Journal of Musculoskeletal Pain最新文献

{"title":"An Unusual Cause of Enthesopathy of the Bicipital Tuberositas of the Radius: Screw Irritation","authors":"Cengiz Işık, Husamettin Cakici, Kamil Cagri Kose, F. Akpinar","doi":"10.3109/10582452.2013.856369","DOIUrl":"https://doi.org/10.3109/10582452.2013.856369","url":null,"abstract":"Abstract Background: A 36-year-old woman was suffering from a right forearm ulna-radius diaphysis displaced fracture and a non-displaced fracture of the radius neck. Open reduction and internal fixation with screws and a plate for the ulna and radius diaphysis fractures and a long-arm plaster splint treatment was performed. Findings: Four months later, the patient presented with pain, swelling, and restricted mobility on the antecubital side of the right forearm. Radiography showed that the screw which was used for ulna fixation caused enthesopathy of the neighboring bicipital tuberosity of the radius. Removal of the screw improved the symptoms and angular degree of pronation-supination movements from 20° to 70°. Two years after screw removal, radiography showed resolution of enthesopathy of the radius bicipital tuberosity. Conclusions: When inserting a screw for ulna and radius diaphysis fractures, maximum care must be taken to avoid screw irritation of the bicipital tendon enthesis. When this complication does occur, removal of the causative screw may completely solve the problem.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"21 1","pages":"358 - 360"},"PeriodicalIF":0.0,"publicationDate":"2013-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2013.856369","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiple Sclerosis Presenting with Parsonage–Turner Syndrome: A Case Report","authors":"I. Duman, I. Guvenc, K. Tezel, K. Aydemir","doi":"10.3109/10582452.2013.860938","DOIUrl":"https://doi.org/10.3109/10582452.2013.860938","url":null,"abstract":"Abstract Background: A case of Parsonage–Turner syndrome [PTS] with typical sudden onset of shoulder pain and weakness in shoulder girdle was presented. Findings: Electrodiagnostic testing revealed an upper trunk lesion. Further diagnostic steps were pursued because of medical history and additional clinical findings. Hyperintense plaques typical of multiple sclerosis [MS] were revealed by cranial magnetic resonance imaging. Diagnosis of clinically definite MS was establised according to the McDonald criteria. Conclusions: A variety of peripheral nervous system pathologies might coexist with MS with unknown binding pathogenesis. This is an unusual case of PTS coexisting with MS as the presenting symptom.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"21 1","pages":"361 - 364"},"PeriodicalIF":0.0,"publicationDate":"2013-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2013.860938","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life in Patients with Lower Limb Amputation: Does It Affect Post-amputation Pain, Functional Status, Emotional Status and Perception of Body Image?","authors":"Y. Akyol, B. Tander, A. Goktepe, I. Safaz, O. Kuru, A. Tan","doi":"10.3109/10582452.2013.851761","DOIUrl":"https://doi.org/10.3109/10582452.2013.851761","url":null,"abstract":"Abstract Objective: Comparison of quality of life [QOL] and emotional status in male patients with traumatic lower limb amputation [LLA] and controls and evaluation of the relationship between these outcomes and post-amputation pain, functional status and perception of body image. Methods: Thirty male patients aged between 20 and 45 years, with traumatic LLA and 30 healthy normal controls were enrolled. The Nottingham Health Profile [NHP], Beck Depression Inventory [BDI], Beck Anxiety Inventory [BAI], visual analog scale [VAS], Locomotor Capabilities Index [LCI] and Amputee Body Image Scale [ABIS] were used. Results: There were significantly higher NHP, BDI and BAI scores in patients with LLA than control subjects [p < 0.05]. In patients with LLA, all subgroups of NHP were positively correlated with BDI, BAI and ABIS scores [p < 0.05]. The NHP energy and physical disability subgroups scores were negatively correlated with LCI scores. The positive correlation was found between the NHP pain subgroup score and post-amputation pain VAS score [p < 0.05]. There was no correlation between NHP scores and age and time since amputation [p > 0.05]. The positive correlation was found between BDI, BAI and ABIS score [p < 0.05]. Conclusion: It was found that QOL and emotional status deteriorated in male patients with LLA. According to the results of this study, depression, anxiety and body image disturbances may be the determinants of QOL. Having lower functional status were higher post-amputation pain were associated with the poor QOL for some domain. Emotional status of LLA patients may be linked to perception of body image.