INTRODUCTION: Investigation of the effect of kinesiotaping on pain, balance, risk of falls and functional status in patients with plantar fasciitis syndrome. MATERIAL AND METHODS: Thrity patients with plantar fasciitis were divided into two groups randomly. Exercise and ice application were suggested to both groups. Kinesiotaping was applied to intervention group and placebo taping was applied to the other group. Patients were evaluated before intervention and one week after the intervention. We used visual analog scale (VAS) for pain evaluation. Foot Function Index (FFI), Nottingham Health Profile were filled and measurements were taken with the Biodex Balance system to assess balance-and-falls risk. RESULTS: There was a decrease in VAS values in both groups but there was no statistically significant difference between the groups. A statistically significant difference was found in treatment group in FFI-Disability score in functional comparison. DISCUSSION AND CONCLUSION: It was found that kinesiotaping for plantar fasciitis syndrome had a significant effect on pain, but this effect did not make a statistical difference compared to placebo.

The differential diagnosis of shoulder pain and restricted motion includes primary or metastatic cancer. Common cancers, such as breast, prostate, thyroid, lung, and renal, frequently metastasize to bone [1]. Bone metastasis is rarely asymptomatic, rather triggering refractory and persistent bone pain. Osteolysis is accompanied by increased bone fragility and pathologic fractures. These typically occur in weight-bearing bones such as the femur or pelvis. Breast, lung, and renal metastases cause extensive bone destruction and pain [2]. More than a third of patients with renal cancer present with metastases [3,4]. The most common site of renal cancer metastasis is the lung, and the second most common site is the skeleton, particularly the spine, pelvis, and femur. Humeral metastasis is rare [4]. It is critical to consider that shoulder pain is not always caused by intrinsic shoulder pathology. We present a series of images (Figures 1-3) that depict metastatic renal cancer in the humerus of a patient with a 2-month history of shoulder pain at rest and with movement, who had a history of renal cell cancer treated surgically 10 years earlier but was lost to follow up. Figure 1. Humeral radiograph, right. A mass lesion with pathologic fracture evident in the middle third of the humerus.

Objective: To study the effect of lumbar sympathetic block (LSB) with a mixture of local anesthetics and steroids on pain in patients with chronic ischemic lower limb disease. Methods: Retrospectively 23 patients were reviewed with peripheral arterial disease who underwent LSB using a mixture of 8 mg of dexamethasone, 80 mg of 2% lidocaine, and 4 mL of saline at 2 levels, L2 and L4, under the guidance of fluoroscopy. Recordings of the Visual Analog Scale (VAS) scores at 3 days before the blockage, and 1 month and 3 months after treatment were obtained. Results: The study included 20 (87%) male and 3 (13%) female patients. The mean age of the patients was 59.65±13.33 years. The patients’ post-blockage 3rd day, and 1st and 3rd month VAS scores were significantly lower than the baseline VAS scores (p<0.05). The proportion of patients with 50% improvement in the VAS scores at 3rd days, and 1st and 3rd months was 47.8%, 21.7%, and 21.7%, respectively. No complications or side effects were observed. Conclusion: Lumbar sympathetic block with a mixture of local anesthetics and steroids appears to be effective in patients who have non-reconstructable arterial occlusive disease, with reduced pain scores and low complication rates. Keywords: Sympathetic nerve block, claudication, visual analog scale, peripheral arterial disease, pain

Ön diz ağrısına, genellikle gençlerde rastlanmaktadır ve kadınlarda daha sık görülmektedir. Ön diz ağrısına, sıklıkla patellofemoral ağrı sendromu sebep olmaktadır. 1 Patellofemoral ağrı sendromu; patella, eklem kapsülü, sinovyal plika, patellar tendon apofizi, iliotibial bant ve femoral kondil kaynaklı olarak görülebilir. Bu klinik durum, %70-90 oranında kronikleşebilmektedir. 2,3 Ön diz ağrılı bir hasta geldiğinde, detaylı bir anamnez ve fizik muayene ile dizin, özellikle de patellanın biyomekanik olarak değerlendirilmesi gerekmektedir. Yumuşak dokuların incelenmesi için ileri görüntüleme tetkikleri önerilmektedir. 1-4 Diz çevresinde birçok yağ yastıkçığı bulunmaktadır. Dizin ön bölümünde; anterior suprapatellar (kuadriseps), infrapatellar (Hoffa) ve posterior suprapatellar (prefemoral) olarak 3 adet yağ yastıkçığı bulunmaktadır. Diz eklemin yağ yastıkçıları, intrakapsüler ancak ekstra sinovyal olarak yerleşmiştir. 4 Yağ yastıkçığının sıkışma durumu, diz fleksiyonu ve yüklenmesine bağlı olarak infrapatellar ve retropatellar bölgede ağrı ile prezente olur. 1-4