keyword
https://read.qxmd.com/read/37746470/a-no-cost-bedside-self-traction-maneuver-for-relief-from-chronic-cervical-radiculopathy-a-case-report
#1
Rohan G Maharaj, Shastri Motilal, Raveed Khan, Fidel Rampersad
Cervical radiculopathy secondary to spondylosis is common in the elderly. Systematic reviews suggest that no single treatment modality represents the standard of care. A no-cost, bedside, self-traction intervention can be a useful adjunct to current options. A 60-year-old South Asian male presented with severe cervical radiculopathic pain in April 2019, proven by magnetic resonance imaging to be secondary to spondylosis. Since late 2019, he has been doing a daily self-traction procedure in which he lies prone with the anterior chest and abdomen flat on a bed, shoulders just off the mattress edge, and arms to the side...
August 2023: Curēus
https://read.qxmd.com/read/37526092/longitudinal-care-patterns-and-utilization-among-patients-with-new-onset-neck-pain-by-initial-provider-specialty
#2
JOURNAL ARTICLE
Joshua J Fenton, Shao-You Fang, Monika Ray, John Kennedy, Katrine Padilla, Russell Amundson, David Elton, Scott Haldeman, Anthony J Lisi, Jason Sico, Peter M Wayne, Patrick S Romano
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To compare utilization patterns for patients with new-onset neck pain by initial provider specialty. SUMMARY OF BACKGROUND DATA: Initial provider specialty has been associated with distinct care patterns among patients with acute back pain; little is known about care patterns among patients with acute neck pain. METHODS: De-identified administrative claims and electronic health record data were derived from the Optum Labs Data Warehouse, which contains longitudinal health information on over 200M enrollees and patients representing a mixture of ages and geographical regions across the United States...
October 15, 2023: Spine
https://read.qxmd.com/read/37425269/case-report-a-rare-salter-harris-v-metaphyseal-fatigue-fracture-of-the-knee-in-an-adolescent-patient-with-obesity
#3
Chao Gao, Ling Le Feng, Jiang Hua Zheng, Jin Cao, Hua Jing Sun
Stress fractures are rare, occurring in 1.5/100,000 high school athletes. High impact, repetitive loading participation in woman's sports, and being a white athlete have been identified as risk factors for stress fractures. Mostly treated conservatively, they are more common in the tibia (33%). Stress fractures requiring surgery, which are extremely rare, have been reported in the scaphoid, fifth metatarsal, and neck of femur. Herein, a 16-year-old adolescent patient with obesity presented with atypical knee pain after prolonged exercise...
2023: Frontiers in Pediatrics
https://read.qxmd.com/read/35816312/health-care-resource-utilization-in-management-of-opioid-naive-patients-with-newly-diagnosed-neck-pain
#4
JOURNAL ARTICLE
Michael C Jin, Michael Jensen, Zeyi Zhou, Adrian Rodrigues, Alexander Ren, Maria Isabel Barros Guinle, Anand Veeravagu, Corinna C Zygourakis, Atman M Desai, John K Ratliff
Importance: Research has uncovered heterogeneity and inefficiencies in the management of idiopathic low back pain, but few studies have examined longitudinal care patterns following newly diagnosed neck pain. Objective: To understand health care utilization in patients with new-onset idiopathic neck pain. Design, Setting, and Participants: This cross-sectional study used nationally sourced longitudinal data from the IBM Watson Health MarketScan claims database (2007-2016)...
July 1, 2022: JAMA Network Open
https://read.qxmd.com/read/34178528/non-compressive-disabling-cervical-radiculopathy-and-neck-pain-cave-osteoid-osteoma
#5
Andrea Brunori, Alberto Delitala
Cervical radiculopathy is a common clinical condition with an annual incidence of 85/10,000. Refractory cases with positive disco-vertebral imaging findings are routinely referred to the Neurosurgeon for evaluation and treatment. In the absence of a clearcut compressive etiology, other rarer but surgically curable causes must be considered before recommending conservative management. We discuss the case of an otherwise active, healthy patient with an invalidating, refractory, relapsing nuchal pain and cervical radiculopathy...
