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treatment of neck pain

Kiana Fathollahnejad, Amir Letafatkar, Malihe Hadadnezhad
BACKGROUND: The purpose of this study is to evaluate the effect of a six-week combined manual therapy (MT) and stabilizing exercises (SEs), with a one-month follow-up on neck pain and improving function and posture in patients with forward head and rounded shoulder postures (FHRSP). METHODS: Sixty women with neck pain and FHRSP were randomized into three groups: Group 1 performed SE and received MT (n = 20), Group 2 performed SE (n = 20) and Group 3 performed home exercises (n = 20) for six weeks...
February 18, 2019: BMC Musculoskeletal Disorders
Steven D Jackson, Bethany A Wiering, Amanda A Herrmann, MacKenna A Hinz, Leah R Hanson
Introduction: Low back pain is a leading disability worldwide; however, it is not often the result of a serious underlying condition such as a tumor. As a result, diagnosis of a serious underlying cause of low back pain may be delayed, such as in this case. Case presentation: We describe a case of a man presenting with low back pain, who was eventually diagnosed with solitary bone plasmacytoma (SBP) causing spinal cord compression from approximately T7-T9. The patient was classified as T8 ASIA C-Incomplete Paraplegia...
2019: Spinal Cord Series and Cases
Seung Kyu Park, Dae Jung Yang, Je Ho Kim, Jae Won Heo, Sam Heon Park, Yo Han Uhm, Jong Hyuk Yoon
[Purpose] To present an efficient treatment regimen for patients with cervicogenic headache by comparatively analyzing the neck disability index (NDI) and cervical muscle activity after an exercise intervention. [Participants and Methods] Thirty patients with cervicogenic headache were assigned to the cranio-cervical flexion group (n=15) and cranio-cervical flexion plus transcranial direct current stimulation (tDCS) group (n=15). Intervention was administered for four weeks, after which the participants' NDI and sternocleidomastoid muscle activity were measured...
January 2019: Journal of Physical Therapy Science
G Lakshmi Prasad, S Divya
PURPOSE: Spinal eosinophilic granulomas(EGs) are uncommon tumors, constituting <1% of all bone tumors. They are mostly seen in the pediatric age group while adult onset is rare. Cervical spine is an infrequent location for involvement by EG. Available literature remains sparse regarding the clinical and management aspects of these lesions, especially in adults. MATERIALS AND METHODS: Literature review was performed by searching online databases to analyze all the reported cases of adult onset cervical EG...
February 13, 2019: World Neurosurgery
Jeong Hee Cho, Yoonseon Park, Naeun Woo
There have been reports of central nervous systemic inflammatory disease associated with vaccination. We describe a female patient who developed longitudinally extensive transverse myelitis following seasonal influenza vaccination. A 38-year-old woman had severe neck and back pain with urinary retention. She received influenza vaccine 3 days before symptom onset. Examination revealed mild quadriparesis with diffuse hyperreflexia. Magnetic resonance imaging (MRI) of the spine showed a T2 hyperintense lesion with gadolinium enhancement in the spinal cord extending from the cervicomedullary junction to the level of T10...
February 5, 2019: Multiple Sclerosis and related Disorders
Pulak Parikh, Pasqualina Santaguida, Joy Macdermid, Anita Gross, Arshia Eshtiaghi
BACKGROUND: Neck pain (NP) is a very common musculoskeletal condition with potential for a high burden in disability and length of disorder. Clinical practice guidelines (CPG) give recommendations to clinicians for providing optimal care for patients however best practice recommendations are often contradictory. The purpose for this review was to conduct a SR of CPGs to assess the management recommendations for NP (diagnosis, treatment, prognosis, imaging). METHODS: Standard SR methodology was employed including a grey literature search (including the National Guideline Clearing House)...
February 14, 2019: BMC Musculoskeletal Disorders
Atul Goel, Ravikiran Vutha, Abhidha Shah, Pralhad Dharurkar, Neha Jadhav, Dikpal Jadhav
OBJECTIVE: Immediate postoperative and early clinical outcome of treatment of spinal kyphoscoliosis associated with Chiari formation and syringomyelia and treated by atlantoaxial fixation is described. MATERIAL AND METHODS: During the period April 2016 to March 2018, 11patients having spinal kyphosciolosis (SKS) as a major presenting symptom in association with Chiari formation and syringomyelia were surgically treated and are analysed retrospectively. There were 6 males and 5 females and their ages ranged from 11 to 17 years (average 14 years)...
