How Common are Herniated Disks in Children?
Discussion Intervertebral disk herniation occurs at the same locations in pediatric patients as adults with L4-L5 and L5-S1 being the most common. Patients often (30-60% for lumbar disk patients) have a direct trauma or sports related injury that is identified before the onset of pain. There is also a group of morbidly obese patients who probably have degenerative disease. In adults and children, lumbar disk herniation is also seen with repetitive or excessive axial loading, poor conditioning, decreased range of motion and history of prior back injury. Disk herniation is caused by vertebral motion that causes increased intradisk pressure including axial compression, lumbar flexion and/or rotation. Presentation is usually acute low back pain and/or lower extremity radiculopathy. Pediatric patients often will have less specific descriptions of the pain or complain of other symptoms which leads to longer duration before diagnosis. Disk disease is also uncommon therefore other common causes of back pain are usually sought first. A differential diagnosis of back pain can be found here. “Less than 10% of children presenting with low back pain have disk herniation as the cause, and less than half of those children require surgery.” Causes of back pain that are associated with back extension on physical examination include spondylolysis or spondylolisthesis, and slipped vertebral epiphysis. Problems associated with back flexion on physical examination include disk herniat...
CONCLUSION: There is an increasing trend of obesity and lifestyle disorders in adolescent population that can be linked to Binge eating behavior however, the role of binge eating in context of one of the potential cause of lifestyle disorders and obesity has not been studied in Indian adolescents despite the prevalence of Binge eating and overweight being high in this population, we need further larger studies to corroborate the findings of this study. PMID: 32229430 [PubMed - as supplied by publisher]
Authors: Lee HA, Park B, Park EA, Cho SJ, Kim HS, Choi EJ, Kim NE, Park H Abstract BACKGROUND: Routine blood pressure (BP) measurement is recommended to begin at 3 years of age, but there are no national BP reference values for Korean children less than 7 years of age. Therefore, we developed sex-, age-, and height-specific BP reference values for non-overweight children aged 3-9 years. METHODS: We analyzed the data of 416, 340, 321, 323, and 332 subjects aged 3, 5, 7, 8, and 9 years, respectively, who participated in the Ewha Birth and Growth Cohort Study. BP percentile curves were generated using generalized ...
The coronavirus has been a far deadlier threat in New Orleans than the rest of the United States, with a per-capita death rate much higher than in New York City.Reuters Health Information
Publication date: May 2020Source: International Journal of Industrial Ergonomics, Volume 77Author(s): A. Colim, P. Arezes, P. Flores, A.C. Braga
Publication date: Available online 2 April 2020Source: Urology Case ReportsAuthor(s): Yoshihiro Kawaguchi
PURPOSE: Obesity has been associated with an increased risk of the depression in the general population, but it is unknown whether this relationship applies equally to immigrants as well as non-immigrants. Furthermore, the nature of the relationship is unc...
Publication date: Available online 1 April 2020Source: International Journal of Surgery Case ReportsAuthor(s): Ohoud Baajlan, Hotoun Bokhari, Khalid AlGhamdi, Mazen Zidane
Got one of these now. For those of you who have experience with this unit: 1. TIps 2. Tricks 3. Pearls with Venom needle. What temp and lesion time do you suggest? 4. Do you find using the venom needle worth the additional cost and do you feel it creates a larger lesion? Anybody with experience doing pulsed RF treatment on this device? Thanks in advance.
Conclusion: The prevalence of elevated blood mercury level is concerning among the artisans. Advocacy, proper usage of personal protective equipment, awareness on chemical safety, and hazard associated with lead and mercury usage are needed to minimize the exposure. PMID: 32231467 [PubMed - in process]
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