Manual acupuncture associated with amitriptyline for treatment of tactile allodynia at concha of the ear: case report and 12-month follow up
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista Dor |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132014000300236 |
Resumo: | BACKGROUND AND OBJECTIVES:Allodynia is a pain induced by stimuli which normally do not induce pain; it is caused by changes in sensory specificity. Acupuncture may be used for neuropathic pains such as allodynia or hyperalgesia. However, most studies in this area are in animal models. This study aimed at reporting the first case of efficacy of the association of acupuncture and amitriptyline in human being with tactile ear allodynia.CASE REPORT:Female patient, 46 years old, complaining of paroxysmal pain, in shock, triggered by touch on the right concha of the ear, irradiating to ipsilateral fundus, as a consequence of epidermoid carcinoma excision in cranial posterior fossa six years ago. Other sequelae of such surgery were right central facial paralysis and left hemiparesis; however they were not her current complaint. Previously, paroxysmal pain had been only partially controlled with amitriptyline, being patient then referred for tentative treatment with acupuncture. Two acupuncture points were selected by the manual technique, together with the maintenance of previous amitriptyline. There has been pain decrease, being that at fifth consultation patient has withdrawn the use of amitriptyline on her own. Pain had totally regressed after the seventh consultation.CONCLUSION:Acupuncture was effective to treat allodynia, with no symptoms recurrence even after six months without intervention or drug use. For being the first report of this association in human beings, specifically for allodynia, further studies are needed. |
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Manual acupuncture associated with amitriptyline for treatment of tactile allodynia at concha of the ear: case report and 12-month follow upAcupunctureAmitriptylineEaracheTherapy with acupunctureTouchBACKGROUND AND OBJECTIVES:Allodynia is a pain induced by stimuli which normally do not induce pain; it is caused by changes in sensory specificity. Acupuncture may be used for neuropathic pains such as allodynia or hyperalgesia. However, most studies in this area are in animal models. This study aimed at reporting the first case of efficacy of the association of acupuncture and amitriptyline in human being with tactile ear allodynia.CASE REPORT:Female patient, 46 years old, complaining of paroxysmal pain, in shock, triggered by touch on the right concha of the ear, irradiating to ipsilateral fundus, as a consequence of epidermoid carcinoma excision in cranial posterior fossa six years ago. Other sequelae of such surgery were right central facial paralysis and left hemiparesis; however they were not her current complaint. Previously, paroxysmal pain had been only partially controlled with amitriptyline, being patient then referred for tentative treatment with acupuncture. Two acupuncture points were selected by the manual technique, together with the maintenance of previous amitriptyline. There has been pain decrease, being that at fifth consultation patient has withdrawn the use of amitriptyline on her own. Pain had totally regressed after the seventh consultation.CONCLUSION:Acupuncture was effective to treat allodynia, with no symptoms recurrence even after six months without intervention or drug use. For being the first report of this association in human beings, specifically for allodynia, further studies are needed.Sociedade Brasileira para o Estudo da Dor2014-09-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132014000300236Revista Dor v.15 n.3 2014reponame:Revista Dorinstname:Sociedade Brasileira para o Estudo da Dor (SBED)instacron:SBED10.5935/1806-0013.20140050info:eu-repo/semantics/openAccessNunes,Alex BarbosaMatumoto,Marise Sano SugaTanaka,Edson ShizuoOliveira,Wagner deeng2015-09-29T00:00:00Zoai:scielo:S1806-00132014000300236Revistahttps://www.scielo.br/j/rdor/ONGhttps://old.scielo.br/oai/scielo-oai.phpdor@dor.org.br||dor@dor.org.br2317-63931806-0013opendoar:2015-09-29T00:00Revista Dor - Sociedade Brasileira para o Estudo da Dor (SBED)false |
dc.title.none.fl_str_mv |
