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Quick weight loss tips – 12 proven weight loss diet tips

Toni Mcrae — Sun, 27 Jul 2008 16:23:06 +0000

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Fast Weight Loss Diet – Lose 14lb in 5 days

The Diet and Fitness Advisor — Sun, 29 Jun 2008 16:56:22 +0000

Learn more @ theharcombediet.com . Lose up to 14lb in 5 days with this simple, safe and effective fast weight loss diet by Zoe Harcombe. Visit theharcombediet.com for free diet sheets and tips.

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Fast Weight Loss Diet - Lose 14lb in 5 days

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Quick Weight Loss Tips

Toni Mcrae — Mon, 28 Jan 2008 22:15:24 +0000

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Nurses 'need more advice over back pain'

Nursing Times Breaking News — Wed, 23 May 2012 10:08:00 +0100

NHS workers need to be given more advice about what to do when suffering back pain, according to a report. (Source: Nursing Times Breaking News)

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Office Jobs: A Pain in the Back?

Psychology Today Depression Center — Tue, 22 May 2012 14:17:05 +0100

Chronic pain causes more than physical discomfort. It actually alters chemicals in the brain, leading to anxiety, depression and even short term memory loss! You can easily reduce your back pain at work by following a few helpful tips!read more (Source: Psychology Today Depression Center)

CK Chiropractic Center Provides Alternative Solution to Alleviate Patient Headaches

Medical News (via PRIMEZONE) — Tue, 22 May 2012 14:00:00 +0100

SAN DIEGO, May 22, 2012 (GLOBE NEWSWIRE) -- Dr. Kien Ta's San Diego chiropractic office, CK Chiropractic Center, uses spinal realignment techniques to relieve headaches and neck pain. While many medical practices use medications that only cover up the symptoms, Dr. Ta and his colleagues provide a lasting long-term treatment that addresses the root of trauma-induced headaches: the central nervous system. (Source: Medical News (via PRIMEZONE))

A Tipped Uterus and Intercourse Positions

Psychology Today Sex Center — Tue, 22 May 2012 13:49:50 +0100

While it's normal to have a tipped uterus, a lot of women don't know they have one. read more (Source: Psychology Today Sex Center)

Blunt Urinary Bladder Trauma

Current Problems in Diagnostic Radiology — Tue, 22 May 2012 12:46:21 +0100

A 29-year-old man was ejected from a car in a high-speed motor-vehicle crash without loss of consciousness. Upon arrival at Harborview Medical Center (HMC) he complained of neck and lower abdominal pain. Per HMC trauma protocol, he underwent a standard radiograph trauma series (anteroposterior chest radiograph, lateral view of the cervical spine, and anteroposterior view of the pelvis), which showed multiple fractures of the cervical spine. Physical examination demonstrated gross hematuria. The patient was stable and was sent for computed tomography (CT) angiography of the chest and neck followed by a venous phase scan of the abdomen and pelvis. Cervical CT confirmed multiple unstable factures of the cervical spine, cord compression, and a left vertebral artery stretch injury. A small amou...

Retrospective study of emerging themes in the decision-making process of patients considering amputation

Journal of Vascular Nursing — Tue, 22 May 2012 11:57:20 +0100

How patients make decisions about their future treatment has been sparsely study and with respect to limb amputation, a particularly difficult decision, not at all. An examination of this should furnish nurses vital knowledge about how patients come to the decision to give or refuse this consent.To reach as deep understanding as possible of how from the patients’ point of view they reach the decision to consent to the amputation of a lower limb.The research was conducted in the qualitative method. Thirty lower-limb amputees (aged 32-88) took part in the study. In-depth interviews were held with the participants. The data were processed by means of content analysis.The main thematic categories identified were, in the chronological order of their appearance: ‘The trail of torment leading...

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Discharge Criteria: Does a Revised Discharge Scoring Tool Accurately Reflect Patient Readiness for Discharge From Phase I PACU?

