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Malik, Atiullah Imran, Kshithija Sajjan, Parati Rupesh Shivkumar, and Vijayashree S. Gokhale. "Sarcoidosis presenting as Lofgran’s syndrome." International Journal of Research in Medical Sciences 8, no. 10 (September 24, 2020): 3753. http://dx.doi.org/10.18203/2320-6012.ijrms20204268.
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A 40 year old male, first presented with erythema nodosum, fever, weight loss and joint pains and did not respond to anti-tubercular treatment. One year later he came back with joint pains, erythema nodosum, fever and dry cough. He also had weakness in distal right lower limb more than left limb. He had raised ESR, hypocalcaemia, raised ACE levels and lymphnode involvement on HRCT, with skin biopsy suggestive of sarcoidosis. This time patient responded to treatment and is on regular follow up.
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Dehghan, Leila, Hamid Dalvand, Sadegh Samadi, Mohsen Ebrahimi Monfared, and Fatemeh Rafiei. "Prevalence of Musculoskeletal Pains Among Rehabilitation, Dentistry and Nursing Students." Journal of Arak University of Medical Sciences 23, no. 4 (October 1, 2020): 462–71. http://dx.doi.org/10.32598/jams.23.4.2441.5.
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Background and Aim: Musculoskeletal disorders are mainly prevalent among college students who experience direct contact with patients. This study aimed to determine the prevalence of musculoskeletal pains among Rehabilitation, Dentistry, and Nursing students at Arak University of Medical Sciences in 2017-2018. Methods & Materials: In this cross-sectional descriptive study, 538 students of Arak University of Medical Sciences were recruited using the convenience sampling approach. Variables included age, sex, body mass index, study field, hours of using smartphone per day, and nine symptom sites being neck, shoulders, upper back, elbows, low back, wrist/hands, hips/thighs, knees, and ankles/feet. The researchers assessed the musculoskeletal pain by using the Nordic questionnaire and demographic questionnaire. Statistical analysis was performed using SPSS V. 18. Ethical Considerations: The Research Ethics Committee of Arak University of Medical Sciences approved this study (Code: IR.ARAKMU.REC.1397.253). Results: In this study, 538 students (205 males and 333 females) were studied with Mean±SD age of 22.04±2.53 years old. The results showed that the prevalence of musculoskeletal pain in the spine (neck 29.4%, upper 24.3%, and lower back 37.2%) was higher than in upper and lower extremities. Musculoskeletal pain in the shoulder, upper, lower back, and thigh were significantly different based on sex. Also, musculoskeletal pain in the neck and ankle, and foot were significantly different based on age (P<0.05). There was a significant difference between musculoskeletal pain of back and ankle based on smartphone use hours per day. Conclusion: This study suggested that rehabilitation, nursing, and dentistry students are at risk for musculoskeletal pain, especially in the lumbar, cervical, and upper back.
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Musa-Olokuta, Adekunle I., Collins Nwaokocha, Adeola S. Shote, and Samson A. Aasa. "ERGONOMIC INVESTIGATION AND ASSESSMENT OF MOTORCYCLISTS MUSCULOSKELETAL DISORDERS." Journal of Engineering Science 29, no. 1 (March 2022): 105–11. http://dx.doi.org/10.52326/jes.utm.2022.29(1).09.
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Motorcycles have become a mean of transportation in our rural and urban area in Nigeria. This cross sectional study was conducted in Abeokuta Ogun State to assess the work-related musculoskeletal disorders (WRMSDs) among the motorcyclist between October 2021 and January 2022 using snowball techniques. A structured modified Nordic Musculoskeletal disorder questionnaire (SNMQ) was administered to four hundred and fifty (450) motorcyclists. The result shows that 91.6% (412) of the motorcyclist participated. Furthermore, 76.1% of the cyclist experienced daily pains and 81.6% reported major pains in body parts. However, the results also show that major affected body regions were lower back (81.6%), leg (61.2%), upper back (82.0%), shoulder (55.1%), neck (82.5%), knee (73.3%), wrist/hand (98.8%), thigh (91.3%), ankle/feet (78.9%), ears (80.3%), eyes (59.0%), head (63.1%) respectively. The study concluded that high prevalence of WRMSDs existed among the commercial motorcyclists as a result of working hours, sitting posture, smoking and alcoholic drinking. Reduction of these symptoms could be achieved through the reduction of working hours.
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Ruzi, D. "Tubal pregnancy. Gluttony with a favorable outcome." Journal of obstetrics and women's diseases 6, no. 3 (August 20, 2020): 303. http://dx.doi.org/10.17816/jowd63303.
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Patient T.K., a peasant woman, 36 years old, was admitted to the hospital on March 28, 1891 with complaints of general weakness, pain in the abdomen and blood discharge from the genitals. The first regulations appeared at the age of 14 and were soon established in the correct 3-week periods, lasting 5-6 days in moderate quantities. She got married at 20, gave birth 2 times. After the last birth, which was 7 years ago, pains in the genital area and leucorrhoea appeared, from which the patient was treated in the hospital. About two months ago, pains in the abdomen, lower back, a feeling of pressure on the bottom, difficult urination, constipation and blood discharge from the uterus appeared again.
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Tsukada, Y., T. Shinoda, M. Yokota, K. Tanaka, H. Tanizawa, M. Uchiyama, and T. Yamamoto. "Effects of various block therapies for low back and lower extremity pains by disc herniation." Pain 30 (1987): S90. http://dx.doi.org/10.1016/0304-3959(87)91259-0.
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Kušljugić, Ademir, Suada Kapidžić-Duraković, Zijada Kudumović, and Amela Čičkušić. "Chronic Low Back Pain in Individuals with Lower-limb Amputation." Bosnian Journal of Basic Medical Sciences 6, no. 2 (May 20, 2006): 67–70. http://dx.doi.org/10.17305/bjbms.2006.3177.
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Low back pain (LBP) is a common condition in individuals which experienced psychology and physical trauma. LBP is usually found in persons with lower-limb amputation (LLA), as the most common sign of somatisation or inappropriately made prostheses. Our goal was to investigate cases of chronic pain syndrome in persons with LLA and to determine factors, which influence their functional inability due to LBP. Pain after LLA has been studied. 37 persons, including 26 war veterans (70.2 %) and 11 (29.8 %) civilians with LLA due to an illness, were examined. All participants gave their informed consent and filled Oswestry index of disability due to chronic LBP, divided into 10 sections with 6 questions each, with marks in the range 0-5. The average age of 37 analyzed participants with LLA was 46.2+-10.92 years. 30 participants (81.1 %) were married, 4 (10.8 %) were single and 3 (8.1 %) were widows. 27 (73.0 %) participants had below the knee amputation, 5 (13.5 %) had above the knee amputation and 5 (13.5 %) had foot amputation. 33 (89.6 %) participants experienced chronic LBP in the last 2-10 years and 4 (10.8 %) did not have pains. According to Oswestry index for chronic pain higher level of social functionality was found in civilian amputees than in war veterans (p<0.05). Married civilian amputees have higher level of disability during seating (p<0.01), sleeping (p<0.01) and traveling (p<0.05). Higher level of social disorder among civilian amputees is due to the fact that they belong to older group of participants which usually have social integration at the lower degree. More serious problems during seating, traveling and sleeping among this group are probably due to co morbidity. Chronic LBP was found among 89.6 % of the participants. Higher level of social disorder, problems during seating, traveling and sleeping were identified in the civilian amputees and the married participants.
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Wang, Kai, Chunhua Lu, Rongju Ye, Wen He, Xiating Wei, Yuan Li, Xiaolin Pan, Cuilian Zhao, and Xiang Yu. "Research and development of 3D printing orthotic insoles and preliminary treatment of leg length discrepancy patients." Technology and Health Care 28, no. 6 (November 17, 2020): 615–24. http://dx.doi.org/10.3233/thc-202170.
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BACKGROUND: Leg length discrepancy (LLD) can cause abnormal posture, muscle and/or joint pains, which leads to walking difficulties. The common treatment is to use a shoe lift on the shorter leg side, but this has unsatisfying results. OBJECTIVE: Through research and development, we created 3D printing orthotic insoles for LLD patients and aimed to improve their symptoms. METHODS: 1. Research and development of 3D printing orthotic insole: (1) foot scan and data acquisition; (2) insole software modeling; (3) 3D printing insole using TPU materials, and (4) post-processing. 2. Clinical observation: we customized insoles for LLD patients and required them to wear them while walking. We conducted general inquiries and a functional evaluation before and after 12 weeks of wearing insoles. RESULTS: There are seven complete cases. The joint and lower back pains were alleviated. The stride frequency, stride and pace were improved in all seven cases. Patients’ overall health condition improved significantly. CONCLUSIONS: The 3D printing orthotic insoles are made with clear procedures and practical operability. By wearing insoles, patients’ muscle and/or joint pains were relieved and their gaits were improved.
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Povorozniuk, Vladyslav, M. Bystritskaya, T. Karasevskaya, and Tatyana Orlik. "The efficacy of Olfen-plaster drug preparation in treating pains in the lower back of old patients." ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS, no. 3 (October 11, 2009): 53. http://dx.doi.org/10.15674/0030-59872009353-56.
