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Antalgic therapy

Eugenio L C Miller, Luiz F F Miller, Jorge G Carvalho, Alexandre Marsillac, Lucas Pires, Marcio A Babinski, Mauro Monteiro
INTRODUCTION: Psoas abscess is a rare clinical entity with vague symptomatology. We report a psoas abscess that simulated symptoms of acute appendicitis. PRESENTATION OF CASE: A twenty-five year old male presented pain irradiating to the right iliac fossa and lumbar region associated with thigh flexion. Laboratorial exams revealed leukocytosis with a neutrophil shift to the left. Abdominal Ultrasound showed significant intestinal distension and a small quantity of free fluid at the right iliac fossa...
2016: International Journal of Surgery Case Reports
Luděk Ryba, Jan Cienciala, Richard Chaloupka, Martin Repko, Robert Vyskočil
Injuries of the upper cervical spine represent 1/3 of all cervical spine injuries and approximately 40 % result by the death. Every level of the cervical spine can be injured - fractures of condyles of the occipital bone (CO), atlantooccipital dislocation (AOD), fractures of the Atlas (C1), atlantoaxial dislocation (AAD) and fractures of the axis (C2). Most of cases in younger patients are caused by high-energy trauma, while by elderly people, because of the osteoporosis, is needed much less energy and even simple falls can cause the injury of the cervical spine...
2016: Soudní Lékarství
Sivashankar Chandrasekaran, S Pavan Vemula, Chengcheng Gui, Carlos Suarez-Ahedo, Parth Lodhia, Benjamin G Domb
BACKGROUND: Gluteus medius tears are a common cause of lateral hip pain. Operative intervention is usually prescribed for patients with pain despite physical therapy and/or peritrochanteric injections. PURPOSE: To identify clinical features that predict operative intervention in gluteus medius tears. STUDY DESIGN: Case control study; Level of evidence, 3. METHODS: A matched-pair controlled study was conducted on patients who underwent endoscopic gluteus medius repairs from June 2008 to August 2014 for full-thickness tears...
February 2015: Orthopaedic Journal of Sports Medicine
R Cassino, A M Ippolito, P Cuffaro, A Corsi, O Forma
AIM: Aim of the study was to demonstrate the effectiveness, in the management of recalcitrant wounds, of a hyperoxidized oil-based gel with film-forming and protective functions. METHODS: The study involved 50 patients with recalcitrant not infected and/or necrotic chronic ulcers. All patients had 0.7 minimum ABPI value; terminal and/or cancer and/or under immunosuppressive therapy patients were excluded. The dressing consisted in a uniform gel layer applied on the lesion, after cleansing with a 0...
February 2015: Minerva Chirurgica
Nigar Dirican, Sedat Gunes, Yeliz Karakaya, Vildan Kaya, Sureyya Cerci, Ahmet Dirican
OBJECTIVE: Metastatic tumors of the mandible are rare and usually present clinically as growths. The prognosis of lung cancer patients with bone metastases is poor. CASE REPORT: This article shows a metastasis from adenocarcinoma of the lung affecting the mandible of a 75-year-old female patient where the metastatic lesion was detected before primary tumor. The patient were treated with radiation therapy with palliative and antalgic intent. But the patient died 8 weeks after the diagnosis...
October 2014: Medical Archives
Foad Elahi, Kwo Wei David Ho
Headaches and facial pain can be extremely difficult to manage for the patient and the clinician. In the medical literature, it has been suggested that the autonomic reflex plays an important role in the pathophysiology of facial neuralgia. The sphenopalatine ganglion is the largest parasympathetic ganglion outside the cranium. It is an easy accessible target for pain management. The application of radiofrequency nerve ablation was described in the medical literature. In this case report, we describe a 54-year-old female...
2014: Case Reports in Neurological Medicine
Michelangelo Buonocore, Nereo Camuzzini, Anna Dall'Angelo, Silvia Mandrini, Elena Dalla Toffola
OBJECTIVE: To investigate the analgesic effect of high-frequency transcutaneous peripheral nerve stimulation (HF-TPNS) in the ipsilateral and contralateral skin territory of the stimulated nerve. DESIGN: Prospective, cross-over study. SETTING: Clinical neurophysiology unit, institutional care, rehabilitation center. PARTICIPANTS: Ten healthy volunteers (5 male, 5 female). METHODS: Participants underwent 3 different sessions...
