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Midback pain

Efstathios Chronopoulos, Vassilios S Nikolaou, Aikaterini Masgala, Angelos Kaspiris, Georgios C Babis
Adrenal hemorrhage (AH) is a rare but serious condition that is often diagnosed at autopsy. Unilateral adrenal hemorrhage (UAH) in adults is extremely rare and is often due to trauma or anticoagulation or is associated with systemic illness. The case of a 73-year-old man who was diagnosed with UAH several days after an elective total knee replacement is presented. The patient had an uncomplicated procedure and he was treated postoperatively with a prophylactic dose of subcutaneous low-molecular- weight heparin and compression sleeves...
May 2014: Orthopedics
Kristina M Gruevski, Colin D McKinnon, Clark R Dickerson, Jack P Callaghan
The introduction of mobile computing within a constrained vehicle environment has led to changes in the task demands of occupational groups such as professional drivers and law enforcement officers. The purpose of this study was to examine how mobile data terminal (MDT) use interacts with prolonged driving to induce postural changes or low-back discomfort. Eighteen participants (9 male, 9 female) completed two 120-min simulated driving sessions. Time-varying lumbar spine and pelvis postures, seat pan interface pressures and ratings of perceived discomfort were recorded at 15-min intervals...
2013: International Journal of Occupational Safety and Ergonomics: JOSE
John A Dufton, Silvio G Bruni, Jacek A Kopec, J David Cassidy, Jeffrey Quon
BACKGROUND: Prognosis of whiplash injury has been found to be related to a number of sociodemographic, treatment and clinical factors. In the current study, we attempt to identify several novel prognostic factors for delayed recovery in whiplash-associated disorders (WADs), using a validated and reliable measure of recovery. PATIENTS AND METHODS: Retrospective review of a large database of a national network of physiotherapy and rehabilitation service providers in Canada yielded 5581 individuals injured in motor vehicle collisions...
July 2012: Injury
Steven P Cohen, Rollin M Gallagher, Shelton A Davis, Scott R Griffith, Eugene J Carragee
BACKGROUND CONTEXT: Nonbattle illnesses and injuries are the major causes of unit attrition in modern warfare. Spine-area pain is a common disabling injury in service members associated with a very low return-to-duty (RTD) rate. PURPOSE: To provide an overview of the current understanding of epidemiology, possible causes, and relative prognosis of spine-area pain syndromes in military personnel, including a discussion of various treatment options available in theaters of operation...
September 2012: Spine Journal: Official Journal of the North American Spine Society
Kirk Eriksen, Roderic P Rochester, Eric L Hurwitz
BACKGROUND: Observational studies have previously shown that adverse events following manipulation to the neck and/or back are relatively common, although these reactions tend to be mild in intensity and self-limiting. However, no prospective study has examined the incidence of adverse reactions following spinal adjustments using upper cervical techniques, and the impact of this care on clinical outcomes. METHODS: Consecutive new patients from the offices of 83 chiropractors were recruited for this practice-based study...
2011: BMC Musculoskeletal Disorders
Anna Kierklo, Agnieszka Kobus, Małgorzata Jaworska, Bartłomiej Botuliński
Dentists at work are susceptible to the development of health disorders. Bad working habits, repetitive tasks and uncomfortable posture contribute to musculoskeletal disorders (MSDs), stress and loss of production. The paper deals with the assessment of health status among dentists in Poland regarding the symptoms of musculoskeletal pain. The survey was conducted among 220 dentists. The questionnaire was concerned with demographic details, work duration and acquired specialization, organization and methods of work in the surgery, and also disorders connected with the musculoskeletal system and physical prophylactic activity...
2011: Annals of Agricultural and Environmental Medicine: AAEM
Ali Hendi, Peter T Dorsher, Thomas D Rizzo, Lawrence E Gibson
BACKGROUND: The immediate onset of severe postoperative pain, especially pain radiating distant from the incision site, is uncommon after dermatologic surgery. OBSERVATION: A 37-year-old woman undergoing excision of a nevus from the left side of her midback had an exquisitely tender spot along the incision lines. This tender spot was hard to anesthetize and was clinically visible, after excision of the nevus, as a fibrous bundle in the subcutaneous plane. She presented in the immediate postoperative period with referred (distant) pain extending down the ipsilateral arm that was caused by a thoracic subcutaneous trigger point...