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A, Shashi, Kumar M, and Bhardwaj M. "Incidence of skeletal deformities in endemic fluorosis." Tropical Doctor 38, no. 4 (October 2008): 231–33. http://dx.doi.org/10.1258/td.2008.070379.
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An investigation was undertaken in three endemic fluorotic areas of Punjab State, India, to assess the prevalence of skeletal deformities. The concentration of fluoride in drinking water varies from 2.3 to 22.5 mg/L. The patients affected with skeletal fluorosis revealed joint pain in both upper and lower limbs, numbing and tingling of the extremities, back pains and knock-knees. Prevalence of skeletal fluorosis was found to be 29% of grade-I, 51% of grade-II and 20% of grade-III and was higher in males (63%) compared with females (37%).
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Ramesh, Naveen, and Radhika Kannan. "Work-related musculoskeletal disorders among pesticide sprayers of tea plantations in South India." International Journal of Occupational Safety and Health 12, no. 1 (January 1, 2022): 23–28. http://dx.doi.org/10.3126/ijosh.v12i1.41034.
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Introduction: Work-related musculoskeletal disorders (WMSD) are conditions in which the work environment and performance of work contribute significantly to the musculoskeletal condition. The objective of this study was to assess the work-related musculoskeletal disorders among the pesticide sprayers in tea plantations.
Methods: A cross-sectional study was conducted among 290 chemical sprayers in selected tea plantations in South India from September to October 2018. Simple random sampling was done to select the sprayers for the study, written informed consent was taken and face–to–face interview was done with the sprayers. Socio-demographic factors and work profiles were noted. The Nordic Musculoskeletal Questionnaire was used for the evaluation of musculoskeletal complaints.
Results: Among the 290 sprayers in the study, all of them were males and the mean age of the participants was 45.6±8.5 years. More than half of the study participants 152 (52.4%) suffered from at least one musculoskeletal complaint and most of them 104 (35.8%) had pain in more than one body part. Among them, more than one-third 101 (34.8%) suffered from knee joint pain in the past twelve months. Shoulder problems (27.6%), lower back (22.8%) and upper back pains (19.3%) were the other major work-related musculoskeletal disorders that the study participants faced in the past year. Knee pain (31.7%), low backache (20.7%) and shoulder pain (24.1%) were the musculoskeletal problems that were related to their absence from work.
Conclusion: More than half of the sprayers had at least one musculoskeletal complaint. Most common issues included knee joint pain, shoulder pain and back pains.
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Sutarto, Auditya Purwandini, Titis Wijayanto, and Irma Nur Afiah. "Exploring the mediation role of employees’ well-being in the relationship between psychosocial factors and musculoskeletal pain during the COVID-19 pandemic." Work 71, no. 1 (January 15, 2022): 65–78. http://dx.doi.org/10.3233/wor-210922.
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BACKGROUND: The COVID-19 pandemic has increased some psychosocial risks which may aggravate the development of musculoskeletal disorders (MSDs) and reduced psychological well-being, two leading global occupational health problems. OBJECTIVE: This study aims to investigate whether an employee’s psychological well-being mediates the relationship between the psychosocial factors (job strain, work-life balance, and job security) and the prevalence of musculoskeletal pain in the Indonesian general working population during the pandemic. METHODS: A cross-sectional study design was employed using an online questionnaire. A total of 406 from 465 respondents were included in the final analysis. RESULTS: It was found that 73.9% of respondents suffered from upper body part pain, 25.15% from low back pain, and 39.7% reported pain in the lower limb. Process Macro Model 4 analysis showed the significant role of well-being as a mediator in the association between work-life balance and the odds of experiencing the upper body and low back pains. However, neither the direct nor mediating effect on the relationship between job strain or job security and any musculoskeletal pains were observed. These findings suggest that specific psychosocial factors may be more relevant to be investigated in the particular context. CONCLUSION: The use of a mediation model was able to link work-life balance to musculoskeletal complaints through well-being states in the context of the pandemic. Organizations need to mitigate poor well-being triggered by psychosocial stressors which could affect physical complaints to maintain employee’s health and productivity.
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Delva, M. Yu, and I. I. Delva. "SOCIO-DEMOGRAPHIC AND COMORBID CHARACTERISTICS OF PATIENTS WITH TENSION HEADACHE." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 21, no. 1 (March 21, 2021): 16–20. http://dx.doi.org/10.31718/2077-1096.21.1.16.
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Introduction. Chronic tension headache is a significant medical and social challenge. There are many factors, which interact resulting in the chronicity of tension headache. The aim of the study was to investigate social, demographic and comorbid characteristics of the patients with frequent episodic tension headache and chronic tension headache. Material and methods. We examined 93 patients with frequent episodic tension headache and 34 patients with chronic tension headache. We analyzed patients’ sex, age, marital status, educational level, employment, smoking habits, anxiety and depressive disorders (according to the Hospital Anxiety and Depression Scale), migraine, musculoskeletal pains (cervical and lower back), arterial hypertension, diabetes mellitus, abdominal obesity, and history of traumatic brain injury. Results. The patients with chronic tension headache in comparison with the patients having frequent episodic tension headache had significantly more common (p <0.05) having no family (47% vs. 23%), smokers (35% vs. 16%), had significantly more common anxiety disorders (82% vs. 27%), depressive disorders (79% vs. 27%), abdominal obesity (41% vs. 13%) and episodes of lower back pain during the last calendar year (53% vs. 22%). Conclusions. Timely identification and adequate correction of lifestyle and some conditions (smoking, anxiety and depressive disorders, abdominal obesity) as well as pathogenetically grounded treatment of lower back pain in the patients with frequent episodic tension headache may reduce the risk of headache chonicity.
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Ivanov, Viktor Yu, and E. I. Shubochkina. "THE LABOR EMPLOYMENT OF ADOLESCENT STUDENTS: REGIONAL FEATURES, FACTORS AND HEALTH RISK GROUPS." Health Care of the Russian Federation 61, no. 4 (May 24, 2019): 178–84. http://dx.doi.org/10.18821/0044-197x-2017-61-4-178-184.
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The study was carried out to establish hygienic estimate of labor employment and its effect of health of adolescents in various regions of Russia. The questionnaire survey of 1 500 individuals (senior high school students and students of professional education colleges) was implemented in four regions of the Russian Federation (Moscow, St. Petersburg, Omsk and Pskovsk regions). The quality of life related to health was estimated using standard questionnaire MOS SF-36. It is established that 41.2% of adolescents worked during time free of lessons. In Moscow, number of working adolescents is reliably lower than in other regions (32.8%). The prevalence of illegal labor activity in all oblasts is demonstrated. The regional features of of structure of labor employment according types of work and causes of labor activity is established. The study confirmed that labor activity in adolescent age is a health risk factor. The analysis of health risks demonstrated that in adolescents working all days of week during academic year are established risks of health complaints: leg pains (OR = 2.1, RR = 1.7, EF = 39.4%) in St. Petersburg, back pains (OR = 1.9, RR = 1.5, EF = 35.2%) in Omsk, heartburn (OR = 2.1, RR = 2.4, EF = 44.5%) and other disorders of digestion (OR = 2.4, RR = 1.9, EF = 48.4%) in Pskov. The increased risks are established in adolescents permanently working during academic year: occurrence of health complaints (OR = 2.6, RR = 1.6, EF = 38.8%) in Pskov, complaints on leg pains (OR = 3.2, RR = 2, EF = 49.5%) in Moscow, heartburn (OR = 4.7, RR = 3.4, EF = 70.5%) in Omsk, other disorders of digestion (OR = 4.3, RR = 2.8, EF = 64.4%) in Pskov. In these groups of working adolescents lower levels of indicator of quality of life related to health (according MOS SF-36) - BP scale (pain intensity) are established.
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Sahu, Mona, Darius Gnanaraj Solomon, Santhiyagu Joseph Vijay, and Jayaseelan Clement Sudhahar. "Ergonomic evaluation of the risk factors causing pain in the upper part of the body among IT professionals in India." Work 67, no. 4 (December 22, 2020): 993–1005. http://dx.doi.org/10.3233/wor-203349.
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BACKGROUND: In developing countries, the recent increase in computer-related work has considerably increased the occupational complaint of pain. OBJECTIVE: To examine the effects of workstation design, posture and ergonomic awareness on the prevalence of pain for a year in the upper part of the body (eyes, hands, arms, shoulders, lower back, and upper back) among IT professionals in India. METHOD: To investigate the association of risk factors with the prevalence of pain in different body parts, a newly designed online questionnaire titled “A Questionnaire based on ergonomics for IT Professionals” was developed. The psychometric properties of this questionnaire were tested. 110 computer office workers were recruited from IT companies from major cities in India. RESULTS: The confirmation of reliability and lack of redundancy of items was provided by the calculation of internal consistency (Cronbach’s alpha 0.804) and cross-validation. 60% of participants was male. Mean age was 29.73±6.09 years. The prevalence of pain for a year in the upper part of the body was 38.2%. The frequently reported pains were in the neck (22.7%), lower back area (22.7%), and eye strain (21.8%). CONCLUSION: It was identified that long working hours, excessive usage of smartphones, lack of exercise, incorrect workstation adjustments, and incorrect posture were the risk factors for the prevalence of pain.
