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Strip That Fat Diet Review ? Part 2

Toni Mcrae — Thu, 02 Dec 2010 01:39:20 +0000

Strip That Fat Diet Review – Part 2

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Home Page > Sports and Fitness > Weight Loss > Strip That Fat Diet Review – Part 2

Strip That Fat Diet Review – Part 2

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Posted: Jan 28, 2010 |Comments: 0

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Strip That Fat Diet Review – Part 2

By: Diet Queen

About the Author

Kay Stevens, AKA The Diet Queen, focuses on helping others lose weight. Find the best diets available today. My diet review site features three of the best diets today and offers visitors the ability to sign up for a Free newsletter with weight loss and dieting tips and motivational tips. Visit http://www.greatfatlossdiets.com or the blog at http://www.greatfatlossdiets.com/blog to learn more.

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Article Source: http://www.articlesbase.com/ - Strip That Fat Diet Review – Part 2

The Strip that Fat diet delivers what it promises. It is a comprehensive approach to weight loss that is healthy and allows dieters to eat from all food groups in moderation.

When dieters first visit the sales page for the diet they may think the system seems to be too simple. In fact, this is the biggest reason many people are scared away. The truth of the matter is that simple can often be very, very effective.

The system chose its name for a reason – if dieters follow the plan then they will lose fat. It’s really that simple. In doing so, successful dieters will feel better, be healthier and have more energy. These are natural consequences of losing weight and getting healthy.

However, it’s important to remember that it’s not just about losing weight. To truly improve your health you must Strip That Fat. Too much fat on a body can cause numerous health problems. Even skinny people can be unhealthy. Some skinny people carry around a lot of fat in their bodies and they are not very healthy at all.

One of the first things the Strip That Fat addresses is the many dieting myths that people believe. These include myths such as eating carbs is bad for you, eating fat is bad for you, liquid diets work, and pre-packaged diet program will work for anyone.

The truth of the matter is that everyone needs carbs and fat in their diets. We also need to understand that our bodies and lifestyles are different so different diets work for different people.

Use this diet program to understand how our bodies work, find a plan that is specific to your body and your needs, and lose weight for good. The Strip That Fat diet works if you follow it.

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Source: http://www.articlesbase.com/weight-loss-articles/strip-that-fat-diet-review-part-2-1795223.html

Article Tags:
strip that fat diet review, good diets, lose weight fast, diet programs, lose fat, dieting, lose fat fast, lose weight, lose weight today, weight loss, lose belly fat fast

Cabbage Soup Diet

Toni Mcrae — Wed, 21 Jul 2010 08:31:25 +0000

Learn how to lose 10 pounds in 7 days with the Cabbage Soup Diet.
Cabbage Soup Diet

Tags: Human Interest, Cabbage, Soup, diet, how to lose 10 pounds in 7 days, cabbage soup diet

The original post is located: Cabbage Soup Diet

What diets have actually worked for you?

Toni Mcrae — Mon, 19 Jul 2010 08:04:08 +0000

I'm a firm believer in not just dieting but creating a healthy lifestyle, something that a person can stick to. With that being said, what diets have worked for you? Have you stuck to them and made them apart of your lifestyle or did you just diet short term?

Tags: healthy lifestyle, worked, Diets

The original post is located: What diets have actually worked for you?

Ramble: Diets etc! (Recorded on iPhone 4)

Toni Mcrae — Sat, 17 Jul 2010 07:27:12 +0000

twitter.com www.lollipop26writes.com Obviously this is just my personal waffle - don't take any dietary advice seriously. Take it in the spirit it is meant a sharing of ideas and experience but not a firm recommendation on how to live your life In case anyone asks... Face: Revlon Colorstay and Bobbi Brown moisturisation foundation (my new favourite combo!), MAC Hang Loose blush. Eyes: NARS Nepal (Love!) with Bare Minerals Sex Kitten (also absolutely love), L'oreal Voluminous Lips: MAC Jazzed and a clear gloss over the top Top: French Connection from a long time ago.

Tags: french connection, dietary advice, revlon colorstay, Human Interest, bobbi brown, iphone 4

The original post is located: Ramble: Diets etc! (Recorded on iPhone 4)

Diet Pills ? a Real Life Account

Toni Mcrae — Thu, 15 Jul 2010 06:59:41 +0000

Following is a real life account of an obese person who was about to die due to his overweight and related diseases. The story is how he got rid of the problem of obesity. We are bringing the story here with the hope that definitely the story will encourage people to lose extra weight and become disease free. Let us read the story in his own words.

Hello! I am an ordinary citizen and actually no story is generally written by any one about an ordinary person like me. However still I am writing my experience with the hope that this may encourage others to fight the curse of obesity.

Even a few years back, I was an obese person. Actually my obesity started from my child hood. It is true that 40 percent of teen age boys and girls in America are overweight and obese. I was also among one of them during my childhood.

My body weight continued to increase abnormally compared to my age and height as I grew older. At my age below 25, my body weight increased to an alarming level. This overweight made me slow, not so smart and lazy. I felt always difficulty in breathing. My blood pressure increased unnecessarily. Also there were some symptoms of type-2 diabetes in my system. Really I was scared and could not find any way to get rid of my problem of overweight.

Also my sexual power was reducing day by day and I felt ashamed to my beautiful wife for not being able to satisfy her sexual desire.

I was thinking to adopt some weight loss programs with regular exercise by visiting Gym and take a session under the instruction of an experienced person.

However, I saw the program was too rigorous to adopt. So I did not join and this made me very much upset and I thought that there was no respite from my excess weight which would ultimately kill me in my immature age.

I heard the name of Phentermine diet pills. But I was not sure about their effectiveness as there were floods of advertisements in TV and Internet about cheap Phentermine diet pills and I thought all bogus.

But when I felt that my body weight would kill me one day and seeing no other way, I took the advice of a doctor who prescribed me to buy Phentermine diet pills.

He assured me that everything was not bogus. Actually phentermine
diet pills are prescription drugs and should be taken through a prescription of an experienced doctor. There are some suitability criteria for Phentermine diet pills and there are some side effects of it which should be closely monitored by a doctor.

The doctor also advised me to take controlled amount of balanced diet with some light exercise during morning and evening which were suitable for me.

Seeing no other way, I followed the doctor’s advice and started my weight loss program with Phentermine diet pills, balanced diet and regular exercise. After a few weeks I felt the real miracle. My body weight started to reduce.

My joy knew no bounds. I was so excited and thrilled to see my body weight reduction! This encouraged me to adopt a bit more rigorous exercise with the advice of my doctor and my body weight gradually came to the accepted level without disturbing other functions of my body.

At present my body is perfectly fit. All my symptoms of weight related disease disappeared as soon as my body weight came down.

I want to warn people that you may get spam mails from internet stores regarding Phentermine online. You should not be enticed to buy Phentermine online although they appear to be cheap. I have found other diet pills that are just as good and infact sometimes beter and have listed them all on my web page!

I have seen and reviewed many Diets, Diet Pills and other products. For a bit of frendly advice, futher reading or even some good deals on diet related products Visit us at WWW.DietsReviewedOnline.COM

Tags: Real, Life, diet, pills, Account

The original post is located: Diet Pills ? a Real Life Account

A Dieting Revolution

Toni Mcrae — Tue, 13 Jul 2010 06:27:16 +0000

The South Beach Diet is a revolutionary way of looking at weight loss. It isn’t low carb or low fat—it’s all about balance and learning to choose good fats and good carbs instead of foods that don’t help your body. This diet was developed by Miami cardiologist Arthur Agaston as a way for heart patients to lose weight in a healthy way and keep it off, but it was so successful that soon everyone wanted to try it. During the first two weeks on the South Beach Diet you’ll begin the process of learning to eat in a new way. You’ll eat three balanced meals a day with normal size portions of meat, seafood, vegetables, eggs, cheese, and nuts. You won’t be hungry and you’ll learn how to ignore cravings and avoid wanting to overeat. You get to have snacks twice a day, drink diet soda, and eat out, but there are a few things you can’t eat in the first two weeks. You can’t have bread, rice, potatoes, pasta, baked goods, candy, ice cream, sugar, or fruit. You also can’t have beer or alcohol. But it’s only for two weeks. After that, you get to add these foods back into your diet in a healthy way. After the first two weeks, the next phase of the South Beach Diet begins. You’ll still eat plenty of lean protein, vegetables, eggs, cheeses, and nuts, but you also get to add in some of your favorite carbohydrates and sugars. You’ll learn the difference between good carbs and bad carbs and learn to balance foods so that you stay full and have plenty of energy! You stick to this phase of the diet until you reach your target weight. Then you can add in even more carbs and sugars while still maintaining your new weight. Once you know how to balance healthy options with not-as-healthy favorites, it’s easy to eat what you love and still keep the weight off.The South Beach Diet is less of a diet and more of a way of life. It teaches you how to eat so that it isn’t such a struggle to be healthy. The foods emphasized are universally considered to be healthy choices rich in vitamins, minerals, omega-3 oils, and good fats. There are even prepackaged South Beach meal options that can be purchased online or in grocery stores, which makes it even easier to stay on track. More diet tips and diet reviews at www.dietsinreview.com and the diet forum

Visit Diets in Review For all your diet review needs! Today's popular diet reviews are: Ephedrine | Biggest Loser Club | Jillian Michaels | Check out more diet reviews at Diets In Review

Tags: good carbs and bad carbs, heart patients, weight loss, balanced meals, arthur agaston, lean protein

The original post is located: A Dieting Revolution

How is it possible to eat low sodium and low sugar diets?

Toni Mcrae — Sun, 11 Jul 2010 05:56:19 +0000

I can get a handle on the low calorie diets, there are plenty of good meals I can make that are low calorie.

But now all the science is saying diets should be low sugar and low sodium. What the heck am I supposed to cook that falls in this range now? I have no idea what to even buy at the grocery store to avoid BOTH sugar and sodium.

Any ideas of some good uncomplicated meals that are not just salad after salad and/or just skinless chicken breast.
what are pilipino foods?

Tags: Hospitality Recreation, low sodium, Health Medical Pharma

The original post is located: How is it possible to eat low sodium and low sugar diets?

Nutrition & Diets : How to Lose a Double Chin

Toni Mcrae — Fri, 09 Jul 2010 05:22:09 +0000

The best strategy in getting rid of a double chin is to concentrate on losing weight throughout the entire body. Do exercises that strengthen the neck and jaw withadvice from a registered and licensed dietitian in this free video on nutrition and diets. Expert: Christine Marquette Bio: Christine E. Marquette is a registered and licensed dietitian with the Austin Regional Clinic in Austin, Texas. Filmmaker: Todd Green

Tags: nutrition, Diets, Chin, lose, double

The original post is located: Nutrition & Diets : How to Lose a Double Chin

Diets From Hell Part 1

Toni Mcrae — Wed, 07 Jul 2010 04:52:05 +0000

Listen to the Lowcarbshow.com weekly podcast podcast.com Low Carb, Low Fat Diets can be hell - here is a great BBC Documentary about it....

Tags: low fat, From, Hell, Diets

The original post is located: Diets From Hell Part 1

Never to Late to Start a Diet !!!

Toni Mcrae — Mon, 05 Jul 2010 04:24:49 +0000

Many people make their New Year’s resolution to lose weight. While they start out with good intentions, far too often the weekly drudge of sticking to a diet can wear thin quite quickly and before they know it their good diet intentions have fallen away. Fortunately, there are a few things you can do to stick to your diet resolution without giving up before the excess weight goes away.

One of the most important things you can do to ensure that you stick with your weight loss goals is to write a contract with yourself, promising to stick with the resolution that you have made. If you want to lose a specific amount of weight within a certain amount of time, be sure to include this in the contract along with what you specifically plan to do to lose the weight. Post the contract somewhere you’ll be sure to see it everyday.

Setting goals is an excellent way to make sure that you stay on track with your weight loss plans; however, it is important to ensure that your goals are manageable and not too broad in scope. Due to the fact that dieting can become tiresome very quickly, you may find it helpful to energize your diet with a new goal each week. This gives you something to work on, and even look forward to, each week. Examples of small goals you can set for yourself include starting an exercise routine, cutting out sodas, drinking more water, etc.

Small goals are also a great incentive to work your way up to larger goals, an important component of sticking to your diet plans. Rather than saying you plan to lose weight this year, instead make it a point to commit to losing a specific amount of weight within a definite time frame. This helps to ensure that you do not put off your weight loss plans indefinitely.

As with any major change in your life, it’s generally always easier to accomplish your goals when you have the help and support of friends and family. Make a point to inform those close to you that you are dieting and what you hope to accomplish. In addition, it’s always a good idea to let them know exactly what you’re doing to lose weight so they do not unintentionally sabotage your diet plans. The presence of a weight loss buddy who can keep you on track and motivated will significantly decrease the chances that you’ll give up before accomplishing your goals.

Most people function well under a rewards system and losing weight is no different, provided that you ensure your rewards support your diet and do not undermine them. While you may look forward to enjoying an ice cream sundae after reaching a weight loss goal, think of other rewards that you would enjoy and keep your diet intact. Consider rewarding yourself for every milestone you reach, such as every five pounds lost. Positive reward examples include a manicure, massage, new book/CD/DVD, new shirt, etc. Significant weight loss goals, such as 25 pounds or 50 pounds, could warrant a larger reward such as a weekend trip or something else meaningful.

Dieting is never easy, thats why we have put together a online site for diets, dieting and diet products, visit Dietsreviewedonline.com but if you reqire a more natrual angle to loseing weight visit AppleCiderVinegar. An Online guide to a health you!

