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Pelvic myalgia

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https://www.readbyqxmd.com/read/27403751/persistent-postoperative-pain-pathophysiology-risk-factors-and-prevention
#1
Charles W Butrick
OBJECTIVE: Persistent postoperative pain (PPOP) is the second most common reason for a patient to seek care at a chronic pain center. Many of the patients seen with prolapse or incontinence are at risk for developing PPOP as a result of the surgeries done for these problems. The pathophysiology of this disabling pain disorder is well understood, and the risk factors are easy to identify. Once identified, perioperative interventions can be offered to attempt to prevent PPOP. METHODS AND RESULTS: Evaluation of articles obtained using a MEDLINE search involving chronic pain and PPOP, including prevalence, pathophysiology, and prevention was reviewed...
September 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/25935914/primary-mediastinal-thymic-b-cell-lymphoma-presenting-as-cutaneous-vasculitis
#2
Adriana De Sousa Lages, Helder Esperto, Lèlita Santos, Armando Carvalho
Cutaneous small vessel vasculitis is a severe neutrophilic vascular inflammation mediated by immune complexes that involves the dermal postcapillary venules. Neoplasms represent 2-5% of all causes of secondary cutaneous vasculitis. We present a case of a 52-year-old man who was admitted due to a 10-day history of respiratory symptoms and myalgia. From the third day of symptoms onwards, the patient noticed the appearance of cutaneous lesions in the lower limbs with palpable purpura and erythematous papules. Additionally, he reported of asthenia, anorexia and weight loss during the prior month...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/25660431/-menstruation-inflammation-and-comorbidities-implications-for-woman-health
#3
A Graziottin, P P Zanello
Menstruation is the genital sign of systemic endocrine events. Heterogeneity of perimenstrual symptoms is associated with levels of inflammation, triggered by the fall of estrogens at genital and systemic level. Aim of the review is to concisely analyze the evidence on: 1) genital and systemic endocrine and inflammatory events associated with periods and perimenstrual symptoms; 2) rationale of intervention to reduce their intensity and impact on women's lives. This review of the literature, selected with a clinical perspective, supports the inflammatory basis of the menstrual event, triggered by the estrogens' and progesterone' fall...
February 2015: Minerva Ginecologica
https://www.readbyqxmd.com/read/25527482/a-pilot-randomized-trial-of-levator-injections-versus-physical-therapy-for-treatment-of-pelvic-floor-myalgia-and-sexual-pain
#4
RANDOMIZED CONTROLLED TRIAL
Dani Zoorob, Mary South, Mickey Karram, Julie Sroga, Rose Maxwell, Aparna Shah, James Whiteside
INTRODUCTION AND HYPOTHESIS: Our aim was to determine the effects of pelvic floor physical therapy (PT) and levator-directed trigger-point injections (LTPI) on sexual function and levator-related pelvic pain. STUDY DESIGN: A randomized trial among women with pelvic floor myalgia (PFM) was performed wherein participants received either PT or LTPI. Pain was assessed and 1 month posttreatment completion. Levator-based pain was assessed using a numeric rating scale (NRS) and the Patient Global Impression of Improvement (PGI-I) scale...
June 2015: International Urogynecology Journal
https://www.readbyqxmd.com/read/25349937/risk-of-associated-conditions-in-relatives-of-subjects-with-interstitial-cystitis
#5
Kristina Allen-Brady, Peggy A Norton, Lisa Cannon-Albright
OBJECTIVES: Urological chronic pelvic pain syndrome includes interstitial cystitis/painful bladder syndrome (IC/PBS), a chronic bladder pain condition of unknown etiology. Interstitial cystitis/painful bladder syndrome can co-occur with a number of associated conditions such as irritable bowel syndrome and fibromyalgia. The purpose of this study was to estimate the heritability of approximately 20 associated conditions in first-degree relatives (and if appropriate, second- and third-degree relatives) of patients with IC/PBS to identify shared genetic contributions for the disease combinations...
