence of gallstones alone inside the gallbladder is usually presented as colicky abdominal pain. Cholecystectomy is a simple surgical removal of the gallbladder from it bed and is the definitive treatment of gallstone disease. Conclusion Pearl-white gallstones are rarely encountered and lack information about their pathogenesis, thus prompting further evaluation and studying.

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Influence of the phrenic nerve in shoulder pain: A systematic review

Cited by 8 publications

References 64 publications

Caval Valve Implantation (CAVI): An Emerging Therapy for Treating Severe Tricuspid Regurgitation

Caval Valve Implantation (CAVI): An Emerging Therapy for Treating Severe Tricuspid Regurgitation

Phrenic Nerve Block for Diaphragmatic Pain: Case Report

Pearl-white gallstones: A report of a case and a chemical analysis by FTIR and XRD

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