Medical Dialogues
  • Dermatology
Login Register
This site is intended for healthcare professionals only
Login Register
  • Medical Jobs
  • Medical Matrimony
  • MD Brand Connect
  • MDTV
    • Anesthesia
    • CTVS
    • Cardiology
    • Critical Care
    • Dentistry
    • Dermatology
    • Diabetes and Endocrinology
    • Diet and nutrition
    • ENT
    • Gastroenterology
    • Health Dialogues
    • Health News today
    • Health Shorts
    • Health Updates
    • Health video of the day
    • Laboratory Medicine
    • Latest Videos
    • Latest Webinars
    • MD shorts
    • Medical News Today
    • Medical Updates
    • Medical Video of the day
    • Medicine
    • Medico Legal Update
    • Nephrology
    • Neurology and Neurosurgery
    • Obstetrics and Gynaecology
    • Oncology
    • Ophthalmology
    • Orthopaedics
    • Pediatrics & Neonatology
    • Psychiatry
    • Pulmonology
    • Radiology
    • Surgery
    • Top Videos
    • Urology
Medical Dialogues
  • Medical News
      • Anesthesiology
      • Cardiology and CTVS
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endocrinology
      • ENT
      • Gastroenterology
      • Medicine
      • Nephrology
      • Neurology
      • Obstretics-Gynaecology
      • Oncology
      • Ophthalmology
      • Orthopaedics
      • Pediatrics-Neonatology
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
      • Laboratory Medicine
      • Diet
      • Nursing
      • Paramedical
      • Physiotherapy
  • Health news
      • Doctor News
      • Government Policies
      • Hospital & Diagnostics
      • International Health News
      • MCI News
      • Medical Organization News
      • Medico Legal News
      • NBE News
      • NMC News
  • Medical Guidelines
      • Anesthesiology
      • Cardiology and CTVS
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endocrinology
      • ENT
      • Gastroenterology
      • Medicine
      • Nephrology
      • Neurology
      • Obstretics-Gynaecology
      • Oncology
      • Ophthalmology
      • Orthopaedics
      • Pediatrics-Neonatology
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
      • Laboratory Medicine
      • Diet
      • Nursing
      • Paramedical
      • Physiotherapy
  • AYUSH
    • Ayurveda
    • Homeopathy
    • Siddha
    • Unani
    • Yoga
  • State News
      • Andaman and Nicobar Islands
      • Andhra Pradesh
      • Arunachal Pradesh
      • Assam
      • Bihar
      • Chandigarh
      • Chattisgarh
      • Dadra and Nagar Haveli
      • Daman and Diu
      • Delhi
      • Goa
      • Gujarat
      • Haryana
      • Himachal Pradesh
      • Jammu & Kashmir
      • Jharkhand
      • Karnataka
      • Kerala
      • Ladakh
      • Lakshadweep
      • Madhya Pradesh
      • Maharashtra
      • Manipur
      • Meghalaya
      • Mizoram
      • Nagaland
      • Odisha
      • Puducherry
      • Punjab
      • Rajasthan
      • Sikkim
      • Tamil Nadu
      • Telangana
      • Tripura
      • Uttar Pradesh
      • Uttrakhand
      • West Bengal
  • Medical Education
      • Ayush Education News
      • Dentistry Education News
      • Medical Admission News
      • Medical Colleges News
      • Medical Courses News
      • Medical Universities News
      • Nursing education News
      • Paramedical Education News
      • Study Aborad
  • Industry
    • Health Investment News
    • Health Startup News
    • Medical Devices News
    • Pharma News
    • Pharmacy Education News
  • MDTV
      • Anesthesia
      • CTVS
      • Cardiology
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endocrinology
      • Diet and nutrition
      • ENT
      • Gastroenterology
      • Health Dialogues
      • Health News today
      • Health Shorts
      • Health Updates
      • Health video of the day
      • Laboratory Medicine
      • Latest Videos
      • Latest Webinars
      • MD shorts
      • Medical News Today
      • Medical Updates
      • Medical Video of the day
      • Medicine
      • Medico Legal Update
      • Nephrology
      • Neurology and Neurosurgery
      • Obstetrics and Gynaecology
      • Oncology
      • Ophthalmology
      • Orthopaedics
      • Pediatrics & Neonatology
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Top Videos
      • Urology
This site is intended for healthcare professionals only
LoginRegister
Medical Dialogues
LoginRegister
  • Home
  • Medical news
    • Anesthesiology
    • Cardiology and CTVS
    • Critical Care
    • Dentistry
    • Dermatology
    • Diabetes and Endocrinology
    • ENT
    • Gastroenterology
    • Medicine
    • Nephrology
    • Neurology
    • Obstretics-Gynaecology
    • Oncology
    • Ophthalmology
    • Orthopaedics
    • Pediatrics-Neonatology
    • Psychiatry
    • Pulmonology
    • Radiology
    • Surgery
    • Urology
    • Laboratory Medicine
    • Diet
    • Nursing
    • Paramedical
    • Physiotherapy
  • Health news
    • Doctor News
    • Government Policies
    • Hospital & Diagnostics
    • International Health News
    • MCI News
    • Medical Organization News
    • Medico Legal News
    • NBE News
    • NMC News
  • Medical Guidelines
    • Anesthesiology
    • Cardiology and CTVS
    • Critical Care
    • Dentistry
    • Dermatology
    • Diabetes and Endocrinology
    • ENT
    • Gastroenterology
    • Medicine
    • Nephrology
    • Neurology
    • Obstretics-Gynaecology
    • Oncology
    • Ophthalmology
    • Orthopaedics
    • Pediatrics-Neonatology
    • Psychiatry
    • Pulmonology
    • Radiology
    • Surgery
    • Urology
    • Laboratory Medicine
    • Diet
    • Nursing
    • Paramedical
    • Physiotherapy
  • Medical Education
    • Ayush Education News
    • Dentistry Education News
    • Medical Admission News
    • Medical Colleges News
    • Medical Courses News
    • Medical Universities News
    • Nursing education News
    • Paramedical Education News
    • Study Aborad
  • Industry
    • Health Investment News
    • Health Startup News
    • Medical Devices News
    • Pharma News
      • CDSCO (Central Drugs Standard Control Organisation) News
    • Pharmacy Education News
  • Case of the Day
  • Editorial
  • Home
  • Orthopaedics
  • Orthopaedics News
  • Electrical injury...