Journal of PeriAnesthesia Nursing — Tue, 22 May 2012 11:57:18 +0100

Post Anesthesia Care Unit (PACU) nurses often assess patient readiness for discharge using the Post Anesthesia Recovery Score (PARS), or “Aldrete” tool. However, PARS does not include data on pain, nausea, heart rate, and temperature that could slow discharge. The purposes of this study were to compare the effectiveness of a revised PACU discharge scoring tool that includes pain, nausea, heart rate, and temperature with the current PARS tool in time to readiness for discharge from a Phase I PACU and to assess reliability of the new tool compared to PARS. Both the PARS and new tool criteria are measured via objective assessment on a 0-2 point scale and use a sum score of all criteria to determine discharge readiness. 1 variable on the new tool differs for general and spinal anesthesia: ...

Self-Care and Humor

Journal of PeriAnesthesia Nursing — Tue, 22 May 2012 11:57:18 +0100

Humor—a comic, absurd, or incongruous quality causing amusement. In the midst of a very serious time in our country and the many non-humorous events that are occurring, I have decided to consider how humor is a vital part of caring for oneself. Certainly there are physical benefits to humor: a stronger immune system, reduced blood pressure and heart rate, reduced stress hormones, reduced pain, and muscle relaxation. Think about how relaxed you feel after a long “belly-laugh.” I don't know about you, but I can hardly move. Mentally, humor can decrease stress, reduce anger and anxiety, increase joy, establish a more optimistic outlook, foster a sense of control, and change our perspective. (Source: Journal of PeriAnesthesia Nursing)

Locally Released Small (Non‐Protein) Ninhydrin‐Reacting Molecules Underlie Developmental Differences Of Cultured Medullary Versus Spinal Dorsal Horn Neurons

Journal of Neurochemistry — Tue, 22 May 2012 11:30:38 +0100

SummaryNeurons located in the trigeminal subnucleus caudalis (Vc) play crucial roles in pain and sensorimotor functions in the orofacial region. Because of many anatomical and functional similarities with the spinal dorsal horn (SDH), Vc has been termed the medullary dorsal horn ‐ analogous to the SDH. Here we report that when compared with embryonic SDH neurons in culture, neurons isolated from the Vc region showed significantly slower growth, lower glutamate receptor activity and more cells undergoing cell death. SDH neuron development was inhibited in co‐cultures of SDH and Vc tissues while Vc neuron development was promoted by co‐culture with SDH tissues. Furthermore, we identified that small (non‐protein) ninhydrin‐reacting molecules purified from either embryonic or post‐...

Phytocontact Dermatitis due to Mustard Seed Mimicking Burn Injury: Report of a Case

Experimental Diabetes Research — Tue, 22 May 2012 11:21:58 +0100

Mustard seeds have been used in traditional folk medicine as a stimulant, diuretic, and purgative and to treat a variety of ailments including peritonitis and neuralgia. Mustards are still used today in mustard plasters to treat rheumatism, arthritis, chest congestion, aching back, and sore muscles. To make a mustard plaster, mix equal parts of flour and powdered mustard and spread it as a paste on a doubled piece of soft cloth. Apply mustard plaster to the affected area for a maximum of 15 minutes. Prolonged application can result in burns to the skin and nerve damage. Skin lesions occur within hours after exposure, and there is no significant therapy procedure. This case report is about a patient with second-degree burn, occurred when a mixture including mustard seed was exposed to her s...

Bisphosphonates beneficial in multiple myeloma

Modern Medicine — Tue, 22 May 2012 04:00:00 +0100

NEW YORK (Reuters Health) - In patients with multiple myeloma, bisphosphonates -- which inhibit osteoclasts - help limit pathological spine fractures, skeletal-related events and pain, according to an updated review from The Cochrane Library. (Source: Modern Medicine)

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Role of JNK isoforms in the development of neuropathic pain following sciatic nerve transection in the mouse

Molecular Pain — Tue, 22 May 2012 04:00:00 +0100

Conclusions: JNK signaling plays an important role in regulating pain threshold: the inhibition of all of the JNK isoforms prevents the onset of neuropathic pain, while the deletion of a single splice JNK isoform mitigates established sensory abnormalities. JNK inactivation also has an effect on axonal sprouting following peripheral nerve injury. (Source: Molecular Pain)