Tags: Late, weight loss plan, diet plans

The original post is located: Never to Late to Start a Diet !!!

Prompt Treatment Speeds Healing After a Car Accident Injury, According to Dunedin Chiropractor

Medical News (via PRIMEZONE) — Thu, 17 May 2012 14:00:00 +0100

DUNEDIN, Fla., May 17, 2012 (GLOBE NEWSWIRE) -- Wolstein Chiropractic and Wellness Center in Dunedin, FL is raising awareness about the importance of prompt treatment for car accident injuries. According to Dr. Karen Wolstein, many patients suffer chronic back pain and neck pain due to the buildup of scar tissue following an accident injury. Prompt treatment ensures that the underlying injury properly heals, which minimizes scar tissue. Dr. Wolstein uses chiropractic care to restore alignment to the body. She frequently combines adjustments with complementary treatments like massage therapy, which may help promote internal healing and naturally relieve pain. (Source: Medical News (via PRIMEZONE))

MedWorm Sponsor Message: Have a look at The Orthopedics Daily, the new orthopedics portal powered by MedWorm, with all the latest orthopedics news and research updated daily.

Treatment and ergonomics training of work‐related lower back pain and body posture problems for nurses

Journal of Clinical Nursing — Thu, 17 May 2012 04:00:00 +0100

Conclusions. This study has shown that a significant reduction in the pain intensity and improvement in body posture can be achieved by the usage of the active physical therapy methods (Back School) in nurses who are experiencing chronic lower back pain.Relevance to clinical practice. The Back School programme when compared with the passive physical therapies (such as massage, ultrasound treatment, etc.) shows significant improvement in reduction in pain and greatly improves the posture of healthcare workers. The adoption of the Back School programme for the treatment of the healthcare workers with chronic low back problems should be a treatment of choice and standard that should be adopted when designing occupational healthcare policies and procedures. (Source: Journal of Clinical Nur...

The sensitivity and specificity of pain diagrams in rheumatic disease referrals

Rheumatology — Thu, 17 May 2012 04:00:00 +0100

Conclusion. Pain diagram patterns may help to increase the likelihood of various rheumatic diagnoses including polyarticular pattern and inflammatory arthritis, and there was high inter-rater reliability. However, testing the value of pain diagrams in addition to a referral note is necessary to determine if they have added value. (Source: Rheumatology)

G-CSF-Producing Malignant Pleural Mesothelioma: An Autopsy Case Report With Literature Review

International Journal of Surgical Pathology — Thu, 17 May 2012 04:00:00 +0100

This study reports a 54-year-old man who was a carpenter by occupation. He suffered from left chest and back pain and left pleural effusion. Peripheral blood showed granulocytosis and high serum titers of granulocyte–colony stimulating factor (G-CSF) and CYFRA. He died 20 months later. At autopsy, a pleural tumor located around the left lung and thickening of the pericardium, diaphragm, and esophagus by tumor infiltration was seen. The tumor proliferated in papillary and solid alveolar patterns by neoplastic cells. They were positive for calretinin, D2-40, CK5/6, HBME-1, G-CSF, CK19, and E-cadherin. He was diagnosed with G-CSF-producing epithelioid malignant pleural mesothelioma. (Source: International Journal of Surgical Pathology)

Spinal device maker Zyga raises $25M

bizjournals.com Health Care:Pharmaceuticals headlines — Wed, 16 May 2012 22:30:18 +0100

Zyga Technology Inc. has raised $25 million in venture capital in a round led by Versant Ventures, the med-tech firm announced Wednesday. Minneapolis-based Zyga develops devices for treating spinal problems and back pain. The company plans to put the funds toward launching its SImmetry device, which treats lower back pain, CEO and President Jim Bullock said in a news release. The capital also will support clinical trials for another device. Kirk Nielsen, managing director at Versant Ventures, will... (Source: bizjournals.com Health Care:Pharmaceuticals headlines)

Multiple cutaneous metastatic chordomas from the sacrum

Journal of the American Academy of Dermatology — Wed, 16 May 2012 08:07:36 +0100

To the Editor: A 78-year-old woman with a history of sacral chordoma presented 2 years after wide local resection with multiple rubbery, flesh-colored, nodular lesions of the scalp measuring 0.9 × 0.7 × 0.5 cm, 0.6 × 0.5 × 0.5 cm, and 0.5 × 0.4 × 0.4 cm, and one 0.8 × 0.7 × 0.6 cm rubbery gray nodule on the left forearm (). A bone scan performed because of low back pain indicated sacral recurrence and bony metastases in the L2 and T7 vertebrae, right scapula, and left 10th rib. (Source: Journal of the American Academy of Dermatology)

Back pain tends to improve quickly, not completely

Modern Medicine — Wed, 16 May 2012 04:00:00 +0100

NEW YORK (Reuters Health) - Lower back pain often fades fairly quickly, but some patients are probably best off considering the problem to be a life-long condition, an author of a new meta-analysis told Reuters Health. (Source: Modern Medicine)

Effects of an educational back care program on Brazilian schoolchildren's knowledge regarding back pain prevention

Revista Brasileira de Fisioterapia — Wed, 16 May 2012 01:45:18 +0100

BACKGROUND: Children are often exposed to ergonomic risk factors at school. Thus, the school is a potential environment for developing musculoskeletal disorders and implementing back care programs. OBJECTIVES: To evaluate the effect of an educational program on schoolchildren's knowledge regarding back pain prevention. METHODS: 392 students from 4th to 8th grade from a Brazilian state school took part in the study; 114 students (30%) were evaluated at follow-up. The back care program included pre- and post-intervention assessments and a follow-up assessment, as well as theoretical and practical lessons. The time interval between the pre- and post-intervention assessments was 9 weeks, and between the post-intervention and follow-up assessments, it was 2 years. Statistical analysis included ...

Differential distribution of diacylglycerol lipase‐alpha and N‐acylphosphatidylethanolamine‐specific phospholipase d immunoreactivity in the superficial spinal dorsal horn of rats

Glia — Tue, 15 May 2012 19:57:31 +0100

AbstractIt is generally accepted that the endocannabinoid system plays important roles in spinal pain processing. Although it is documented that cannabinoid‐1 receptors are strongly expressed in the superficial spinal dorsal horn, the cellular distribution of enzymes that can synthesize endocannabinoid ligands is less well studied. Thus, using immunocytochemical methods at the light and electron microscopic levels, we investigated the distribution of diacylglycerol lipase‐alpha (DGL‐α) and N‐acylphosphatidylethanolamine‐specific phospholipase D (NAPE‐PLD), enzymes synthesizing the endocannabinoid ligands, 2‐arachidonoylglycerol (2‐AG) and anandamide, respectively. Positive labeling was revealed only occasionally in axon terminals, but dendrites displayed strong immunoreact...

9th Circuit: Benefit Denial Was Reasonably Supported By Record

LexisNexis® Mealey's™ Disability Insurance Legal News — Tue, 15 May 2012 19:45:40 +0100

SAN FRANCISCO - A disability insurer that denied benefits to a claimant with right foot pain and back pain acted reasonably, the Ninth Circuit U.S. Court of Appeals ruled April 23 (Faith Munn v. Hertz Long-Term Disability Plan, et al., No. 10-17757, 9th Cir.; 2012 U.S. App. LEXIS 8115). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)

MedWorm Sponsor Message: Have a look at The Orthopedics Daily, the new orthopedics portal powered by MedWorm, with all the latest orthopedics news and research updated daily.

Developmental regulation of membrane excitability in rat spinal lamina I projection neurons

Journal of Neurophysiology — Tue, 15 May 2012 04:00:00 +0100

It is now universally recognized that neonates can experience considerable pain. While spinal lamina I neurons projecting to the brain contribute to the generation of hyperalgesia, nothing is known about their electrophysiological properties during early life. Here we have used in vitro whole cell patch-clamp recordings in rat spinal cord slices to determine whether the intrinsic membrane properties of lamina I projection neurons, as well as their synaptic inputs, are developmentally regulated during the early postnatal period. Projection neurons were identified via retrograde transport of DiI injected into the parabrachial nucleus (PB) or periaqueductal gray (PAG) and characterized at postnatal days (P)2–5, P10–12, P19–23, and P30–32. Both spino-PB and spino-PAG ne...

Spasticity changes in SCI following a dynamic standing program using the Segway

Spinal Cord — Tue, 15 May 2012 04:00:00 +0100

Authors: G Boutilier, B J Sawatzky, C Grant, S Wiefelspuett & H Finlayson (Source: Spinal Cord)

Spine Pain Management, Inc. Announces Strong Q1 2012 Results and Provides Corporate Updates

Medical News (via PRIMEZONE) — Mon, 14 May 2012 20:29:00 +0100

HOUSTON, May 14, 2012 (GLOBE NEWSWIRE) -- Spine Pain Management, Inc. (OTCBB:SPIN), a rapidly growing medical services and technology company, is announcing the following First Quarter 2012 vs. First Quarter 2011 financial results, (in $000 except per share amounts). Net revenue was $1284 vs. $839, an increase of 53%. Net income was $481 vs. $298, an increase of 61%. Earnings per share were $0.03 vs. $0.02. The gross margin rate was 64% in both periods. Further detail, including the definition of "net revenue", can be found in the 10-Q filed today. (Source: Medical News (via PRIMEZONE))

Low Back Pain Eases but Doesn't Vanish (CME/CE)

MedPage Today Geriatrics — Mon, 14 May 2012 17:02:45 +0100

(MedPage Today) -- Symptoms of acute and persistent low-back pain improved significantly in the first 6 weeks after treatment, but even at 1 year there was lingering chronic pain and disability, a major study by Australian and Brazilian researchers found. (Source: MedPage Today Geriatrics)

Back Pain Therapy Often Yields Early Benefits: Study

Orthopedics News - Doctors Lounge — Mon, 14 May 2012 14:00:00 +0100

Improvements seen at 6 weeks, but then taper off over year, researchers find (Source: Orthopedics News - Doctors Lounge)

MedWorm Sponsor Message: Have a look at The Orthopedics Daily, the new orthopedics portal powered by MedWorm, with all the latest orthopedics news and research updated daily.

Ultrasound contrast and real-time perfusion in conjunction with supine bicycle stress echocardiography for comprehensive evaluation of surgically corrected congenital heart disease

European Journal of Echocardiography — Mon, 14 May 2012 04:00:00 +0100

Conclusion UC at rest and with supine BSE enables safe and comprehensive assessment of anatomy, haemodynamics, and biventricular functional and perfusion reserve in adolescents and young adults with surgically modified CHD. ClinicalTrials.gov Identifier: NCT00861848 (Source: European Journal of Echocardiography)

Sacroiliac joint pain after lumbar/lumbosacral fusion: current knowledge

European Spine Journal — Sun, 13 May 2012 05:59:59 +0100

Abstract Recently, the sacroiliac joint (SIJ) has gained increased attention as a source of persistent or new pain after lumbar/lumbosacral fusion. The underlying pathophysiology of SIJ pain may be increased mechanical load, iliac crest bone grafting, or a misdiagnosis of SIJ syndrome. Imaging studies show more frequent degeneration of the SIJ in patients with lumbar/lumbosacral fusion than in patients without such fusion. Using injection tests, it has been shown that SIJ pain is the cause of persistent symptoms in a considerable number of patients after fusion surgery. Recent articles reporting on surgical outcomes of SIJ fusion include a high percentage of patients who had lumbar/lumbosacral fusion or surgery before, although well-controlled clinical studies are necessar...

Colchicine and its various physicochemical and biological aspects

Medicinal Chemistry Research — Sun, 13 May 2012 05:55:39 +0100

Abstract Natural (−)-(aS, 7S)-colchicine, an alkaloid and toxic natural product is a secondary plant metabolite, obtained from Colchicum autumnale also known as ‘meadow saffron’. Colchicine, among the Indian medicinal plants, is contained in the corms of Colchicum luteum and the seeds of Iphigenia, to the extent of about 0.25 and 0.9 % respectively. These plants are not available in sufficient quantities to warrant any commercial utilization. Natural (−)-colchicine has only one stereogenic centre: carbon-7. The biosynthesis of colchicine involves amino acid precursors, phenylalanine and tyrosine. It is used to treat rheumatic complaints, especially gout, also prescribed for its cathartic and antiemetic effects and also in initial treatment for pericarditis. It is...

Before The World Intruded: Conquering The Past And Creating The Future

Psych Central — Sat, 12 May 2012 18:17:19 +0100

Michele Rosenthal’s memoir, Before The World Intruded, is the story of her struggle with a life-threatening illness and the trauma it created. Rosenthal shares her battle with Stevens-Johnson Syndrome (SJS), leading us from her diagnosis at age 13 through 24 subsequent years of psychological repercussions. Rosenthal recounts the story of how she fought for years to overcome her PTSD, and managed to slowly climb her way out of a serious case of depression and anxiety, experiencing a rebirth along the way. Ultimately this results in a remarkable tale of personal strength and post-traumatic growth. The book is divided into four sections: ‘Shock;’ ‘Confusion;’ ‘Clarity;’ and ‘Healing,’ with each of these representing a different stage in Rosenthal’s journey. The first, ‘...

MedWorm Sponsor Message: Have a look at The Orthopedics Daily, the new orthopedics portal powered by MedWorm, with all the latest orthopedics news and research updated daily.