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JOSHI, VAIJAYANTI LAGU, and ARVIND CHOPRA. "Is There an Urban-Rural Divide? Population Surveys of Rheumatic Musculoskeletal Disorders in the Pune Region of India Using the COPCORD Bhigwan Model." Journal of Rheumatology 36, no. 3 (February 4, 2009): 614–22. http://dx.doi.org/10.3899/jrheum.080675.
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Objective.To estimate urban prevalence of rheumatic musculoskeletal (MSK) disorders and compare to an earlier rural regional study.Methods.We screened 8145 adults from a preselected urban locality in Pune, India, for MSK pain in a cross-sectional house-to-house survey (Stage I) over 20 weeks. The World Health Organization-International League of Associations for Rheumatology (WHO-ILAR) Community Oriented Program for Control of Rheumatic Diseases (COPCORD) Bhigwan model was used. Thirty trained community volunteers completed Phases I and II questionnaires, concurrent with rheumatology evaluation (Phase III). Clinical diagnosis was based on standard diagnosis/classification criteria. Point prevalence rates from our survey and the earlier Bhigwan village (Pune district) survey were standardized (adjusted age-sex to India population census 2001) and are reported for osteoarthritis (OA), rheumatoid arthritis (RA), seronegative spondyloarthritis (SSA), and inflammatory arthritis (IA).Results.One thousand one hundred fifty-two urban cases (65% women) were identified (14.1%, 95% confidence interval 13.4, 14.9). The self-reported pain sites (Phase II) were hip (0.4), knees (6.3), ankle (1.9), feet (0.7), shoulders (2), hands (1.3), wrist (1.2), neck (1.9), upper back (1.7), low back (5.5), thigh (1.5), calf (1.4), and sole (0.8); corresponding rural sites being hip (1.1), knees (13.7), ankle (7), feet (1.6), shoulders (7.9), hands (6.3), wrist (6.9), neck (6.8), upper back (8.4), low back (12.6), thigh (4.8), calf (7.1) and sole (2.2). OA disorders, soft tissue rheumatism (STR) and ill-defined aches and pains were predominant in both surveys; < 10% reported IA. The major disorders among urban cases were OA (4), STR (1.2), RA (0.2, ACR criteria 1988), undifferentiated IA (0.3), SSA (0.3), and gout (0.06); corresponding rates in Bhigwan were OA (6.3), STR (3.8), RA (0.5), undifferentiated IA (0.8), SSA (0.3), and gout (0.1). Infections were conspicuously absent.Conclusion.While similar in spectrum, standardized prevalence rates of self-reported pain sites and rheumatic MSK disorders were significantly lower in the urban (current Pune COPCORD surveys) versus rural (Bhigwan) community, and in both communities aches and pains that are poorly understood by modern science were predominant.
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Upadhyay, Rahul, Ashis Bhattacherjee, Aditya Kumar Patra, and Nearkasen Chau. "Association between Whole-Body Vibration exposure and musculoskeletal disorders among dumper operators: A case-control study in Indian iron ore mines." Work 71, no. 1 (January 15, 2022): 235–47. http://dx.doi.org/10.3233/wor-205140.
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BACKGROUND: Dumper operators in mines worldwide are subjected to Musculoskeletal Disorders (MSDs) due to whole-body vibration exposure. This study evaluated the working-life-Whole-Body Vibration (WBV)-exposure and their association with various MSDs among dumper operators in mines which remains poorly addressed. METHODS: This case-control study in Indian iron ore mines was conducted to compare randomly selected 65 dumper operators and 65 office workers. Data were collected through face-to-face interviews using the Nordic Musculoskeletal Questionnaire (NMQ) and were analysed using logistic regression models. RESULTS: The study revealed that majority of the dumper operators were exposed to WBV exceeding the ISO-2631 limits. Compared with controls, the dumper operators had a much higher risk of upper back pain (age-overweight-adjusted odds ratio ORao = 5.37, 95% CI = 1.78–16.20), lower back pain (ORao = 2.72, 95% CI = 1.25–5.94), knee and leg pain (ORao = 3.68, 95% CI = 1.22–11.11), and having 2+ MSDs (ORao = 5.05, 95% CI = 1.88–13.51, vs. no MSDs). Working-life-WBV-exposure was higher among dumper operators having upper back pain (mean (SD) = 7.1 (1.91) vs. 5.7 (1.91), p < 0.01) and lower back pain (mean (SD) = 6.63 (2.10) vs. 5.55 (1.71), p < 0.01) compared to those without these MSDs. Older age was associated with higher risk of MSD pains. CONCLUSION: Dumper operators have excess MSDs due to high working-life-WBV-exposure. Their MSDs and working-life-WBV-exposure should be regularly evaluated and reduced.
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Triyono, Hambar, and Kris Linggardini. "Factors affecting low back pain occurrence in nurses of Purwokerto Islamic Hospital." Proceedings Series on Health & Medical Sciences 1 (December 10, 2020): 42–47. http://dx.doi.org/10.30595/pshms.v1i.31.
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Low Back Pain (LBP) is one of the pains due to work, usually called lower back pain, and has always become the main cause of a disability, in which its effect has influenced the activities in the workplace. The risk factors influencing the pain occurrence include individual factor (age, gender, years of service, body mass index, smoking habit, exercising habit), psychosocial factor, and occupational factor. The aim of the sesearch was determine the factors influencing low back pain occurrence in nurses of Rumah Sakit Islam Purwokerto. The research used a quantitative descriptive design with a cross-sectional study. The sampling technique was total sampling with 75 respondents. The research instrument was a questionnaire with Chi-Square test. The research result indicates that there is no correlation between the factor of gender (0.648), smoking habit (0.418), and exercise habit (0.484) to low back pain occurrence. This is because the p value from the Chi Square test = 0.05.Mean while, it is found that there is a correlation between the factor of age (0.045), body mass index (0.000), years of service (0.002), occupational (0.002), and psychosocial (0.032) to low back pain occurrence. This is because the p value from the Chi Square test = 0.05. The factors influencing low back pain occurrence in nurses of Rumah Sakit Islam Purwokerto are the factors of age, years of service, body mass index, occupational, and psychosocial.
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Abubakar, MK, A. Rabiu, MU Ibrahim, KA Musa, S. Muhammad, and AA Mamuda. "Low back pain among hospital workers in Kano, North-west Nigeria." Annals of Health Research 6, no. 2 (May 17, 2020): 197–204. http://dx.doi.org/10.30442/ahr.0602-08-81.
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Background: About 90% of individuals will experience back pain at one point or the other in their lives. Hospital workers are considered to have a considerable risk of developing low back pain.
Objective: To determine the prevalence and risk factors for low back pain among health workers in tertiary hospitals in Kano, Nigeria.
Methods: The study was a cross-sectional survey. A questionnaire was designed and administered to 200 personnel of the teaching hospitals in Kano. Socio-demographic characteristics, presence of low back pain, factors that relieve and aggravate the low back pain and relationship of back pain and work activities, were recorded on the questionnaire.
Results: The mean age of the respondents was 33.4±7.08 years. Sixty-six per cent of the respondents had back pain within a year of the study. There was a 29% point prevalence of low back pain among the respondents. Statistically significant association was established between various activities such as prolonged sitting and walking and pain in the lower back (p = 0.000). There was an association between low back pain and the type of job (department) of the respondents (p = 0.016). The dull ache was the predominant presentation (58%) followed by piercing and gripping in 20% and 19% respectively. Prolonged sitting was the main aggravating factor, while numbness was the main feature of referral in 18%. Only 5.0% of the respondents used medications for their back pain.
Conclusion: Low back pain is common among hospital workers with a point prevalence of 29.1%. About 25% had low back pains that prevented participated in normal duty. Majority of the respondents believed back pain is preventable.
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Ni, Huajing (Jing), Roderick Clifton-Bligh, and Malgorzata Monika Brzozowska. "Tumor-induced osteomalacia – a mystery illness beyond aches, pains, and depression." Endocrine Regulations 55, no. 3 (July 1, 2021): 163–68. http://dx.doi.org/10.2478/enr-2021-0017.
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Abstract Objective. Tumor-induced osteomalacia (TIO) is a rare paraneoplastic syndrome characterized by chronic hypophosphatemia and osteomalacia. We present case of a patient with a protracted clinical course of TIO. TIO profoundly affected every aspect of his life with subsequent profound physical and psychosocial disabilities. Method. The review of a complex clinical presentation, serial laboratory investigations, and imaging modalities of a patient with TIO caused by a mesenchymal tumor. Results. The patient presented with chronic lower back pain, severe bilateral leg weakness, and multiple pathological fractures due to severe osteoporosis. His investigations revealed hypophosphatemia, low 1,25 dihydroxyvitamin D, phosphaturia and normal serum calcium, and parathyroid hormone. Elevated fibroblast growth factor 23 (FGF23) confirmed the diagnosis of TIO and 68Ga-DOTATATE-positron emission tomography/computed tomography (PET/CT) imaging correctly identified a tumor in the left femoral head. His clinical features and biochemical abnormalities promptly recovered after successful surgical resection of the mesenchymal tumor. Conclusion. The present case demonstrated the need to extensively investigate causes of generalized bone pain in patients with hypophosphatemia, as TIO is highly curable. Importantly, 68Ga-DOTATATE PET/CT imaging successfully identified the FGF23 producing tumor, which was undetectable by conventional imaging, favoring its early use in suspected TIO presentation. The present report highlights the importance of timely diagnosis of this complex medical condition, aiming to improve general awareness and enable better clinical outcomes for this rare disorder.
