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management of neck pain

Alain Haggiag, Jose Tadeu Tesseroli de Siqueira
OBJECTIVE: To evaluate the improvement in reducing the pain of patients diagnosed with masticatory myofascial pain and bruxism when undergoing treatment with a partial posterior interocclusal device for the management and control of awake bruxism through biofeedback. METHODS: Sixty patients were evaluated during the following periods: pretreatment, 7, 30, and 90 days. The evaluation was carried out by measuring the reduction in pain using clinical and numerical scales...
August 11, 2018: Cranio: the Journal of Craniomandibular Practice
Bart N Green, Claire D Johnson, Scott Haldeman, Edward J Kane, Michael B Clay, Erin A Griffith, Juan M Castellote, Matthew Smuck, Shanmuganathan Rajasekaran, Eric L Hurwitz, Margareta Nordin, Kristi Randhawa, Hainan Yu
PURPOSE: The purpose of this study was to develop recommendations for prevention interventions for spinal disorders that could be delivered globally, but especially in underserved areas and in low- and middle-income countries. METHODS: We extracted risk factors, associations, and comorbidities of common spinal disorders (e.g., back and neck pain, spinal trauma, infection, developmental disorders) from a scoping review of meta-analyses and systematic reviews of clinical trials, cohort studies, case control studies, and cross-sectional studies...
August 11, 2018: European Spine Journal
Mary Kamal Nassif Takla
BACKGROUND: Electrotherapeutic modalities have proven to be one of the best therapeutic options for myofascial pain syndrome, targeting the myofascial trigger points (MTrPs). Combined therapy (CT) is described with paucity in literature as the application of ultrasound (US) and electrical stimulating current concurrently and at the same site. AIM: The aim was to compare between low-frequency, high-intensity burst transcutaneous electrical nerve stimulation CT (burst-TENS-CT) and medium-frequency, low-intensity amplitude modulated frequency CT (AMF-CT) on upper trapezius active MTrPs (A-MTrPs)...
August 10, 2018: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
Faisal Inayat, Ali Raza Ghani, Iqra Riaz, Nouman Safdar Ali, Usman Sarwar, Raphael Bonita, Hafeez Ul Hassan Virk
Left ventricular pseudoaneurysm is a rare but life-threatening disorder that is frequently reported secondary to myocardial infarction or cardiac surgery. In this article, we chronicle the case of a patient with no prior risk factors who presented with a 2-week history of nonexertional atypical left chest pain. Apical 2-chamber transthoracic echocardiography revealed an unexpected outpouching of basal inferoseptal wall of the left ventricle, which had a narrow neck and relatively wide apex. The patient was diagnosed with left ventricular pseudoaneurysm and medical therapy was initiated...
January 2018: Journal of Investigative Medicine High Impact Case Reports
Matthew S Briggs, Katherine K Rethman, Matthew T Lopez
Background and Purpose: Differentiating between cervical nerve root and peripheral nerve injuries can be challenging. A phenomenon known as double crush syndrome may increase the susceptibility to injury and symptoms at other locations along the course of the nerve. The purpose of this case report is to describe the physical therapy differential diagnosis and management of a cyclist with upper extremity pain, weakness, and paresthesia. Case Description: The subject was referred to physical therapy with a diagnosis of cervical disc disease...
April 2018: International Journal of Sports Physical Therapy
Laura Seese, Arman Kilic, Forozan Navid, Thomas G Gleason, Ibrahim Sultan
A 68-year-old male presented with complaints of right-sided neck and chest pain with systolic blood pressures >200mmHg but denied any recent blunt trauma or whiplash events. A computer tomography angiography (CTA) demonstrated an acute dissection involving the origin of the right brachiocephalic artery that extended into the right common carotid and right subclavian arteries. The patient was neurologically intact and CTA of the brain demonstrated a stable arachnoid cyst and a brain perfusion scan demonstrated homogenous perfusion...
August 3, 2018: Annals of Thoracic Surgery
Nazia Karsan, Pyari Bose, Peter J Goadsby
PURPOSE OF REVIEW: The premonitory phase of migraine is defined as the presence of nonpainful symptomatology occurring hours to days before the onset of headache. Symptoms can include neck stiffness, yawning, thirst, and increased frequency of micturition. Clinical recognition of these symptoms is important to ensure early and effective attack management. Further understanding of the clinical phenotype and neurobiological mediation of these symptoms is important in the advancement of therapeutics research in both acute and preventive treatments of migraine...
