Articles Related to pain

Temporomandibular Disorders (TMD) is a generic term encompassing a group of musculoskeletal and neuromuscular disorders. The aim of our study was to assess the evolution of knowledge and current practices of Senegalese dentists regarding temporomandibular disorders, and to measure any disparities in diagnostic and treatment methods.

View complete article: PDF  |  Full-text

We present rare case of medial meniscus dislocation, in a 25 years old female patient who was admitted in emergency department. With painful locked left knee. Arthroscopy was done next day showing isolated dislocation of medial meniscus with the absence of any medial meniscus tear. Only reduction of the medial meniscus was done. Postoprative MRI confirmed the diagnosis and showed no tears in the medial meniscus. Physiotherapy and clinical follow up were done with good results and no recurrence for 4 months postoperative.

View complete article: PDF  |  Full-text

Prolong mattress use compresses the metal coil springs which may ultimately result in a compromised sleeping surface. This coil spring metal fatigue can result in spinal pain and stiffness. The purpose of this study was to compare the amount of metal fatigue of used mattress coil springs from the areas bearing greatest body weight versus areas subjected to little compression to ascertain the. Six weight bearing coil springs (WBS) were extracted from the center the used (range 8-10 yr.) mattresses (N=32) and six non-weight bearing coil springs (NWBS) were extracted from the head/foot are of the same mattresses. To determine spring weakness a special frame and platform was constructed to compare unloaded spring height with compression distance height following placement of a 1,296 g ingot on the platform. Also, a pressure gauge was used to measure the amount of pressure required to compress the coil springs a distance of 2 cm. Comparison between WBS and NWBS data were statistically treated using independent t-tests and a one-way ANOVA. There were no significant group differences in weight or height in unloaded coils. However, there were significant (p<0.05) differences in coil spring compression distance under load (WBS = 2.78 ± 0.34 cm; NWBS = 1.52 ± 0.39 cm) and force gauge compression (WBS = 1090.51 ± 88.42 g; NWBS = 1213.12 ± 71.38 g) between groups. While manufacturers’ recommendations to replace a mattress is ranges between 8 and 10 yrs., these results indicate that coil spring weakness may occur before 8 yrs. of use. Weak springs leads to loss of weight bearing capacity of the mattress thereby resulting in sagging upon use. Such sagging which may compromise sleep posture with accompanying back pain and poor sleep quality and quantity.

View complete article: PDF  |  Full-text

Analyze the clinical profile of the spine with osteonecrosis in sickle cell disease. 610 patients were followed-up in this study between 2000 and 2017. 98 osteonecrosis were identified, 48 in the lumbar spine, 40 in the thoracic spine and 10 in both spine segments. We analyzed sex, age, genotype, and pain. Magnetic resonances and radiographs of the spine were performed.

View complete article: PDF  |  Full-text

The heel fat pad cushioning is the result of its structure, shape, thickness. Its morphological modifications due to changes in the amount or distribution of the loads normally sustained by the foot can be disturbed and can result in heel pain. The heel fat pad was found to have a crest on its anterior dorsal surface, flanges on both sides and posteriorly, and a thick portion that reached and covered the posterior surface of the calcaneus and the Achilles tendon insertion. Its anterior internal portion is thinner, and a lump of fat is consistently present in this region [1].

View complete article: PDF  |  Full-text

Tetanus is caused by Clostridium tetani, which one of its toxins, tetanospasmin is the cause of clinical symptoms. The incubation period is generally 3 days to 3 weeks. The clinical severity is due to the amount of toxin and the neural distance to reach the neuronal body.

View complete article: PDF  |  Full-text

Sickle cell anemia is a public health priority, but do its chest manifestations always require a chest radiography ? Our study aims to determine the epidemiological, clinical and radiographic profiles of the thoracic manifestations in the drepanocytic adult in the city of Ouagadougou (BURKINA FASO).

