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Back pain and computer

Shih-Chieh Yang, Tsung-Ting Tsai, Hung-Shu Chen, Chi-Jung Fang, Yu-Hsien Kao, Yuan-Kun Tu
PURPOSE: Sacral insufficiency fractures (SIFs) can cause severe lower back pain and immobility, which have limited therapeutic options. No previous studies have compared clinical outcomes and radiographic findings of sacroplasty with or without balloon assistance for the treatment of SIFs. METHODS: Forty-five patients with SIFs were divided into two groups. One group had 18 patients treated using sacroplasty with balloon assistance, and the other had 27 patients treated without balloon assistance...
May 2018: Journal of Orthopaedic Surgery
Fabian Henry Jürgen Elsholtz, Lars-Arne Schaafs, Christoph Erxleben, Bernd Hamm, Stefan Markus Niehues
PURPOSE: Computed tomography (CT)-guided periradicular infiltration therapy has emerged as an effective treatment option for patients with low back pain. Concern about radiation exposure requires approaches allowing significant dose reduction. The purpose of this study is to evaluate the need for iterative reconstruction software in CT-guided periradicular infiltration therapy with an ultra-low-dose protocol. MATERIALS AND METHODS: One hundred patients underwent CT-guided periradicular infiltration therapy of the lumbar spine using an ultra-low-dose protocol with adaptive iterative dose reduction 3D (AIDR 3D) for image reconstruction...
June 19, 2018: La Radiologia Medica
Syed Hasan, Zubair Khan, Mohammad Saud Khan, Umar Darr, Toseef Javaid, Raheel Ahmed, Ali Nawras
We present a case of a 60-year-old female patient who has significant medical history of renal cell carcinoma diagnosed 2 years back and had undergone right nephrectomy and chemotherapy. She presented to the hospital with complaints of abdominal pain and jaundice of 2 weeks duration and was found to have periampullary mass lesion causing compression of distal common bile duct on imaging with computed tomography of abdomen. Endoscopic retrograde cholangiography and endoscopic ultrasound showed ampullary mass lesion causing biliary obstruction along with abdominal lymphadenopathy...
June 2018: Gastroenterology Research
Silvia Lo Vecchio, Lars J Petersen, Thomas Graven-Nielsen, Sara Finocchietti, Parisa Gazerani, Lars Arendt-Nielsen
Background/aims The ultraviolet B (UVB) inflammatory pain model is often used to induce a steady hyperalgesic area in human skin. UVB causes a well-described erythema, developing maximal response within about 24 h. The aim of the present study was to investigate if cutaneous UVB irradiation can influence both superficial and deep-tissue mechanical pain thresholds in the site of irradiation and in the surrounding area. Methods An area of 3 cm × 4 cm, located on the low back of 16 healthy volunteers, was irradiated by UVB (Medlight, Germany; 3xMED: Minimal Erythema Dose)...
December 29, 2017: Scandinavian Journal of Pain
K B Veiersted, L-K Lunde, M Koch, M Wærsted, S Knardahl
Aims To compare musculoskeletal pain intensity and duration of construction workers as a function of type of work. Methods 239 male construction workers in active employment filled out a (baseline) questionnaire for a prospective study of jobs with assumed heavy work load. Reports of pain presented here was collected from the men in four work categories; project leaders/foremen (N = 62, age 45 y, SD ± 13), carpenters (N = 60, 41 y ± 13), concrete workers (N = 35, 42 y ± 12) and miscellaneous other manual workers (e...
December 29, 2017: Scandinavian Journal of Pain
Diana Prieto-Peña, Isabel Martínez-Rodríguez, Javier Loricera, Ignacio Banzo, Mónica Calderón-Goercke, Vanesa Calvo-Río, Carmen González-Vela, Alfonso Corrales, Santos Castañeda, Ricardo Blanco, José L Hernández, Miguel Á González-Gay
OBJECTIVE: Polymyalgia rheumatica (PMR) is often the presenting manifestation of giant cell arteritis (GCA). Fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) scan often discloses the presence of large vessel vasculitis (LVV) in PMR patients. We aimed to identify predictive factors of a positive PET/CT scan for LVV in patients classified as having isolated PMR according to well-established criteria. METHODS: A set of consecutive patients with PMR from a single hospital were assessed...