March 2015: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/25134299/marked-improvement-of-the-autoimmune-syndrome-associated-with-autoimmune-hepatitis-by-treatment-with-sympathomimetic-amines
#6
J Weidner, J H Check
PURPOSE: To evaluate the effect of sympathomimetic amine therapy for a life threatening autoimmune disorder. MATERIALS AND METHODS: Dextroamphetamine sulfate was used to treat edema, myalgia, and chronic fatigue associated with autoimmune hepatitis (AIH). RESULTS: Sympathomimetic amine therapy completely abrogated the symptoms associated with AIH. CONCLUSIONS: AIH should be added to the long list of chronic treatment-refractory conditions that respond quickly and effectively to treatment with sympathomimetic amines...
2014: Clinical and Experimental Obstetrics & Gynecology
https://www.readbyqxmd.com/read/24966258/schnitzler-s-syndrome-a-diagnostic-conundrum
#7
Catherine Fairris, Amrit Darvay
A 63-year-old man was referred to the rheumatology unit with myalgia, arthralgia and a widespread rash. He was investigated for rheumatological disease; however, this did not yield any specific findings. His symptoms were attributed to statin use and newly started antihypertensives which were promptly discontinued. There was some subsequent improvement in his symptoms so he was discharged. He re-presented 3 years later with pelvic bone pain which had responded to a course of oral steroids started by the general practitioner, who was treating a presumed diagnosis of polymyalgia rheumatica...
2014: BMJ Case Reports
https://www.readbyqxmd.com/read/24807329/locating-pain-in-breast-cancer-survivors-experiencing-dyspareunia-a-randomized-controlled-trial
#8
RANDOMIZED CONTROLLED TRIAL
Martha F Goetsch, Jeong Y Lim, Aaron B Caughey
OBJECTIVE: To locate sites of genital tenderness in breast cancer survivors not using estrogen who experience dyspareunia and to test the hypothesis that tenderness is limited to the vulvar vestibule rather than the vagina and is reversed by topical anesthetic. METHODS: Postmenopausal survivors of breast cancer with moderate and severe dyspareunia were recruited for an examination including randomization to a double-blind intervention using topical aqueous 4% lidocaine or normal saline for 3 minutes to the areas found to be tender...
June 2014: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/24515953/bilateral-femoral-neck-insufficiency-fractures-secondary-to-vitamin-d-deficiency-and-concurrent-corticosteroid-use-a-case-report
#9
T Carter, J Nutt, A Simons
UNLABELLED: We present a rare case of a 67-year-old Indian female who was found to have bilateral insufficiency of the neck of femur fractures secondary to osteomalacia from vitamin D deficiency, with her symptoms exacerbated by a course of oral steroids prescribed for suspected polymyalgia rheumatica. INTRODUCTION: Bilateral femoral neck fractures are rare and are known to be associated with a variety of conditions such as parathyroid or renal dysfunction. METHOD: We present a rare case of a 67-year-old Indian female who was found to have bilateral insufficiency of the neck of femur fractures secondary to osteomalacia from vitamin D deficiency, with her symptoms exacerbated by a course of oral steroids prescribed for suspected polymyalgia rheumatica...
2014: Archives of Osteoporosis
https://www.readbyqxmd.com/read/24458854/a-case-of-dermatomyositis-with-secondary-sj%C3%A3-gren-s-syndrome-diagnosis-with-follow-up-study-of-technetium-99m-pyrophosphate-scintigraphy
#10
Ching-Tang Huang, Ying-Chu Chen, Chingtsai Lin, Yu-Chun Hsiao, Lai-Fa Sheu, Min-Chien Tu
PURPOSE: To report a case of dermatomyositis (DM) with secondary Sjögren's syndrome (SS) and propose the clinical application of technetium-99m pyrophosphate ((99m)Tc-PYP) scan. CASE REPORT: A 50-year-old woman had progressive proximal muscle weakness of bilateral thighs, myalgia, tea-colored urine, and exercise intolerance for 6 months. Physical examination showed malar rash, V-sign, periungual erythema, and mechanic hands. Neurological assessment showed symmetric pelvic-girdle weakness, myopathic face, waddling gait, but preserved deep tendon reflex and sensory functions...
