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Botox Pelvic Floor Injections for Refractory Vaginismus: A Case Study

Painspa Case Study Series Pain Medicine — Vaginismus & Vestibulodynia Reclaiming intimacy from vaginismus with Botox pelvic floor injections A case study exploring how targeted intramuscular Botox, specialist pelvic floor physiotherapy, and a multidisciplinary approach transformed one patient’s quality of life. 4.5 yrs Duration of symptoms 200u Botox units delivered...

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Shoulder Osteoarthritis Pain Treated with Suprascapular Nerve Block and Pulsed Radiofrequency Ablation

Severe Shoulder Pain Treated with Suprascapular Nerve Block and Pulsed Radiofrequency Ablation Introduction Shoulder pain is a common but often severely debilitating condition, particularly in elderly patients with degenerative osteoarthritis. While some patients may benefit from surgical intervention, a significant proportion are not suitable candidates due to medical comorbidities, frailty,...

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Post-COVID Loss of Smell and Taste: Can Stellate Ganglion Block Help?

Case Report: Rapid Improvement in Post-COVID Loss of Smell and Taste Following Stellate Ganglion Block Background Loss of smell (anosmia) and taste (dysgeusia) became widely recognised symptoms during the COVID-19 pandemic. While many patients recover within a few weeks, a significant proportion develop persistent symptoms lasting months or even years....

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Anterior Cutaneous Nerve Entrapment Syndrome (ACNES): Diagnosis and Treatment with Ultrasound-Guided Pulsed Radiofrequency

Case Report: Chronic Abdominal Pain Due to ACNES Successfully Treated with Pulsed Radiofrequency Background: Chronic Abdominal Pain and ACNES Chronic abdominal pain is a common and often challenging clinical problem, frequently resulting in repeated investigations, referrals, and prolonged patient distress. One important but frequently underdiagnosed cause is Anterior Cutaneous Nerve...

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Successful Treatment of Refractory Cluster Headaches with Occipital Nerve Pulsed Radiofrequency

Case Report: Successful Treatment of Refractory Cluster Headaches with Occipital Nerve Block and Pulsed Radiofrequency Patient: 36-year-old lady • Laterality: Right-sided • Intervention: Ultrasound-guided occipital nerve block → Pulsed Radiofrequency (PRF) Background Cluster headache is a trigeminal autonomic cephalalgia (TAC) and is widely recognised as one of the most severe...

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