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"21 1","pages":"334 - 340"},"PeriodicalIF":0.0,"publicationDate":"2013-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2013.851761","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Prescribed Medications with Outcomes from Rehabilitation for Musculoskeletal Pain","authors":"I. Russell","doi":"10.3109/10582452.2013.859780","DOIUrl":"https://doi.org/10.3109/10582452.2013.859780","url":null,"abstract":"The lead article for this issue of the Journal of Musculoskeletal Pain [JMP] comes from investigators in Trondheim, Norway (1). The authors proposed to evaluate the association between three classes of controlled medications [centrally-acting analgesics (opioids), anxiolytics, and hypnotics] prescribed for patients involved in institutional rehabilitation programs for musculoskeletal pain with the patient’s outcomes from those interventions. Every participant completed the same self-report questionnaire at the beginning and the end of the rehabilitation program. The questionnaires focused on pain, health status, and socioeconomic factors. Linkage of the study subjects to the Norwegian Prescription Database gave the investigators access to the prescribed medications in the three classes of drugs. The term musculoskeletal pain would represent one manifestation of many specific medical conditions that could benefit from a rehabilitation program. In many cases, pharmacological therapy specific to the relevant diagnosis would have been initiated before the patient was referred for a rehabilitation program. In addition, the individual rehabilitation programs may have differed based on the given diagnosis and its severity, but recall that the focus of this study was upon prescriptions for three specific classes of controlled medications and their relationships to the outcomes resulting from the rehabilitation program. The investigators evaluated 1564 individuals in rehabilitation programs for musculoskeletal pain and found that 36.4% of the patients [N1⁄4 569] were given a prescription for a controlled medication in one of the three monitored classes. If a drug was prescribed, the authors assumed that it was used as directed. Interestingly, they found that the administration of centrally acting analgesics did not predict a good outcome among patients with musculoskeletal pain. Indeed, the prescriptions of hypnotics, and particularly of anxiolytics, were associated with the better outcomes. That being the case, it was surprising that there was no mention of sleep, sleep dysfunction, or insomnia among the authors’ measured outcomes. The authors found no relationship between the use of one of the classes of controlled medications and an existing diagnosis of an affective disorder like depression or anxiety. The second original contribution in this issue, relating to systematic assessment of delayed onset muscle soreness, comes from Joondalup and Brisbane, Australia (2). This study was designed to characterize post-exercise muscle pain when the exercise was intentionally eccentric. Questions answered by this study include the time course of visual analog scale subjective pain resulting eccentric exercise. Does this kind of muscle trauma cause allodynia? If so, does the time course of the resultant allodynia differs from that of the pain? To what extent does the subjective pain correlate with the allodynia? Do muscle pain or tenderness in this condition vary","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"21 1","pages":"305 - 308"},"PeriodicalIF":0.0,"publicationDate":"2013-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2013.859780","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proprioception in Subjects with Patellofemoral Pain Syndrome: Using the Sense of Force Accuracy","authors":"Z. Salahzadeh, N. Maroufi, M. Salavati, Fariba Aslezaker, Niyusha Morteza, Peyman Rezaei Hachesu","doi":"10.3109/10582452.2013.851762","DOIUrl":"https://doi.org/10.3109/10582452.2013.851762","url":null,"abstract":"Abstract Objective: Comparison of the ability of reproducing isometric quadriceps force in patients with patellofemoral pain syndrome [PFPS] and healthy normal control subjects. Methods: The Ipsilateral Limb Matching method was utilized to assess the acuity of the sense of isometric force in the quadriceps muscle. At first, participants produced 20 and 60% of quadriceps maximal voluntary isometric contraction using an isokinetic dynamometer and visual feedback, and then they attempted to reproduce the target forces without visual feedback. They were asked to estimate and reproduce the target forces based on their own perception of the quadriceps force used earlier during the isometric contraction with feedback. This test was performed in 20° and 60° of knee flexion. The absolute error, constant error and variable error were used to measure the subjects' errors in their perception of sense of force. Results: Seventeen patients with PFPS [19 to 39 years old] and 17 matched healthy controls participated. The results of the three-way analysis of variance disclosed a significant difference in absolute error [p = 0.05, F value = 8.29] and variable error [p = 0.00, F value = 55.50] between the two comparison groups. An interaction effect of knee position by group in the three-way analysis of variance showed that the patients with PFPS had more absolute error, constant error and variable error particularly with 60° of knee flexion. Conclusion: The sense of force may be impaired in patients with PFPS. This syndrome may cause changes in the afferent signals from the muscle receptors and subsequently lead to mismatching between central and peripheral mechanisms of the sense of force.