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Ready, Lauren V., Erica Fisk, William Ciurylo, Christopher P. Chiodo, Eric M. Bluman, and Jeremy T. Smith. "Associated Joint Pain with Controlled Ankle Movement (CAM) Walker Boot Wear." Foot & Ankle Orthopaedics 3, no. 3 (July 1, 2018): 2473011418S0039. http://dx.doi.org/10.1177/2473011418s00398.
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Category: Ankle Introduction/Purpose: A controlled ankle movement (CAM) walker boot is often prescribed for patients with a lower extremity injury or disorder. CAM boot wear, however, may cause gait alterations and leg-length discrepancy, which are commonly associated with joint pain. This study evaluates the location, frequency and duration of secondary site pain relating to immobilization in a CAM walker boot. Methods: Patients wearing a CAM walker boot for treatment of a foot or ankle injury were prospectively enrolled and evaluated for new or worsened secondary site pain. Surveys at four time points were completed to evaluate the presence of secondary site pain, its severity, and its impact on overall function. Results: The final study population included 46 patients (mean age 49 years). At transition out of the boot (mean, 4.2 weeks), 31 patients (67%) reported secondary site pain either new or worse than baseline with an average of 1.6 secondary pain sites. The secondary sites most susceptible to pain were the lower back, contralateral hip, and ipsilateral knee. A majority (84%) of these pains began within the first two weeks of boot wear. Secondary site pain was less common after transition out of the boot: 18 patients (39%) at 1 month, 15 patients (33%) at 3 months. The mean VAS for secondary site pains at transition out of boot was 51.2. Statistical significance was found correlating secondary site pain and a history of chronic pain (P=.04). Conclusion: Secondary site pain after CAM walker boot wear was common. The frequency and severity of pain lessened with time after transition out of the boot. Yet, one-third of patients still had new or worsened secondary site pain three months after cessation of boot wear.
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Allami, Mostafa, Elahe Faraji, Fatemeh Mohammadzadeh, and Mohammad Reza Soroush. "Chronic musculoskeletal pain, phantom sensation, phantom and stump pain in veterans with unilateral below-knee amputation." Scandinavian Journal of Pain 19, no. 4 (October 25, 2019): 779–87. http://dx.doi.org/10.1515/sjpain-2019-0045.
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Abstract Background and aims Many individuals with lower limb loss report concerns about other musculoskeletal symptoms resulting from amputation. The objective of this study was to assess chronic musculoskeletal pain in Iranian veterans with unilateral below-knee amputation. Methods The participants agreed to take part in a health needs assessment and were interviewed face-to-face by trained interviewers. The assessment consisted of demographic information, wearing a prosthesis, pain locations in extremities, stump complications, severity of pains related to amputation and low back pain. Results Of 247 unilateral below knee amputees, 97.9% wore a prosthetic limb and times walking or standing with the prosthesis were 12.47 ± 3.84 and 4.22 ± 3.53 h a day, respectively. Low soft tissue coverage of the stump (15.4%) and symptomatic osteoarthritis in the contralateral lower extremity (40.1%) were the most common complications. The prevalence of stump pain, phantom sensations, phantom pain, low back pain, and knee pain was 84.2%, 77.3%, 73.7%, 78.1%, and 54.7% respectively. The odds ratio of stump pain in amputees with phantom pain was 2.22 times higher than those who did not experience phantom pain [OR = 2.22 (CI: 1.19–4.17); p = 0.012] and the odds ratio of low back pain was higher in amputees with stump pain [OR = 3.06 (CI: 1.50–6.21); p = 0.002]. Conclusions This research enhances our understanding of comorbid musculoskeletal problems in below-knee amputees which can help health providers to identify rehabilitation needs and emphasizes the importance of regular assessments. Implications These findings underline the importance of paying closer attention to different dimensions and aspects of musculoskeletal complications in veterans with unilateral below-knee amputation.
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Ahmad, Izhar, Mohd Nayab, and Tanzeel Ahmad. "Effect of gliding cupping with Roghan-e-Surkh in low back ache (Waja-uz-Zahr): a case series study." Drug Metabolism and Personalized Therapy 36, no. 3 (March 29, 2021): 247–50. http://dx.doi.org/10.1515/dmpt-2020-0177.
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Abstract Objectives Pain in joints is a major clinical problem since ancient times. Waja-uz-Zahr stands for low back pain which may arise from internal or external structures of lumbosacral region due to Su-e-Mizaj sada or maddi due to the surplus of Burudat or accumulation of Kham Balgham in lower back. Imala (diversion) and Taqiya-e-Mavad (Evacuation) are inevitable in case of maddi amraz. Hijama (cupping therapy) is a simple, safe, tolerable, and effective regimenal modality, helpful in the treatment of aches and pains. Gruner mentioned a special kind of cupping method in the canon of medicine of Avicenna where cupping glasses are glided over a specified area of body intending the diversion of morbid material under the name of Bier’s treatment. The purpose of present case series was to provide the insight into the effect of gliding cupping in low back ache. Case presentation Three patients of Waja-uz-Zahr, aged between 29 and 64 years, were given gliding cupping treatment after the application of Roghan-e-Surkh on lumbosacral region alternatively for 14 days. Oswestry disability index (ODI) and visual analogue scale (VAS) were used for the assessment of efficacy. Improvement, in case 1, case 2, and case 3 in ODI score was 42.42, 68.18, and 62.50%, respectively while in VAS score, it was 50, 62.5, and 50%, respectively, was observed without any adverse effect. Conclusions On the basis of the above results, it can be concluded that the gliding cupping therapy may be used as an effective modality of treatment for low back ache.
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Fisher, A. "A case of radical cure of posterior uterus inflection by ventrotixatio surgery." Journal of obstetrics and women's diseases 5, no. 5 (August 7, 2020): 475–76. http://dx.doi.org/10.17816/jowd55475-476.
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M.M., 31 years old, the wife of an official, was admitted to the clinic of Professor G.E. Rein with complaints of general weakness, nervous disorders, headaches, dizziness, palpitations, constant pain in the abdomen and lower back, significantly increasing during regulation and each tension, pain during copulation, constipation and pain during bowel movement, frequent urge and pain during urination; comes from a consumptive family; In childhood, she suffered from scrofula, an English disease, anemia and pains; at the 15th year she suffered measles, at the 17th - pneumonia; the first month - in the 11th year, very profuse, with severe pains, lasted 7 days; the second - after 2 years, of the same nature; after 16 years, the correct menstruation was established, after 4 weeks for 7 days. She was married twice; in a month after entering the first marriage (husband suffered from overfusion) had an early (2 weeks) miscarriage, 6 weeks old; the second husband suffered from syphilis and transfusion and was relatively impotent; since this time, the patient's suffering has increased significantly; The used doctors determined that she had an abnormal position of the uterus. Upon admission to the clinic, retroflexio uteri fixata, oophoritis et salpingitis duplex (pelveoperitonitis) were found. Applied during the month of treatment (rest, warming compresses, scarification of the vaginal part, idoform in balls, etc.), as well as repeated attempts to correct the position of the uterus without result; in view of this, it was decided to perform a ventrofixatio uteri retroflexi fixati operation (hysteropexia abdominalis anterior. Ref.), moreover, that at the same time it was possible to produce salpingotomy.
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Khalimova, Dilrabo Jalilovna. "RESULTS RESEARCH OF LOWER BACK PAIN USING THE ORIGINAL LOW BACK PAIN CHARACTERIZATION QUESTIONNAIRE." UZBEK MEDICAL JOURNAL Special issue, no. 3 (September 30, 2021): 30–34. http://dx.doi.org/10.26739/2181-0664-2021-si-3-6.
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In the polyclinics of the city of Bukhara and the Bukhara region, in the polyclinics of the city of Navoi and the Navoi region of the Republic of Uzbekistan, in the period for 2019, they were selectively interviewed using a questionnaire developed in the Bukhara Medical Institute of the Republic of Uzbekistan to determine the characteristics of LBP (for a patient). According to a survey on this questionnaire, specific characteristics of LBP were identified in patients living in urban and rural conditions
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Khalimova, Dilrabo Jalilovna. "RESULTS RESEARCH OF LOWER BACK PAIN USING THE ORIGINAL LOW BACK PAIN CHARACTERIZATION QUESTIONNAIRE." UZBEK MEDICAL JOURNAL Special issue, no. 3 (September 30, 2021): 30–34. http://dx.doi.org/10.26739/2181-0664-2021-si-3-6.
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In the polyclinics of the city of Bukhara and the Bukhara region, in the polyclinics of the city of Navoi and the Navoi region of the Republic of Uzbekistan, in the period for 2019, they were selectively interviewed using a questionnaire developed in the Bukhara Medical Institute of the Republic of Uzbekistan to determine the characteristics of LBP (for a patient). According to a survey on this questionnaire, specific characteristics of LBP were identified in patients living in urban and rural conditions
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Pawlak, W. Z., L. Svensson, and P. F. Jensen. "Metastatic lung cancer in patient with non-malignant neck pain: A case report." Scandinavian Journal of Pain 16, no. 1 (July 1, 2017): 178. http://dx.doi.org/10.1016/j.sjpain.2017.04.041.