Work-related illness in nursing: an integrative review

Revista da Escola de Enfermagem da USP — Sat, 12 May 2012 00:19:46 +0100

The objective of this study was to seek scientific evidence regarding the types of work-related conditions or illnesses in nursing, as well as the means of coping and preventing occupational diseases and accidents. An integrative review was performed on the electronic health databases using the following descriptors: occupational disease, occupational prevention, and nursing worker. Twenty-seven articles were found. It was realized that nurses have back pain and musculoskeletal injuries, suffer accidents with sharp-edged materials and endure stress and tension at work, in addition to exposure to environmental pollution and dermatitis.La búsqueda incesante de la realización de diferentes actividades provoca en el hombre un aumento de las cargas laborales, acarreando la aparición de enfer...

A huge solitary fibrous tumor localized in the pancreas: a young women.

JOP — Fri, 11 May 2012 23:30:02 +0100

CONCLUSION: There is limited data regarding biological behavior of solitary fibrous tumors with extra-pleural localization, because they are rare tumors. They are generally asymptomatic and slow growing tumors and it is difficult to distinguish them from other mesenchymal tumors. These issues as well as the prior nine cases are discussed. PMID: 22572138 [PubMed - in process] (Source: JOP)

Botox gets nod for migraine

NHS News Feed — Fri, 11 May 2012 17:10:00 +0100

The NHS is set to use Botox injections to treat chronic migraines, it has been widely reported today. The muscle-paralysing injections are popular as a cosmetic treatment, but due to its nerve-blocking effects, Botox does have a role in the treatment of certain medical conditions. The move to use Botox to prevent migraines is based on new guidance published today by the National Institute for Health and Clinical Excellence (NICE), which looks likely to come into force in the near future. NICE recommends that Botox can be considered as an option for the prevention of headaches for people who have chronic migraine (headaches on at least 15 days of every month, at least eight days of which are migraine) that has not responded to at least three prior preventative drug treatments. This latter p...

Low Back Pain: STarT With the StressLow Back Pain: STarT With the Stress

Medscape Orthopaedics Headlines — Fri, 11 May 2012 16:00:00 +0100

This practice-changing study reports on the effectiveness of a screening tool that PCPs can use in patients with low back pain. Faculty of 1000 (Source: Medscape Orthopaedics Headlines)

Spine Pain Management, Inc. Announces Management Realignment and Acquisition of Proprietary Injury Documentation Technology to Accelerate Growth

Medical News (via PRIMEZONE) — Fri, 11 May 2012 12:49:00 +0100

HOUSTON, May 11, 2012 (GLOBE NEWSWIRE) -- Spine Pain Management, Inc. (OTCBB:SPIN), a rapidly growing medical services and technology company, is providing updates on corporate initiatives designed to foster even stronger growth than it has been achieving. (Source: Medical News (via PRIMEZONE))

MedWorm Sponsor Message: Have a look at The Orthopedics Daily, the new orthopedics portal powered by MedWorm, with all the latest orthopedics news and research updated daily.

The Premier Pain Clinics in Arizona Are Now Offering Spinal Cord...

PRWeb: Medical Pharmaceuticals — Fri, 11 May 2012 12:05:13 +0100

The best pain management doctors in Arizona, Arizona Pain Specialists, are now offering spinal cord stimulator implants at all of their locations throughout the Phoenix metropolitan area. This cutting...(PRWeb May 11, 2012)Read the full story at http://www.prweb.com/releases/spinalcordstimulator/painclinicphoenix/prweb9489942.htm (Source: PRWeb: Medical Pharmaceuticals)

[Case Report] Sterile spondylodiscitis

LANCET — Fri, 11 May 2012 10:45:06 +0100

In April, 2011, an 85-year-old man was referred to our hospital with suspected septic spondylodiscitis; he had acute immobilising back pain, raised body temperature, and high C-reactive protein (CRP) concentration. His medical history included chronic back pain because of advanced spinal degeneration, chronic renal insufficiency, and gouty arthritis. On physical examination, his lumbar spine and right flank were very tender. The distal interphalangeal joint of the right index finger was painful, warm, and swollen. (Source: LANCET)

Sclerotic osseous metastases from renal cell carcinoma

Skeletal Radiology — Fri, 11 May 2012 05:58:59 +0100

Abstract This case series describes and illustrates three cases of sclerotic osseous metastases from untreated renal cell carcinoma (RCC). RCC is commonly metastatic to the skeleton but almost always produces lytic metastases, with only three prior reports of sclerotic metastases identified in the literature. Sclerotic metastasis causing low back pain was the initial disease presentation in two of the three patients in this case series and the first manifestation of metastatic disease in one. The most common metastatic sites of RCC, i.e., retroperitoneal lymph nodes, lung, and liver, were not identified in any of the cases, and skeletal involvement with epidural extension was the only site of metastasis in two. Pathologic specimens from all three cases revealed RCC of high...

Establishing the diagnosis of tuberculous vertebral osteomyelitis

European Spine Journal — Fri, 11 May 2012 05:58:57 +0100

Conclusions All patients with subacute inflammatory back or neck pain showing suggestive radiological findings should be studied to rule out TVO. If there is no clear evidence of tuberculosis from another location or indication for surgery, a percutaneous vertebral biopsy should be performed. When TVO is suspected, all spinal or paravertebral tissue samples should be sent simultaneously to pathology and microbiology laboratories for appropriate processing. Content Type Journal ArticleCategory Review ArticlePages 1-8DOI 10.1007/s00586-012-2348-2Authors Juan D. Colmenero, Infectious, Carlos Haya University Hospital, 29010 Malaga, SpainJuan D. Ruiz-Mesa, Infectious, Carlos Haya University Hospital, 29010 Malaga, SpainRocío Sanjuan-Jimenez, Biochemistry and Molecular ...

Clinical outcomes of two revision strategies for failed total disc replacements

European Spine Journal — Fri, 11 May 2012 05:58:55 +0100

Conclusions Both procedures showed improvement clinically. There were no significant additional benefits of removing the TDR as compared to fusion alone at mid-term follow-up. The clinical decision to remove the TDR should be carefully weighed up against potential risks and complications of this procedure. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00586-012-2354-4Authors Ilona Punt, Department of Orthopaedic Surgery, Maastricht University Medical Center, P.O. Box 5800, 6202 AZ Maastricht, The NetherlandsPaul Willems, Department of Orthopaedic Surgery, Maastricht University Medical Center, P.O. Box 5800, 6202 AZ Maastricht, The NetherlandsSteven Kurtz, Drexel University, Philadelphia, PA, USALodewijk van Rhijn, Department of Orthopaed...

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The importance of pronator quadratus repair in the treatment of distal radius fractures with volar plating

Hand — Fri, 11 May 2012 05:53:11 +0100

Abstract Background Open reduction internal fixation (ORIF) of distal radius fractures via a volar approach involves surgical release of the overlying pronator quadratus (PQ) muscle. Complete repair of the PQ, defined as full and stable replacement of the periphery of the PQ back to its original anatomic location, is not always possible upon conclusion of the operation. Postoperative consequences of incomplete PQ repair with regards to range of motion (ROM), grip strength, and complications are not well documented. It was hypothesized that the completeness of PQ repair would yield no significant difference in the postoperative ROM, grip strength, and incidence of complications. Methods A retrospective review was performed of 110 repairs of distal radius...

Engaging consumers living in remote areas of Western Australia in the self-management of back pain: a prospective cohort study

BMC Musculoskeletal Disorders — Fri, 11 May 2012 04:00:00 +0100

Background: In Western Australia (WA), health policy recommends encouraging the use of active self-management strategies as part of the co-care of consumers with persistent low back pain (LBP). As many areas in WA are geographically isolated and health services are limited, implementing this policy into practice is critical if health outcomes for consumers living in geographically-isolated areas are to be improved. Methods: In this prospective cohort study, 51 consumers (mean (SD) age 62.3 (+/-15.1) years) participated in an evidence-based interdisciplinary pain education program (modified Self Training Educative Pain Sessions: mSTEPS) delivered at three geographically isolated WA sites. Self report measures included LBP beliefs and attitudes (Back Pain Beliefs Questionnaire (BBQ); Fear Av...

A Narrative Review of Evidence‐Based Recommendations for the Physical Examination of the Lumbar Spine, Sacroiliac and Hip Joint Complex

Musculoskeletal Care — Fri, 11 May 2012 04:00:00 +0100

AbstractNon‐specific low back pain is a frequent complaint in primary care, but the differential diagnosis for low back pain can be complex. Despite advances in diagnostic imaging, a specific pathoanatomical source of low back pain can remain elusive in up to 85% of individuals. Best practice guidelines recommend that clinicians conduct a focused physical examination to help to identify patients with non‐specific low back pain and an evidence‐based course of clinical management. The use of sensitive and specific clinical methods to assess the lumbar spine, sacroiliac and hip joints is critical for effective physical examination. Psychosocial factors also play an important role in the evaluation of individuals with low back pain, but are not included in this narrative review of physic...

The Society for Back Pain Research Annual General Meeting 2012

Clinical Biomechanics — Thu, 10 May 2012 23:16:10 +0100

(Source: Clinical Biomechanics)

San Francisco Chiropractor Announces New Website to Educate Car Accident Victims

Medical News (via PRIMEZONE) — Thu, 10 May 2012 14:00:00 +0100

SAN FRANCISCO, May 10, 2012 (GLOBE NEWSWIRE) -- Green Chiropractic Clinic is raising awareness about natural pain management for car accident injury treatments. Chiropractor Dr. Jacob Sahourieh announced that his San Francisco wellness center has launched a new website, http://www.sanfranciscochiropractordc.com/. The site is designed to educate patients about the different options for treatment following an accident. Dr. Sahourieh provides non-invasive, drug-free treatments to correct the underlying cause for back and neck pain resulting from accident injuries. (Source: Medical News (via PRIMEZONE))

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Dr. Jack Cacic Offers Lake Worth Patients Neck Pain Relief With Comprehensive Chiropractic Care

Medical News (via PRIMEZONE) — Thu, 10 May 2012 14:00:00 +0100

LAKE WORTH, Fla., May 10, 2012 (GLOBE NEWSWIRE) -- Lake Worth chiropractor Dr. Jack Cacic is providing patients with an alternative method of healing for neck pain relief outside of traditional medical care. Dr. Cacic implements chiropractic techniques and therapies to help with pain management, and also to help patients transition to a life of total health and wellness. Dr. Cacic is dedicated to a holistic approach to healing, which heals the body as a whole and assesses each patient to find the source of pain. In addition to spinal adjustments, he provides massage therapy and physical therapy for pain management in patients. (Source: Medical News (via PRIMEZONE))

The Best Pain Clinics in Arizona are Now Offering Chronic Back and...

PRWeb: Medical Pharmaceuticals — Thu, 10 May 2012 09:20:14 +0100

The best pain management doctors in Arizona, Arizona Pain Specialists, are now offering facet injection treatments at all of their locations throughout the Phoenix metropolitan area. These pain...(PRWeb May 10, 2012)Read the full story at http://www.prweb.com/releases/facetinjections/arizonapainclinic/prweb9488236.htm (Source: PRWeb: Medical Pharmaceuticals)

Central neuropathic pain after surgical resection in patients with spinal intramedullary tumor

Journal of Orthopaedic Science — Thu, 10 May 2012 06:10:39 +0100

Conclusion Neuropathic pain after surgical resection reduces the QOL of patients with IMSCTs, and pain severity varies with the tumor’s location and histological features, the severity of paralysis, and the location of pain relative to the tumor. Content Type Journal ArticleCategory Original ArticlePages 1-6DOI 10.1007/s00776-012-0236-6Authors Masaya Nakamura, Department of Orthopaedic Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582 JapanOsahiko Tsuji, Department of Orthopaedic Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582 JapanAkio Iwanami, Department of Orthopaedic Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582 JapanTakashi Tsuji, Departme...

(−)-Epigallocatechin-3-gallate (EGCG) attenuates functional deficits and morphological alterations by diminishing apoptotic gene overexpression in skeletal muscles after sciatic nerve crush injury

Naunyn-Schmiedeberg's Archives of Pharmacology — Thu, 10 May 2012 05:57:07 +0100

In conclusion, our results demonstrate that EGCG enhances functional recovery, protects muscle fibers from cellular death by activating anti-apoptotic signaling pathway, and improves morphological recovery in skeletal muscle after nerve injuries. Content Type Journal ArticleCategory Original ArticlePages 1-16DOI 10.1007/s00210-012-0758-7Authors Waleed M. Renno, Department of Anatomy, Faculty of Medicine, Kuwait University, P.O. Box 24923, Safat, 13110 KuwaitMay Al-Maghrebi, Department of Biochemistry, Faculty of Medicine, Kuwait University, P.O. Box 24923, Safat, 13110 KuwaitAnwar Al-Banaw, Department of Medical Laboratory Sciences, Faculty of Allied Health Sciences, Kuwait University, P.O. Box 24923, Safat, 13110 Kuwait Journal Naunyn-Schmiedeberg's Archives of Pharmacolog...

Post‐anaesthesia care unit stay after total hip and knee arthroplasty under spinal anaesthesia

Acta Anaesthesiologica Scandinavica — Thu, 10 May 2012 04:00:00 +0100

ConclusionThe vast majority of patients (> 85%) operated with THA and TKA under low‐dose spinal anaesthesia may achieve pre‐defined PACU discharge criteria in 15 min. Large‐scale studies should be performed to evaluate safety aspects after short PACU stay. (Source: Acta Anaesthesiologica Scandinavica)

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NHS Evidence'expert commentary: Acute and subacute neck pain

NeLM - News — Thu, 10 May 2012 04:00:00 +0100

Source: NHS Evidence Area: News The May edition of 'Eyes on Evidence' the free monthly e-bulletin from NHS Evidence covering major new evidence as it emerges with an explanation about what it means for current practice, includes an expert commentary on new data from a non-blinded three arm RCT comparing the efficacy of spinal manipulation performed by chiropractors, home exercise with advice, and medication (paracetamol and/or NSAIDs) for acute and subacute neck pain in both the short and long term. The US-based trial was conducted from 2001-2007 and involved 274 patients. The primary outcome was participant-rated pain, measured at 2, 4, 8, 12, 26, and 52 weeks after randomisation. The results showed that both spinal manipulation therapy and home exercise with advice led to similar ...