May 18, 2018: Seminars in Arthritis and Rheumatism
Mojtaba Ameli, Naser Yousefzade, Saeed Farhadiniaki, Leila Gholamimahtaj
It is commonly accepted to consider retroperitoneal germ cell tumors as the metastasis of a viable or burned-out testicular tumor. In such cases, orchiectomy should be performed since the burned-out site in the testis could continue to harbor malignancy despite systemic chemotherapy. A 45-year-old male presented as an outpatient with complaints of back pain. He was diagnosed with a retroperitoneal mass and a palpable testis mass. He underwent radical orchiectomy. Pathological study revealed a burned-out tumor...
May 2018: International Journal of Health Sciences
Shuji Moriyama, Masahiko Hara, Yasushi Kaneko
BACKGROUND: Achondroplasia is an inherited disorder and the most common type of short-limbed dwarfism in human beings, affecting more than 250,000 individuals worldwide. To the best of our knowledge, no study has reported a correlation between achondroplasia and aortic dissection. Here, we report a rare case of acute type A aortic dissection repair in a patient with achondroplasia. CASE PRESENTATION: An 82-year-old Japanese female with achondroplasia was admitted to our hospital because of acute-onset severe chest pain migration to her back accompanied by numbness and pain in the right lower limb...
June 8, 2018: Surgical Case Reports
Hideharu Tanaka, Norihisa Uemura, Daisuke Nishikawa, Keisuke Oguri, Tetsuya Abe, Eiji Higaki, Takahiro Hosoi, Byonggu An, Yasuhisa Hasegawa, Yasuhiro Shimizu
BACKGROUND: Spontaneous esophageal rupture, also known as Boerhaave syndrome, is a very serious life-threatening benign disease of the gastrointestinal tract. It is typically caused by vomiting after heavy eating and drinking. However, in our patient, because of a combination of hypopharyngeal cancer with stenosis and chemoradiotherapy (CRT), which caused chemotherapy-induced vomiting, radiotherapy-induced edema, relaxation failure, and delayed reflexes; resistance to the release of increased pressure due to vomiting was exacerbated, thus leading to Boerhaave syndrome...
June 8, 2018: Surgical Case Reports
Amer Sebaaly, Marie-José Lahoud, Maroun Rizkallah, Gaby Kreichati, Khalil Kharrat
The study aimed to review the etiology of failed back surgery syndrome (FBSS) and to propose a treatment algorithm based on a systematic review of the current literature and individual experience. FBSS is a term that groups the conditions with recurring low back pain after spine surgery with or without a radicular component. Since the information on FBSS incidence is limited, data needs to be retrieved from old studies. It is generally accepted that its incidence ranges between 10% and 40% after lumbar laminectomy with or without fusion...
June 2018: Asian Spine Journal
Tetsuya Yumoto, Yoshitaka Kondo, Kento Kumon, Yoshihisa Masaoka, Takao Hiraki, Taihei Yamada, Hiromichi Naito, Atsunori Nakao
RATIONALE: Hydronephrosis caused by retroperitoneal hematoma after a seatbelt injury is a unique clinical entity. PATIENT CONCERNS: A 21-year-old man, who had been wearing a seatbelt, was brought to our hospital after a motor vehicle collision, complaining of abdominal pain. Computed tomography (CT) revealed retroperitoneal hematoma in the upper pelvic region. Since he was hemodynamically stable throughout admission, he was managed conservatively. Seventeen days after initial discharge, the patient revisited our emergency department due to right back pain...
June 2018: Medicine (Baltimore)
Sean Wy Lee, Aaron Foo, Char Loo Tan, Thomas Tan, Sein Lwin, Tseng Tsai Yeo, Vincent Dw Nga
BACKGROUND: Spinal extradural cyst (SEDC) accounts for less than 1% of spinal epidural lesions. It is commonly asymptomatic but can give rise to back pain and compressive neurological symptoms. CASE DESCRIPTION: We report the case of a 51-year-old male who presented with gait difficulties over five months associated with occasional urge incontinence. Clinical examination revealed signs suggestive of thoracic myelopathy with bilateral lower limbs spasticity, decreased proprioception and pin prick sensation...
June 2, 2018: World Neurosurgery
Onder Karabay, Mustafa Genco Erdem, Mustafa Hasbahceci
Partial necrosis of the cecum is a rare form of ischemic colitis with unknown etiology. A 68-year female patient was admitted due to a severe pain in the right lower quadrant of the abdomen for one week. One month ago, she had coronary artery bypass graft surgery with carotid endarterectomy. During physical examination, tenderness and rebound tenderness at the right lower quadrant were detected. Computed tomography showed a 7-mm tubular structure extending from the back of the cecum to the lower border of the liver...