December 2013: Acta Neurologica Taiwanica
https://www.readbyqxmd.com/read/24310990/does-fibromyalgia-influence-symptom-bother-from-pelvic-organ-prolapse
#11
Kerrie Adams, Blake Osmundsen, W Thomas Gregory
INTRODUCTION AND HYPOTHESIS: Determine if women with fibromyalgia report increased bother from pelvic organ prolapse compared with women without fibromyalgia. METHODS: We performed a cross-sectional study of women with symptomatic prolapse on consultation with a private urogynecology practice within a 46-month period. After matching for age, women with a diagnosis of fibromyalgia were compared with a reference group of women without fibromyalgia. Demographic, POPQ examination, medical history, and pelvic floor symptom data (PFDI, PFIQ, and PISQ-12) were collected...
May 2014: International Urogynecology Journal
https://www.readbyqxmd.com/read/23681047/intra-vaginal-diazepam-for-high-tone-pelvic-floor-dysfunction-a-randomized-placebo-controlled-trial
#12
RANDOMIZED CONTROLLED TRIAL
Catrina C Crisp, Christine M Vaccaro, M Victoria Estanol, Susan H Oakley, Steven D Kleeman, Angela N Fellner, Rachel N Pauls
INTRODUCTION AND HYPOTHESIS: Intra-vaginal diazepam suppositories are commonly prescribed as a treatment option for high-tone pelvic floor myalgia. This triple-blinded placebo-controlled randomized trial sought to determine if 10 mg diazepam suppositories improve resting pelvic floor electromyography (EMG) compared with placebo. METHODS: Women ≥18 years of age with hypertonic pelvic floor muscles on examination, confirmed by resting EMG ≥2.0 microvolts (μv), administered vaginal suppositories containing either diazepam or placebo for 28 consecutive nights...
November 2013: International Urogynecology Journal
https://www.readbyqxmd.com/read/23588814/classification-and-treatment-of-men-with-chronic-prostatitis-chronic-pelvic-pain-syndrome-using-the-upoint-system
#13
REVIEW
Daniel A Shoskes, J Curtis Nickel
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common condition; however, many of the traditional therapies used in clinical practice fail to show efficacy when subjected to large randomized placebo-controlled trials. This may be because CP/CPPS is a heterogeneous syndrome rather than a specific disease which would explain the failure of "one size fits all" therapy. In order to direct appropriate therapy, we have developed a six-point clinical phenotyping system to evaluate patients with chronic urologic pelvic pain...
August 2013: World Journal of Urology
https://www.readbyqxmd.com/read/23575699/levator-myalgia-why-bother
#14
Kerrie Adams, W Thomas Gregory, Blake Osmundsen, Amanda Clark
INTRODUCTION AND HYPOTHESIS: We report the prevalence of levator myalgia (LM) and describe symptom bother and comorbidities associated with this examination finding. METHODS: We performed a cross-sectional study of patients referred to urogynecology practices: a private practice (COMM) and a tertiary university-based practice (UNIV). We identified within our population a subset of patients with LM and a reference group without LM. The primary outcome was to report the prevalence of LM within a urogynecology referral population...
October 2013: International Urogynecology Journal
https://www.readbyqxmd.com/read/22968056/unprovoked-vestibular-burning-in-late-estrogen-deprived-menopause-a-case-series
#15
Martha F Goetsch
OBJECTIVE: This study aimed to document cases of severe menopausal vulvar burning localized to the vestibule. MATERIALS AND METHODS: Seven postmenopausal women presented to a vulvar clinic between 2007 and 2011 complaining of debilitating constant vulvar burning pain. They were treated according to the vulvar findings. Statistical tools were descriptive. RESULTS: The women's ages ranged from 56 to 79 years (mean age = 67 years). Pain had begun 1 to 4 years before presentation (mean = 1...