Neridronate improves bone mineral density and reduces back pain in β‐thalassaemia patients with osteoporosis: results from a phase 2, randomized, parallel‐arm, open‐label study

British Journal of Haematology — Thu, 10 May 2012 04:00:00 +0100

SummaryNeridronate is a third generation bisphosphonate with established efficacy in metabolic bone disease. In this randomized, open‐label study, 118 adults with β‐thalassaemia and bone mineral density (BMD) Z scores ≤−2·0 were randomized 1:1–500 mg calcium with 400 international unis (iu) vitamin D daily or 500 mg calcium with 400 iu vitamin D daily plus neridronate 100 mg intravenously every 90 d. Significant increases in BMD at the lumbar spine and total hip were noted in the neridronate group at 6 and 12 months from baseline (P < 0·001), and values were significantly higher than the control group at both time intervals. Neridronate also significantly decreased serum bone alkaline phosphatase and C‐telopeptide of collagen type 1 levels from as early as 3 mont...

Cross-sectional area of the posterior extensor muscles of the cervical spine in whiplash injury patients versus healthy volunteers – 10year follow-up MR study

Injury — Wed, 09 May 2012 20:26:24 +0100

Conclusions: There was no significant difference in the change in CSA between whiplash patients and healthy volunteers after a 10-year follow-up period. In both groups, the cross-sectional area slightly increased at follow-up. In addition, there was no association between the change in CSA and clinical symptoms such as neck and shoulder pain. These results suggest that whiplash injury is not associated with symptomatic atrophy of the posterior cervical muscles over the long term. (Source: Injury)

TV's hoarders show us the dark side of consumerism | Suzanne Moore

Guardian Unlimited Science — Wed, 09 May 2012 19:00:07 +0100

The stories in TV programmes such as Britain's Biggest Hoarders fascinate us because we glimpse ourselves in themHello, my name is Suzanne and I have a broken blender at the back of my cupboard. In fact, more than one. And an old kettle that could be useful for someone, surely? My friend – who, like me, is totally normal – has stopped herself buying a fifth sewing machine; a neighbour has racks of clothes she has not worn for 20 years. Vintage, right? We are just waste not, want not. Not like those people on programmes such as The Hoarder Next Door, for these people are unwell. They have a mental illness, OCD, anxiety or depression.Currently, there is a glut of TV programmes about these sad, compulsive people who have to tunnel through their own junk. Why would anyone live like th...

Effectiveness of a Tai-Chi Training and Detraining on Functional Capacity, Symptomatology and Psychological Outcomes in Women with Fibromyalgia

Journal of Biomedicine and Biotechnology — Wed, 09 May 2012 11:21:12 +0100

Conclusions. A 28-week Tai-Chi intervention showed improvements on pain, functional capacity, symptomatology and psychological outcomes in female FM patients. (Source: Journal of Biomedicine and Biotechnology)

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Multiple joint involvement in total knee replacement for osteoarthritis ‐ effects on patient‐reported outcomes

Arthritis Care and Research — Wed, 09 May 2012 08:51:18 +0100

Conclusion:Findings suggest a comprehensive approach to OA management/care are warranted, and identify important associations between symptomatic joints and mood which negatively impact post‐TKR pain and physical function. © 2012 by the American College of Rheumatology (Source: Arthritis Care and Research)

Impact of stress coping capacity on recovery from abdominal hysterectomy in a fast‐track programme: a prospective longitudinal study

BJOG: An International Journal of Obstetrics and Gynaecology — Wed, 09 May 2012 04:00:00 +0100

Conclusions In patients for whom spinal anaesthesia was applied, high stress coping seems to be a quality that helps patients manage the burden of surgery. It is desirable for the individual, as well as for the healthcare system, to enhance recovery by using intervention programmes designed to improve or manage stress coping, particularly for individuals with low stress coping capacity. This recommendation merits further investigation. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)

Impact of stress coping capacity on recovery from abdominal hysterectomy in a fast-track programme: a prospective longitudinal study.

BJOG : An International Journal of Obstetrics and Gynaecology — Wed, 09 May 2012 04:00:00 +0100

Conclusions In patients for whom spinal anaesthesia was applied, high stress coping seems to be a quality that helps patients manage the burden of surgery. It is desirable for the individual, as well as for the healthcare system, to enhance recovery by using intervention programmes designed to improve or manage stress coping, particularly for individuals with low stress coping capacity. This recommendation merits further investigation. PMID: 22568450 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)

TLR3 deficiency impairs spinal cord synaptic transmission, central sensitization, and pruritus in mice

Journal of Clinical Investigation — Tue, 08 May 2012 22:05:02 +0100

Itch, also known as pruritus, is a common, intractable symptom of several skin diseases, such as atopic dermatitis and xerosis. TLRs mediate innate immunity and regulate neuropathic pain, but their roles in pruritus are elusive. Here, we report that scratching behaviors induced by histamine-dependent and -independent pruritogens are markedly reduced in mice lacking the Tlr3 gene. TLR3 is expressed mainly by small-sized primary sensory neurons in dorsal root ganglions (DRGs) that coexpress the itch signaling pathway components transient receptor potential subtype V1 and gastrin-releasing peptide. Notably, we found that treatment with a TLR3 agonist induces inward currents and action potentials in DRG neurons and elicited scratching in WT mice but not Tlr3–/– mice. Furthermor...

Dock worker: profile of occupational diseases diagnosed in an occupational health service

Acta Paulista de Enfermagem — Tue, 08 May 2012 17:51:15 +0100

CONCLUSION: There is involvement of the worker in occupational disorders of the mental, circulatory, respiratory and musculoskeletal systems, showing morbidities that affect and interfere with their quality of life and productivity of labor activities.OBJETIVO: Identificar las enfermedades diagnosticadas en trabajadores portuarios independientes, atendidos en un consultorio externo de medicina del trabajo portuario. MÉTODOS: Estudio cuantitativo descriptivo con análisis retrospectivo, que presentó como fuente de datos las fichas de atención médica de los trabajadores portuarios independientes entre 2000 y 2009. La recolección de los datos se desarrolló mediante la aplicación de un formulario estructurado y se procedió a realizar el análisis cuantitativo descritivo de 953 fichas m...

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Health Tip: When Gardening Triggers Back Pain

MedicineNet Chronic Pain General — Tue, 08 May 2012 07:00:00 +0100

Title: Health Tip: When Gardening Triggers Back PainCategory: Health NewsCreated: 5/8/2012 8:05:00 AMLast Editorial Review: 5/8/2012 12:00:00 AM (Source: MedicineNet Chronic Pain General)

Successful percutaneous coronary intervention in a case of acute aortic dissection complicated with malperfusion of the left main coronary artery after replacement of the ascending aorta

General Thoracic and Cardiovascular Surgery — Tue, 08 May 2012 06:06:56 +0100

Abstract A 75-year-old female was admitted to our hospital with sudden back pain and right leg ischemia. Computed tomography showed acute type A aortic dissection with the occlusion of the right common iliac artery. The patient was treated with ascending aorta replacement and femoro-femoral bypass. Three hours after the operation, the patient went into a sudden shock. Electrocardiogram showed ventricular tachycardia and ventricular fibrillation. Percutaneous cardio-pulmonary support was administered and coronary arteriogram (CAG) was proceeded for evaluation of the coronary arteries. Although CAG revealed normal coronary arteries, intravascular ultrasound showed mobile intimal flap at left main coronary artery trunk, suggesting dissection of the coronary artery. Percutaneou...

Clinical evaluation of the preliminary safety and effectiveness of a minimally invasive interspinous process device APERIUS® in degenerative lumbar spinal stenosis with symptomatic neurogenic intermittent claudication

European Spine Journal — Tue, 08 May 2012 06:05:43 +0100

Conclusions Overall, in a period of up to 12 months follow-up, the safety and effectiveness of the APERIUS® offered a minimally invasive option for the relief of NIC complaints in a high proportion of patients. Further studies are underway to provide insight on outcomes and effectiveness compared to other decompression methods, and to develop guidance on optimal patient selection. Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/s00586-012-2330-zAuthors Jan Van Meirhaeghe, Dienst Orthopedie en Traumatologie, AZ Sint-Jan Brugge-Oostende AV, Ruddershove 10, 8000 Brugge, BelgiumPatrick Fransen, Centre Neurochirurgical de Bruxelles, Clinique du Parc Léopold CHIREC, Brussels, BelgiumDaniele Morelli, Service de Neurochirurgie, CHU Tivoli La...

Erratum to: Chronic neck pain and treatment of cognitive and behavioural factors: results of a randomised controlled clinical trial

European Spine Journal — Tue, 08 May 2012 06:05:43 +0100

Content Type Journal ArticleCategory ErratumPages 1-1DOI 10.1007/s00586-012-2358-0Authors Marco Monticone, Physical Medicine and Rehabilitation Unit, Scientific Institute of Lissone (Milan), Institute of Care and Research, Salvatore Maugeri Foundation, IRCCS, Milan, ItalyPaola Baiardi, Scientific Institute of Pavia, Institute of Care and Research, Salvatore Maugeri Foundation, IRCCS, Pavia, ItalyCarla Vanti, School of Physiotherapy, Bologna University, Bologna, ItalySilvano Ferrari, Manual Therapy Sciences, Padua University, Padua, ItalyTiziana Nava, School of Physiotherapy, University of Milan, Milan, ItalyCatia Montironi, Physical Medicine and Rehabilitation Unit, Scientific Institute of Lissone (Milan), Institute of Care and Research, Salvatore Maugeri Foundation, IRCCS, Milan, Ital...

Clinical and radiological outcomes after conservative treatment of TB spondylitis: is the 15 years’ follow-up in the MRC study long enough?

European Spine Journal — Tue, 08 May 2012 06:05:41 +0100

Conclusion Recognition of the clinical and radiologic features of these late sequels is important for the management. Prevention of deformity in the early disease has been added to the modern standard of treatment of TB spine. Content Type Journal ArticleCategory Review ArticlePages 1-9DOI 10.1007/s00586-012-2332-xAuthors W. Y. Cheung, Department of Orthopedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong SAR, ChinaKeith D. K. Luk, Department of Orthopedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong SAR, China Journal European Spine JournalOnline ISSN 1432-0932Print ISSN 0940-6719 (Source: European Spine Journal)

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Activation of NK1 receptors in the locus coeruleus induces analgesia through noradrenergic‐mediated descending inhibition in a rat model of neuropathic pain

British Journal of Pharmacology — Tue, 08 May 2012 04:00:00 +0100

CONCLUSION AND IMPLICATIONSSP in the LC exerted analgesic effects on neuropathic pain through NK1 receptor activation and resulted in facilitation of spinal noradrenergic transmission. Accordingly, manipulation of the SP/NK1 receptor signalling pathway in the LC may be a promising strategy for effective treatment of neuropathic pain. (Source: British Journal of Pharmacology)

Topical application of disodium isostearyl 2‐O‐L‐ascorbyl phosphate, an amphiphilic ascorbic acid derivative, reduces neuropathic hyperalgesia in rats

British Journal of Pharmacology — Tue, 08 May 2012 04:00:00 +0100

CONCLUSIONS AND IMPLICATIONSAscorbic acid, known to inhibit Cav3.2 channels, suppressed neuropathic hyperalgesia. DI‐VCP ointment for topical application may be of benefit in the treatment of neuropathic pain. (Source: British Journal of Pharmacology)

Health Tip: When Gardening Triggers Back Pain

Orthopedics News - Doctors Lounge — Tue, 08 May 2012 04:00:00 +0100

Try warming up first (Source: Orthopedics News - Doctors Lounge)

Harlequin syndrome: does a cranial autonomic neuropathy influence headache?

Journal of Neurology, Neurosurgery and Psychiatry — Tue, 08 May 2012 04:00:00 +0100

The paper by Viana et al1 analyses the relationship between Harlequin syndrome2 and headache. One facet of this interesting syndrome is the demonstration of pupillary signs by pharmacological studies explicable by the sudden onset of parasympathetic and sympathetic deficit, implicating an autonomic neuropathy mediated by an autoimmune process or viral infection.3 Sympathetic innervation of human cerebral and extracranial circulation is well documented. Parasympathetic innervation of cranial arteries has been established in rat, cat and monkey, but information on humans is meagre. Stimulation of the pre- or post-ganglionic fibres of the sphenopalatine ganglion in animals increases cerebral blood flow, probably via orbital rami from the ganglion looping back to the internal carotid artery, a...

[Back-of-the hand venepuncture. An alternative to heel puncture?]

Anales de Pediatria — Tue, 08 May 2012 04:00:00 +0100

CONCLUSIONS: Venepuncture is associated with less pain, is faster to perform and not is associated with more false positive cases. PMID: 22575454 [PubMed - as supplied by publisher] (Source: Anales de Pediatria)

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Predictors of functional outcome in patients with chronic low back pain undergoing back school, individual physiotherapy or spinal manipulation.