Facing The Fear – Esther’s Hysterectomy Story

The Hysterectomy Association — Mon, 21 May 2012 08:56:30 +0100

2nd April was soon here & the date of my total abdominal hysterctomy! To say I was afraid was an understatement, not only of the operation itself but how I would feel afterwards. The hysterectomy is the end result of many years of prolonged bleeding and extreme pain every month, but not any more! Straight forward and soon home & 6 weeks on I m feeling 100% better. Despite a set back & a second stay in hospital due to an infection I am now well on the road to recovery & for anyone out there debating due to discomfort afterwards, not knowing what to expect, do it! (Source: The Hysterectomy Association)

Genetic contribution of catechol-Omethyltransferase variants in treatment outcome of low back pain: a prospective genetic association study

BMC Musculoskeletal Disorders — Mon, 21 May 2012 04:00:00 +0100

Conclusions: Results suggest an influence of genetic variants of COMT gene in describing the variation in pain after treatment for low back pain. Replication in large samples with testing for other pain related genes is warranted. (Source: BMC Musculoskeletal Disorders)

How are Brain Tumors Classified?

PediatricEducation.org — Mon, 21 May 2012 00:06:00 +0100

Discussion Primary brain tumors are a diverse group of tumors that together form the most common solid tumors in children. It is estimated that there are 2500-3500 children diagnosed each year in the U.S. with a brain tumor. Brain tumor causes remain unknown and the best treatment has not been determined. Overall 5-year survival is ~70% but the rates are diverse depending on the stage and tumor type. Multimodal treatment is often essential including neurosurgery, oncology, radiation oncology, neuroradiology, endocrinology, rehabilitation and psychology. Unfortunately many children may have long-term or late sequelae because of the treatment, particularly for younger children. Tumor recurrence is also not uncommon. Some common ways that brain tumors present include: headache, nausea/emesis...

Robust spinal neuroinflammation mediates mechanical allodynia in Walker 256 induced bone cancer rats

Molecular Brain — Sun, 20 May 2012 04:00:00 +0100

It has been reported that remarkable and sustained activation of astrocytes and/or microgliaoccurs in cancer induced pain (CIP), which is different from neuropathic and inflammatorypain. The present study was designed to investigate the role of spinal Toll-like receptor 4(TLR4) induced glial neuroinflammation in cancer induced pain using a modified rat modelof bone cancer. The rat model of CIP consisted of unilateral intra-tibial injection with Walker256 mammary gland carcinoma. Nine days after Walker 256 inoculation, a robust activationof both astrocytes and microglia in bilateral spinal dorsal horn was observed together withsignificant bilateral mechanical allodynia. This neuroinflammation was characterized byenhanced immunostaining of both glial fibrillary acidic protein (GFAP, astrocyt...

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Asymptomatic thoracic Pantopaque cyst mimicking an intradural extramedullary lipoma on MR images

European Spine Journal — Sat, 19 May 2012 09:29:01 +0100

Conclusion Intraspinal masses showing metal-like density in X-ray or computed tomography but in MRI showing only lipoma or cystic lesions, not metallic characteristics, the differential diagnosis should include iophendylate (Pantopaque) cyst. Oil-based contrast medium is believed to have the potential to make a syrinx formation via arachnoiditis, which can lead to severe neurologic deteriorations, so even if the patients do not represent with an acute neurologic deficit, surgical total removal of remnant material without leaking should be considered. Content Type Journal ArticleCategory Case ReportPages 1-8DOI 10.1007/s00586-012-2364-2Authors Sang-Kook Lee, Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USADaniel H. Kim, Department of Neurosu...

Late infections after dynamic stabilization of the lumbar spine with Dynesys

European Spine Journal — Sat, 19 May 2012 09:29:00 +0100

Conclusion The high rate of late infections with low-grade germs and the frequency of screw loosening signs made us suspect a lack of integration at the bone-screw interface. Surgeons should be suspicious if the patient presents a combination of new or increasing pain and signs of screw loosening, and aggressive revision is recommended in these cases. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00586-012-2366-0Authors Jon A. Lutz, Department of Orthopaedic Surgery, Cantonal Hospital, 1708 Fribourg, SwitzerlandPhilippe Otten, Department of Orthopaedic Surgery, Cantonal Hospital, 1708 Fribourg, SwitzerlandGianluca Maestretti, Department of Orthopaedic Surgery, Cantonal Hospital, 1708 Fribourg, Switzerland Journal European Spine J...