May 24, 2021: Curēus
https://read.qxmd.com/read/33580849/impact-of-mri-to-clear-the-cervical-spine-after-a-negative-ct-for-suspected-spine-trauma
#6
JOURNAL ARTICLE
Aryan Jalilvand, George Velmahos, Christopher Baugh, Andrew Schoenfeld, Mitchel Harris, Bharti Khurana
PURPOSE: To describe the clinical presentation of trauma patients receiving a negative cervical spine MRI (CSMRI) after cervical spine CT (CSCT) without acute findings and calculate the associated costs. METHODS: Our cohort consisted of 55 retrospectively reviewed consecutive trauma patients with CSMRI performed between October 2016 and March 2020, who had negative CSCT within 7 days of CSMRI and no other clinically significant injuries. Our outcome was the cost related to CSMRI, estimated by CSMRI charges and the charges related to additional hours of prolonged hospital stay from CT until MRI...
August 2021: Emergency Radiology
https://read.qxmd.com/read/33145206/long-term-outcome-following-three-level-stand-alone-anterior-cervical-discectomy-and-fusion-is-plating-necessary
#7
JOURNAL ARTICLE
Marios Theologou, Theologos Theologou, Nikolaos Skoulios, Maria Mitka, Nikolaos Karanikolas, Antriana Theologou, Eleftheria Georgiou, Slavisa Matejic, Christos Tsonidis
BACKGROUND: Anterior cervical discectomy with fusion (ACDF) is a proven method for the treatment of selected patients. The necessity of use of an anterior plate is controversial. The article aims to assess the fusion rates (FRs) and long-term outcomes following three-level ACDF. MATERIALS AND METHODS: Data were collected from the medical records of patients operated on due to degenerative cervical disease. All patients were treated with three-level ACDF employing polyether ether-ketone cages without anterior plating...
July 2020: Asian Journal of Neurosurgery
https://read.qxmd.com/read/32256657/association-of-cost-and-medical-service-satisfaction-with-korean-and-conventional-medicine-use-before-and-after-surgery-in-postsurgical-patients-a-questionnaire-survey-of-korean-patients-with-postsurgical-pain-visiting-korean-medicine-hospitals
#8
JOURNAL ARTICLE
Ki-Beom Lee, Yoon Jae Lee, Me-Riong Kim, Kyung-Min Shin, In-Hyuk Ha
This study aimed to assess the costs, health status, and medical service satisfaction with Korean and conventional medicine use before and after surgery of patients visiting Korean medicine hospitals for postsurgical musculoskeletal pain. The study population comprised patients who visited KM hospitals for the first time between June and November 2017 for persistent or recurrent pain and discomfort after low back, neck, shoulder, or knee surgery. Various validated questionnaires were used to collect data. A total of 100 participants were enrolled, and the majority had undergone low back surgery ( n  = 82)...
2020: Evidence-based Complementary and Alternative Medicine: ECAM
https://read.qxmd.com/read/32178655/a-randomised-controlled-trial-comparing-the-effectiveness-of-surgical-and-nonsurgical-treatment-for-cervical-radiculopathy
#9
RANDOMIZED CONTROLLED TRIAL
Mirad Taso, Jon Håvard Sommernes, Frode Kolstad, Jarle Sundseth, Siri Bjorland, Are Hugo Pripp, John Anker Zwart, Jens Ivar Brox
BACKGROUND: Cervical radiculopathy is usually caused by disc herniation or spondylosis. The prognosis is expected to be good in most patients, but there is limited scientific evidence on the indications for nonsurgical and surgical treatments. The aim of the present study is to evaluate and compare the effectiveness of surgical and nonsurgical treatment in two trials - including disc herniation and spondylosis, respectively, and to evaluate factors that contribute to better decision making...
March 16, 2020: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/31687316/a-case-report-and-literature-review-to-aid-in-the-management-of-trunnion-failure-in-hip-arthroplasty-patients-can-trunnionosis-and-prosthetic-joint-infection-co-exist
#10
Vivek Jagadale
Trunnionosis is a type of corrosion and wear at the head-neck taper junction of the femoral implant, and it can be a slow and silent catastrophe. Simultaneous prosthetic joint infection (PJI) is occasionally possible based on the fulfillment of a few of the minor criteria from the Musculoskeletal Infection Society (MSIS), but the existing literature lacks adequate evidence to support that the infection actually exists. We are presenting a case of an 82-year-old man with right total hip arthroplasty performed over a decade prior to presenting to the emergency room with a sudden-onset pop followed by groin pain and difficulty in walking...