June 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Yanlin Tan, Xiaohuang Yang, Chuning Dong, Zhe Xiao, Hongbo Zhang, Yunhua Wang
RATIONALE: Malignant hepatic epithelioid hemangioendotheliom (HEH) is a rare vascular tumor of endothelial origin, with multiple metastases to the spleen. This report describes a diffuse HEH with splenic metastasis on 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) images and delayed mutifocal bone metastasis after liver transplantation (LTx). PATIENT CONCERNS: A 30-year-old male was admitted to our hospital with a complaint of abdominal distension, fatigue, and anorexia for 2 months...
June 2018: Medicine (Baltimore)
Mitsuaki Sakai, Yuichiro Ozawa, Takahiro Konishi, Azusa Watanabe, Masashige Shiigai
Intrapulmonary sequestration is a rare congenital bronchopulmonary malformation. Surgery is generally standard treatment, and thoracoscopic resection has been accepted recently. Some patients have inflammatory change of the sequestrated lung and adhesion to the adjacent organs. In those cases, it is difficult to identify the aberrant artery. In thoracoscopic surgery cases, fatal intraoperative hemorrhage from the aberrant artery has been reported. We describe two patients with infected intralobar pulmonary sequestration who were treated by endostapling the aberrant artery filled with embolized coils...
April 2018: Journal of Thoracic Disease
Gregory W Reinhold, Tina K Melonakos, Daniel T Lyman
A 79-year-old female called 911 for abdominal pain in her left upper quadrant with radiation through to her back and left shoulder for three hours. Upon arrival to the emergency department her physical exam was positive only for tenderness in the left upper quadrant of her abdomen. The patient denied any history of trauma but reported she "did sneeze three times" just prior to the onset of her pain. Computed tomography angiography of the abdomen and pelvis was obtained to evaluate for vascular pathology...
August 2017: Clinical practice and cases in emergency medicine
Paul Thiry, François Reumont, Jean-Michel Brismée, Frédéric Dierick
Pain perception, trunk mobility and apparent diffusion coefficient (ADC) within all lumbar intervertebral discs (IVDs) were collected before and shortly after posterior-to-anterior (PA) mobilizations in 16 adults with acute low back pain. Using a pragmatic approach, a trained orthopaedic manual physical therapist applied PA mobilizations to the participants' spine, in accordance with his examination findings. ADC all was computed from diffusion maps as the mean of anterior (ADC ant ), middle (ADC mid ), and posterior (ADC post ) portions of the IVD...
May 29, 2018: Scientific Reports
Husna Haroon, Safia Mehmood, Fauzia Imtiaz, Syed Arif Ali, Mohammad Sarfraz
OBJECTIVE: To assess the frequency and anatomical distribution of musculoskeletal pain and its related risk factors. METHODS: This cross-sectional study was conducted at the Dow Medical College, Karachi, from September to November 2016, and comprised medical students. A self-administered questionnaire was filled out by the participants. Data was analysed using SPSS 17. RESULTS: Of the 360 participants, 268(74.4%)and 140(38.9%)students reported having musculoskeletal pain in at least one of the body sites in the past 12 months and in the past seven days, respectively...
April 2018: JPMA. the Journal of the Pakistan Medical Association
Mehmet Turgut, Ali Akhaddar, Ahmet T Turgut
OBJECTIVE: Retention of non-absorbable hemostatic materials (RNHMs) called retained surgical sponge, gauzoma, gossypiboma, muslinoma, or textiloma is a rarely seen surgical complication after spinal surgery that may remain asymptomatic for many years and may represent a diagnostic difficulty with associated medico-legal implications. METHODS: We performed a systematic review of the English-language literature published between 1965 and 2017, accessed through four popular databases...
May 25, 2018: World Neurosurgery
Vineet S Rolston, Anish V Patel, Thomas J Learch, Dalin Li, Dmitry Karayev, Chadwick Williams, Madhavi L Siddanthi, Stephan R Targan, Michael H Weisman, Dermot P B McGovern
OBJECTIVES: Avascular necrosis (AVN) is associated with significant morbidity potentially causing severe pain and debility; patients with inflammatory bowel disease (IBD) have a higher prevalence of AVN compared with non-IBD populations. The purpose of our study was to determine the prevalence of AVN in our IBD population and to evaluate these subjects for the presence of clinical characteristics associated with AVN on computed tomography (CT) imaging. METHODS: In 1313 IBD patients with abdomen/pelvis CT scans, we identified 27 patients (2...
May 24, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
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