Spinal Cord Stimulation in the Treatment of Cancer-Related Pain: “Back to the Origins”

Current Pain and Headache Reports — Sat, 19 May 2012 07:23:44 +0100

Abstract Spinal cord stimulation (SCS) has been used in the treatment of chronic pain for more than 40 years. The most common indication for SCS in the USA is failed back surgery syndrome (FBSS). Interestingly, the first two spinal cord stimulators ever implanted were in patients suffering from bronchogenic carcinoma and pelvic cancer, respectively. While cancer accounts for millions of deaths each year in the USA, pain is often the first sign of malignancy. An increasing number of people suffer from cancer-related pain each year and many receive suboptimal relief. Given the demonstrated value of spinal cord stimulation in the treatment of neuropathic pain, spinal cord stimulation should be considered “earlier” as an adjunct to the treatment of cancer-related pain...

Smoking Tied to Back Pain, Arthritis (CME/CE)

MedPage Today Primary Care — Fri, 18 May 2012 16:19:24 +0100

(MedPage Today) -- Two new studies have implicated smoking in the development of psoriatic arthritis and inflammatory back pain. (Source: MedPage Today Primary Care)

Lack of effect of chronic pre‐treatment with the FAAH inhibitor URB597 on inflammatory pain behaviour: evidence for plastic changes in the endocannabinoid system

British Journal of Pharmacology — Fri, 18 May 2012 04:00:00 +0100

Conclusion and implications: Our data suggest that plastic changes in the endocannabinoid system may contribute to the loss of analgesic effect seen following repeated administration of low dose URB597 in this model of inflammatory pain.© 2012 The Authors. British Journal of Pharmacology © 2012 The British Pharmacological Society (Source: British Journal of Pharmacology)

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Adjacent level spondylodiscitis after anterior cervical decompression and fusion

Table of Contents : Indian Journal of Orthopaedics : 2007 - 41(1) — Fri, 18 May 2012 04:00:00 +0100

We report a case, with 5 year followup, who underwent ACDF from C5 to C7 for cervical spondylotic myelopathy. He showed neurological improvement after surgery but developed discharging sinus after 2 weeks, which healed with antibiotics. He improved on his preoperative symptoms well for the first 2 months. He started developing progressive neck pain and myelopathy after 3 months and investigations revealed spondylodiscitis at C3 and C4 with erosion, collapse, and kyphosis, without any evidence of implant failure or graft rejection at the operated level. He underwent reexploration and implant removal at the operated level (there was good fusion from C5 to C7) followed by debridement/decompression at C3, C4 along with iliac crest bone grafting and stabilization with plate and screws after max...

LPA5 Involvement in Neuropathic Pain [Lipids]

Journal of Biological Chemistry — Fri, 18 May 2012 04:00:00 +0100

Lysophosphatidic acid (LPA) is a bioactive lipid that serves as an extracellular signaling molecule acting through cognate G protein-coupled receptors designated LPA1–6 that mediate a wide range of both normal and pathological effects. Previously, LPA1, a Gαi-coupled receptor (which also couples to other Gα proteins) to reduce cAMP, was shown to be essential for the initiation of neuropathic pain in the partial sciatic nerve ligation (PSNL) mouse model. Subsequent gene expression studies identified LPA5, a Gα12/13- and Gq-coupled receptor that increases cAMP, in a subset of dorsal root ganglion neurons and also within neurons of the spinal cord dorsal horn in a pattern complementing, yet distinct from LPA1, suggesting its possible involvement in neuropathic pain. We therefore generate...