European Journal of Physical and Rehabilitation Medicine — Tue, 08 May 2012 04:00:00 +0100

CONCLUSION:In our patients with cLBP lower baseline pain-related disability predicted non-response to physiotherapy, but not to spinal manipulation. CLINICAL REHABILITATION IMPACT:. Our results suggest that, independent form other characteristics, patients with cLBP and low pain-related disability should first consider spinal manipulation as a conservative treatment. PMID: 22569488 [PubMed - as supplied by publisher] (Source: European Journal of Physical and Rehabilitation Medicine)

Restricting Pain Control Versus Preventing Addiction

Psychology Today Addiction Center — Mon, 07 May 2012 21:53:57 +0100

Some 2-3 percent of teens abusing prescription pain killers is a big problem. So is making it more difficult for people with chronic pain to get the care they need.read more (Source: Psychology Today Addiction Center)

10 Ways to Manage Low Back Pain at Home

MedicineNet Arthritis General — Mon, 07 May 2012 07:00:00 +0100

Title: 10 Ways to Manage Low Back Pain at HomeCategory: Health FactsCreated: 5/16/2012 7:51:00 PMLast Editorial Review: 5/7/2012 7:51:29 PM (Source: MedicineNet Arthritis General)

Smokers in early axial spondyloarthritis have earlier disease onset, more disease activity, inflammation and damage, and poorer function and health-related quality of life: results from the DESIR cohort

Annals of the Rheumatic Diseases — Mon, 07 May 2012 04:00:00 +0100

Conclusion In early axial SpA patients, smoking was independently associated with earlier onset of IBP, higher disease activity, increased axial inflammation on MRI, increased axial structural damage on MRI and radiographs, poorer functional status and poorer quality of life. (Source: Annals of the Rheumatic Diseases)

Yorkville Chiropractor Announces Decompression Therapy as Alternative to Back Surgery

Medical News (via PRIMEZONE) — Sun, 06 May 2012 15:00:00 +0100

YORKVILLE, Ill., May 6, 2012 (GLOBE NEWSWIRE) -- Advanced Physical Medicine of Yorkville announced that the practice has had significant success treating patients using decompression therapy to treat back pain. The practice uses the DRX9000 machine to help restore a herniated disk to its proper alignment in the spine. According to clinic director and chiropractor Dr. Brian Berkey, this helps to relieve pressure on nearby nerves, which can relieve chronic pain. Dr. Berkey recommends non-surgical spinal decompression therapy as an alternative to back or neck surgery for the treatment of bulging intervertebral discs, spinal stenosis, sciatica, chronic low back or neck pain, herniated disks and degenerative disk disease. (Source: Medical News (via PRIMEZONE))

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Victorville Chiropractor Announces New Wellness Resources for Injury Accident Victims

Medical News (via PRIMEZONE) — Sun, 06 May 2012 15:00:00 +0100

VICTORVILLE, Calif., May 6, 2012 (GLOBE NEWSWIRE) -- Life Chiropractic announced that the wellness center has a new website to help educate patients about pain management and injury accident recovery. The practice's new website, http://www.lifechiro1.com, is designed to empower patients to take control of their health through proactive wellness care. The website includes a 3D Spine Simulator, Community Content library, wellness blog and e-newsletter. (Source: Medical News (via PRIMEZONE))

Vitality Chiropractic Successful in Treating Des Moines Neck Pain

Medical News (via PRIMEZONE) — Sun, 06 May 2012 15:00:00 +0100

DES MOINES, Wash., May 6, 2012 (GLOBE NEWSWIRE) -- Des Moines chiropractor, Dr. Bonnie Verhunce, has had success helping patients overcome neck pain from injuries, stress, and strains. Dr. Verhunce, who runs Vitality Chiropractic, stated that neck pain stems from a variety of sources and the type of treatment needed depends on the source. Whiplash is a common neck injury that causes a sore neck and can also lead to headache, migraine and dizziness symptoms. Dr. Verhunce said she often sees stress and poor ergonomic working habits causing painful neck strains. She has had success treating these injuries through a combination of specific spinal adjustments and therapeutic exercises. (Source: Medical News (via PRIMEZONE))

Irukandji syndrome: a superb review article

The Poison Review — Sat, 05 May 2012 17:15:27 +0100

This article is essential for anyone with an interest in the topic. For medical personnel in Australia who may have to deal with these injuries, it is a must-read. But as the following video from National Geographic points out, Irukandji syndrome can occur almost anywhere: http://www.youtube.com/watch?v=Ws5hImeonEA Thanks to Chris Nickson of Life in the Fast Lane to drawing my attention to this article. Speaking of LITFL, Mike Cadogan has an excellent review of Irukandji syndrome on that site, with great illustrations. Related posts: Is that a jellyfish on your leg, or are you just glad to see me? Priapism and Irukandji syndrome Irukandji syndrome case series from Australia’s tropical northern territory (Source: The Poison Review)

Weighing the Risks

Scientific American - Official RSS Feed — Sat, 05 May 2012 13:00:00 +0100

One of the biggest choices an expectant mother faces is how to handle the pain of childbirth. More than 60 percent of American women choose relief in the form of an epidural, a combination of local anesthetic and narcotic administered into the epidural space surrounding the spinal cord. Although most doctors believe that the injections are safe, a new study suggests that they may increase the risk that a mother will develop a fever during labor, which could, in rare instances, pose risks to her baby. [More] (Source: Scientific American - Official RSS Feed)

10th Circuit: Benefit Denial Was Supported By The Record

LexisNexis® Mealey's™ Disability Insurance Legal News — Fri, 04 May 2012 23:35:20 +0100

DENVER - An ERISA-governed disability insurer that denied benefits to a claimant with back pain and depression acted reasonably, the 10th Circuit U.S. Court of Appeals ruled March 22 (Dana Peterson, M.D. v. Sun Life Assurance Company of Canada, No. 112179, 10th Cir.; 2012 U.S. App. LEXIS 5977). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)

Judge: Insurer Abused Discretion In Denying Benefits

LexisNexis® Mealey's™ Disability Insurance Legal News — Fri, 04 May 2012 23:35:20 +0100

BALTIMORE - A Maryland federal judge on April 4 found that an ERISA-governed disability insurer that denied benefits to a claimant with back pain abused its discretion. The judge said the insurer failed to consider claimant's driving ability (Helene Clarke v. Unum Life Insurance Company of America, et al., No. 1:10-cv-3107, D. Md.; 2012 U.S. Dist. LEXIS 47699). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)

10th Circuit: Reliance On Record Reviews Was Reasonable

LexisNexis® Mealey's™ Disability Insurance Legal News — Fri, 04 May 2012 23:35:20 +0100

DENVER - An ERISA-governed disability insurer's reliance on record reviews and a vocational assessment in its decision to terminate benefits to a claimant with back pain was reasonable, the 10th Circuit U.S. Court of Appeals ruled Feb. 7 in an unpublished decision (Kandace Williams v. Metropolitan Life Insurance Co., et al., No. 10-1504, 10th Cir.; 2012 U.S. App. LEXIS 2291). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)

Tadasana

About.com Eating Disorders — Fri, 04 May 2012 04:00:00 +0100

, or Mountain Pose, is a yoga pose that is surprisingly active and will work you hard if you pay attention to what you are doing. Tadasana can help you with your back pain by establishing and developing ideal spinal alignment. So when you do yoga for your back pain, don't forget to include tadasana. (Source: About.com Eating Disorders)

Joint Range of Motion and Patellofemoral Pain in Dancers

International Journal of Sports Medicine — Fri, 04 May 2012 04:00:00 +0100

Int J Sports MedDOI: 10.1055/s-0031-1301330The aim of the present study was to determine the association between joint range of motion (ROM) and patellofemoral pain syndrome (PFPS) in young female dancers. The study population included 1 359 female dancers, aged 8-20 years. All dancers were clinically examined for current PFPS, and their joint ROM was measured at the lumbar spine and the lower extremities. 321 of the 1 359 dancers (23.6%) experienced PFPS. Prevalence of the syndrome increased with the dancer's age (p<0.001). Dancers with hypo ROM in hip external rotation, ankle plantar-flexion, ankle/foot pointe, hip abduction, hip extension, and limited hamstrings and lumbar spine were significantly less prone to developing PFPS compared to dancers with average ROM: 19.2% vs. 26.2% (p=...

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Type 1 Chiari Malformation.

Pain Physician — Thu, 03 May 2012 20:18:02 +0100

Authors: Robertson EK, Stanley C Abstract The patient was a 25-year-old woman who was referred to a physical therapist for a chief complaint of pain at the base of the occiput and left upper quarter region, as well as bilateral hand paresthesias. The findings of the history and physical examination were discussed with the patient's physician, who then ordered magnetic resonance imaging of the cervical spine, which revealed protrusion of the cerebellar tonsils 1 cm below the foramen magnum, consistent with a type 1 Chiari malformation. J Orthop Sports Phys Ther 2012;42(5):483. doi:10.2519/jospt.2012.0409. PMID: 22549082 [PubMed - as supplied by publisher] (Source: Pain Physician)

Chiropractor in Gahanna Announces New Website for Back Pain Patients

Medical News (via PRIMEZONE) — Thu, 03 May 2012 14:00:00 +0100

GAHANNA, Ohio, May 3, 2012 (GLOBE NEWSWIRE) -- Progressive Health and Rehab in Gahanna, OH is expanding access to wellness resources. The practice announced the launch of a new website, http://www.progressivehealthohio.com, to make it easier for patients to learn more about natural pain management. The site is designed to educate patients about different treatments for back pain, herniated discs, sciatica and other chronic pain. The practice also provides nutritional counseling and general wellness care. Featured website articles introduce patients to these different treatments, explaining the benefits of non-invasive care for pain relief and long-term health. (Source: Medical News (via PRIMEZONE))

5 Back Extension Exercises

About.com Eating Disorders — Thu, 03 May 2012 04:00:00 +0100

Back extension exercises are back strengthening exercises. They are often recommended for back pain, and are very important in counterbalancing the many forward bending exercises we do. (Source: About.com Eating Disorders)

Self‐Reported Comorbid Pains in Severe Headaches or Migraines in a US National Sample

Headache: The Journal of Head and Face Pain — Thu, 03 May 2012 04:00:00 +0100

Conclusions.— Severe headache or migraine is often associated with other common pains, seldom existing alone. Two or more comorbid pains are common, similarly affecting gender and racial/ethnic groups. (Source: Headache: The Journal of Head and Face Pain)

Study Protocol: The Back pain Outcomes using Longitudinal Data (BOLD) Registry

BMC Musculoskeletal Disorders — Thu, 03 May 2012 04:00:00 +0100

DiscussionBy establishing the BOLD registry, we are creating a resource that contains patient-reported outcome measures as well as electronic medical record data for elderly patients with back pain. The richness of our data will allow better matching for comparative effectiveness studies than is currently possible with existing datasets. BOLD will enrich the existing knowledge base regarding back pain in the elderly to help clinicians and patients make informed, evidence-based decisions regarding their care. (Source: BMC Musculoskeletal Disorders)

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Trunk lean gait modification and knee joint load in people with medial knee osteoarthritis: The effect of varying trunk lean angles

Arthritis Care and Research — Thu, 03 May 2012 04:00:00 +0100

Conclusion:Increased trunk lean reduced medial knee load in a dose‐response manner. Slightly later achievement of peak trunk lean improved the load‐modifying effect of this gait strategy. No immediate symptomatic changes were identified. Future research should determine if longer‐term implementation of this gait strategy is feasible and whether it can modify disease symptoms and OA progression. © 2012 by the American College of Rheumatology (Source: Arthritis Care and Research)

Self-Reported Comorbid Pains in Severe Headaches or Migraines in a US National Sample.

Headache — Thu, 03 May 2012 04:00:00 +0100

Conclusions.- Severe headache or migraine is often associated with other common pains, seldom existing alone. Two or more comorbid pains are common, similarly affecting gender and racial/ethnic groups. PMID: 22553936 [PubMed - as supplied by publisher] (Source: Headache)

An 11-year-old high-level competitive gymnast with back pain.

British Journal of Sports Medicine — Thu, 03 May 2012 04:00:00 +0100

Authors: Nusman C, Vanrijn R, Lim L, Maas M PMID: 22554846 [PubMed - as supplied by publisher] (Source: British Journal of Sports Medicine)

Flower Mound Chiropractor Launches Online Wellness Resource

Medical News (via PRIMEZONE) — Wed, 02 May 2012 14:00:00 +0100

FLOWER MOUND, Texas, May 2, 2012 (GLOBE NEWSWIRE) -- Butler Chiropractic, a Flower Mound-based wellness center, announced that the practice has launched a new website, http://www.butlerchiropractic.com/. The site features educational information on natural pain management for auto accident injuries and sports injuries. The user-friendly interface is designed to make it easy for patients to learn more about the different services available from Flower Mound chiropractor Dr. Randy Butler, including treatments for back pain, arthritis and carpal tunnel. (Source: Medical News (via PRIMEZONE))

Fibroids, Hysterectomy and Facing the Fear: Miranda’s Story

The Hysterectomy Association — Wed, 02 May 2012 08:56:06 +0100

I just wanted to say a big thank you for all the hints, tips, website and personal responses to my emails. I can’t tell you how well supported I have felt throughout what was a very harrowing lead up to my op. You may remember I had fought this op for 3 years and was terrified, so much so I had felt like doing something really stupid. I am 47 and had fibroids the size of cricket balls. I had my op as planned on 3rd April at 5pm and was back out in Recovery at 7:15pm. My surgeon said the uterus was monstrous and he didn’t know how I had coped with it as long as I had, it was about a foot long, all knobbly and weighed 2kgs. He had carried out a sub total hysterectomy due to large bulky fibroids but had managed to preserve the lower part of my cervix and my ovaries at my r...