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AbstractBackgroundSymptoms from disseminated cancer can develop very slowly. This could be very difficult to distinguish those symptoms from chronic disabilities and nuisances in patients with chronic non-malignant pain.ObjectiveIn this report, the case of a woman with both nonmalignant pain and cancer is presented.Case reportA 54 years old woman was referred by a general practitioner to Multidisciplinary Pain Center. The diagnosis was chronic non-malignant neck pain on the basis of degenerative columnar disease. The patient was also suffering from osteoporosis. During the first visit in the Center, the patient complained of shooting pains in the neck and had tingling sensations in the fingers – most of his right hand. Moreover, the patient experienced shooting pains in the hips, lower back and spine. The multidisciplinary treatment with medication, physical therapy, TENS and cognitive behavioral therapy was offered. Paracetamol together with gabapentin was used. The patient experienced relief of pain. The doses of gabapentin was escalated up to 2400 mg daily without significant side effects. Afterwards, the dose was gradually increased to 3600 mg daily and the patient experienced fatigue, mild headache and dizziness. These symptoms were initially interpreted as side effects of gabapentin. However, the tingling sensations in the fingers were almost disappeared. The doses of gabapentin was reduced, but without relief of symptoms. Within 2 weeks, the patient developed partial paresis of the right upper limb and aphasia. The patient was urgently referred to the neurologic inpatient clinic. CT- and MR-scans showed multiple cerebral metastases. Under the diagnostic workup the lung tumor was found. The biopsy showed pulmonary adenocarcinoma.ConclusionsThe symptoms of lung cancer with cerebral metastases can mimic side effects of gabapentin.
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Ahsan, Md Kamrul, Md Masud Rana, Zahidul Haq Khan, Naznin Zaman, Md Hamidul Haque, and Abdullah Al Mahmud. "Aggressive discectomy for single level lumbar disk herniation." Bangabandhu Sheikh Mujib Medical University Journal 10, no. 3 (September 3, 2017): 135. http://dx.doi.org/10.3329/bsmmuj.v10i3.32911.
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<p class="Abstract">Aggressive open lumbar discectomy is the most commonly performed surgical procedure for patients with persistent low back and leg pain. In this retrospective study, 1,380 patients were evaluated for long-term results of aggressive discectomy for the single level lumbar disk herniation. Demographic data, surgical data, complications and reherniation rate were collected and clinical outcomes were assessed using visual analogue score (VAS), Oswestry disability index (ODI) and modified Mcnab criteria. The mean follow-up period was 28.8 months. According to the modified Mcnab criteria, the long-term results were excellent in 640 cases, good in 445 cases, fair in 255 cases, and poor in 40 cases. The mean VAS scores for back and radicular pains and ODI at the end of 2 years were 1.1 ± 1.0, 1.5 ± 0.5 and 6.6 ± 3.1% respectively. The complications were foot drop (n=7), dural tear (n=14), superficial wound infection (n=17), discitis (n=37) and reherniation (n=64). The dural tear and superficial wound infections resolved after treatment but 28 discitis patients were treated by conservatively and the remaining 9 underwent surgery. Among reherniation patients, 58 underwent revision discectomy and 4 underwent transforaminal lumbar interbody fusion and stabilization. Aggressive discectomy is an effective treatment of lumbar disk herniation and maintains a lower incidence of reherniation but leads to a collapse of disc height and in long run gives rise to intervertebral instability and accelerates spondylosis.</p>
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Eida Nadirah R, Badrulhisyam AJ, Nurhayati MN, Rifqi Irzuan AJ, Mohamad Asmidzam A, and Nor Syazwani AA. "PRELIMINARY STUDY ON THE ERGONOMIC DESIGN OF MOTORCYCLE SEAT FOR COMFORT USAGE." Malaysian Journal of Public Health Medicine 20, Special1 (August 1, 2020): 231–37. http://dx.doi.org/10.37268/mjphm/vol.20/no.special1/art.700.
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Motorcycle seats undeniably provides good comfort to motorcyclists but there are some that offers less affirmation on ushering comfort, whilst some even results in harm to users, resulting in back pains, neck, shoulders, and other parts of the body over prolonged riding periods. This research aims to investigate the discomforts faced by motorcyclist and the best seat concept based on an ergonomic design, fit for the masses through a subjective evaluation. A study that includes a survey was conducted to study the subjective assessment against the motorcycle seat comfort. The study is divided into two parts, where in part 1, the anthropometric data were collected from a total of 100 respondents, representing 88 males and 12 females. Mean from the anthropometric data was used for two new seat redesigns, designated Seat A and Seat B. For part 2, sets of questionnaire were distributed to 130 respondents to measure their perception of seat design A and design B. Based on the results produced, 86.2% respondents suffered discomforts while riding a motorcycle. Most suffered discomforts at particular body areas: lower back, buttock and shoulder, while no discomfort reported around leg, feet and thigh. Results also proved that current seat designs needed an improvement with a majority of respondents opting an added backrest and to increase surface around buttock area. Based on the evaluation of designs, Seat B was selected as a better option as compared to seat A in terms of comfort usage.
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Ali Alshararni. "Acute Transverse Myelitis Associated with COVID-19 vaccine: A Case Report." International Journal of Research in Pharmaceutical Sciences 12, no. 3 (July 26, 2021): 2083–87. http://dx.doi.org/10.26452/ijrps.v12i3.4818.
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The case report demonstrates the issue of Khalid Ali, who is a citizen of Yamen, explicitly living in Saudi Arabia. He is 38 years, weighs 82kgs, and of 162 cm in height. He is a sales professional and married with two kids. Khalid Ali has been living healthy until two years ago when he started experiencing pains in his lower extremities accompanied by numbness. He was treated, and everything went back to normal until soon when the case came back after the administration of the Pfizer vaccine as a preventive measure for COVID-19 disease. The consequence of the administration of the Pfizer vaccine resulted in severe pain and weaknesses in his legs and severe headache on the second day, which resulted in him being put on an ICU after 48 hours since he was almost paralyzed. A series of tests were conducted on him, including magnetic resonance imaging (MRI), hematology, and biochemistry which involved Cerebrospinal Fluid (CSF) protein test. MRI findings were significant since they indicated acute inflammation on the spine observed on the dorsal spinal cord with contrast and lumbosacral spinal cord. All the hematology tests turned out to be expected. Biochemistry conducted tests were similarly standard except for CSF protein which was highly abnormal. The combination of the high abnormal CSF protein test and acute inflammation of the spine observed from the MRI findings were confirmed evidence of acute transverse myelitis as a result of the administration of the Pfizer vaccine.
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Koncar, Igor, Lazar Davidovic, Momcilo Colic, Marko Dragas, Nikola Ilic, Nemanja Menkovic, Maja Vuckovic, Dimitra Kalimanovska-Ostric, Slobodan Cvetkovic, and Dusan Kostic. "Intramural haematoma and penetrating aortic ulcer -outcome and treatment modalities: Report of four cases." Srpski arhiv za celokupno lekarstvo 139, no. 5-6 (2011): 380–85. http://dx.doi.org/10.2298/sarh1106380k.
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Introduction. Intramural haematoma (IMH) and penetrating aortic ulcers (PAU) are the frequent cause of acute aortic syndrome that is disclosed with a rising frequency due to the development of new diagnostic methods. Different symptoms contribute to clinical misdiagnosis, while changeable locations and unpersuasive diameter can lead the radiologists to underestimate such changes. The outcome of PAU and IMH differs, and for the time being there are no data on prognostic factors. The diversity of symptoms and disease course is presented in four cases with different manifestations, treatment and outcome. Outline of Cases. Two patients with IMH were treated conservatively due to the process extensiveness and its morphology. One patient had a complete restitution, while the other had progression of the disease. Other two patients with PAU were treated by surgery (stent graft implantation) according to the morphology and diameter of the aorta. Conclusion. IMH and PAU should be suspected in patients with unclear clinical presentation (back and abdominal pains). Although outcome and complications of these diseases are well known, their incidence has not been fully studied. Endovascular treatment is less invasive and followed by a potentially lower rate of complications. However, usage of this method is justifiable only in patients with associated complications.
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Quintero Rodriguez, Carolina, and Olga Troynikov. "The Effect of Maternity Support Garments on Alleviation of Pains and Discomforts during Pregnancy: A Systematic Review." Journal of Pregnancy 2019 (August 1, 2019): 1–21. http://dx.doi.org/10.1155/2019/2163790.