[Correspondence] Non-specific low back pain

LANCET — Fri, 18 May 2012 02:50:04 +0100

In their Seminar on low back pain, Federico Balagué and colleagues (Feb 4, p 482) conclude that (occupational) mechanical factors are unlikely to be independently causative of low back pain. This far-reaching conclusion is based on reviews of published epidemiological studies and on the relation between evidence of tissue injury on imaging and low back pain. (Source: LANCET)

[Correspondence] Non-specific low back pain – Authors' reply

LANCET — Fri, 18 May 2012 02:50:04 +0100

Before we respond to the issues raised by J H van Dieën and colleagues, we would like to point out a couple of minor inaccuracies in their letter. Our Seminar was not about “low back pain” (all-cause) but about non-specific low back pain, as defined in the opening paragraph. This is not just a semantic issue. There is an important distinction between the two, and one that is highly relevant in this context. The biological plausibility of a mechanical role in (some) back pain—on the basis of experimental or laboratory studies including those by van Dieën and colleagues—mainly concerns specific types of low back injury such as acute prolapsed disc, fracture, etc. (Source: LANCET)

Pinpointing Neuropathic Pain

Neuromics — Thu, 17 May 2012 16:54:00 +0100

In this study, the authors showed ablation of nonpeptidergic fibers in a chronic constriction injury model caused significant sympathetic and parasympathetic P2X3 fiber sprouting, and led to an exacerbated pain response. This was an unexpected finding, as it has been suggested that nonpeptidergic fibers play a major role in mechanical pain, and suggests that these fibers play a complex role in the development of neuropathic pain: Anna M.W. Taylora, Maria Osikowicza, Alfredo Ribeiro-da-Silva. Consequences of the ablation of nonpeptidergic afferents in an animal model of trigeminal neuropathic pain. PAIN. Volume 153, Issue 6, June 2012, Pages 1311–1319. doi.org/10.1016/j.pain.2012.03.023....Sections were then incubated for 48 hours at 4°C with a guinea pig polyclonal anti-P2X 3 antibody (...

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Beneficial effects following microsurgical decompression in an adult with congenital thoraco-lumbar kyphoscoliosis with spina bifida aperta and myelomeningocele: an interesting case report

Archives of Orthopaedic and Trauma Surgery — Thu, 17 May 2012 15:25:55 +0100

Conclusion Surgery for spinal canal stenosis in patients with severe thoraco-lumbar scoliosis can be effective in relieving radicular pain, weakness and numbness, and while not curative can greatly improve the quality of life. Content Type Journal ArticleCategory Orthopaedic SurgeryPages 1-3DOI 10.1007/s00402-012-1517-4Authors Imtiaz Ghani, Centre for Spine Surgery, Hirslanden Clinic St. Anna, Lucerne, SwitzerlandMarkus Kroeber, Centre for Spine Surgery, Hirslanden Clinic St. Anna, Lucerne, Switzerland Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051 (Source: Archives of Orthopaedic and Trauma Surgery)

Cervical range of motion and strength in 4,293 young male adults with chronic neck pain

European Spine Journal — Thu, 17 May 2012 15:25:52 +0100

Conclusion This study describes the largest cohort of biomechanical data of the cervical spine in young adult recorded to date. The findings demonstrate that no correlation was found between neck pain, CROM and maximal torque in the study cohort. On this basis, we conclude that the CROM and maximal cervical torque should not be used as indicators to measure the progress of chronic neck pain in physiotherapy training and sports medicine for the young adult. Content Type Journal ArticleCategory Original ArticlePages 1-6DOI 10.1007/s00586-012-2369-xAuthors Max Daniel Kauther, Department of Trauma Surgery, University of Duisburg-Essen, Hufelandstraße 55, 45147 Essen, GermanyMichael Piotrowski, Department of Orthopaedics, University of Duisburg-Essen, Essen, GermanyBjo...

Assessment of lumbar vertebrae morphology by magnetic resonance imaging in osteoporosis

Skeletal Radiology — Thu, 17 May 2012 15:07:41 +0100

Conclusions Significant changes in morphology of the lumbar spine and intervertebral discs were found. It was revealed that the effects of osteoporosis are not limited to the bone but also present in the intervertebral discs. Mid heights of intervertebral discs were higher in the osteoporotic and osteopenic groups when compared to normal subjects along with the lowered mid heights of lumbar vertebrae. It was also observed that stronger vertebral bones were associated with more disc and vertebral degeneration. Content Type Journal ArticleCategory Scientific ArticlePages 1-8DOI 10.1007/s00256-012-1435-0Authors Özgür Tosun, Department of Radiodiagnostics, Faculty of Medicine, Near East University, Lefkosa, Mersin, TurkeyFatma Fidan, Department of Physical Medicine a...