January 2015: PM & R: the Journal of Injury, Function, and Rehabilitation
Luciano De Fiore, Anna Costantini, Massimo Di Maio, Stefania Gori, Domenica Lorusso, Giovanni Rosti, Carmine Pinto
Films that feature characters with cancer have become a familiar sight for movie-goers. 148 movies treating tumors were selected, produced all over the world since the Thirties, in which cancer had "prompt", "relevant", or "plot" character. In order to clearly understand each film's peculiar message about cancer, we recollected data such as genealogy, year and country of production, main characters' age and gender, and kind of tumor. Movies deal with cancer through very relevant questions, as well as themes and contexts that have great influence on oncologist's mind and consciousness...
May 2014: Recenti Progressi in Medicina
A Testa, C Iannace, L Di Libero
BACKGROUND: In the immediate postoperative period surgical breast cancer patients can face many problems including functional limitation of the shoulder, edema, pain and depression. Although those symptoms can alleviate during the stages of the therapeutic route, most of the time concur significantly to the everyday life discomforts decreasing sharply the quality of life. Therefore, is essential to pay attention to the functional problems of breast cancer patients in order to ensure a quick and complete physical and psychosocial recovery...
June 2014: European Journal of Physical and Rehabilitation Medicine
O Lamy, B Uebelhart, B Aubry-Rozier
Vertebral fracture (VF) is the most common osteoporotic fracture and is associated with high morbidity and mortality. Conservative treatment combining antalgic agents and rest is usually recommended for symptomatic VFs. The aim of this paper is to review the randomized controlled trials comparing the efficacy and safety of percutaneous vertebroplasty (VP) and percutaneous balloon kyphoplasty (KP) versus conservative treatment. VP and KP procedures are associated with an acceptable general safety. Although the case series investigating VP/KP have all shown an outstanding analgesic benefit, randomized controlled studies are rare and have yielded contradictory results...
March 2014: Osteoporosis International
Heather K Vincent, Meredith C B Adams, Kevin R Vincent, Robert W Hurley
Individuals with musculoskeletal pain exhibit abnormal movement patterns, including antalgic gait, postural dysfunction, increased thoracolumbar stiffness, decreased proprioception, and altered activation of abdominal and extensor muscles. Additionally, aberrant or increased biomechanical forces over time produce joint or structural damage that results in pain. A large body habitus resulting from excessive weight can accelerate these musculoskeletal complaints. Irrespective of age, obesity contributes to chronic musculoskeletal pain, impairment of mobility, and eventual physical disability...
November 2013: Regional Anesthesia and Pain Medicine
M Buonocore, N Camuzzini, M Cecini, E Dalla Toffola
BACKGROUND: TENS (transcutaneous electrical nerve stimulation) is probably the most diffused physical therapy used for antalgic purposes. Although it continues to be used by trial and error, correct targeting of paresthesias evoked by the electrical stimulation on the painful area is diffusely considered very important for pain relief. AIM: To investigate if TENS antalgic effect is higher in the cutaneous area of the stimulated nerve when confronted to neighbouring areas...
2013: BioMed Research International
Salvatore Masala, Eros Calabria, Marco Nezzo, Dominique De Vivo, Luca Neroni, Giovanni Simonetti
We will discuss a potential role of percutaneous vertebroplasty (PVP) in the management of a patient with immobilization syndrome due to paraplegia and vertebral osteoporotic fractures. While PVP is commonly used for the treatment of osteoporotic thoracolumbar vertebral compression fractures, its role in vertebral stabilization in patient with immobilization syndrome has not been reported in the literature. A 73-year-old woman affected by immobilization syndrome due to paraplegia and vertebral osteoporotic fractures was treated with PVP of vertebrae D12, L1, and L4...