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Health Tip: Help Prevent Back Pain

MedicineNet Chronic Pain General — Wed, 02 May 2012 07:00:00 +0100

Title: Health Tip: Help Prevent Back PainCategory: Health NewsCreated: 5/2/2012 8:05:00 AMLast Editorial Review: 5/2/2012 12:00:00 AM (Source: MedicineNet Chronic Pain General)

Vincristine overdose: Back pain, constipation and paraesthesia in a child following intramuscular administration: case report

Reactions — Wed, 02 May 2012 05:48:34 +0100

(Source: Reactions)

Role of lumbar interspinous distraction on the neural elements

Urosurgical Review — Wed, 02 May 2012 05:44:23 +0100

Abstract The interspinous distraction devices are used to treat variable pathologies ranging from facet syndrome, diskogenic low back pain, degenerative spinal stenosis, diskopathy, spondylolisthesis, and instability. The insertion of a posterior element with an interspinous device (ISD) is commonly judged responsive to a relative kyphosis of a lumbar segment with a moderate but persistent increase of the spinal canal and of the foraminal width and area, and without influence on low-grade spondylolisthesis. The consequence is the need of shared specific biomechanical concepts to give for each degenerative problem the right indication through a critical analysis of all available experimental and clinical biomechanical data. We reviewed systematically the available clinical ...

Trigger Point Therapy

About.com Eating Disorders — Wed, 02 May 2012 04:00:00 +0100

What is trigger point therapy, also known as myofascial trigger point therapy or neuromuscular therapy? What are the benefits of this hands-on therapy for back pain relief? (Source: About.com Eating Disorders)

Health Tip: Help Prevent Back Pain

Orthopedics News - Doctors Lounge — Wed, 02 May 2012 04:00:00 +0100

Exercise to strengthen lower back muscles (Source: Orthopedics News - Doctors Lounge)

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Promotion of Recovery From Thoracic Spinal Cord Contusion in Rats by Stimulation of Medullary Raphe or Its Midbrain Input

Neurorehabilitation and Neural Repair — Wed, 02 May 2012 04:00:00 +0100

Conclusions. Raphe magnus neurons mediate restorative feedback in acute spinal cord injury. Their interim activation, direct or indirect (via periaqueductal gray), offers a basis for possible treatments in patients. (Source: Neurorehabilitation and Neural Repair)

A pain in the back(side) stratified management the way forward?

PharmacoEconomics and Outcomes News — Tue, 01 May 2012 09:24:32 +0100

(Source: PharmacoEconomics and Outcomes News)

Wnt Signaling in the Pathogenesis of Multiple Sclerosis-Associated Chronic Pain

Journal of NeuroImmune Pharmacology — Tue, 01 May 2012 05:56:39 +0100

In this study, we characterized the expression of Wnt signaling proteins in the spinal cord dorsal horn (SCDH) of EAE mice, by immunoblotting and immunostaining. The EAE model was created by immunization of adult mice (C57BL/6, 10 weeks) with myelin oligodendrocyte glycoprotein (MOG) 35–55. Robust mechanical hyperalgesia and allodynia were developed in both fore- and hindpaws of the EAE mice. Wnt3a, a prototypical Wnt ligand for the canonical pathway, was significantly increased in the SCDH of the EAE mice. Another key protein in the canonical pathway, ß-catenin, was also significantly up-regulated. In addition, Wnt5a, a prototypic Wnt ligand for the non-canonical pathway, and its receptor (co-receptor) Ror2 were also up-regulated in the SCDH of the EAE mice. We further found that...

Type 1 Chiari Malformation

The Journal of Orthopaedic and Sports Physical Therapy — Tue, 01 May 2012 05:00:00 +0100

Eric K. Robertson, Chris StanleyThe patient was a 25-year-old woman who was referred to a physical therapist for a chief complaint of pain at the base of the occiput and left upper quarter region, as well as bilateral hand paresthesias. The findings of the history and physical examination were discussed with the patient's physician, who then ordered magnetic resonance imaging of the cervical spine, which revealed protrusion of the cerebellar tonsils 1 cm below the foramen magnum, consistent with a type 1 Chiari malformation. J Orthop Sports Phys Ther 2012;42(5):483. doi:10.2519/jospt.2012.0409KEY WORDS: cervical spine, magnetic resonance imaging, neck pain (Source: The Journal of Orthopaedic and Sports Physical Therapy)

Sporadic Hemangioblastoma of the Kidney: a rare renal tumor

BioMed Central — Tue, 01 May 2012 04:00:00 +0100

This report describes one case of sporadic renal hemangioblastoma happened in a16-year-old Chinese female patient, presenting with hematuria, and low back pain.Histologically, the tumors were circumscribed, and composed of sheets of large polygonalcells traversed by arborizing thin-walled blood vessels. The diagnosis of hemangioblastomawas confirmed by negative immunostaining for cytokeratin, and positive staining for alpha-inhibin, S100 and neuron-specific enolase (NSE). This benign neoplasm which can bemistaken for various malignancies such as renal cell carcinoma, epithelioidhemangiopericytoma and epithelioid angiomyolipoma, deserves wider recognition for itsoccurrence as a primary renal tumor.Virtual slidesThe virtual slide(s) for this article can be found here:http://www.diagnosticpat...

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Radiology Goes Back to School: Presenting the Face of Radiology to School Children

Journal of the American College of Radiology : JACR — Tue, 01 May 2012 04:00:00 +0100

Among health care professionals, the critical role of radiology in patient care is obvious. For example, most emergency department patients receive some form of imaging when presenting with abdominal pain []. Among the general public, however, the radiologist's role is less clear. There is confusion as to the role of the radiologist, technologist, and even referring physician in image interpretation []. Furthermore, many people do not realize that radiologists are doctors []. The lack of general knowledge as to the importance of radiologists continues to have serious implications, particularly among policymakers []. One method of addressing this problem has been the ACR's Face of Radiology campaign, designed to educate the adult public that radiologists are doctors who are highly trained a...

Effects of chronic pain on quality of life and depression in patients with spinal cord injury

Spinal Cord — Tue, 01 May 2012 04:00:00 +0100

Authors: E Ataoğlu, T Tiftik, M Kara, H Tunç, M Ersöz & S Akkuş (Source: Spinal Cord)

Clinical presentation and prognostic factors of spinal dural arteriovenous fistulas: an overview.

Neurosurgical Focus — Tue, 01 May 2012 04:00:00 +0100

Authors: Fugate JE, Lanzino G, Rabinstein AA Abstract Spinal dural arteriovenous fistulas (AVFs), the most common type of spinal cord vascular malformation, can be a challenge to diagnose and treat promptly. The disorder is rare, and the presenting clinical symptoms and signs are nonspecific and insidious at onset. Spinal dural AVFs preferentially affect middle-aged men, and patients most commonly present with gait abnormality or lower-extremity weakness and sensory disturbances. Symptoms gradually progress or decline in a stepwise manner and are commonly associated with pain and sphincter disturbances. Surgical or endovascular disconnection of the fistula has a high success rate with a low rate of morbidity. Motor symptoms are most likely to improve after treatment, followed by se...

Spinal dural arteriovenous fistulas: outcome and prognostic factors.

Neurosurgical Focus — Tue, 01 May 2012 04:00:00 +0100

This study appears to confirm that neurological status before treatment, anatomical location of the fistula, and symptoms at presentation are all factors that can predict outcome. Early diagnosis of spinal dural arteriovenous malformations in the lower thoracic area in patients with an Aminoff scale score < 3 was associated with the most favorable outcome. PMID: 22537120 [PubMed - in process] (Source: Neurosurgical Focus)

Massage low back pain away

Dental Abstracts — Tue, 01 May 2012 04:00:00 +0100

Short-term help for low back pain may come in the form of massage therapy. Seattle researchers led by Daniel Cherkin, Director of Group Health Research Institute, randomly assigned 401, mostly middle-aged white women, with chronic low back pain to receive relaxation massage, structural massage, or usual medical care, including pain medications, anti-inflammatory agents, muscle relaxants, or physical therapy. Massage therapy was delivered in hour-long treatments weekly for 10 weeks. After 10 weeks, over one-third of the massage patients said their back pain was much better or gone; this was reported by only 1 in 25 patients who received standard care. Overall, those who had either relaxation or structural massage took fewer anti-inflammatory medications, were more active, and spent fewer da...

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Leeches, Creatine, Xylitol, Spinal Manipulation, Acupuncture

Explore — Tue, 01 May 2012 04:00:00 +0100

Level 2 (mid-level) evidence Reference: Clin J Pain 2011;27(5):442 (Source: Explore)

Treatment of ankylosing spondylitis: a critical appraisal of nonsteroidal anti-inflammatory drugs and corticosteroids.

The American Journal of the Medical Sciences — Tue, 01 May 2012 04:00:00 +0100

Authors: Khan MA, Garcia-Kutzbach A, Espinoza LR Abstract ABSTRACT:: Treatment of ankylosing spondylitis and related disorders has been revolutionized by the advent of biological therapy, especially tumor necrosis factor-α inhibitors. Nonsteroidal anti-inflammatory drugs, however, remain the first line of treatment. Evidence has accumulated that nonsteroidal anti-inflammatory drug therapy of ankylosing spondylitis and related disorders is effective in controlling several of the clinical manifestations seen in these disorders, particularly pain, physical function and perhaps progressive spinal fusion. What needs to be proven, however, is the long-term safety profile of these drugs. PMID: 22543535 [PubMed - in process] (Source: The American Journal of the Medical Sciences)

Characteristics of neurogenic bowel in spinal cord injury and perceived quality of life.

Rehabilitation Nursing — Tue, 01 May 2012 04:00:00 +0100

DISCUSSION: More than half of the sample (n = 134) provided their own bowel management consisting of digital stimulation, suppositories, and other aids; 8% (n = 19) had a colostomy. Regardless of the bowel management program 54% (n = 127) were satisfied with current methods. Although time reported to complete bowel programs ranged from 1 to 120 minutes, there was no difference in rating of satisfaction with time. There was a statistically significant difference between those satisfied and dissatisfied with current bowel management and quality of life; those satisfied demonstrated a higher quality of life on three subscales, work function (p = .021), bowel problems (p < .001), and social function (p < .001). Those dissatisfied with their bowel program perceived a lower qu...

Inhibitor Kappa B Kinase Beta Dependent Cytokine Upregulation in Nociceptive Neurons Contributes to Nociceptive Hypersensitivity After Sciatic Nerve Injury

The Journal of Pain — Tue, 01 May 2012 04:00:00 +0100

Abstract: Inhibitor kappa B kinase (IKK)-mediated nuclear factor-kappa B (NF-κB) activation is a major pathway for transcriptional control of various pro-inflammatory factors. We here assessed whether activation of this pathway specifically in primary nociceptive neurons of the dorsal root ganglia (DRG) contributes to the development of nociceptive hypersensitivity. Mice carrying a cre-loxP–mediated deletion of inhibitor kappa B kinase beta (IKKβ) in DRG neurons were protected from nerve injury–evoked allodynia and hyperalgesia. This effect was mimicked by systemic treatment with an IKKβ inhibitor but was not observed upon specific inhibition of IKKβ in the spinal cord, suggesting a specific role of IKKβ in the peripheral neurons. The deletion of IKKβ in DRG neurons did not affec...

Do Not Intubate/Do Not Resuscitate: Treating the Severely Ill or Injured Geriatric Patient in the Emergency Department

Journal of Emergency Nursing: JEN — Tue, 01 May 2012 04:00:00 +0100

Eighty-five-year-old Hannah is brought to your emergency department by EMS after she tripped over her cat and fell onto a wooden chair. She complains of pain in the left rib area, and “trouble breathing.” Although no paradoxical chest movement is noted over the left rib cage, it is noted that the left anterior and lateral chest has significant bruising and crepitus on palpation. Hannah has decreased breath sounds on the left, seems to be splinting when she breathes, and is using some accessory muscles. Further examination reveals no head, neck, or upper extremity pain. Her left upper abdomen is tender. She has shortening and rotation of the left leg, her pelvis is stable, and color, motion, and sensation (CMS) of the leg is intact. She has no injury to the right side or back. There was...

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Reduction en masse in a 7-year-old boy: an interesting case

Journal of Pediatric Surgery — Tue, 01 May 2012 04:00:00 +0100

We describe a 7-year-old boy with an atypical presentation of reduction en masse after hernia reduction. The patient was a previously healthy child who presented with a mildly painful right inguinal mass of 1 day duration. An incarcerated hernia was noted, and after reduction, the pain dissipated for a short period, only to return with pain in the right lower quadrant and generalized peritoneal irritation. At surgical exploration, a reduction en masse was definitively diagnosed, and the incarcerated bowel was released from the hernia sac. (Source: Journal of Pediatric Surgery)

Bladder perforation in a peritoneal dialysis patient.

Saudi Journal of Kidney Diseases and Transplantation — Tue, 01 May 2012 04:00:00 +0100

We report here the case of a 38-year-old woman having end-stage renal disease due to autosomal-dominant polycystic kidney disease treated by PD since November 2000. Three years later, she was treated for Staphylococcal peritonitis. Four months later, she presented with a severe urge to urinate at the time of the fluid exchanges. The biochemical analysis of the fluid from the bladder showed that it was dialysis fluid. Injection of contrast through the catheter demonstrated the presence of a fistula between the bladder and the peritoneal cavity. She underwent cystoscopic closure of the fistulous tract and the PD catheter was removed. Subsequently, the patient was treated by hemodialysis. One month later, a second catheter was implanted surgically after confirming the closure of the fistula. ...