January 2009: Archives of Dermatology
Karin Swartz, Dominic Fee
STUDY DESIGN: A case report and literature review of Kümmell's disease. OBJECTIVE: To describe a case that meets modern criteria for Kümmell's disease and discuss the literature on this. SUMMARY OF BACKGROUND DATA: Over 100 years ago, Hermann Kümmell described a condition in which patients sustained a "trivial" trauma, had an essentially asymptomatic period lasting weeks to months, then developed a painful, progressive angular kyphosis...
March 1, 2008: Spine
Julia Anna Glombiewski, Jens Tersek, Winfried Rief
OBJECTIVE: To compare the muscular reactivity of patients with chronic back pain (CBP) to different psychological stressors with the reactions of healthy controls. We also investigated the specificity of muscular reaction near the site of pain in comparison to distal sites. The symptom-specificity model of chronic pain postulates that increased muscle tension in CBP patients may be responsible for the development and maintenance of chronic pain. METHOD: We studied a total of 54 CBP patients with musculoskeletal pain of the lower back, midback, or neck and 62 healthy controls, matched with CPB patients...
January 2008: Psychosomatic Medicine
Rod Kaufman
OBJECTIVE: This case study describes a patient diagnosed with early manifestations of multiple myeloma and illustrates relevant aspects of differential diagnosis and the use of laboratory, radiologic, and advanced imaging techniques to aid in establishing the diagnosis and issues of management. CLINICAL FEATURES: A 36-year-old male student experienced midback pain that occurred primarily at night in conjunction with fever and unexplained weight loss. Minor trauma induced a significant fracture and an occult fracture in the upper extremity...
September 2007: Journal of Manipulative and Physiological Therapeutics
Donna O Lowe, Sandra R Knowles, Elizabeth A Weber, Craig J Railton, Neil H Shear
Burns are a rare but potentially serious complication of povidone-iodine use. This rare adverse drug reaction developed in a 38-year-old woman who underwent laparoscopic right ovarian cystectomy and endometrial ablation as a day procedure involving application of the topical antiseptic 10% povidone-iodine solution. Two days later, the patient was admitted to the hospital with burning, pain, itching, marked redness, and blistering extending from her midback to buttocks. A stain on her back also was evident. Partial-thickness chemical burn was diagnosed...
November 2006: Pharmacotherapy
Anthony J Lisi, Mukesh K Bhardwaj
OBJECTIVE: To present an evidence-based case report on the use of chiropractic high-velocity low-amplitude spinal manipulation in the treatment a postsurgical, chronic cauda equina syndrome patient. CLINICAL FEATURES: A 35-year-old woman presented with complaints of midback pain, low-back pain, buttock pain, saddle anesthesia, and bladder and bowel incontinence, all of 6 months duration. The patient was 6 months post emergency surgery for acute cauda equina syndrome due to lumbar disc herniation...
November 2004: Journal of Manipulative and Physiological Therapeutics
Julie Méthot, Bettina A Hamelin, Peter Bogaty, Marie Arsenault, Sylvain Plante, Paul Poirier
BACKGROUND: Previous studies suggest that the clinical presentation of acute coronary syndromes (ACS) may differ between women and men. It is not known if different clinical presentations may be explained by hormonal status in women with ACS. Our objective was to compare the clinical presentation of ACS between premenopausal (PRE) women and post-menopausal women with hormone replacement therapy (HRT) and without (POST). METHODS: This was a prospective study of consecutive women admitted with a diagnosis of ACS (myocardial infarction [MI] or unstable angina)...
