Abstract

SURGICAL AND LOCAL TREATMENT OF PAIN IN TIETZE SYNDROME: OUR EXPERIENCE IN UNIVERSITY HOSPITAL “SHEFQET NDROQI” TIRANA ALBANIA

F. Gradica*, E. Dilko, L. Lisha, I. Peposhi, A. Cani, F. Kokici, S. Bytyci, R. Muhameti, Dh. Argjiri and K. Gradica

ABSTRACT

Background: In this study, we present our experiences with local treatment and surgical treatment in patients diagnosed with Tietze syndrome. Methods: Between January 2008 and January 2023, a total of 17 patients (6 males, 11 females; median age: 33 years; range, 27 to 67 years) who were diagnosedand treated with TS in our clinic .Pain killer were injected into painful joints. Pain sensation of the patients was recorded using the Pain Rating Scale developed. Pain was also assessed atseveral weeks after injections qualitatively and based on physical examination. All patients were medicaly treated. Only one patient intervented medically. Steroids and local aesthetic were used. In 8 patients, oral or i/m and i/v antibiotics were also used, and systemic anti-inflammatory drugs were also used. Results: At two weeks, The patients felt calmer and performed better. Conclusion: Patients diagnosed with Tietze syndrome and local steroids or anesthetic injection provides a rapid relief from pain, or employment status. Surgical treatment was used only in selected case.

Keywords: Arthralgia; Tietze syndrome; Chest pain.