Electrical injury linked to complex pain & movement disorders later in lives of patients: study

Dr Supreeth  D RWritten by Dr Supreeth D R Published On 2022-05-19T20:45:14+05:30  |  Updated On 2022-05-19T20:52:39+05:30
Electrical injury linked to complex pain & movement disorders later in lives of patients: study
  • Facebook
  • Twitter
  • Whatsapp
  • Telegram
  • Linkedin
  • Email
  • koo
  • Facebook
  • Twitter
  • Whatsapp
  • Telegram
  • Linkedin
  • Email
  • koo
  • Facebook
  • Twitter
  • Whatsapp
  • Telegram
  • Linkedin
  • Email
  • koo

Australia: E.W.Y. Lun, A.C. Tan, C.J. Andrews et al. et al retrospectively analyzed 15 cases from 2004 to 2019 of adult claimants assessed in a medico-legal practice for complex chronic pain disorders secondary to Electrical Injury (EI). Extensive biopsychosocial information, including 165 data items on pre- and post-injury observations, was collected on each. Cutaneous and deep...

Australia: E.W.Y. Lun, A.C. Tan, C.J. Andrews et al. et al retrospectively analyzed 15 cases from 2004 to 2019 of adult claimants assessed in a medico-legal practice for complex chronic pain disorders secondary to Electrical Injury (EI). Extensive biopsychosocial information, including 165 data items on pre- and post-injury observations, was collected on each. Cutaneous and deep pressure somatosensory examination was performed and questionnaires for psychological evaluation and restless legs syndrome completed. A comprehensive literature review and descriptive analysis was conducted.

• Pre-injury, most claimants worked (12/15), did not receive government benefits (14/15) and had no primary pain disorder (9/15).

• EIs were severe (14/15), where chronic post-traumatic pain, typically high impact with nociplastic features, was regional in 5 and widespread in 10.

• The primary site of injury was the hand in all cases.

• Most (10/15) patients presented to an emergency department within a week, and 5 required to be admitted as a hospital inpatient.

• Secondary musculoskeletal and head injuries were common (14/15), and 6 claimants required surgery.

• Somatosensory signs in wide distribution in all cases implied central sensitization.

• Clinically significant sleep disturbance was reported in all but one case, prominent daytime fatigue in 8, major inactivity in 4, with at least 5 kg weight gain in 5.

• Movement disorders included digital dyskinesia (5/15), involuntary muscle contractions (7/15) and restless legs syndrome in 7.

• Diagnostic and Statistical Manual of Mental Disorders (DSM-5) post-traumatic stress disorder (PTSD) criteria were met in 12/15, and 14/15 experienced depression and impaired sleep.

• Severe social impacts, notably including loss of employment resulting in financial stresses, were common.

The authors concluded that - The extensive and long persistent clinical features attributed to EI had such a level of consistency between the 15 cases that the most highly shared features might be considered a syndromic aid to diagnosis. The key features included chronic pain, widespread especially in those with secondary musculoskeletal injury; impaired sleep and fatigue; post-traumatic stress, anxiety, depression, often major; somatosensory stimulus-response test responses implying central sensitization; movement disorders, particularly restless legs syndrome; and multiple seriously adverse social outcomes. Improved knowledge of this post-EI syndrome by the medical profession will assist in much needed improvement in the diagnosis, assessment and management. There is a need for early and continuing biopsychosocial assessment and for more education in pain medicine including somatosensory testing. 