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"21 1","pages":"341 - 349"},"PeriodicalIF":0.0,"publicationDate":"2013-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2013.851762","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visual Analog Scale and Pressure Pain Threshold for Delayed Onset Muscle Soreness Assessment","authors":"W. Lau, M. Muthalib, K. Nosaka","doi":"10.3109/10582452.2013.848967","DOIUrl":"https://doi.org/10.3109/10582452.2013.848967","url":null,"abstract":"Abstract Objectives: To investigate the relationship between two assessments to quantify delayed onset muscle soreness [DOMS]: visual analog scale [VAS] and pressure pain threshold [PPT]. Methods: Thirty-one healthy young men [25.8 ± 5.5 years] performed 10 sets of six maximal eccentric contractions of the elbow flexors with their non-dominant arm. Before and one to four days after the exercise, muscle pain perceived upon palpation of the biceps brachii at three sites [5, 9 and 13 cm above the elbow crease] was assessed by VAS with a 100 mm line [0 = no pain, 100 = extremely painful], and PPT of the same sites was determined by an algometer. Changes in VAS and PPT over time were compared amongst three sites by a two-way repeated measures analysis of variance, and the relationship between VAS and PPT was analyzed using a Pearson product-moment correlation. Results: The VAS increased one to four days after exercise and peaked two days post-exercise, while the PPT decreased most one day post-exercise and remained below baseline for four days following exercise [p < 0.05]. No significant difference among the three sites was found for VAS [p = 0.62] or PPT [p = 0.45]. The magnitude of change in VAS did not significantly correlate with that of PPT [r = −0.20, p = 0.28]. Conclusion: These results suggest that the level of muscle pain is not region-specific, at least among the three sites investigated in the study, and VAS and PPT provide different information about DOMS, indicating that VAS and PPT represent different aspects of pain.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"21 1","pages":"320 - 326"},"PeriodicalIF":0.0,"publicationDate":"2013-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2013.848967","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Effectiveness of Using a Progressive Muscle Relaxation Technique in Reducing the Pain of Multiple Sclerosis Patients","authors":"Reza Masoudi, Abolghasem Sharifi Faradonbeh, M. Mobasheri, Jafar Moghadasi","doi":"10.3109/10582452.2013.852150","DOIUrl":"https://doi.org/10.3109/10582452.2013.852150","url":null,"abstract":"Abstract Objective: Multiple sclerosis is a chronic neurological disease that affects all financial, social and emotional aspects of individuals, families, and society in general. The pain caused by this disease can have devastating effects on patients and their careers, and thus the quality of their lives. This study aimed at verifying the level of pain in multiple sclerosis [MS] patients before and after the application of a progressive muscle relaxation technique [PMRT]. Methods: In a randomized clinical trial study, 70 MS patients were randomly allocated into two groups of 35 patients each. The experimental group received PMRT training for 3 months in 90 sessions, whereas the control group did not. Current pain was evaluated using self-reported questionnaires before and after the intervention. After 3 months, a questionnaire was completed by subjects in both the experimental and control groups. The data were then analyzed through inferential statistical tests. Results: The independent t test indicated that there was no significant difference in the amount of subjective pain perceived by experimental and control groups before the intervention [p > 0.05], while the same test showed a significant difference in the pain experienced following the intervention [p = 0.001]. The paired t test within groups also showed a significant reduction in the pain perceived by the patients in the experimental group 3 months after the intervention [p = 0.001], while no significant difference was seen in the amount of pain experienced by patients in the control group [p > 0.05]. There were no adverse events. Conclusion: The progressive muscle relaxation technique used in this study is practical, feasible and inexpensive with no side effects","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"21 1","pages":"350 - 357"},"PeriodicalIF":0.0,"publicationDate":"2013-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2013.852150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lady Caroline Hill, 1836 Mary