October 2012: Journal of Lower Genital Tract Disease
https://www.readbyqxmd.com/read/22934198/osteopetrosis-hypophosphatemia-and-phosphaturia-in-a-young-man-a-case-presentation-and-differential-diagnosis
#16
Zahi Mitri, Vin Tangpricha
We report the case of a 30-year-old African-American male with osteopetrosis and hypophosphatemia, presenting with diffuse myalgias. Laboratory evaluation performed revealed a low serum phosphorus level with urinary phosphate wasting, low calcium, and 25-hydroxyvitamin D concentrations, as well as elevated alkaline phosphatase. Skull and pelvic radiographs revealed high bone density consistent with high bone mass found on bone mineral density reports. PHEX gene mutation analysis was negative. Patient was started on calcium and phosphorus replacement, and he clinically improved...
2012: Case Reports in Endocrinology
https://www.readbyqxmd.com/read/22381609/ischiorectal-fossa-abscess-after-pelvic-floor-injection-of-botulinum-toxin
#17
Taylor J Brueseke, Felicia L Lane
Botulinum toxin is used to treat pelvic floor tension myalgia; however, its safety profile is poorly understood. We report an ischiorectal fossa abscess after pelvic floor injections of botulinum toxin. Physicians need to be aware of this possible complication, consider alternate injection techniques and antiseptic preparation before injection.
March 2012: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/22075200/paraneoplastic-myalgias-and-myositis
#18
REVIEW
Rohit Aggarwal, Chester V Oddis
There are several key observations on paraneoplastic myopathies: The risk of cancer associated with DM is very high, whereas risk of cancer associated with PM is mildly increased Most cancers develop within one year of the onset of myositis, although the risk remains high up to 5 years after diagnosis. The most common cancers associated with DM are adenocarcinoma, including lung, ovary, cervical, stomach, pancreas, colorectal and lymphoma, whereas PM is associated with a high risk of lymphoma. The clinical course of myopathy is closely linked with the course of cancer...
November 2011: Rheumatic Diseases Clinics of North America
https://www.readbyqxmd.com/read/21296577/asian-patients-with-limb-girdle-muscular-dystrophy-2i-lgmd2i
#19
Daojun Hong, Wei Zhang, Wei Wang, Zhaoxia Wang, Yun Yuan
Limb girdle muscular dystrophy type 2I (LGMD2I) is caused by defects in the fukutin-related protein (FKRP) gene. In most Caucasian patients with LGMD2I, the condition is associated with a missense mutation - c.826C>A (p.Leu276Ile). We describe two Chinese brothers with progressive shoulder and pelvic muscle weakness. They had muscle stiffness and myalgia after exercise, but lacked obvious hypertrophy of the calves. Muscle biopsy showed dystrophic features with many rimmed vacuoles in the fibers. Immunohistochemistry and immunoblot analyses revealed reductions of alpha-(α)-dystroglycan (VIA4-1) and laminin-α2 (80-kDa C-terminal and 300-kDaN-terminal)...
April 2011: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/21151732/optimal-management-of-chronic-cyclical-pelvic-pain-an-evidence-based-and-pragmatic-approach
#20
Ha Ryun Won, Jason Abbott
This article reviews the literature on management of chronic cyclical pelvic pain (CCPP). Electronic resources including Medline, PubMed, CINAHL, The Cochrane Library, Current Contents, and EMBASE were searched using MeSH terms including all subheadings and keywords: "cyclical pelvic pain", "chronic pain", "dysmenorrheal", "nonmenstrual pelvic pain", and "endometriosis". There is a dearth of high-quality evidence for this common problem. Chronic pelvic pain affects 4%-25% of women of reproductive age. Dysmenorrhea of varying degree affects 60% of women...
2010: International Journal of Women's Health
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