February 11, 2019: World Neurosurgery
Michael Seth Smith, Jairo Olivas, Kristy Smith
Manipulative therapies include osteopathic manipulative treatment and many other forms of manual therapies used to manage a variety of conditions in adults and children. Spinal manipulative therapy may provide short-term improvement in patients with acute or chronic low back pain, comparable with other standard treatments. When compared with oral analgesics, cervical manipulation and/or mobilization appears to provide better short-term pain relief and improved function in patients with neck pain. Manipulative therapies may be as effective as amitriptyline for treating migraine headaches and can reduce the frequency and intensity of pain...
February 15, 2019: American Family Physician
Bingjin Wang, Weifang Liu, Xianlin Zeng
This report describes a case of idiopathic cervical spinal subdural haematoma (SSDH) in which the haematoma was spontaneously absorbed without any treatment. A 68-year-old male patient presented with persistent neck pain and no obvious cause. Magnetic resonance imaging (MRI) revealed a space-occupying lesion at the C4-T1 levels. The lesion was initially misdiagnosed as a tumour. An operation was arranged to remove the tumour, but a preoperative computed tomography scan showed no obvious abnormal soft tissue density in the cervical spinal canal...
February 14, 2019: Journal of International Medical Research
Ayşegül Ceylan, İbrahim Aşık
Background/aim: We aimed to compare the effectivity of percutaneous disc coagulation therapy (PDCT) and navigable ablation decompression treatment (L-DISQ) in patients who were diagnosed with cervical disc herniation. Materials and methods: Visual analog scale (VAS) and Neck Pain Index (NPI) scores were recorded initially and at the 1st, 3rd, 6th, and 12th months after the procedures. Patient Satisfaction Scale (PSS) scores were recorded 12 months after the procedures Results: Mean VAS scores were 7...
February 11, 2019: Turkish Journal of Medical Sciences
Martin Heinrich, Simon Steiner, Christoph Michael Bauer
OBJECTIVES: Visual feedback as an intervention for people suffering from chronic back or chronic neck pain is a novel approach based on the person's perception of the painful body part. Visual feedback is an innovative therapeutic approach whose effects have not yet been systematically reviewed specifically for people with chronic back or chronic neck pain. Therefore, a systematic review was performed on the literature to evaluate the effects of visual feedback on pain intensity in people with chronic back or neck pain...
February 13, 2019: Physiotherapy Theory and Practice
Maxime Carpentier, Davy Aubeux, Valérie Armengol, Fabienne Pérez, Tony Prud'homme, Alexis Gaudin
Scientific evidence validating the beneficial effect of loupes in preventing musculoskeletal disorders is very scarce. The aim of this study was to assess the impact of dental loupes on dental students' posture during a preclinical restorative dentistry course. Using a randomized crossover design, this study was conducted at the School of Dentistry, University of Nantes, France, in 2017. Forty students in their second year of dental study were randomly divided into two groups of 20 each: group A used loupes, whereas group B did not...
February 11, 2019: Journal of Dental Education
Johann S de Bono, Nicole Concin, David S Hong, Fiona C Thistlethwaite, Jean-Pascal Machiels, Hendrik-Tobias Arkenau, Ruth Plummer, Robert Hugh Jones, Dorte Nielsen, Kristian Windfeld, Srinivas Ghatta, Brian M Slomovitz, James F Spicer, Jeffrey Yachnin, Joo Ern Ang, Paul Morten Mau-Sørensen, Martin David Forster, Dearbhaile Collins, Emma Dean, Reshma A Rangwala, Ulrik Lassen
BACKGROUND: Tisotumab vedotin is a first-in-human antibody-drug conjugate directed against tissue factor, which is expressed across multiple solid tumour types and is associated with poor clinical outcomes. We aimed to establish the safety, tolerability, pharmacokinetic profile, and antitumour activity of tisotumab vedotin in a mixed population of patients with locally advanced or metastatic (or both) solid tumours known to express tissue factor. METHODS: InnovaTV 201 is a phase 1-2, open-label, dose-escalation and dose-expansion study done at 21 centres in the USA and Europe...