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Maternity support garments (MSGs) are widely available and commonly recommended and used for alleviation of lower back pain (LBP) and pelvic girdle pain (PGP) during pregnancy; however, most studies available use the garments as a conjunct intervention with other therapies, with scarce research demonstrating the effects of the garments as a sole intervention. This study aims to review the available literature on the effects of using MSGs as sole intervention for comfort improvement of women during pregnancy, as well as to discuss the attributes of the garments which may influence their performance. A systematic review was undertaken, which adheres to PRISMA guideline for systematic reviews. Multiple databases, such as ScienceDirect, CINAHL, EBSCO, Elsevier, SCOPUS, Wiley Online Library, ProQuest, ProQuest Health and Medical Complete, PubMed, and Cochrane Central Register of Controlled Trials, were electronically searched. Six studies met the inclusion criteria and covered three trial studies, two pilot studies and one observational study. Three outcome measurements were identified from the included studies: alleviation of pain, improvement of balance, and improvement of functionality and mobility. The study concluded that wearing MSGs during pregnancy could have beneficial effects in women such as LBP and PGP alleviation, improvement of functionality and mobility, and reduction of risk of fall during pregnancy; however, the mechanisms of the garments’ actions as well as the duration of the garments’ effectiveness are not elucidated through the studies. This study contributes to the understanding of the effects and effectiveness of the use of MSGs as a sole intervention for improvement of comfort during pregnancy as well as information about the different types of garments commercially available and the attributes that may influence the garment performance.
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Kundu, Pardeep. "An Effective Treatment Technique For Professional Athletes With Lower Back Pain." International Journal of Physical Education & Sports Sciences 13, no. 1 (January 1, 2018): 61–65. http://dx.doi.org/10.29070/13/57119.
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Mirza, Raoof R. "The Relation Between Lower Spinal Congenitalanomalies and Chronic Low Back Pain." Journal of Zankoy Sulaimani - Part A 4, no. 2 (September 19, 2000): 19–27. http://dx.doi.org/10.17656/jzs.10076.
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Ju, Sung-Bum. "자석을 동반한 키네시오 테이핑 적용에 따른 만성 요통환자의 통증 조절 효과." Korea Journal of Sport 19, no. 2 (June 30, 2021): 393–400. http://dx.doi.org/10.46669/kss.2021.19.2.034.
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amir, Seyed. "Intervertebral Surgical Disc Management: A Systemic Review of Treatment of Chronic Lower Back Pain." Spinal Diseases and Research 1, no. 2 (September 24, 2018): 01–02. http://dx.doi.org/10.31579/jsdr.2018/009.
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Basieva, E. V., Yu A. Milutka, N. A. Tarasov, A. V. Silin, and D. E. Mokhov. "The effectiveness of orthodontic and osteopathic correction in patients with dental anomalies and musculoskeletal dysfunction of the temporomandibular joint in the presence of concomitant somatic dysfunctions and without it." Russian Osteopathic Journal, no. 4 (December 30, 2021): 63–74. http://dx.doi.org/10.32885/2220-0975-2021-4-63-74.
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Introduction. The influence of the dental apparatus on the balance of the body in an upright position has been widely discussed in the literature for several decades. Examination of the patient taking into account his postural balance makes it possible to clarify the reasons for the low effectiveness of pain syndromes treatment of the craniocervical region caused by malocclusion, as well as ineffective correction of musculoskeletal dysfunction of the temporomandibular joint (MSD TMJ) associated with posture disorders.The aim of the study is to evaluate the effectiveness of treatment of patients with dental anomalies and musculoskeletal dysfunctions of the temporomandibular joint and concomitant somatic dysfunctions (if any) by methods of orthodontic and osteopathic correction.Materials and methods. The study involved 102 patients aged from 18 to 45 years with TMJ. All patients underwent orthodontic and osteopathic examination. 3 groups of patients were formed: № 1 — exclusively with dental anomalies TMJ (occlusive dysfunction), who received only orthodontic treatment, № 2 with concomitant somatic (extra-occlusive) dysfunctions, who received only orthodontic treatment, and №3 with concomitant somatic (extra-occlusive) dysfunctions, who received both orthodontic and osteopathic treatment. Orthodontic treatment of musculoskeletal dysfunction of the TMJ consisted of the occlusive kappa manufacturing. Osteopathic correction was carried out individually, taking into account the identified somatic dysfunctions, on average 3 sessions. Patients also received drug therapy, and they performed myohymnastics for the masticatory muscles. The clinical dysfunction index (Helkimo M.) was used to control the elimination dynamics of the TMJ's musculoskeletal dysfunction symptoms. The assessment of the pain dynamics in the TMJ was carried out by a visual-analog scale (VAS). The evaluation of the osteopathic treatment effectiveness was carried out on the basis of computer stabilometry data and osteopathic examination data. A stabilometric study was performed on the «ST-150» («Biomera») stabiloplatform in the Romberg sample (European foot installation) with open and closed eyes in two positions of the lower jaw: 1) in a state of physiological rest (tooth rows are separated); 2) in the kappa with closed tooth rows.Results. The MSD TMJ symptoms were eliminated 10 weeks after the start of treatment in all (100 %) patients of group № 1 and group № 3. Among the patients in group № 2, only 12,1 % of patients had complete absence of MSD TMJ symptoms, while all patients in this group had a statistically significant decrease in the clinical index of Helkimo dysfunction. In one third of the group № 2 patients on the 12th week of orthodontic treatment, headaches and/or pains in other parts of the musculoskeletal system (neck, back, shoulders, arms) prevailed among complaints and which were previously indicated in the anamnesis. This occurred after the elimination of the MSD TMJ symptoms. The absolute majority of patients in group № 3 (97,1 %) noted the complete disappearance of headaches and/or pains in other parts of the musculoskeletal system (neck, back, shoulders, arms). Also, in patients of this group, stabilometric indicators were normalized in a state of physiological rest and in the kappa.Conclusion. Patients with somatic dysfunctions need complex treatment with the participation of an osteopath and a dentist. When assessing the osteopathic status of a patient, it is important to determine whether the patient has only occlusive dysfunctions or there are also extra-occlusive ones. Additional osteopathic correction is recommended for patients with extraocclusive dysfunctions in order to achieve treatment results comparable in effectiveness and timing.
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Pecar, Džemal, Izet Masić, Muris Pecar, Muzafer Mujić, and Mediha Karić. "Effects of the Treatment of Acute Lumbar Painful Syndrome (ALPS) by "Praxis Method" during the Period from 1996 to 2000." Bosnian Journal of Basic Medical Sciences 3, no. 2 (May 20, 2003): 25–29. http://dx.doi.org/10.17305/bjbms.2003.3551.
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Summary Acute lumbar syndrome occurs suddenly and is accompanied with strong pain in the lower part of the back. The most frequent APLS causes are vertebral (herniation of intervertebral disc, subluxation of intervertebral disc, subluxation of intervertebral joint, fracture of vertebra -traumatic or pathological), or extravertebral (subluxation of sacroiliac joint, acute bursitis of iliolumbar segment, muscle injuries or injuries of tendo-ligamentous apparatus of lumbosacral region).The treatment of acute lumbar painful syndrome is classified as medical, alternatively medical, surgical and combined. On the basis of durable experience, “Praxis method” as a treatment of lumbar pain (general and acute) is being applied in the Centre for Physical Medicine and Rehabilitation “Praxis” in Sarajevo. During the period from 1996 to 2000, the total number of 5.663 patients were examined in the centre “Praxis”. Out of that number, 17.7% (1.003) of patients had acute lumbar painful syndrome (ALPS). Immediately after the therapeutic manipulation, which included “Praxis method, 31.5% (317) patients experienced the cessation of pains followed by ending of the treatment. The length of treatment for the rest of patients lasted: 1-7 days in 412 or 41.07% of patients, 8-21 days in 195 or 19.48% of patients, and more than 21 days in 79 or 7.88% of patients. For all patients (1.003) the average treatment duration was 6.6 days. The recidivation occurred in 127 patients (12.66%).Throughout the treatment successfulness estimation according to clinical results scaled from 0 to 5, it was confirmed that out of the total number of 831 patients (82.85%) results were excellent in 459 patients (45.76%) or very good in 372 patients (35.09%).The average age of patients was ranging between 35 and 45 years (621 patients or 61.9%). The male/female distribution was 2:1.
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Mathew, Justin, David Berger, and Vafa Tabatabaie. "Severe Osteomalacia and Fractures Secondary to Vitamin D Deficiency." Journal of the Endocrine Society 5, Supplement_1 (May 1, 2021): A221. http://dx.doi.org/10.1210/jendso/bvab048.449.
