Articles

Comparison of Diagnostic Accuracy of CT scan and USG in Right Upper Quadrant Pain: A Review Analysis

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Purpose: Acute right upper quadrant (RUQ) pain is a common presenting symptom in emergency departments and outpatient medical practices, and is most commonly attributable to biliary and hepatic pathology. The main objective of the study is to systematically analyse the comparison of diagnostic accuracy of ultrasound and computed tomography in right upper quadrant pain.

Material and methods: This study was conducted using a systematic search on Google scholar, Pubmed and Web of science published until 20th June 2020. The cited references of retrieved articles and previous reviews were also manually checked to identify any additional eligible studies with indexed search terms for cholecystitis, US, cholescintigraphy, CT, and MR imaging.

Results: After excluding duplicates and articles that did not meet the inclusion criteria, we obtained 30 articles with full-texts which were read for further evaluation, where another 60 were excluded as irrelevant. Overall, we included 30 articles that directly match on the inclusion criteria.

Conclusion: It is concluded that RUQ pain were not as good as sensitivities reported in prior studies. CT was statistically significantly better for the diagnosis of RUQ pain than US, most likely because of an unclear clinical picture, the patient population, and a high proportion of poor-quality US examinations. However, US is still our first test of choice if RUQ pain is suspected clinically, whereas CT is performed when the clinical picture is unclear.

Radiofrequency Ablation for Lower Limb Pain

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Radiofrequency Ablation (RFA) can be used to remove or change unwanted elements. Radiofrequency (RF) has been treating various pain-producing components for over 50 years. However, not all pain syndromes have been treated with it because of understanding or technical limitations. This review paper will focus on how RFA is used to treat lower limb pain for new indications.

Lower Extremity PainPost- surgery pain: herniorrhaphy, cesarean section, appendectomy, Pudendal neuralgia, Recalcitrant neuropathic pelvic pain, Meralgia paresthetica.

Knee Pain Syndromes: Subchondral insufficiency fractures of the knee, Knee osteoarthritis

Ankle Pain Syndromes: Achilles tendinosis, Insertional Achilles tendinosis.

The Role of Cupping Therapy (CT) In Pain Tackling, an Insight into Mechanism Therapeutic Effects and its Relevance in Current Medical Scenario

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Cupping Therapy (CT) is popular as ʻAl-Hijamaʼ in Egypt and Arabic countries which is an ancient traditional method which is practiced for the treatment of various medical conditions, especially claims to be a potential remedy in pain related diseases. Basically, this therapy is an integrated part of the Complementary and alternative medicine, it has got utmost popularity in Unani system of medicine too. Although cupping therapy has been a treatment for long, but its mode of action is not well established yet, several studies have been conducted so far in order to investigate the actual mechanisms behind this therapy, still cupping therapy is a matter of dilemma in medical science. So far, several theories and hypothesis have been put forwarded to explain the effects produced by the cupping therapy. This article provides an overview of cupping therapy practice and associated adverse events, therapeutics potential and current prospective in today’s medical science.