Beating backache

Daily Express - Health — Mon, 30 Apr 2012 23:00:00 +0100

BACK pain costs the UK £13billion a year. Spinal surgeon COLIN NATALI believes he has found an innovative alternative to the operating table. (Source: Daily Express - Health)

Evidence‐Based Postoperative Pain Management After Laparoscopic Colorectal Surgery

Colorectal Disease — Mon, 30 Apr 2012 16:22:22 +0100

Conclusion: Infiltration of surgical incisions with local anaesthetic at the end of surgery, systemic steroids, conventional nonsteroidal anti‐inflammatory drugs or cyclooxygenase‐2‐selective inhibitors in combination with paracetamol with opioid used as rescue are recommended. Intravenous lidocaine infusion is recommended, but not as first line of therapy. However, neuraxial blocks (i.e., epidural analgesia and spinal morphine) are not necessary based on high risk:benefit ratio.© 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland (Source: Colorectal Disease)

Not all are good stories – Susan’s Story

The Hysterectomy Association — Mon, 30 Apr 2012 08:03:00 +0100

I was told that if i had a Hysterectomy my health would improve and I would never look back, well I had it on the 20th January, had problems in recovery and spent 4 1/2 hours there. I was told at 7am the next morning that I needed to vacate my bed as it was needed and to be sent home. Home I went, all ok to start but by Sunday night I was in agony. A Doctor attended me and told me if I was in pain again to call him this was 1am; at 6am on the Monday morning the pain was so bad an ambulance was called for. They took me to A&E where I was for 6 hours before being transferred back to the Maternity Hospital. I was in agony and placed in a room to either sit on a chair or lay on an examination bed, neither which were comfortable. I was finally given a bed, and sent for an ultra sound this a...

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A case of clear cell adenocarcinoma arising from the urethral diverticulum: Utility of urinary cytology and immunohistochemistry

CytoJournal — Mon, 30 Apr 2012 04:00:00 +0100

In this report, we present a case of clear cell adenocarcinoma arising from the urethral diverticulum. A 42-year-old woman complained of bloody discharge and lower back pain. Imaging studies showed a tumor involving the region surrounding the urethra and cystourethroscopy showed papillary and villous tumors in the urethral diverticula. Cytology of the urine sediment showed papillary or spherical clusters of atypical cells, some of which had clear abundant cytoplasm and formed mirror ball-like clusters, suggesting adenocarcinoma. Although histological diagnosis was indeterminate by biopsy and transurethral resection (TUR) because of absence of stromal invasion, surgically resected specimen via cysturethrectomy revealed that the tumor was clear cell carcinoma. Urinary cytological findings an...

Transient receptor potential vanilloid 1 mediates nerve growth factor‐induced bladder hyperactivity and noxious input

BJU International — Mon, 30 Apr 2012 04:00:00 +0100

CONCLUSIONS• NGF‐induced bladder overactivity and noxious input depend on the interaction of NGF with TRPV1.• The lack of bladder overactivity in TRPV1 KO mice treated with NGF does not represent loss of TrkA expression.• TRPV1 is essential for NGF‐driven bladder dysfunction and represents a bottleneck target in bladder pathologies associated with NGF up‐regulation. (Source: BJU International)

Safety of Autologous Bone Marrow Stromal Cell Transplantation in Dogs with Acute Spinal Cord Injury

Veterinary Surgery — Mon, 30 Apr 2012 04:00:00 +0100

ConclusionsAutologous BMSC transplantation is feasible and safe in dogs with acute SCI. Further studies are needed to determine the efficacy of this therapy. (Source: Veterinary Surgery)

[Langerhans cell histiocytosis causing cervical myelopathy.]

Neuro-Chirurgie — Mon, 30 Apr 2012 04:00:00 +0100

Authors: Doléagbénou AK, Mukengeshay Ntalaja J, Derraz S, El Ouahabi A, El Khamlichi A Abstract Langerhans cell histiocytosis (LCH), a disorder of the phagocytic system, is a rare condition. Moreover, spinal involvement causing myelopathy is even rare and unusual. Here, we report a case of atypical LCH causing myelopathy, which was subsequently treated by corporectomy and fusion. An 8-year-old boy presented with 3 weeks of severe neck pain and limited neck movement accompanying upper and lower limbs motor weakness. CT scans revealed destruction of C5 body and magnetic resonance imaging showed a tumoral process at C5 with cord compression. Interbody fusion using anterior cervical plate packed by autologus iliac bone was performed. Pathological examination confirmed the diagnosi...

Chronic pain following spinal cord injury.

Tidsskrift for den Norske Laegeforening — Mon, 30 Apr 2012 04:00:00 +0100

Authors: Rekand T, Hagen EM, Grønning M Abstract Background. Chronic pain is common after a spinal cord injury, and may result in a substantially diminished quality of life. The aim of the paper is to provide an overview of pain conditions resulting from spinal cord injuries and an update on therapy options. Method. The article is based on a literature search in PubMed using the search words «pain and spinal cord injury/injuries», «chronic pain and spinal cord injury/injuries» and «neuropathic pain and spinal cord injury/injuries» for the period 2006-2011. Some key articles on neuropathic pain are included. Results. Patients may develop nociceptive and/or neuropathic pain after a spinal cord injury. The cause, nature and location of the pain must be established before therap...

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Dynamic stiffness and transmissibility of commercially available wheelchair cushions using a laboratory test method.

J Rehabil Res Dev — Sun, 29 Apr 2012 20:48:02 +0100

This study evaluated and compared the transmissibility of commercially available WC cushions with two laboratory test methods: (1) direct measurement of transmissibility while human subjects propelled a WC over a road course with different cushions and (2) characterization of cushions with a material testing system (MTS) combined with mathematical models of the apparent mass of the human body. Results showed that although dynamic characterization of WC cushions is possible with an MTS, the results did not correlate well with the transmissibility obtained in the WC road course. Significant differences were found for transmissibility among the cushions tested, with the air-based cushions having lower transmissibility than the foam- or gel-based cushions. PMID: 22492334 [PubMed - in proce...

Advanced Spinal Rehab, Inc. Educates Lincoln Auto Accident Injury Victims About Treatments

Medical News (via PRIMEZONE) — Sun, 29 Apr 2012 15:00:00 +0100

LINCOLN, Calif., April 29, 2012 (GLOBE NEWSWIRE) -- Advanced Spinal Rehab, Inc. has developed a three pronged treatment program of physical therapy, DRX spinal decompression, and cold laser therapy for patients dealing with back pain and neck pain caused by auto accident injuries. The clinic's founder, Dr. Larry Gies, said he believes this is the area's only complete spinal rehab program which offers an alternative approach to pain relief. Dr. Gies said he is committed to increasing awareness of treatments available to auto injury patients. (Source: Medical News (via PRIMEZONE))

Chiropractors Announce Integrative Approach to Kearny Mesa Sports Injury Treatments

Medical News (via PRIMEZONE) — Sun, 29 Apr 2012 15:00:00 +0100

SAN DIEGO, April 29, 2012 (GLOBE NEWSWIRE) -- Kearny Mesa chiropractors Dr. Charles Salanger and Dr. Carol Spiegelman announced that they have had success with their integrative approach to helping sports injury patients manage pain and heal following an accident. The chiropractors are urging injury patients to consider chiropractic care for natural pain management and rehabilitation. According to Dr. Salanger and Dr. Spiegelman, spinal adjustments and complementary methods of care are effective in personal injury treatment because they work together to address the underlying cause for pain. (Source: Medical News (via PRIMEZONE))

Chiropractic Care Aids Children Suffering Ear Infections and ADHD According to Conway Chiropractor

Medical News (via PRIMEZONE) — Sun, 29 Apr 2012 14:00:00 +0100

CONWAY, Ark., April 29, 2012 (GLOBE NEWSWIRE) -- Conway chiropractor, Dr. Christine Hurley, provides monthly presentations on natural treatments for children at Hurley Chiropractic and Wellness Center. Dr. Hurley says that recent warnings from scientists and doctors about drug therapies in children have many parents seeking out alternative treatments. She and her fellow chiropractors at the center regularly treat children suffering from recurrent ear infections and the symptoms of ADHD, as well as infants with colic and children who suffer back pain from personal injuries. They use a combination of spinal adjustments, acupuncture and nutritional counseling, and parents are reporting success with these treatments. (Source: Medical News (via PRIMEZONE))

Patients Suffering From Chronic Headaches and Migraines Find Relief From Michaux Family Chiropractic

Medical News (via PRIMEZONE) — Sun, 29 Apr 2012 14:00:00 +0100

CLERMONT, Fla., April 29, 2012 (GLOBE NEWSWIRE) -- Michaux Family Chiropractic in Clermont, FL announced that the practice has had significant success treating patients for headaches and migraines. According to the practice, maintaining proper spinal alignment is essential to managing chronic headache pain. Chiropractors Dr. Kurt Michaux, Dr. Jamee Fike and Dr. Dan Warner provide adjustments to help relieve tension and migraine headache pain originating in the neck. Through gentle adjustment of the upper two cervical vertebrae, Dr. Michaux says that he can help restore proper alignment to the cervical spine and reduce the occurrence of headaches. (Source: Medical News (via PRIMEZONE))

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Las Vegas Chiropractor Helps Whiplash and Car Accident Injury Patients Heal

Medical News (via PRIMEZONE) — Sun, 29 Apr 2012 14:00:00 +0100

LAS VEGAS, April 29, 2012 (GLOBE NEWSWIRE) -- Las Vegas chiropractor Dr. Benjamin S. Lurie is raising awareness about the importance of chiropractic care to help car accident injury patients heal. According to Dr. Lurie, many patients sustain traumatic injuries to the musculoskeletal system, which result in a misalignment. Dr. Lurie provides spinal adjustments and spinal decompression therapy treatments to help restore alignment and relieve pain. Dr. Lurie holds Advanced Certification in Whiplash Biomechanics and Injury Traumatology, and is also Board Certified in Chiropractic Spinal Trauma. (Source: Medical News (via PRIMEZONE))

Chiropractor Recommends Massage Therapy to Help Patients Heal After Accident Injuries

Medical News (via PRIMEZONE) — Sun, 29 Apr 2012 14:00:00 +0100

MERRITT ISLAND, Fla., April 29, 2012 (GLOBE NEWSWIRE) -- Merritt Island chiropractor Dr. Joshua Flinn recommends to combination of massage therapy with chiropractic care to help patients heal. According to Dr. Flinn, massage treatments naturally promote internal healing by increasing the flow of oxygenated blood to injured soft tissues. Therapeutic massage also helps to relieve back pain and unlocking tension and stress that is trapped deep in the muscle fascia. The chiropractor regularly recommends massage treatments in addition to chiropractic care and spinal decompression to help patients heal following an auto injury. (Source: Medical News (via PRIMEZONE))

Modic changes in the cervical spine: Prospective 10-year follow-up study in asymptomatic subjects.

The Journal of Bone and Joint Surgery. British volume — Sun, 29 Apr 2012 11:31:16 +0100

Authors: Matsumoto M, Okada E, Ichihara D, Chiba K, Toyama Y, Fujiwara H, Momoshima S, Nishiwaki Y, Takahata T Abstract We conducted a prospective follow-up MRI study of originally asymptomatic healthy subjects to clarify the development of Modic changes in the cervical spine over a ten-year period and to identify related factors. Previously, 497 asymptomatic healthy volunteers with no history of cervical trauma or surgery underwent MRI. Of these, 223 underwent a second MRI at a mean follow-up of 11.6 years (10 to 12.7). These 223 subjects comprised 133 men and 100 women with a mean age at second MRI of 50.5 years (23 to 83). Modic changes were classified as not present and types 1 to 3. Changes in Modic types over time and relationships between Modic changes and progression of deg...

Effectiveness of participatory training for prevention of musculoskeletal disorders: a randomized controlled trial

International Archives of Occupational and Environmental Health — Sun, 29 Apr 2012 05:47:23 +0100

Conclusions Overall, the training programs did not seem to prevent the occurrence of MSD among frontline workers. However, participatory training might be effective to reduce MSD in the lower extremities and wrist and finger. Content Type Journal ArticleCategory Original ArticlePages 1-10DOI 10.1007/s00420-012-0775-3Authors Wenzhou Yu, China Center for Disease Control and Prevention, Beijing, ChinaIgnatius T. S. Yu, The School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, ChinaXiaorong Wang, The School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, ChinaZhimin Li, Shenzhen Prevention and Treatment Center for Occupational Disease, Shenzhen, ChinaSabrina Wan, Hong Kong Work...

Comparative evaluation of a novel measurement tool to assess lumbar spine posture and range of motion

European Spine Journal — Sun, 29 Apr 2012 05:44:07 +0100

Conclusions The Epionics SPINE system allows the practical and reliable dynamic assessment of lumbar spine shape and RoM, and may therefore provide a clinical solution for the evaluation of lower back pain as well as therapy monitoring. Content Type Journal ArticleCategory Original ArticlePages 1-11DOI 10.1007/s00586-012-2312-1Authors Tobias Consmüller, Epionics Medical GmbH, Am Luftschiffhafen 1, 14471 Potsdam, GermanyAntonius Rohlmann, Julius Wolff Institute, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, GermanyDaniel Weinland, Epionics Medical GmbH, Am Luftschiffhafen 1, 14471 Potsdam, GermanyClaudia Druschel, Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, GermanyGeorg ...