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Abstract Background: Vitamin D deficiency is a common entity among the elderly. Low vitamin D levels can lead to poor bone mineralization, in addition to elevations in PTH levels with resultant increases in bone turnover. However, severe Vitamin D deficiency causing osteomalacia has become uncommon in the United States due to increased screening and treatment. Vitamin D supplementation is a mainstay of therapy for osteoporosis, yet its effect on bone density is generally thought to be modest. We present here an extreme case of vitamin D deficiency leading to severe secondary hyperparathyroidism and bone demineralization, with excellent response to supplementation. Clinical Case: Patient was a 73-year-old woman with hypertension who presented to the ER with acute on chronic back and lower extremity pain. She had these pains for about a year, but they had worsened over the last 4 days. She had been homebound for the past 1–2 years due to severe pain while ambulating, reported a five-inch loss of height and 50 pounds weight loss, and maintained a vegan diet. She had not had medical care in 15 years. Imaging studies demonstrated a displaced left femoral neck fracture, a nondisplaced right femoral neck fracture, multilevel thoracolumbar compression fractures, and a nondisplaced right scapular fracture. Blood tests revealed normal renal function, calcium 8.6mg/dL (nl 8.5–10.5), phosphorus 2.6mg/dL (nl 2.5–4.5), and alkaline phosphatase 2,821U/L (nl 45–164). Secondary osteoporosis workup was negative for hypercalciuria or multiple myeloma, but was notable for a PTH level of 2,190 pg/mL (nl 10–65) and 25-OH Vitamin D level of <5ng/mL (nl >30). C-telopeptide was measured at 3,346 pg/mL (nl <1000) and osteocalcin >300ng/mL (nl 8–32). DEXA scan showed T-scores of -4.2 at the lumbar spine and -6.8 at the distal forearm. She was started on high-dose vitamin D supplementation, with serum Vitamin D level rising to 42.1ng/mL after 6 months of treatment. This corresponded to a decrease in PTH to 141.1pg/mL and alkaline phosphatase to 375U/L. Repeat DEXA two years later showed 52.8% increase in bone mineral density at the lumbar spine, and 27.1% increase at the forearm. The patient’s body pains have significantly improved and she is now ambulatory again. Conclusions: Vitamin D deficiency is an uncommon cause of severe bone demineralization in the United States. However, in certain high-risk populations, it can present with debilitating osteomalacia and numerous pathologic fractures. Even in cases of osteoporosis with severe PTH elevation, Vitamin D deficiency must be ruled out as a potential secondary etiology, as it can be easily treated with potentially dramatic response.
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Desai, Anjali Varma, Meina Lu, Sara Marcus, Ankeeta Saran, Aditya Malankar, and Amitabha Mazumder. "A Phase II Trial of TBL12 Sea Cucumber Extract in Patients with Untreated Asymptomatic Myeloma." Blood 124, no. 21 (December 6, 2014): 5733. http://dx.doi.org/10.1182/blood.v124.21.5733.5733.
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Abstract Background: There is currently no standard therapy for patients with asymptomatic multiple myeloma. Lenalidomide/dexamethasone has been studied in a phase III trial of high-risk patients with asymptomatic or “smoldering” myeloma; this regimen was found to delay time to progression and improve survival rates with mild to moderate toxicity, including DVT and myelosuppression. In this trial, the median time to progression was found to be 21 months in the control group. TBL12 sea cucumber extract has been shown to have a number of antitumor properties, including anti-angiogenesis and direct tumor cytotoxicity. In our independent cytotoxicity assays using cell culture models of human myeloma cells, TBL12 effectively reduced myeloma cell growth in a dose-dependent manner with minimal toxicity and appeared to induce a programmed cell death based on cellular changes seen (i.e. nuclear condensation). Based on these preclinical results, we sought to investigate the efficacy and toxicity of TBL12 in delaying the progression of asymptomatic multiple myeloma in an FDA-sponsored clinical trial. Methods: Twenty patients were enrolled in the study. TBL12 was administered orally at a dose of 2 units (of 20 mL each) twice a day, in 4 week cycles, until disease progression. Disease progression was determined according to standard International Myeloma Working Group criteria. The primary endpoint was the median duration of response, defined as the median amount of time that the patients received the TBL12 medication. Results: Of the 20 patients enrolled in the study, 5 patients were taken off the TBL12 protocol due to either personal choice or noncompliance. Among the remaining 15 patients, the length of follow-up ranged from 8.5 months to 31 months, with a median follow-up period of 21 months. The trial was stopped in December 2013. Five of the patients developed progressive disease while receiving TBL12; four of these patients developed new lytic bone lesions and one patient progressed by paraprotein measurement. Including all original 20 patients in the study, the median duration of response was 19.75 months. Excluding the 5 patients who were taken off the TBL12 protocol due to either personal choice or noncompliance, the median duration of response was 21 months. Toxicities observed during the trial were mostly grade 1 or 2 and were generally unrelated to the medication. There were two grade 3 adverse events: one chest pain episode that was unlikely to be related to the medication and one cellulitis episode that was unrelated to the medication. Examples of grade 2 toxicities included: anxiety/depression, fatigue, tooth infection, leukopenia, vaginal infection, lower back pain, rib pain, sinus infection, bronchial infection, and pneumonia. Examples of grade 1 toxicities included: dizziness, joint pains, colds (URIs), flu, stomach pain, fatigue, headaches, nausea, tremor, tingling, radicular pains, weakness and diarrhea. There were no grade 4 adverse events observed. None of the patients died while receiving TBL12. The patients reported improvement in quality of life measures, which will be discussed. Conclusions: TBL12 may be a promising therapeutic agent in halting the progression of asymptomatic multiple myeloma. In vitro correlations of response with marrow T cell subsets, cytokines and angiogenesis are ongoing and will be presented. Given the minimal toxicities associated with this drug, additional studies to further elucidate the time to progression, response patterns, and overall survival rates associated with TBL12 in asymptomatic multiple myeloma patients would be worthwhile. Disclosures No relevant conflicts of interest to declare.
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Orita, Sumihisa, Masahiro Inoue, Kazuhide Inage, Yasuhiro Shiga, Yawara Eguchi, Satoshi Maki, Takeo Furuya, and Seiji Ohtori. "Novel perceptions toward the pathology and treatment outcomes in lower back pain patients using wearable trackers." PAIN RESEARCH 36, no. 2 (July 30, 2021): 96–101. http://dx.doi.org/10.11154/pain.36.96.
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de Wilton, Angus, Dinesh Aggarwal, Hans Rolf Jäger, Hadi Manji, and Peter L. Chiodini. "Delayed diagnosis of spinal cord schistosomiasis in a non-endemic country: A tertiary referral centre experience." PLOS Neglected Tropical Diseases 15, no. 2 (February 11, 2021): e0009161. http://dx.doi.org/10.1371/journal.pntd.0009161.
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Background Neuroschistosomiasis is a severe complication of schistosomiasis, triggered by the local immune reaction to egg deposition, with spinal cord involvement the most well recognised form. Early treatment with praziquantel and high dose steroids leads to a reduction of neurological sequelae. The rarity of this condition in returning travellers to high income countries can result in delayed diagnosis and treatment. We aimed to evaluate the diagnosis and management of neuroschistosomiasis in a UK national referral centre. Materials/Methods A retrospective review of confirmed clinical cases of spinal schistosomiasis referred to the Hospital for Tropical Diseases, UK, between January 2016 and January 2020 was undertaken. Electronic referral records were interrogated and patient demographic, clinical, laboratory, and radiological data collected. Results Four cases of neuroschistosomiasis were identified. The median age at diagnosis was 28 (range 21 to 50) with three male patients. All patients had epidemiological risk factors for schistosomiasis based on travel history and freshwater exposure; two in Uganda (River Nile), one in Malawi and one in Nigeria. All patients presented with features of transverse myelitis including back pain, leg weakness, paraesthesia and urinary dysfunction. The mean time from presentation to health services to definitive treatment was 42.5 days (range 16–74 days). Diagnosis was confirmed with CSF serology for schistosomiasis in all cases. Radiological features on MRI spine included enhancement focused predominantly in the lower thoracic spinal cord in three cases and the conus in one patient. All patients received a minimum of three days of oral praziquantel and high dose steroids. At three-month follow-up, one patient had complete resolution of symptoms and three had residual deficit; one patient was left with urinary and faecal incontinence, another had urinary retention, and the final patient has persistent leg pains and constipation. Conclusion We observed a marked delay in diagnosis of neuroschistosomiasis in a non-endemic country. We advocate undertaking a thorough travel history, early use of imaging and CSF schistosomal serology to ensure early diagnosis of neuroschistosomiasis in patients presenting with consistent symptoms. If schistosomal diagnostics are not immediately available, presumptive treatment under the guidance of a tropical medicine specialist should be considered to minimize the risk of residual disability. We advocate for consensus guidelines to be produced and reporting to be performed in a uniform way for patients with spinal schistosomiasis.
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H. Rabadi, Meheroz. "Excruciating Low back Pain in an Acute Stroke Patient: A Case Report." Journal of Clinical Case Reports and Studies 2, no. 6 (October 28, 2021): 01–04. http://dx.doi.org/10.31579/2690-8808/096.
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Background: Acute low back pain is one of the most common reasons for adults to see a physician. However, vertebral osteomyelitis (VO) is a rare condition, which mostly affects the lumbar spine. Lumbar spine MRI imaging is the diagnostic method of choice. If left untreated can lead to vertebral destruction or spinal abscess formation. Case: An 86-year-old man presented with a stroke to our facility, while undergoing therapy complained of excruciating low back pain that prevented him from undergoing therapy specially standing and walking. His vital signs were normal, and he was afebrile. Plain X-ray of the lower spine showed osteoarthritic changes. Patient was initially started on non-steroidal anti-inflammatory (NSAID) with no change in the severity of his low back pain. Lumbar vertebral spine magnetic resonance imaging (MRI) showed lumbar vertebral osteomyelitis. Initiation of IV antibiotics dramatically decreased the pain severity. Conclusion: Low back pain is common in the elderly population and responds effectively to NSAID. Persistence of low back pain in the presence of pathognomonic changes in the lumbar spine MRI indicate the presence of VO. Prompt treatment with empirical antibiotics is warranted.
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Alemo, S., and A. Sayadipour. "Chronic Mechanical Lower Back Pain." Regional Anesthesia and Pain Medicine 33, Sup 1 (September 2008): e194. http://dx.doi.org/10.1097/00115550-200809001-00375.