July 2004: Journal of Women's Health
B Timothy Harcourt, Manel Wijesinha, Gary E Harcourt
OBJECTIVE: To determine the reliability of a combined tool, namely that of Subjective and Objective Numerical Outcome Measure Assessment (SONOMA). METHODS: Testing was conducted, limited to patients with neck, midback, or lower back pain, with or without radiculopathy, in an outpatient chiropractic office setting. Test-retest reliability of the objective analysis of SONOMA was carried out on the same day (n = 50) with an interval time period of less than 60 minutes...
October 2003: Journal of Manipulative and Physiological Therapeutics
Scott T Williams, Sherif I Heiba, Brian P Whooley, Gina A Ciavarra, Hussein M Abdel-Dayem
We describe a 41-year-old man with a 1-week history of nausea and vomiting 1 month after chemoembolization of a liver metastasis. The patient subsequently became febrile and developed right upper quadrant abdominal and midback pain. Findings of initial laboratory and imaging studies (a noncontrast computed tomographic [CT] scan and ultrasound) were not remarkable. Hepatobiliary scintigraphy, performed to rule out cholecystitis, revealed an abnormal area in the right lobe of the liver consistent with a focal bile leak into an abscess cavity...
March 2002: Clinical Nuclear Medicine
S H Lee, S J Dante, F A Simeone, M T Curtis
OBJECTIVE AND IMPORTANCE: Neurenteric cysts are very rare (particularly in the adult age group) congenital intraspinal cysts of endodermal origin. The patient described was a 48-year-old man who was diagnosed as having an isolated thoracic neurenteric cyst at the T5-T6 level, without a mediastinal enterogenous cyst. Radiological studies demonstrated multiple anterior vertebral column abnormalities. CLINICAL PRESENTATION: The patient presented with a long history of mild midback pain...
November 1999: Neurosurgery
K A Milner, M Funk, S Richards, R M Wilmes, V Vaccarino, H M Krumholz
This study explores gender differences in symptom presentation associated with coronary heart disease (CHD). In this prospective study, nurse data collectors directly observed 550 patients as they presented to the Emergency Department (ED) of Yale-New Haven Hospital. The final sample included 217 patients (41% women) diagnosed with CHD (acute coronary ischemia or myocardial infarction). Chest pain was the most frequently reported symptom in women (70%) and men (71%). Unadjusted analyses revealed that women were more likely than men to present with midback pain (odds ratio [OR] 9...
August 15, 1999: American Journal of Cardiology
A G Aboukasm, B J Smith
Bone fractures, especially vertebral compression fractures, are well-known complications of convulsive seizures. Acute vertebral fractures of unclear cause, often labeled idiopathic, may be due to unwitnessed epileptic seizures. We reviewed the records of 2 patients with new onset of seizures seen at the Adult Epilepsy Clinic at the Henry Ford Hospital, Detroit, Mich, who had a history of vertebral compression fractures preceding the diagnosis of epilepsy. The patients, who had no risk factors for pathologic fractures, awoke with severe midback pain...
March 1997: Archives of Family Medicine
S C Sheard, R J Pethybridge, J M Wright, G H McMillan
BACKGROUND: In the early 1990's staff at a Royal Naval Air Station formed the view that pilots and observers of the Navy Lynx helicopter fleet appeared to have a higher incidence of back pain, to be seeking medical assistance more frequently and to be spending more time medically "unfit to fly" when compared to their counterparts in other helicopters. HYPOTHESIS: To quantify the incidence of low back pain in helicopter aircrew by use of a questionnaire. METHODS: A questionnaire was used to establish the prevalence and nature of back pain in Naval aircrew (161) compared to a control group of randomly selected non-flying military personnel (310)...
May 1996: Aviation, Space, and Environmental Medicine
G Y Wong, D L Brown
BACKGROUND AND OBJECTIVES: A pancreatic cancer patient developing transient paraplegia compatible with spinal cord ischemia, following alcohol celiac plexus neurolysis, is described. METHODS: A 58-year-old man with metastatic pancreatic cancer underwent celiac (deep splanchnic) alcohol neurolysis for management of severe epigastric and midback pain. In spite of apparently adequate needle position, he developed transient paraplegia consistent with anterior spinal artery syndrome...
July 1995: Regional Anesthesia
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