August 31, 2019: Curēus
https://read.qxmd.com/read/30873276/prevalence-of-mri-findings-in-the-cervical-spine-in-patients-with-persistent-neck-pain-based-on-quantification-of-narrative-mri-reports
#11
JOURNAL ARTICLE
Rikke Krüger Jensen, Tue Secher Jensen, Søren Grøn, Erik Frafjord, Uffe Bundgaard, Anders Lynge Damsgaard, Jeppe Mølgaard Mathiasen, Per Kjaer
Background: Previous studies of patients with neck pain have reported a high variability in prevalence of MRI findings of disc degeneration, disc herniation etc. This is most likely due to small and heterogenous study populations. Reasons for only including small study samples could be the high cost and time-consuming procedures of having radiologists coding the MRIs. Other methods for extracting reliable imaging data should therefore be explored.The objectives of this study were 1) to examine inter-rater reliability among a group of chiropractic master students in extracting information about cervical MRI-findings from radiologists´ narrative reports, and 2) to describe the prevalence of MRI findings in the cervical spine among different age groups in patients above age 18 with neck pain...
2019: Chiropractic & Manual Therapies
https://read.qxmd.com/read/30477480/timing-of-physical-therapy-consultation-on-1-year-healthcare-utilization-and-costs-in-patients-seeking-care-for-neck-pain-a-retrospective-cohort
#12
COMPARATIVE STUDY
Maggie E Horn, Julie M Fritz
BACKGROUND: Patients seek care from physical therapists for neck pain but it is unclear what the association of the timing of physical therapy (PT) consultation is on 1-year healthcare utilization and costs. The purpose of this study was to compare the 1-year healthcare utilization and costs between three PT timing groups: patients who consulted a physical therapist (PT) for neck pain within 14 days (early PT consultation), between 15 and 90 days (delayed PT consultation) or between 91 and 364 days (late PT consultation)...
November 26, 2018: BMC Health Services Research
https://read.qxmd.com/read/30309987/is-establishing-a-specialist-back-pain-assessment-and-management-service-in-primary-care-a-safe-and-effective-model-twelve-month-results-from-the-back-pain-assessment-clinic-bac-prospective-cohort-pilot-study
#13
JOURNAL ARTICLE
John H Y Moi, Uyen Phan, Adam de Gruchy, Danny Liew, Tanya I Yuen, John E Cunningham, Ian P Wicks
OBJECTIVES: To report on the design, implementation and evaluation of the safety and effectiveness of the Back pain Assessment Clinic (BAC) model. DESIGN: BAC is a new, community-based specialist service for assessing and managing neck and low back pain (LBP). The BAC pilot was supported by a Victorian Department of Health and Human Services grant and was evaluated using the Victorian Innovation Reform Impact Assessment Framework (VIRIAF). Data were obtained by auditing BAC activity (22 July 2014 to 30 June 2015) and conducting surveys and interviews of patients, stakeholders and referrers...
October 10, 2018: BMJ Open
https://read.qxmd.com/read/28554207/provider-type-and-management-of-common-visits-in-primary-care
#14
COMPARATIVE STUDY
Douglas W Roblin, Hangsheng Liu, Lee F Cromwell, Michael Robbins, Brandi E Robinson, David Auerbach, Ateev Mehrotra
OBJECTIVES: Debate continues on whether nurse practitioners (NPs) and physician assistants (PAs) are more likely to order ancillary services, or order more costly services among alternatives, than primary care physicians (PCPs). We compared prescription medication and diagnostic service orders associated with NP/PA versus PCP visits for management of neck or back (N/B) pain or acute respiratory infection (ARI). STUDY DESIGN: Retrospective, observational study of visits from January 2006 through March 2008 in the adult primary care practice of Kaiser Permanente in Atlanta, Georgia...
April 2017: American Journal of Managed Care
https://read.qxmd.com/read/27087625/clinical-and-radiographic-outcome-of-unilateral-open-door-laminoplasty-with-alternative-levels-centerpiece-mini-plate-fixation-for-cervical-compressive-myelopathy-a-five-year-follow-up-study
#15
JOURNAL ARTICLE
Lin-Nan Wang, Lei Wang, Yue-Ming Song, Xi Yang, Li-Min Liu, Tao Li
INTRODUCTION: To evaluate the five year clinical and radiographic outcome of unilateral open-door laminoplasty with alternative levels centerpiece mini-plate fixation for cervical compressive myelopathy. METHODS: From August 2009 to June 2010, 56 patients with cervical compressive myelopathy underwent unilateral open-door laminoplasty with alternative levels centerpiece mini-plate fixation with a mean age of 64.8 years. Clinical results were investigated including Japanese Orthopedic Association (JOA) scores, Neck Dysfunction Index (NDI), occurrences of complications and neurological deterioration...