2013: Case Reports in Radiology
Francesca Maria Giugliano, Domingo Alberti, Giovanna Guida, Giampaolo De Palma, Luciano Iadanza, Maria Mormile, Fabrizio Cammarota, Agnese Montanino, Franco Fulciniti, Vincenzo Ravo, Paolo Muto
INTRODUCTION: Lung cancer is the leading cause of cancer-related death in Europe and the US. Isolated metastases to skeletal muscle and the mandible are very uncommon. CASE PRESENTATION: This report presents two cases. Case 1 concerns a 45-year-old Caucasian woman affected by muscle metastasis of the right thigh from non-small-cell lung cancer. Case 2 concerns a 61-year-old Caucasian man affected by mandible metastasis from non-small-cell lung cancer. Both metastases were detected by diagnostic imaging studies...
2013: Journal of Medical Case Reports
D Sardaru, Gabriela Tiţu, L Pendefunda
UNLABELLED: The problems at the level of intervertebral discs are producing dysfunctions and important functional regression at the level of lumbar column, at a stage at which the patient could remain blocked in an anterior or lateral flexion position or producing an antalgic position of scoliosis that could incapacitate the patient to perform activities of daily living. The medical rehabilitation, in such cases, must seek not only the relief of local pain through different methods of obtaining it, but also the functional reeducation of the intervertebral articulations through specific analytical mobilization in order to achieve the biomechanical harmonization of the rachis...
April 2012: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
Min Li, Weiping Rong, Xianming Pan, Lin Yu
This article describes a case of a 13-year-old girl with single-level calcified cervical disk herniation. The patient was treated conservatively for a symptomatic intervertebral calcification that caused neurological compression, and the data were reviewed retrospectively. Previous reports have shown that the natural history of the disease is self-limiting with a benign course and an excellent prognosis. However, on rare occasions when the calcified nucleus pulposus herniates into the spinal canal and compresses the spinal cord or its roots, neurological abnormalities can occur, such as radiculopathy and myelopathy...
August 1, 2012: Orthopedics
Claudia M Vernooij, Marleen E Vreeburg, Michiel J M Segers, Eric R Hammacher
BACKGROUND: In a torus fracture, there is an intact cortex at the side of the fracture which gives more intrinsic stability than in greenstick fractures, where one side of the cortex is disrupted. Two previously done studies compared soft bandage therapy (BT) with cast therapy in the treatment of torus forearm fractures in children and showed this is safe and does not cause any complications. The aim of our study was to validate these studies by treating all patients presenting to emergency department with a torus fracture with BT and investigate whether any complications occur...
April 2012: Journal of Trauma and Acute Care Surgery
F Dixmérias, J Palussière
Bone metastases are frequently symptomatic. The pain is specific due to its pathophysiology, characteristics and treatment. Conventional antalgic pain management may be insufficient and management should be multifacetted, global and multidisciplinary. Interventional radiology procedures widen the range of possible antalgic therapies. Their role in the management of patients should be defined by a multidisciplinary team on a case-by-case review, based on the patient's symptoms and fracture risk. Additional scientific validation of the effectiveness of such therapies is needed...
September 2011: Journal de Radiologie
Fabio Caviggioli, Luca Maione, Davide Forcellini, Francesco Klinger, Marco Klinger
BACKGROUND: Mastectomy with axillary dissection is still one of the most common procedures in oncologic surgery. Unfortunately, a condition of neuropathic pain, termed postmastectomy pain syndrome, can appear after mastectomy. Although evidence regarding the epidemiology of postmastectomy pain syndrome is well researched, an effective therapy is still unknown. The aim of this study was to assess the clinical effectiveness of lipoaspirate graft in the treatment of postmastectomy pain syndrome...
August 2011: Plastic and Reconstructive Surgery
Rui Figueiredo, Miguel Sousa, Cláudia Miguel, Eugénia Simões
OBJECTIVES: The aim of this study was to record the analgesic prescription commonly performed by Portuguese Rheumatologists in patients with chronic Rheumatologic disease, using the guidelines provided by the World Health Organization for treatment of chronic pain as comparative. MATERIAL AND METHODS: We randomly selected the clinical records of 203 patients with complete clinical record. We excluded patients with less than a year of follow-up, last consultations over a year ago, age under 16 years, patients with no rheumatologic diagnose, being the final sample of 94 patients...
January 2011: Acta Médica Portuguesa
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