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))

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...

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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)

Prevalence of Sacral Spinal (Tarlov) Cysts in Persistent Genital Arousal Disorder

The Journal of Sexual Medicine — Thu, 17 May 2012 04:00:00 +0100

Conclusion. Tarlov cysts have been described in the literature as producing paresthesias and genital sensory disturbances. Hence, at least some cases of PGAD might be considered to be a Tarlov cyst‐induced paresthesia. Based on the relatively high occurrence of Tarlov cysts currently observed in women who suffer from PGAD symptoms, it would seem advisable to suspect Tarlov cysts as a possible organic etiological factor underlying PGAD. Komisaruk BR and Lee H‐J. Prevalence of sacral spinal (Tarlov) cysts in persistent genital arousal disorder. J Sex Med **;**:**–**. (Source: The Journal of Sexual Medicine)

Translating Procedural Spine Science into Cross‐Cultural Clinical Practice: Methodological Questions and Answers

Pain Medicine — Thu, 17 May 2012 04:00:00 +0100

(Source: Pain Medicine)

Comparative evaluation of intrathecal midazolam and low dose clonidine: Efficacy, safety and duration of analgesia. A randomized, double blind, prospective clinical trial

Indian Journal of Pharmacology — Thu, 17 May 2012 04:00:00 +0100

Conclusion: Postoperative analgesia with clonidine is short lived with some bradycardia. Intrathecal midazolam provides superior analgesia without clinically relevant adverse effects. (Source: Indian Journal of Pharmacology)

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Endless Headaches Often Misdiagnosed As Migraines

Thu, 17 May 2012 03:15:14 +0100

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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)

Clinical outcome of instrumented fusion for the treatment of failed back surgery syndrome: a case series of 100 patients

Acta Neurochirurgica — Wed, 16 May 2012 16:45:24 +0100

Conclusions The present study showed disappointing outcome of instrumented fusion for the treatment of failed back surgery syndrome in terms of perceived recovery, functional disability and pain. Conservative management is probably more beneficial and, therefore, more selective and careful assessment should be done in order to prevent unnecessary surgery. Content Type Journal ArticleCategory Clinical ArticlePages 1-5DOI 10.1007/s00701-012-1380-7Authors Mark P. Arts, Department of Neurosurgery, Medical Centre Haaglanden, PO Box 432, 2501 CK The Hague, The NetherlandsNicola I. Kols, Department of Neurosurgery, Medical Centre Haaglanden, PO Box 432, 2501 CK The Hague, The NetherlandsSuzanne M. Onderwater, Department of Neurosurgery, Medical Centre Haaglanden, PO Box 43...

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)

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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 ...

Message from the Director: The Evidence for Spinal Manipulation and Low-Back Pain

NCCAM Featured Content — Tue, 15 May 2012 21:45:25 +0100

We know that complementary health approaches are often used to manage symptoms of an underlying disease or condition, such as neck or back pain, or arthritic or musculoskeletal pain—usually along with conventional treatments. Back pain, in particular, is the most common condition for which adults turn to complementary health practices. And it continues to be an important area of focus of NCCAM’s research. (Source: NCCAM Featured Content)

4 Things To Know About Spinal Manipulation for Low-Back Pain

NCCAM Featured Content — Tue, 15 May 2012 21:25:17 +0100

Spinal manipulation may be used by chiropractors, osteopathic physicians, naturopathic physicians, physical therapists, and some medical doctors with a goal of relieving low-back pain and improving physical functioning. These health professionals perform spinal manipulation by using their hands or a device to apply a controlled force to a joint of the spine. Most often they also recommend self-care practices.But, what does the science tell us? (Source: NCCAM Featured Content)