Martha Pearson, English [1798–1871]","authors":"I. Jon Russell","doi":"10.3109/10582452.2013.824532","DOIUrl":"https://doi.org/10.3109/10582452.2013.824532","url":null,"abstract":"","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"21 1","pages":"203 - 205"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2013.824532","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69497539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Other Soft Tissue Pain Conditions","authors":"T. Romano","doi":"10.3109/10582452.2013.824531","DOIUrl":"https://doi.org/10.3109/10582452.2013.824531","url":null,"abstract":"This study was a retrospective review of X-rays of a single surgeon’s patients with insertional Achilles tendinitis from 2005 to 2008. The study population consisted of 44 patients [48 heels]. There were 22 males and 22 females. They all had insertional Achilles tendinitis. They had a mean range of 52 years. The control population consisted of 50 patients [25 males, 25 females] and 50 heels without insertional Achilles tendinitis. The mean age of the control group was 55.6 years. Two measures of the Haglund’s deformity were made in the study. A standing lateral foot or ankle radiograph was analyzed for each patient and measurements were made. Haglund’s deformity height and peak angle, Buhler’s angle, Fowler–Phillip angle, and parallel pitch sign were measured. The office also looked for presence of calcifications in the study group and the length and width of the calcifications. Unpaired t-tests were used to analyze the measurements between the groups. In order to check the reliability of the measuring techniques, 10 patients’ radiographs were remeasured and correlation coefficients were obtained. In the group which had Achilles tendinitis, the mean Haglund’s deformity height was 96 mm and the mean Haglund’s deformity peak angle was 105 degrees. Calcification was present in 35 of 48 of the patients, [73%] with a mean length of 13.3 mm and a mean width of 4.5 mm. In the control group, the mean Haglund’s deformity height was 9.0 mm and the peak angle was 105 degrees. Buhler’s angle and Fowler–Phillip angle were also similar between the groups and the positive parallel pitch sign was more prevalent in the control group [60 versus 42%]. None of the differences in measurements between the two groups achieved statistical significance. The authors concluded that Haglund’s deformity was not indicative of insertional Achilles tendinitis and was actually present in asymptomatic patients. The further concluded that removing the Haglund’s deformity may not be necessary in the operative treatment of insertional Achilles tendinitis.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"21 1","pages":"295 - 298"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2013.824531","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69497502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fibromyalgia Syndrome Review","authors":"M. Spaeth","doi":"10.3109/10582452.2013.832467","DOIUrl":"https://doi.org/10.3109/10582452.2013.832467","url":null,"abstract":"Although patients with fibromyalgia syndrome [FMS] often report that specific weather conditions aggravate their symptoms, empirical studies have not conclusively demonstrated such a relationship. The aim of this group was to examine the association between weather conditions and daily symptoms of pain and fatigue in FMS, and to identify patient characteristics explaining individual differences in weather sensitivity. Female patients with FMS [n1⁄4 333, mean age 47.0 years, mean time since diagnosis 3.5 years] completed questions on pain and fatigue on 28 consecutive days. Daily weather conditions, including air temperature, sunshine duration, precipitation, atmospheric pressure, and relative humidity, were obtained from the Royal Netherlands Meteorological Institute. Multilevel regression analysis was applied. In five [10%] of 50 analyses, weather variables showed a significant but small effect on either pain or fatigue. In 10 analyses [20%], significant, small differences between patients were observed in the random effects of the weather variables, suggesting that symptoms of patients were, to a small extent, differentially affected by some weather conditions, for example, high pain with either low or high atmospheric pressure. These individual differences were explained neither by demographic, functional, or mental patient characteristics, nor by season or weather variation during the assessment period. The authors conclude, that there is more evidence against than in support of a uniform influence of weather on daily pain and fatigue in female patients with FMS. Although individuals appear to be differentially sensitive to certain weather conditions, there is no indication that specific patient characteristics play a role in weather sensitivity.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"21 1","pages":"276 - 280"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2013.832467","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}