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Comparing effects of kyphoplasty, vertebroplasty, and non-surgical management in a systematic review of randomized and non-randomized controlled studies

European Spine Journal — Sun, 29 Apr 2012 05:44:06 +0100

Conclusions BKP/VP provided greater pain relief and fewer subsequent fractures than NSM in osteoporotic VCFs. BKP is marginally favored over VP in disability improvement, and significantly favored in QOL improvement. BKP had a lower risk of cement extravasation and resulted in greater kyphosis correction. Despite this analysis being restricted to Level I and II studies, significant heterogeneity suggests that the current literature is delivering inconsistent messages and further trials are needed to delineate confounding variables. Content Type Journal ArticleCategory Review ArticlePages 1-18DOI 10.1007/s00586-012-2314-zAuthors Ioannis D. Papanastassiou, H. Lee Moffitt Cancer Center and Research Institute, NeuroOncology Program and Department of Neurosurgery and O...

Resistive straight leg raise test, resistive forward bend test and heel compression test: novel techniques in identifying secondary gain motives in low back pain cases

European Spine Journal — Sun, 29 Apr 2012 05:44:06 +0100

Conclusions rSLRT, rFBT and HCT (NK triad) are highly practical tests which strongly predict SGM status in patients. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00586-012-2318-8Authors Naresh Kumar, University Spine Centre, National University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074 SingaporeSujith Indeewara Wijerathne, University Spine Centre, National University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074 SingaporeWen Wei Julian Lim, University Spine Centre, National University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074 SingaporeTan Wei Loong Barry, University Spine Centre, National University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074 SingaporeChinmay Nath, Apollo Gleneagles Hospital, Kolkat...

Yoga for Back Pain Series 3

About.com Eating Disorders — Sun, 29 Apr 2012 04:00:00 +0100

A series of standing yoga poses for back pain sufferers. Hamstring and hip stretches for back pain relief. (Source: About.com Eating Disorders)

Don't break the bank to banish your back pain... instead try our affordable pick of products that really do help

the Mail online | Health — Sun, 29 Apr 2012 02:52:43 +0100

Many of the products currently out there have no scientific research supporting them, despite their huge prices. (Source: the Mail online | Health)

Schmorl’s nodes

European Spine Journal — Sat, 28 Apr 2012 06:00:41 +0100

Conclusion SNs are common lesions that are often asymptomatic. In certain cases, SNs can cause back pain. No consensus on pathogenesis exists. There is no established treatment modality for symptomatic SNs. Content Type Journal ArticleCategory Review ArticlePages 1-7DOI 10.1007/s00586-012-2325-9Authors Kwaku A. Kyere, Department of Neurosurgery, University of Michigan, 1500 E. Medical Center Drive, Room 3552 Taubman Center, Ann Arbor, MI 48109-5338, USAKhoi D. Than, Department of Neurosurgery, University of Michigan, 1500 E. Medical Center Drive, Room 3552 Taubman Center, Ann Arbor, MI 48109-5338, USAAnthony C. Wang, Department of Neurosurgery, University of Michigan, 1500 E. Medical Center Drive, Room 3552 Taubman Center, Ann Arbor, MI 48109-5338, USAShayan U. Rahma...

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Opioids Should be Considered for Relief of Chronic Lower Back Pain

About.com Mental Health — Sat, 28 Apr 2012 04:00:00 +0100

Opioid analgesics (opioids), powerful pain relievers whose use has been hotly debated in the medical community, should be prescribed for some patients with chronic lower back pain, according to the Mayo Clinic. (Pain Medicine, Sep-2002) (Source: About.com Mental Health)

Assessing the effectiveness of 'pulse radiofrequency treatment of dorsal root ganglion' in patients with chronic lumbar radicular pain: study protocol for a randomized control trial

BioMed Central — Sat, 28 Apr 2012 04:00:00 +0100

Background: Chronic lumbar radicular pain can be described as neuropathic pain along the distribution of a particular nerve root. The dorsal root ganglion has been implicated in its pathogenesis by giving rise to abnormal impulse generation as a result of irritation, direct compression and sensitization. Chronic lumbar radicular pain is commonly treated with medications, physiotherapy and epidural steroid injections. Epidural steroid injections are associated with several common and rarer side effects such as spinal cord infarction and death. It is essential and advantageous to look for alternate interventions which could be effective with fewer side effects.Pulse radio frequency is a relatively new technique and is less destructive then conventional radiofrequency. Safety and effectivenes...

[Kyphoplasty in the treatment of osteoporotic spine fractures : Experience in over 500 patients.]

Zeitschrift fur Gerontologie und Geriatrie — Sat, 28 Apr 2012 04:00:00 +0100

Authors: Prokop A, Koukal C, Dolezych R, Chmielnicki M Abstract For over 10 years, kyphoplasty has been established for the treatment of painful osteoporotic vertebral compression fractures. Its effectiveness has been substantiated in multiple clinical studies. Not only is prompt pain reduction achieved, but according to a new, large, long-term study, long-term survival is also increased. Balloon kyphoplasty was performed for 564 patients from 1 January 2008 until 31 July 2011. In all cases, pain was rated more than 6/10 points, and recent fracture was evident on cross-sectional imaging (CT or MRT) performed to supplement spine x-rays. Average patient age was 75.3 years; 71.3% of patients were female. Treated fracture levels ranged from Th3 to L5. A single level was treated in 37...

Is There a Role for Subtalar Arthroereisis in the Management of Adult Acquired Flatfoot?

Foot and Ankle Clinics — Sat, 28 Apr 2012 00:41:38 +0100

Adult acquired flatfoot is a common problem for foot and ankle surgeons. The incidence is increasing and it is becoming more widely known among orthopedic surgeons in the last years. The main cause is rupture of posterior tibial tendon (PTT). The morphologic characteristics of this condition are heel valgus and flattening of the medial longitudinal arch. Other characteristics are usually observed, such as supination and abduction of the forefoot and tightening of the Achilles tendon. The deformity is progressive and patients describe “sinking” of their foot. There is no spontaneous correction with time and many patients become symptomatic. Treatment is required when there is progression of deformity and/or pain. Conservative treatment includes supportive footwear and ankle orthosis. Th...

Symptoms of Codependency

Psych Central — Fri, 27 Apr 2012 13:32:20 +0100

The term codependency has been around for almost four decades. Although it originally applied to spouses of alcoholics, first called co-alcoholics, researchers revealed that the characteristics of codependents were much more prevalent in the general population than had been imagined. In fact, they found that if you were raised in a dysfunctional family or had an ill parent, you’re likely codependent. Don’t feel bad if that includes you. Most American families are dysfunctional. You’re in the majority! Researchers also found that codependent symptoms got worse if left untreated. The good news is that they’re reversible. Following is a list of symptoms of codependents. You needn’t have them all to qualify as codependent. Low self-esteem.Feeling that you’re not good e...

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Well: For Back Pain, Steroid Shots No More Effective Than Placebo

NYT — Fri, 27 Apr 2012 13:30:52 +0100

A randomized trial of steroid injections for back pain has shown that they are no more effective in relieving discomfort than a placebo. (Source: NYT)

Chiropractic manipulation of the spine may cause strokes and even death

Guardian Unlimited Science — Fri, 27 Apr 2012 11:28:11 +0100

A study by American neurosurgeons adds to evidence suggesting chiropractic can damage arteries supplying the brainIt would be an understatement to call the debate on the risks posed by chiropractic neck manipulations "lively" – it is a heated discussion, and every time I write about this subject, my inbox fills with hate mail.Well over 500 cases have been documented where a patient has suffered a stroke after getting his or her neck manipulated and many have died subsequently. What seems to happen is that certain manipulations carried out by chiropractors - particularly those that involve forceful rotation of the neck to one side - may over-stretch an artery that runs along the spine. If that happens this vessel can dissect or disintegrate, resulting in a blockage of blood flow to the br...

[Case Report] Peripheral neuropathy after hip replacement failure: is vanadium the culprit?

LANCET — Fri, 27 Apr 2012 11:15:04 +0100

In September, 2011, a 70-year-old man was admitted to our orthopaedics department. In 2005 he had been fitted with a total right hip prosthesis with a ceramic-on-ceramic bearing couple; the cotyloid metal back and the stem were made of a titanium-aluminium-vanadium alloy (Antega stem and Plasmacup SC, B Braun Aesculap, Melsungen, Germany). The patient had experienced increasing pain over the previous 3 years, with progressive loss of function of the right coxofemoral joint, associated in the last 3 months with reduced sensitivity and strength of both legs. (Source: LANCET)

When angels catch us – Madeline’s hysterectomy story

The Hysterectomy Association — Fri, 27 Apr 2012 09:16:10 +0100

How do we know there are angels? Do we have our own special guardian angels watching over us? How many times have we almost entered into danger only to change our minds at the last minute? Is this simply being lucky or has there been an unconscious inner voice warning us? I have truly believed for a long time that there are God’s angels watching over us and over the years there have been occasions when I have had warnings of some impending doom and thankfully avoided tragedy. Sometimes I’ve just had feelings or a “sixth sense” and the negative event still happened but somehow I had felt that premonition. Was this just a warning to prepare me? Was it just woman’s’ intuition? Perhaps the destiny could not be changed? I have heard it say …we can change our fate but not o...

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An outcome measure of functionality and pain in patients with lumbar disc herniation: a validation study of the Japanese Orthopedic Association (JOA) score

Journal of Orthopaedic Science — Fri, 27 Apr 2012 06:02:59 +0100

Conclusions In general, the Iranian version of the JOA score performed well and the findings suggest that it is a reliable and valid measure of functionality and pain among LDH patients. Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s00776-012-0232-xAuthors Parisa Azimi, Department of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, IranHasan Reza Mohammadi, Department of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, IranAli Montazeri, Mental Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran Journal Journal of Orthopaedic ScienceOnline ISSN 1436-2023Print ISSN 0949-2658 (Source: Journal of Orthopaedic Science)

Mitogen activated protein kinase phosphatase-1 prevents the development of tactile sensitivity in a rodent model of neuropathic pain

BioMed Central — Fri, 27 Apr 2012 04:00:00 +0100

Conclusions: Our results indicate that MKP-1, the natural regulator of p-p38, mediates resolution of the spinal cord pro-inflammatory milieu induced by peripheral nerve injury, resulting in prevention of chronic mechanical hypersensitivity. We propose that MKP-1 is a potential therapeutic target for pain treatment or prevention. (Source: BioMed Central)

Effect of milnacipran, a serotonin and noradrenaline reuptake inhibitor, on C‐fiber‐evoked field potentials in spinal long‐term potentiation and neuropathic pain

British Journal of Pharmacology — Fri, 27 Apr 2012 04:00:00 +0100

CONCLUSIONS AND IMPLICATIONS: Milnacipran inhibited C‐fiber‐mediated nociceptive synaptic transmission in the spinal dorsal horn after the establishment of spinal LTP and in the neuropathic pain model, by activating both spinal serotonergic and noradrenergic systems. The condition‐dependent inhibition of the C‐fiber‐mediated transmission by milnacipran could provide novel evidence regarding the analgesic mechanism of SNRIs in chronic pain.© 2012 The Authors. British Journal of Pharmacology © 2012 The British Pharmacological Society (Source: British Journal of Pharmacology)

The α7 nicotinic ACh receptor agonist compound B and positive allosteric modulator PNU‐120596 both alleviate inflammatory hyperalgesia and cytokine release in the rat

British Journal of Pharmacology — Fri, 27 Apr 2012 04:00:00 +0100

Conclusions and implications: α7 nAChR PAMs could prove to be useful in the treatment of inflammatory pain conditions which respond poorly to NSAIDs or in situations when NSAIDs are contraindicated.© 2012 The Authors. British Journal of Pharmacology © 2012 The British Pharmacological Society (Source: British Journal of Pharmacology)

Association between perceived union connection and upper body musculoskeletal pains among unionized construction apprentices

American Journal of Industrial Medicine — Fri, 27 Apr 2012 04:00:00 +0100

ConclusionsAlthough our findings are limited by the cross‐sectional nature of the data, these results suggest that workers' perceived union connection can vary even within unionized workplaces, and it may be associated with the prevalence of MSPs and MSPs causing difficulty in daily activities. Am. J. Ind. Med. © 2012 Wiley Periodicals, Inc. (Source: American Journal of Industrial Medicine)

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Lamina I NK1 expressing projection neurones are functional in early postnatal rats and contribute to the setting up of adult mechanical sensory thresholds.

Molecular Pain — Fri, 27 Apr 2012 04:00:00 +0100

Conclusions: These results suggest that the lamina I pathway is present and functional at least from P3 and required for establishing and fine-tuning mechanical sensitivity in adult rats. (Source: Molecular Pain)

Training access holds back nurse prescribers, warn researchers

Nursing Times Breaking News — Thu, 26 Apr 2012 23:10:46 +0100

Access to specialist training is holding back nurses involved in prescribing pain medications, potentially at the expense of patient care, UK researchers have warned. (Source: Nursing Times Breaking News)

A low-cost, durable, combined ultrasound and fluoroscopic phantom for cervical transforaminal injections.

Pain Physician — Thu, 26 Apr 2012 22:51:40 +0100

CONCLUSIONS: The creation of a training phantom allows the pain physician to practice needle positioning technique while simultaneously visualizing both targeted and avoidable vascular structures under US and fluoroscopic guidance. This low-cost CUF-P is easy to prepare and is reusable, making it an attractive alternative to current homemade and commercially available phantom simulators. PMID: 22476241 [PubMed - in process] (Source: Pain Physician)

What Is Tight Jean Syndrome?

Dr. Weil Q and A — Thu, 26 Apr 2012 16:00:25 +0100

A friend tells me she has been diagnosed with “tight jean syndrome.” Is this a joke? She swears that her doctor also told her that wearing tight clothes can cause nerve problems, heartburn and lower back pain. He also warned that wearing spike heels can deform the feet. Is any of this true? (Source: Dr. Weil Q and A)