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Lewis, Katrina, and Salahadin Abdi. "Acupuncture for Lower Back Pain." Clinical Journal of Pain 26, no. 1 (January 2010): 60–69. http://dx.doi.org/10.1097/ajp.0b013e3181bad71e.
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Yee Ng, Ivy Hoi, and Elaine Yun Ning Cheung. "Pituitary Macroadenoma Masked by Iatrogenic Adrenal Insufficiency: A Diagnostic Blind Spot." Journal of the Endocrine Society 5, Supplement_1 (May 1, 2021): A151. http://dx.doi.org/10.1210/jendso/bvab048.305.
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Abstract Background: Exogenous steroid use is the most common cause of central adrenal insufficiency. Depending on the duration and strength used, it may take months to years for the hypothalamic-pituitary-adrenal (HPA) axis to recover after the steroid is stopped. We report a case of iatrogenic hypoadrenalism with persistent suppression of the HPA axis for 13 years, discovered later to be due to a second pathology. Case: A 48 year old lady presented in 2005 with weight gain of 20 kg over 1 year and florid Cushingoid features. 9AM cortisol was undetectable (<12 nmol/L). History taking revealed use of oral dexamethasone at various dosages over the past 9 years for her knee pains. A diagnosis of iatrogenic adrenal insufficiency was made. She was started on hydrocortisone replacement, and was advised to stop the over-the-counter steroids. By 2011 her short Synacthen test (SST) showed much improved functioning of the HPA axis (cortisol 182 (0 min) -> 329 (30 min) -> 408 nmol/L (60 min) [N peak>500 nmol/L]), and she was back to her usual body weight. However, subsequent monitoring revealed declining trend of 9AM cortisol from 135 nmol/L (2013) -> 99 nmol/L (2014) -> 57 nmol/L (2015) -> 64 nmol/L (2016) -> 18 nmol/L (2017) [N 166–507 nmol/L]. Hydrocortisone compliance and abstinence from exogenous steroids was confirmed with the patient. The ongoing hypofunction of the HPA axis was continually attributed by multiple physicians to her history of prolonged use of dexamethasone. In 2018, at the age of 60, the lady presented with new onset headaches, blurred vision, and bitemporal hemianopia for 3 months. MRI showed a 1.8x1.8x3.5 cm (WxAPxH) pituitary mass with suprasellar extension compressing the optic chiasm. Blood tests revealed panhypopituitarism: SST cortisol 17 -> 59 -> 49 nmol/L, ACTH 2.7 pmol/L [N <10.1 pmol/L]; fT4 9.5 pmol/L [N 12–22 pmol/L], TSH 0.97 mIU/L [N 0.27–4.2 mIU/L]; LH <0.1 IU/L, FSH 0.52 IU/L (menopause at age of 48); IGF-1 27 µg/L [N 41–279 µg/L]; prolactin 17 mIU/L [N 102–496 mIU/L]. After partial excision of the mass her vision improved, but remained dependent on hydrocortisone and thyroxine supplements. The lesion was pathologically proven to be a pituitary macroadenoma. Discussion: This case presents the uncommon course of a patient who had almost recovered from iatrogenic hypoadrenalism, only to lapse back into worsened central adrenal insufficiency, as part of panhypopituitarism related to an undiagnosed pituitary mass. In retrospect, the unusually protracted state of hypocortisolemia and the atypical waxing and waning HPA axis should have alerted one to consider alternative etiologies at work. As LH-FSH and GH deficiencies commonly develop before ACTH and TSH deficiencies in most pituitary macroadenomas, a lower threshold for testing the other anterior pituitary hormones followed by imaging of the pituitary could have picked up the tumor earlier in this patient.
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Chandana, S., B. R. Purnima, and Prabhu Ravikala Vittal. "Classification of Individuals Based on Autonomic Response to Virtual Gaming." Journal of Computational and Theoretical Nanoscience 17, no. 9 (July 1, 2020): 4385–93. http://dx.doi.org/10.1166/jctn.2020.9082.
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Modern games consists of digital gaming consoles that involves interaction with a user and has an interface to generate visual feedback through 2D/3D monitor. These games have several psychological side effects like loss of spatial awareness, back pains, insomnia, addiction, aggression, stress, and hypertension. Virtual reality (VR) Gaming is one of the most emerging and novel technologies in the field of entertainment. Evaluation of this new technology has become important in order to analyze the effects of its predecessors (2D and 3D gaming). The main focus of this paper is on detection of stress levels in individuals due to VR gaming and classify them depending on their sympathetic and parasympathetic dominance. This is done through acquisition of electrocardiogram (ECG) and photo plethysmograph signals (PPG) signals and extracting their time domain and frequency domain features before, during and after gaming (Fatma Uysal and Mahmut Tokmakçi, 2018. Evaluation of stress parameters based on heart rate variability measurement. Department of Biomedical Engineering, Erciyes University, Kayseri, Turkey. fatmauysal@erciyes.edu.tr, tokmakci@erciyes.edu.tr., da Silva1, A.G.C.B., Arauj, D.N., et al, 2018. Increase in perceived stress is correlated to lower heart rate variability in healthy young subjects. Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil. s/n., 81531–980, Curitiba, Parana, Brazil. E-mail: fernandoaldias@gmail.com.). The physiological signal variation is analyzed by performing Heart Rate Variability (HRV) analysis over ECG signals which is one of the fast emerging methods in non-invasive research and clinical tools for assessing autonomic nervous system function (Juan Sztajzel, 2004. Heart rate variability: Aa non-invasive electrocardiographic method to measure the autonomic nervous system. Cardiology Center and Medical Policlinics, University Hospital, Geneva, Switzerland, SWISS MED WKLY 2004;134:514–522. www.smw.ch). Pulse-transmissiontime-variability (PTTV), which is extracted, has high coherence with heart rate variability and is also used as an objective measure of stress. In this paper we obtain the response of an individual during VR gaming and correlate them with the HRV/PTT parameters. The game chosen for the data acquisition was ‘VR city view rope crossing-360 android VR,’ during which data recording is done. It was found that there was a quantitative increase in physiological stress when individuals were exposed to virtual high heights in comparison with time relative to unaltered viewing. Mean Heart rate showed a significant increase during gaming for both boys and girls which indicates that the body is under the influence of a sympathetic activity like a physical exercise.
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ALEMO, S., and A. SAYADIPOUR. "148: Chronic Mechanical Lower Back Pain." Regional Anesthesia and Pain Medicine 33, no. 5 (September 2008): e194-e194. http://dx.doi.org/10.1016/j.rapm.2008.07.390.
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Alemo, S., and A. Sayadipour. "148. Chronic Mechanical Lower Back Pain." Regional Anesthesia & Pain Medicine 33, Suppl 1 (September 2008): e194.2-e194. http://dx.doi.org/10.1136/rapm-00115550-200809001-00375.
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Inklebarger, James. "Discogenic lower back pain: Current concepts." International Musculoskeletal Medicine 36, no. 2 (July 2014): 50–53. http://dx.doi.org/10.1179/1753614614z.00000000070.
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Roy, Surajit, Ujwal Bhattacharya, Kritica Boruah, and Urvashi Bhattacharya. "Frequency Of Low Back Pain and Other Associated Musculoskeletal Disorders In City Bus Conductors of Guwahati city, Assam, India." International Journal of Physiotherapy and Research 9, no. 4 (July 11, 2021): 3876–82. http://dx.doi.org/10.16965/ijpr.2021.134.
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Background: Work-related musculoskeletal discomfort, especially low back pain (LBP) leads to substantial economic loss to individuals as well as to the community. Musculoskeletal disorders not only lead to loss of health but also loss of wealth. Bus conductors who are an important population in the community are at an increased risk of developing musculoskeletal symptoms. Their jobs involve prolonged standing and walking inside the bus for whole day which have been identified as risk factors for musculoskeletal discomfort. Materials and methods: A survey of 100 bus conductors from different bus routes between the age group of 20 to 50 years, having at least 1-year working history and standing for 5 h/day, was conducted in Guwahati city of Assam state. Those with a history of trauma, preexisting medical conditions, or musculoskeletal deformities were excluded. Prevalence of LBP was assessed using Oswestry disability low back Pain Questionnaire, musculoskeletal discomfort was assessed by using Cornell musculoskeletal discomfort questionnaire. Mean, standard deviation and percentage was calculated for analysis. Result: The mean for Oswestry disability low back pain score is 23.26 and SD is ±9.8786. According to Oswestry disability LBP interpretation score it falls under 21- 40 percent- moderate disability. CMDQ scoring shows the mean SD is higher in lower back, neck and both the knees. The result of the study shows that bus conductors have a higher susceptibility to the back, neck and knees. Conclusion: The bus conductors work continuously for long periods and their severe workload results in the development of disability in lower back. The conductors suffer from MSD in different parts of their body, particularly the lower back, neck and both knees, regions which hinders their normal work activities. Thus, it can be concluded that the bus conductors are highly stressed in their occupation due to the hazardous working condition and work behaviour, which also affects their health and overall work performance. KEY WORDS: Low back pain, Musculoskeletal disorder, Work related musculoskeletal disorder, Bus conductors, Oswestry disability low back pain questionnaire, Cornell musculoskeletal discomfort questionnaire.