February 7, 2019: Lancet Oncology
Panya Luksanapruksa, Paul William Millhouse, Victor Carlson, Thanase Ariyawatkul, Joshua Heller, Christopher Keppel Kepler
Study Design: Retrospective cohort study. Purpose: To evaluate surgical outcomes and complications of cervical spine fractures in ankylosing spondylitis (CAS) patients who were treated using either the posterior (P) or combined approach (C). Overview of Literature: Ankylosing spondylitis typically causes progressive spinal stiffness that makes patients susceptible to spinal fractures. CAS is a highly unstable condition. There is contradictory evidence regarding which treatment option, the posterior or the combined approach, yields superior clinical results...
February 13, 2019: Asian Spine Journal
John W Martel, Samuel B Potter
Neck and back pain are common reasons for seeking evaluation and treatment in the emergency department. Within both systems there exist several time-sensitive diagnoses that the emergency provider should be familiar with in order to prevent significant morbidity and mortality. In this article we provide a general overview of these complaints by discussing problems in a systems-based fashion as well as discussing the initial evaluation, work-up, and treatment options for these diagnoses.
February 2019: Seminars in Neurology
Natasha Amiraraghi, Lorna C Ewan, Shayan Ansari, Kevin Robertson
Tonsillitis is an extremely common condition, usually it is self-limiting, of viral origin, and managed conservatively in general practice. Rarely patients require inpatient management, usually when bacterial infection is present or when the cause is virulent organisms such as Epstein Barr virus. Complications can be divided into non-suppurative; sepsis, scarlet fever, rheumatic fever, glomerulonephritis and Lemierres disease, and suppurative; quinsy, parapharyngeal abscess and retropharyngeal abscess, respectively...
February 6, 2019: BMJ Case Reports
Leo Cheng, Bruce McCormack, Edward Fletcher Eyster
This is a retrospective review of 24 elderly patients with upper cervical adjacent segment disease (ASD) after anterior cervical discectomy and fusion (ACDF), treated with posterior cervical fusion (PCF) and stabilized with cages placed bilaterally in the facets. Eight out of 24 patients had PCF with laminectomy (PCLF). Length of stay for PCF alone cohort was 30 ± 11 h, operative time was 44 ± 11 min and estimated blood loss was 46 ± 26 cc. In the PCLF cohort, hospital length of stay was 73 ± 32 h, operative time was 92 ± 18 min, and blood loss was 155 ± 58 cc...
February 4, 2019: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Patrick W Hitchon, Royce R Woodroffe, Jennifer A Noeller, Logan Helland, Nataliya Hramakova, Kirill V Nourski
STUDY DESIGN: Retrospective cohort OBJECTIVE.: To identify advantages and disadvantages of the anterior and posterior approaches in the treatment of cervical stenosis and myelopathy. SUMMARY OF BACKGROUND DATA: Both anterior and posterior surgical approaches for cervical stenosis and myelopathy have been shown to result in improvement in health-related outcomes. Despite the evidence, controversy remains regarding the best approach to achieve decompression and correct deformity...
January 29, 2019: Spine
Bartosz Godlewski, Magdalena Katarzyna Stachura, Estera Twardowska-Staszek, Ryszard Adam Czepko, Ryszard Czepko
Background: Daily clinical practice shows us how diametrically different surgical outcomes can occur in particular groups of patients sharing the same diagnosis and being subjected to the same treatment. Patient-reported outcomes appear to be significantly influenced by social factors and patients' emotional status. Data on such variables were collated and analyzed statistically with the aim of confirming our clinical observations. Methods: We analyzed a group of 100 patients following cervical disc surgery...
December 2018: Anesthesiology and Pain Medicine
Mitchell Fung, Ellen Frydenberg, Leslie Barnsley, Joga Chaganti, Timothy Steel
Background: Atlantoaxial (C1-C2) osteoarthritis (AAOA) causes severe suboccipital pain exacerbated by lateral rotation. The pain is usually progressive and resistant to conservative therapy. Posterior fusion surgery is performed to stabilise the C1-C2 segment. This is the first Australian study reporting the outcome of posterior atlantoaxial fixation including hybrid fixations performed for AAOA. Methods: All patients who underwent posterior atlantoaxial fixation surgery for AAOA from 2005 to 2015 at our institutions were enrolled (N=23)...
December 2018: Journal of Spine Surgery (Hong Kong)
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