View complete article: PDF  |  Full-text

Thousands of patients are annually diagnosed with Frozen Shoulder (FS) or adhesive capsulitis, where the joint capsule contracts and becomes less flexible. The condition is painful, with reduced range of motion (ROM) in the shoulder and arm and causes great suffering, often with difficulty sleeping and greatly reduced work ability. The treatment given today is partly conventional treatment with cortisone or NSAID preparations as well as physiotherapy and other therapeutic treatment which usually have limited effect. The study investigates whether myofascial treatment, using a device generating deep pulsating vibrations, can provide increased ROM and facilitate for these patients. 23 patients diagnosed with FS were included in the study. Three treatments were performed, within set time intervals. The ROM was measured before and after each treatment, pictures were taken with a thermography camera and angles were measured. The result showed that 87 percent got an increased ROM by 30 degrees or more, that 52 percent of the patients improved ROM by 60 degrees or more, and that 30 percent regained full ROM. 61 percent of the patients also reported improved quality of sleep. The study indicates that this treatment could possibly improve ROM and well-being for patients with FS. Further studies are recommended to evaluate and validate these findings. A validated treatment of FS could mean great socioeconomic benefits and an increased quality of life for patients diagnosed with FS.

View complete article: PDF  |  Full-text

Study purpose was to explore the efficacy of Neural Mobilization with conventional physiotherapy compare to only conventional physiotherapy for the treatment of radiating Low Back Pain (LBP).

View complete article: PDF  |  Full-text

Foreign body ingestion is a common occurrence among children and adults with certain risk factors including advanced age and psychiatric diseases. However, in clinical practice we encounter healthy adults who are diagnosed with unintentional foreign body ingestion and are not able to remember it. These cases may be complicated by gastrointestinal perforations in case of ingesting sharp objects. Only clinical suspicion would help clinicians for prompt diagnosis in such cases.

View complete article: PDF  |  Full-text

Mobbing was defined by Leymann “a form of psychological terrorism that implies an unostentatious and unethical attitude in a systematic form by one or more subjects, usually towards a single individual who, because of this persecution, finds himself in a defenceless condition and becomes object of continuous vexatious and persecutory activities that recur with a systematic frequency and over a period of time that is not short, causing considerable mental, psychosomatic and social suffering” (Leymann, 1988) [1].

View complete article: PDF  |  Full-text

Although the use of physical restraint (PR) is accepted, it remains controversial as staff are required to balance professional, ethical and legal tensions between maintaining everyone’s safety, upholding human rights, and minimising harm. One such tension relates to the use of Wrist Flexion Techniques (WFT) used in some health, social care and custodial settings. WFT impose load onto the musculoskeletal structures of the wrist to gain control or compliance from a restrained person, and can result in discomfort, pain, injury, psychological trauma and be detrimental to therapeutic relationships. Current evidence and guidance on WFT are absent with debate existing as to whether WFT can be used without inducing pain. Twenty adults participated in the study. The mean discomfort angle was 90.1° (± 8.6) of flexion with 2.8 Kg (± 1.1) of force, and the mean pain angle was and 98.4° (± 7.9) of flexion with 4.4 Kg (± 1.8) of force, therefore only 8.3° of movement and 1.6 Kg of force separate pain free from pain inducing WFT. Genders did not differ in relation to angle of discomfort or pain. Females experienced discomfort with 1.1Kg less force (p = 0.021) and experienced pain with 1.7Kg less force (p = 0.023). This research challenges the assertion that WFT can exist as non-pain inducing and pain inducing PR techniques since the margin between them may be too small for practitioners to discriminate, particularly during the struggle of real world restraint. Further research may consider other potential pain inducing techniques, and the role and use of PIT during restraint.

View complete article: PDF  |  Full-text

Parkinson’s disease (PD) is a chronic, disabling hypokinetic movement disorder with a broad spectrum of symptomatology including motor and non-motor complaints. Since non-motor symptoms of the disease such as musculoskeletal pain including shoulder pain is often underestimated, and is prone to occur during the course of the disease, as well as the prodromal phase of PD, it is important to keep in mind that shoulder pain may be a foot step of an evolving PD, and may need further investigation in terms of PD.

View complete article: PDF  |  Full-text

Low back pain is a global health issue, potentially affecting the individual’s functionality in daily life. Teaching is regarded as a human service occupation and in recent years it is been identified as a highly stressful occupation.

View complete article: PDF  |  Full-text

Episiotomy is an incision that is made in perineum at the end of part of second stage of delivery. There are Long term sequels of episiotomy repair. A considerable number of ladies complains from perineal pain and up to twenty percent have long term complications e.g., dyspareunia [1]. The best method for repairing episiotomy is the method that isnot time consuming and lesser materials and causes lesser pain in the immediate and long term periods.

View complete article: PDF  |  Full-text