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Intravenous lidocaine injection is as effective as intraperitoneal instillation for reducing pain and fentanyl consumption. The major benefit of intravenous injection is that this is an easily and universally applicable procedure compared to that of intraperitoneal instillation. Lidocaine intravenous administration is a better alternative for reducing the pain of patients who are undergoing laparoscopic surgery.

Shoulder pain accounts for 33.2% of physician office visits for musculoskeletal pain in the United States. The prevalence of shoulder pain is 7% to 27% for adults and is increasing for women and older individuals. The most frequent cause of shoulder pain is subacromial impingement syndrome (SIS), which includes a number of pathological entities: rotator cuff syndrome, tendonitis and bursitis in the shoulder. SIS occurs when the soft tissues of the glenohumeral joint between the coracoacromial arch and the humeral tuberosity are compressed, disturbing the normal slidingmechanism when elevating the arm. Current approaches to treat SIS include conservative management comprising rest (but not immobilization), ice packs, physiotherapy, or NSAIDS, or any combination of these approaches. In some cases, surgical treatment may be considered an option. Accreditation StatementThis journal-based activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the sponsorship of the Elsevier Office of Continuing Medical Education (EOCME). The EOCME is accredited by the ACCME to provide continuing medical education (CME) for physicians. Credit Designation StatementThe EOCME designates this journal-based activity for a maximum of 3.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. All other health care professionals completing continuing education credit for this activity will be issued a certificate of participation. Educational ObjectivesTo support the attainment of knowledge, competence, and performance, the learner should be able to achieve the following objective:1. Describe the evidence-base supporting the effectiveness of corticosteroid injections for subacromial impingement syndrome 2. Demonstrate their ability to develop a treatment plan based on current evidence Planning CommitteeJi Yeon Hong, MD, Seung-Hyun Yoon, MD, PhD, Do Jun Moon, MD, Kyu-Sung Kwack, MD, PhD, Bohyun Joen, MD, Hyun Young Lee, MS, Tania Dickson, PhD. Faculty Profiles & Disclosure InformationAs a sponsor accredited by the ACCME, it is the policy of the EOCME to require the disclosure of anyone who is in a position to control the content of an educational activity. All relevant financial relationships with any commercial interests and/or manufacturers must be disclosed to participants at the beginning of each activity. The faculty of this educational activity discloses the following: JI YEON HONG, MD Department of Physical Medicine and RehabilitationAjou University School of Medicine and Ajou University Hospital, Suwon Republic of Korea Disclosures: Has nothing to disclose. SEUNG-HYUN YOON, MD, PhD Department of Physical Medicine and Rehabilitation Ajou University School of Medicine and Ajou University Hospital, SuwonRepublic of Korea Disclosures: Has nothing to disclose. DO JUN MOON, MDDepartment of Physical Medicine and Rehabilitation Goyang Healings Hospi...

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Vibration anesthesia is a promising option for reducing pain during keloid treatment with intralesional steroid injection.