Manual acupuncture associated with amitriptyline for treatment of tactile allodynia at concha of the ear: case report and 12-month follow up |
title |
Manual acupuncture associated with amitriptyline for treatment of tactile allodynia at concha of the ear: case report and 12-month follow up |
spellingShingle |
Manual acupuncture associated with amitriptyline for treatment of tactile allodynia at concha of the ear: case report and 12-month follow up Nunes,Alex Barbosa Acupuncture Amitriptyline Earache Therapy with acupuncture Touch |
title_short |
Manual acupuncture associated with amitriptyline for treatment of tactile allodynia at concha of the ear: case report and 12-month follow up |
title_full |
Manual acupuncture associated with amitriptyline for treatment of tactile allodynia at concha of the ear: case report and 12-month follow up |
title_fullStr |
Manual acupuncture associated with amitriptyline for treatment of tactile allodynia at concha of the ear: case report and 12-month follow up |
title_full_unstemmed |
Manual acupuncture associated with amitriptyline for treatment of tactile allodynia at concha of the ear: case report and 12-month follow up |
title_sort |
Manual acupuncture associated with amitriptyline for treatment of tactile allodynia at concha of the ear: case report and 12-month follow up |
author |
Nunes,Alex Barbosa |
author_facet |
Nunes,Alex Barbosa Matumoto,Marise Sano Suga Tanaka,Edson Shizuo Oliveira,Wagner de |
author_role |
author |
author2 |
Matumoto,Marise Sano Suga Tanaka,Edson Shizuo Oliveira,Wagner de |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Nunes,Alex Barbosa Matumoto,Marise Sano Suga Tanaka,Edson Shizuo Oliveira,Wagner de |
dc.subject.por.fl_str_mv |
Acupuncture Amitriptyline Earache Therapy with acupuncture Touch |
topic |
Acupuncture Amitriptyline Earache Therapy with acupuncture Touch |
description |
BACKGROUND AND OBJECTIVES:Allodynia is a pain induced by stimuli which normally do not induce pain; it is caused by changes in sensory specificity. Acupuncture may be used for neuropathic pains such as allodynia or hyperalgesia. However, most studies in this area are in animal models. This study aimed at reporting the first case of efficacy of the association of acupuncture and amitriptyline in human being with tactile ear allodynia.CASE REPORT:Female patient, 46 years old, complaining of paroxysmal pain, in shock, triggered by touch on the right concha of the ear, irradiating to ipsilateral fundus, as a consequence of epidermoid carcinoma excision in cranial posterior fossa six years ago. Other sequelae of such surgery were right central facial paralysis and left hemiparesis; however they were not her current complaint. Previously, paroxysmal pain had been only partially controlled with amitriptyline, being patient then referred for tentative treatment with acupuncture. Two acupuncture points were selected by the manual technique, together with the maintenance of previous amitriptyline. There has been pain decrease, being that at fifth consultation patient has withdrawn the use of amitriptyline on her own. Pain had totally regressed after the seventh consultation.CONCLUSION:Acupuncture was effective to treat allodynia, with no symptoms recurrence even after six months without intervention or drug use. For being the first report of this association in human beings, specifically for allodynia, further studies are needed. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132014000300236 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132014000300236 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/1806-0013.20140050 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira para o Estudo da Dor |
publisher.none.fl_str_mv |
Sociedade Brasileira para o Estudo da Dor |
dc.source.none.fl_str_mv |
Revista Dor v.15 n.3 2014 reponame:Revista Dor instname:Sociedade Brasileira para o Estudo da Dor (SBED) instacron:SBED |
instname_str |
Sociedade Brasileira para o Estudo da Dor (SBED) |
instacron_str |
SBED |
institution |
SBED |
reponame_str |
Revista Dor |
collection |
Revista Dor |
repository.name.fl_str_mv |
Revista Dor - Sociedade Brasileira para o Estudo da Dor (SBED) |
repository.mail.fl_str_mv |
dor@dor.org.br||dor@dor.org.br |
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1752126254928101376 |