August 2018: Continuum: Lifelong Learning in Neurology
Federico Landriel, Santiago Hem, Eduardo Vecchi, Claudio Yampolsky
Intradural extramedullary spinal tumors were historically managed through traditional midline approaches. Although conventional laminectomy or laminoplasty provides a wide tumor and spinal cord exposure, they may cause prolonged postoperative neck pain and late kyphosis deformity. Minimally invasive ipsilateral hemilaminectomy preserves midline structures, reduces the paraspinal muscle disruption, and could avoid postoperative kyphosis deformity. A safe tumor resection through this approach could be complicated in large sized or anteromedullary located lesions...
July 27, 2018: Operative Neurosurgery (Hagerstown, Md.)
Rhys Ponton, Richard Sawyer
Background: Long-term opioid analgesic prescribing in chronic non-cancer pain (CNCP) is a growing worldwide concern. This has implications for optimal healthcare management in general and chronic pain management specifically. This work documents the development of a review tool and its use in the South West of England in a locality that showed opioid prescribing levels higher than surrounding localities. Methods: An electronic tool which enabled calculation of total prescribed morphine-equivalent doses was developed to allow general practitioners (GPs) to undertake reviews of CNCP patients...
August 2018: British Journal of Pain
Raffaele Giusti, Paolo Bossi, Marco Mazzotta, Marco Filetti, Daniela Iacono, Paolo Marchetti
Background: Head and neck (H&N) cancers account for about 5% of all malignant tumours. Pain is one of the most feared consequences of H&N neoplasms and is experienced by up to 80% of patients and worsens their quality of life inhibiting speaking, eating, drinking or swallowing. Nevertheless, pain is still often underestimated and undertreated. Objectives: The role of opioids in cancer pain has been well established but evidences about the role and the relative effectiveness of opioids such as fentanyl in the context of H&N cancer pain remains unclear...
August 2018: British Journal of Pain
Kelli B Gunter, Christopher J Shields, Summer D Ott, Rogelio A Coronado
Study Design Case report. Background Equestrian riding is a sport with a high risk of concussion. Currently, the literature guiding rehabilitation for concussions in equestrian athletes is limited, especially for directing return to sport. Case Description A 14-year-old female equestrian athlete presented to physical therapy following her third concussion in three years. Her primary complaints were headaches, dizziness, difficulty concentrating, light sensitivity, and neck pain. On examination, the patient demonstrated reproduction of symptoms during testing of vestibular-ocular reflex (VOR), showed a 3-line symptomatic loss on the Dynamic Visual Acuity Test (DVAT), and had impairments in the Joint Position Error (JPE) test (1/5 correct on the left; 4/5 correct on the right) and Balance Error Scoring System (BESS) (38/60 errors)...
July 27, 2018: Journal of Orthopaedic and Sports Physical Therapy
Olivier T Lam, Jean-Pierre Dumas, Corey B Simon, Yannick Tousignant-Laflamme
Background: Mechanical diagnosis and therapy (MDT) aims to assess and classify patients into theoretically mutually exclusive subgroups, in order to direct treatment. However, the latest evidence for biopsychosocial influence-central sensitization (CS) and psychological distress-have not been assessed in conjunction with MDT. Objectives: (1) Determine the percentage of patients categorized into the MDT subgroups; (2) characterize the biopsychosocial clinical profile (presence of CS and psychological distress); and (3) identify associations between pain, disability, and biopsychosocial influences among this cohort...
July 2018: Journal of Manual & Manipulative Therapy
Miguel A González-Gay, Trinitario Pina, Diana Prieto-Peña, Mónica Calderon-Goercke, Ricardo Blanco, Santos Castañeda
Polymyalgia rheumatica (PMR), a common disease in individuals older than 50 in the western world, is characterized by bilateral inflammatory pain involving the shoulder girdle and less commonly the neck and pelvic girdle. The main goals of the currently available treatment are to induce remission and prevent relapse. Areas covered: This review briefly presents the main epidemiological and clinical features of PMR and discusses in depth both its classical management as well as new therapies used in PMR. Expert opinion: In general, patients with isolated PMR experience a rapid response (in less than seven days) to 12...
