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Biomedical subjects

J N Ghia

Publications and source records attributed to J N Ghia.

23 records · Page 2Linked to original sources
PubMed1979

Therapeutic nerve blocks for chronic pain.

Nerve blocks are an effective treatment in patients with many types of acute pain. However, they are much less effective in patients with chronic pain. Candidates for therapeutic nerve blocks should be carefully screened by: assessment of organic disease; evaluation of psychologic and behavioral disorders, and differential nerve blocks. The best candidates for therapeutic nerve blocks have known or inferred organic disease, minimal psychologic or behavioral disorders, and evidence of sympathetic or somatic pain mechanisms.

Diagnosis↗
PubMedDate not supplied

The pharmacologic approach in differential diagnosis of chronic pain.

Chronic pain of unknown cause below waist level was evaluated in 100 patients by using the Differential Spinal Block (DSB) in a multidisciplinary pain clinic setting. The classic DSB approach, refined for better control of psychologic variables, was found to be a safe and effective means of differentiating various pain mechanisms. We found that, of all patients tested, 55% had pain of central or psychogenic origin and 30% had sympathetically mediated pain, as compared with 15% who had somatic pain. A long-term follow-up of these patients confirmed this impression. These results substantiated the importance of psychologic variables, in dicating the necessity for use of behavioral-based therapies in conjunction with the routine use of the refined diagnostic DSB procedure in patients with chronic pain.

Adolescent↗
PubMedDate not supplied

A new interabdominis approach to inguinal region block for the management of chronic pain.

The use of an indwelling catheter for repeated injections of local anesthetics has been a beneficial addition to our armamentarium for management of chronic pain syndromes. Indwelling catheters take advantage of anatomic planes, and the concept of an interabdomins muscular plane allows placement of a catheter along the course of the ilioinguinal and iliohypogastric nerves. We report the successful treatment of chronic groin pain via an interabdominis indwelling catheter. This is the first report of the use of such an indwelling catheter.

Abdomen↗
PubMedDate not supplied

The University of North Carolina Pain Center. I. Organization and function.

The University of North Carolina Comprehensive Pain Center, which has been in existence since 1972, is a pain evaluation, treatment and research program based upon individual diagnosis, comprehensive evaluation, and individualized therapy. This is done within the framework of a concurrent program involving anesthesiologists, oral surgeons, neurosurgeons, psychiatrists, physicians from family medicine, clinical psychologists, social workers and specialized nurses. The Center is organized in both the inpatient and outpatient modes. This presentation will briefly describe the operation of the Pain Center and discuss plans for future expansion.

Chronic Disease↗