NCCAM Clinical Digest: Asthma and Complementary Health Practices

NCCAM Featured Content — Tue, 15 May 2012 21:14:32 +0100

Back pain is one of the most common health complaints, affecting 8 out of 10 people at some point during their lives. The lower back is the area most often affected. For many people, back pain goes away on its own after a few days or weeks. But for others, the pain becomes chronic and lasts for months or years. Low-back pain can be debilitating, and it is a challenging condition to diagnose, treat, and study. The total annual costs of low-back pain in the United States—including lost wages and reduced productivity—are more than $100 billion. (Source: NCCAM Featured Content)

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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)

Risk for low back pain from different frequencies, load mass and trunk postures of lifting and carrying among female healthcare workers

International Archives of Occupational and Environmental Health — Tue, 15 May 2012 18:16:34 +0100

Conclusions Preventive initiatives for LBP among healthcare workers ought to pay attention to frequent lifting and carrying of low load mass with forward bent back. Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/s00420-012-0781-5Authors Andreas Holtermann, National Research Centre for the Working Environment, Lersø Parkalle 105, 2100 Copenhagen Ø, DenmarkThomas Clausen, National Research Centre for the Working Environment, Lersø Parkalle 105, 2100 Copenhagen Ø, DenmarkBirgit Aust, National Research Centre for the Working Environment, Lersø Parkalle 105, 2100 Copenhagen Ø, DenmarkOle Steen Mortensen, National Research Centre for the Working Environment, Lersø Parkalle 105, 2100 Copenhagen Ø, DenmarkLars L. Andersen, National Research...

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)

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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)

Back Pain Therapy Often Yields Early Benefits

MedlinePlus Health News — Mon, 14 May 2012 13:00:00 +0100

Improvements seen at 6 weeks, but then taper off over year, researchers find Source: HealthDay Related MedlinePlus Page: Back Pain (Source: MedlinePlus Health News)

Back Pain Therapy Often Yields Early Benefits: Study

MedicineNet Chronic Pain General — Mon, 14 May 2012 07:00:00 +0100

Title: Back Pain Therapy Often Yields Early Benefits: StudyCategory: Health NewsCreated: 5/14/2012 10:05:00 AMLast Editorial Review: 5/14/2012 12:00:00 AM (Source: MedicineNet Chronic Pain General)

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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, ‘...

Protein S-nitrosylation and denitrosylation in the mouse spinal cord upon injury of the sciatic nerve.

Journal of Proteomics — Sat, 12 May 2012 04:00:00 +0100

Authors: Scheving R, Wittig I, Heide H, Albuquerque B, Steger M, Brandt U, Tegeder I Abstract Nitric oxide is a pain signaling molecule and exerts its influence through two primary pathways: by stimulation of soluble guanylylcyclase and by direct S-nitrosylation (SNO) of target proteins. We assessed in the spinal cord the SNO-proteome with two methods, two-dimensional S-nitrosothiol difference gel electrophoresis (2D SNO-DIGE) and SNO-site identification (SNOSID) at baseline and 24h after sciatic nerve injury with/without pretreatment with the nitric oxide synthase inhibitor L-NG-nitroarginine methyl ester (L-NAME). After nerve injury, SNO-DIGE revealed 30 proteins with increased and 23 proteins with decreased S-nitrosylation. SNO-sites were identified for 17 proteins. After sham s...

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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))

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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

MedlinePlus Health News — Tue, 08 May 2012 11:00:00 +0100

Try warming up firstSource: HealthDay Related MedlinePlus Page: Back Pain (Source: MedlinePlus Health News)

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...

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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)

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...

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[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)

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)

Health Tip: Work on Good Posture

MedlinePlus Health News — Mon, 07 May 2012 11:00:00 +0100

Your feet should rest flat on the floorSource: HealthDay Related MedlinePlus Pages: Back Pain, Ergonomics (Source: MedlinePlus Health News)

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)

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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))

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)

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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)

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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=...

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)

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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)

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)

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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))

Health Tip: Help Prevent Back Pain

MedlinePlus Health News — Wed, 02 May 2012 11:00:00 +0100

Exercise to strengthen lower back musclesSource: HealthDay Related MedlinePlus Page: Back Pain (Source: MedlinePlus Health News)

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...

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)

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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)

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)

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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...

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)

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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...

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)

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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...

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)