July 24, 2018: Expert Opinion on Pharmacotherapy
Nabil A Al-Zoubi
Introduction: Spontaneous and isolated internal jugular vein (IJV) thrombosis is a rare entity, and atypical localization for venous thromboembolism usually occurs after an oropharyngeal infection, cancer, central venous catheter, and ovarian hyperstimulation syndrome. This report describes a case of spontaneous IJV thrombosis leading to neck pain and swelling as a primary manifestation of antiphospholipid (Hughes) syndrome. Case presentation: A 44-year-old male with no significant past medical history presented with a 1-week duration of right-sided painful neck swelling...
2018: Vascular Health and Risk Management
Shira L Koss, William E Karle, Gregory Dibelius, Ameet Kamat, Craig Berzofsky
We report a case of cervical esophageal perforation caused by the Heimlich maneuver in a healthy 16-year-old boy. The patient reported a short coughing episode while eating rice, and his mother performed the Heimlich maneuver on him. Five days later, he presented to the emergency department with throat pain, odynophagia, secretion intolerance, muffled voice, and neck stiffness. He was admitted to the pediatric intensive care unit for conservative management. The next day he underwent transcervical incision and drainage of purulence, but the esophageal perforation could not be visualized at that time...
July 2018: Ear, Nose, & Throat Journal
Sanjiv Gray, Khuram Khan, Beatrice Dieudonne, Farhana Iqbal, Saqib Saeed
Laryngeal fracture is a rare but potentially lethal injury. A high degree of suspicion along with an expeditious investigation is warranted to prevent airway complications. The initial assessment of the airway is vital as the patient can suffer a severe anoxic brain injury. If the patient is stable, a computed tomography (CT) scan of the neck should be obtained; this was done urgently for our patient and was managed without any extraneous intervention. We report a case of a 38-year-old man that presented to the emergency room with anterior neck pain after falling onto the back of a paintball gun...
May 16, 2018: Curēus
Jawaher Mohammed Alkhateeb, Abdulla Anwar Aljawder, Fawaz Abdulrahim Alabbasi
INTRODUCTION: Neck of femur fracture in osteogenesis imperfecta is rarely reported. The management is uncertain and always reported as difficult. Clinical outcomes are not well described. CASE PRESENTATION: A teenage girl, who is known to have osteogenesis imperfecta, sustained neck of femur fracture in the presence of a previously inserted implant. She was treated by percutaneous screw fixation. In both immediate and long term follow up, our patient had satisfactory outcome and return to pre-fracture functional status...
July 9, 2018: International Journal of Surgery Case Reports
Ryuta Sato, Dai Watanabe, Hirotoshi Yonemasu, Masaharu Imagawa
The pathophysiology of bladder leiomyosarcoma, a rare disease with aggressive mesenchymal tumor, is not certain, but its main symptoms are hematuria, dysuria and abdominal pain. Cases described in the literature are few. This report describes a case of a leiomyosarcoma of the urinary bladder in a 49-year-old woman. After CT scanning revealed a heterogeneously enhanced 4-cm mass involving the bladder neck and anterior wall, further examinations detected no metastatic lesion. Cystoscopy and transurethral resection of bladder tumor (TURBT) were performed...
September 2018: Urology Case Reports
Jonathan A Harounian, Andrew R Azab, Christopher A Roberts, Michele M Carr
Objectives: To identify differences in cervical infection management in infants versus older children. Methods: Charts of patients 0-18 years, diagnosed with a cervical infection at our institution between 2004 and 2015, were included. Age, gender, presenting symptoms, comorbidities, CT scan findings and management including admission, procedures, antibiotics, cultures, length of stay, readmission rates, and complications were included. Results: 239 patients were included: mean age was 4...
2018: International Journal of Otolaryngology
Ding Luo, Yue Liu, Yanan Wu, Rui Ma, Lin Wang, Ronghe Gu, Wenbin Fu
BACKGROUND: Warm needle acupuncture (WNA) is commonly used in primary osteoporosis (OP) management in China. The evidence of its effectiveness needs to be systematically reviewed. OBJECTIVE: The aim of the meta-analysis was to evaluate whether using WNA alone or combined with conventional medicine benefits primary OP. METHODS: PubMed, Embase, the Cochrane Central Register, Medline, China National Knowledge Infrastructure, Wanfang and VIP databases were searched from their inception through30 June 2016...
July 9, 2018: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
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