Key Words: Electrical injury, Biopsychosocial, Post traumatic stress disorder (PTSD), Central sensitization, Movement disorders, Chronic pain, Medicolegal, Case series, Injury.

Further Reading:

Electrical injury: Chronic pain, somatosensory dysfunction, post traumatic stress and movement disorders

Elizabeth W Y Lun, Aidan C Tan, Christopher J Andrews, G. David Champion.

Injury 53 (2022) 1667–1677

https://doi.org/10.1016/j.injury.2022.02.038

australia Electrical injury Biopsychosocial Post traumatic stress disorder (PTSD) Central sensitization Movement disorders Chronic pain Medicolegal Case series Injury. 
Source : Injury
Dr Supreeth  D R
Dr Supreeth D R

    MBBS, Dip. Ortho, DNB ortho, MNAMS

    Dr Supreeth D R (MBBS, Dip. Ortho, DNB ortho, MNAMS) is a practicing orthopedician with interest in medical research and publishing articles. He completed MBBS from mysore medical college, dip ortho from Trivandrum medical college and sec. DNB from Manipal Hospital, Bengaluru. He has expirence of 7years in the field of orthopedics. He has presented scientific papers & posters in various state, national and international conferences. His interest in writing articles lead the way to join medical dialogues. He can be contacted at editorial@medicaldialogues.in.

    Show Full Article
    Next Story
    Similar Posts
    Romosozumab use before antiresorptive agents tied to greater BMD responder rate in osteoporosis

    Romosozumab use before antiresorptive agents tied to greater BMD responder rate in osteoporosis

    Are Weight-Bearing Knee Digital Radiographs better for assessment of Severity of OA?

    Are Weight-Bearing Knee Digital Radiographs better for assessment of Severity of OA?

    Rare case of Pivot shift phenomenon with unusual tibial plateau fracture: A report

    Rare case of Pivot shift phenomenon with unusual tibial plateau fracture: A report

    Intra articular Diclofenac-hyaluronate conjugate effective in relieving hip osteoarthritis pain

    Intra articular Diclofenac-hyaluronate conjugate effective in relieving hip osteoarthritis pain

    Spinal fractures in the elderly can be prevented with simple X-rays

    Spinal fractures in the elderly can be prevented with simple X-rays

    Abdominal aortic calcification linked to late-life dementia risk in older women: Lancet

    Abdominal aortic calcification linked to late-life dementia risk in older women: Lancet

    Carbon Monoxide Foam may Help Fight Inflammation and stimulate tissue regeneration

    Carbon Monoxide Foam may Help Fight Inflammation and stimulate tissue regeneration

    Swelling and not tenderness of joints better predicts synovitis in psoriatic arthritis

    Swelling and not tenderness of joints better predicts synovitis in psoriatic arthritis

    Low Vitamin D Levels encountered in Young People of Color, finds study

    Low Vitamin D Levels encountered in Young People of Color, finds study

    Women with systemic lupus erythematosus at greater risk of pregnancy complications

    Women with systemic lupus erythematosus at greater risk of pregnancy complications

    Methylprednisolone improves pain control, sleep quality after hip replacement: Study

    Methylprednisolone improves pain control, sleep quality after hip replacement: Study

    Hydrafil- New injectable gel may greatly reduce chronic low back pain

    Hydrafil- New injectable gel may greatly reduce chronic low back pain

    Vitamin D Supplementation May Offset Bone Loss Caused by canagliflozin

    Vitamin D Supplementation May Offset Bone Loss Caused by canagliflozin

    Editorial

    Propranolol and essential tremors: A critical review

    Propranolol and essential tremors: A critical review

    Safeguarding Mental Health of Doctors & How They Can Prevent a Burnout

    Safeguarding Mental Health of Doctors & How They Can Prevent a Burnout

    Analyzing the Role of Levofloxacin in Urinary Tract Infections-A review

    Analyzing the Role of Levofloxacin in Urinary Tract Infections-A review

    Management of Allergic Rhinitis during COVID-19 Pandemic

    Management of Allergic Rhinitis during COVID-19 Pandemic

    Role of Probiotics in recurrent bacterial vaginosis: A review

    Role of Probiotics in recurrent bacterial vaginosis: A review

    View All

    Journal Club Today

    AI to help health care staff correctly diagnose alcohol-associated hepatitis, acute cholangitis

    AI to help health care staff correctly diagnose alcohol-associated hepatitis, acute cholangitis

    View All

    Health News Today

    Health Bulletin 6/July/2022

    Health Bulletin 6/July/2022

    View All
    © 2022 All Rights Reserved.
    Powered By: Hocalwire
    We use cookies for analytics, advertising and to improve our site. You agree to our use of cookies by continuing to use our site. To know more, see our Cookie Policy and Cookie Settings.Ok
    X
    X