June 2016: International Orthopaedics
https://read.qxmd.com/read/25294682/prevalence-of-abnormalities-on-shoulder-mri-in-symptomatic-and-asymptomatic-older-adults
#16
JOURNAL ARTICLE
Tiffany K Gill, E Michael Shanahan, Dale Allison, Daniel Alcorn, Catherine L Hill
AIM: The aim of this study was to determine the prevalence of structural shoulder pathology using magnetic resonance imaging (MRI) in three groups of older people: those with current shoulder pain, those with a previous history of shoulder pain and those with no history of shoulder pain, within a community-based sample. METHODS: Thirty subjects (10 within each of the three groups) participated in the study. Subjects were recruited by telephone and underwent a clinical examination of shoulder and neck range of movement (to ensure pain was not referred from the neck)...
November 2014: International Journal of Rheumatic Diseases
https://read.qxmd.com/read/24679200/cost-effectiveness-of-mri-to-assess-for-posttraumatic-ligamentous-cervical-spine-injury
#17
JOURNAL ARTICLE
Joshua M Murphy, Paul Park, Rakesh D Patel
Magnetic resonance imaging (MRI) has been shown to be sensitive in identifying ligamentous injury to the cervical spine. The major drawbacks to its routine use are cost and availability. The purpose of this study was to compare the cost of using MRI to rule out ligamentous injury of the cervical spine with the cost of immobilization in a cervical collar and outpatient follow-up. Neurologically intact and nonobtunded patients with neck pain and normal findings on radiographs evaluated for ligamentous injury of the cervical spine were studied...
February 2014: Orthopedics
https://read.qxmd.com/read/24368044/acr-appropriateness-criteria-acute-hip-pain-suspected-fracture
#18
JOURNAL ARTICLE
Robert J Ward, Barbara N Weissman, Mark J Kransdorf, Ronald Adler, Marc Appel, Laura W Bancroft, Stephanie A Bernard, Michael A Bruno, Ian Blair Fries, William B Morrison, Timothy J Mosher, Catherine C Roberts, Stephen C Scharf, Michael J Tuite, Adam C Zoga
Substantial cost, morbidity, and mortality are associated with acute proximal femoral fracture and may be reduced through an optimized diagnostic imaging workup. Radiography represents the primary diagnostic test of choice for the evaluation of acute hip pain. In middle aged and elderly patients with negative radiographs, the evidence indicates MRI to be the next diagnostic imaging study to exclude a proximal femoral fracture. CT, because of its relative decreased sensitivity, is only indicated in patients with MRI contraindications...
February 2014: Journal of the American College of Radiology: JACR
https://read.qxmd.com/read/24347359/mri-guided-and-ct-guided-cervical-nerve-root-infiltration-therapy-a-cost-comparison
#19
COMPARATIVE STUDY
M H Maurer, V Froeling, R Röttgen, T Bretschneider, T Hartwig, A C Disch, M de Bucourt, B Hamm, F Streitparth
PURPOSE: To evaluate and compare the costs of MRI-guided and CT-guided cervical nerve root infiltration for the minimally invasive treatment of radicular neck pain. MATERIALS AND METHODS: Between September 2009 and April 2012, 22 patients (9 men, 13 women; mean age: 48.2 years) underwent MRI-guided (1.0 Tesla, Panorama HFO, Philips) single-site periradicular cervical nerve root infiltration with 40 mg triamcinolone acetonide. A further 64 patients (34 men, 30 women; mean age: 50...
June 2014: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://read.qxmd.com/read/23809183/are-flexion-extension-films-necessary-for-cervical-spine-clearance-in-patients-with-neck-pain-after-negative-cervical-ct-scan
#20
JOURNAL ARTICLE
Baotram Tran, Jonathan M Saxe, Akpofure Peter Ekeh
BACKGROUND: There are variations in cervical spine (CS) clearance protocols in neurologically intact blunt trauma patients with negative radiological imaging but persistent neck pain. Current guidelines from the current Eastern Association for the Surgery of Trauma include options of maintaining the cervical collar or obtaining either magnetic resonance imaging (MRI) or flexion-extension films (FEF). We evaluated the utility of FEF in the current era of routine computerized tomography (CT) for imaging the CS in trauma...
September 2013: Journal of Surgical Research
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