ORCID Profile
0000-0003-1392-829X
Current Organisations
The Chinese University of Hong Kong Faculty of Medicine
,
University of Twente
,
KH Lam Musculoskeletal Pain Management and Sports Injuries Centre
,
The Hong Kong Institute Of Musculoskeletal Medicine
,
MSKUS Asia Pacific
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Publications
Motor-Sparing Neural Ablation with Modified Techniques for Knee Pain: Case Series on Knee Osteoarthritis and Updated Review of the Underlying Anatomy and Available Techniques
Publisher: Hindawi Limited
Date: 31-05-2022
DOI: 10.1155/2022/2685898
Abstract: Knee osteoarthritis (KOA) is ubiquitous. However, effective pain managements for patients with grades 3 or 4 KOA for whom conservative treatments are unsuccessful, but for whom surgery is not an option, remain lacking. This case series presented two motor-sparing interventional pain treatment modalities for five such patients. Three of the patients with a mean total WOMAC score of 41 underwent thermal radiofrequency (RF) ablation using a modified motor-sparing approach. One-week and four-week post-RF, the total score dropped to 27 (by 34%) and 19 (dropped 53.7%), respectively. Two other similar patients with a mean total WOMAC score 96 underwent chemical neurolysis using a motor-sparing approach with modified landmarks. The WOMAC score dropped to 58.5 (by 39.1%) and 49 (dropped by 49.0%), one-week and four-week postchemical neurolysis, respectively. A narrative review of the currently available approaches is also provided, with the conclusion that neural ablation using the modified landmarks approach may achieve better pain control and preserve the motor functions for patients with severe KOA for whom conservative treatment was unsuccessful and who are not candidates for surgery.
Vocabulary for the Registration and Description of Research Data Repositories
Publisher: re3data.org
Date: 2012
DOI: 10.2312/RE3.001
Novel Ultrasound-Guided Cervical Intervertebral Disc Injection of Platelet-Rich Plasma for Cervicodiscogenic Pain: A Case Report and Technical Note
Publisher: MDPI AG
Date: 29-07-2022
DOI: 10.3390/HEALTHCARE10081427
Abstract: Ultrasound-guided needle placement into the cervical intervertebral discs using a lateral-to-medial approach is reportedly possible. Clinically, however, patients commonly present with very high uncovertebral joints or narrowed intervertebral spaces, making the method difficult or impossible. This report presents a novel ultrasound-guided needle placement technique to the cervical intervertebral discs using a more medial approach between the trachea/thyroid gland and the carotid sheath. A patient presented with neck pain radiating to the right shoulder and right-sided interscapular regions that affected his sleep and daily functioning. Physiotherapy, selective nerve root block, and percutaneous endoscopic right C7 laminotomy did not sufficiently improve his condition, which progressed to bilateral interscapular and bilateral shoulder pain. Provocative discography was performed with injection of leukocyte-poor and red blood cell-poor platelet-rich plasma to provoke the discogenic pain, which was treated with platelet-rich plasma mixed with lidocaine. The patient recovered well. A month later, there was a significant decrease in the neck disability index score from the initial 28/50 to 14, and there was a further decrease to 5 after 2 months. In conclusion, this medial approach of ultrasound-guided cervical disc needle placement is feasible, even in patients where disc access by previously described approaches is impossible.
Schema for the description of research data repositories
Publisher: re3data.org
Date: 2013
DOI: 10.2312/RE3.004
Related Organisations
University Of Hong Kong Li Ka Shing Faculty Of Medicine
Location: Hong Kong
The Chinese University Of Hong Kong Faculty Of Medicine
Location: Hong Kong
University Of Bath
Location: United Kingdom of Great Britain and Northern Ireland
KH Lam Musculoskeletal Pain Management And Sports Injuries Centre
Location: Hong Kong
Li Ka Shing Faculty Of Medicine, University Of Hong Kong
Location: No location found
The Hong Kong Institute Of Musculoskeletal Medicine
Location: Hong Kong
The Hong Kong Institue Of Musculoskeletal Medicine
Location: Hong Kong
Related Funding Activities
No related grants have been discovered for King Hei Stanley Lam.