Preoperative Pain Sensitization Is Associated With Postoperative Pillar Pain After Open Carpal Tunnel Release.

CONCLUSIONS: Gender (women) and preoperative pain sensitization measured by pressure pain threshold and self-reported Pain Sensitivity Questionnaire were associated with pillar pain severity up to 3 and 6 months after CTR, respectively. However, the influence of pain sensitization on pillar pain was diminished at 6 months and it did not show persistent effects beyond 12 months. Pain sensitization seems to be more important in the context of recovery from surgical intervention (in the presence of a pain condition) than in healthy states, and clinicians should understand the role of pain sensitization in the postoperative management of CTS. Future research may be needed to determine if therapeutic interventions to reduce sensitization will decrease the risk of pillar pain. LEVEL OF EVIDENCE: Level III, prognostic study. PMID: 29543658 [PubMed - in process]
Source: Clinical Orthopaedics and Related Research - Category: Orthopaedics Authors: Tags: Clin Orthop Relat Res Source Type: research

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A 66-year-old man had bilateral carpal tunnel syndrome and 6 years of chronic joint pain and stiffness of the shoulders, hips, and knees. He reported occasional bruising around his eyes; physical examination showed raised soft tissue masses around the sternoclavicular joints and scapulae, and laboratory examination was notable for significant levels of protein and albumin. What is the diagnosis and what would you do next?
Source: JAMA - Journal of the American Medical Association - Category: General Medicine Source Type: research
Title: Health Tip: Preventing Carpal TunnelCategory: Health NewsCreated: 3/4/2019 12:00:00 AMLast Editorial Review: 3/4/2019 12:00:00 AM
Source: MedicineNet Chronic Pain General - Category: Anesthesiology Source Type: news
Sickness absence mesmerizes many researchers, given the numerous publications on risk factors for sickness absence. A large variety of risk factors have been identified, including work-related risk factors such as physical work demands and psychosocial work factors (1,2), unhealthy behaviors such as lack pf physical activity and smoking (3,4), and chronic health problems (5). A logical next step seems to be the development of a prediction model, whereby an individual ’s profile on risk factors is converted into a probability on future sickness absence. In the past few years, several prediction models have been develo...
Source: Scandinavian Journal of Work, Environment and Health - Category: Occupational Health Tags: Editorial Source Type: research
CONCLUSIONS: Laterality judgment impairment was shown in CPRS1, upper limb pain, hand and wrist pain, carpal-tunnel syndrome, facial pain, knee osteoarthritis, and leg pain. No conclusions could be drawn in low back pain, due to the low-quality evidence and differing results. There was no impairment in whiplash-associated disorders and nonspecific cervical pain showed conflicting evidence. PMID: 30686110 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
Abstract This paper is aimed at investigating whether peripheral dysfunction at the neuromuscular level may represent a pain generator in fibromyalgia. We studied the prevalence of spasmophilia (SP), carpal tunnel syndrome (CTS) and ulnar neuropathy at the elbow (UNE) in a group of 40 subjects suffering from fibromyalgia. Clinical and electrophysiological data were obtained to ascertain whether comorbid conditions were present. For subjective evaluation of symptoms severity, validated questionnaires for CTS and UNE were completed by patients. Twenty subjects were positive for SP (50%); CTS was diagnosed in 12 subj...
Source: Reumatismo - Category: Rheumatology Authors: Tags: Reumatismo Source Type: research
Authors: Alemdar M Abstract Fahr disease is an idiopathic disorder characterized with deposition of calcium and a few other minerals in basal ganglia, cerebellum and subcortical brain area. A 51 years old female with the complaints of pain, numbness, tingling and weakness in both upper extremities for six months was referred to our electromyography laboratory with a suspicion of carpal tunnel syndrome. She got the diagnosis of Fahr disease upon the investigations for the convulsions that she experienced ten years ago. Beside, she had a generalized anxiety disoder. Neurological examination revealed mild to moderate ...
Source: Agri Dergisi - Category: Anesthesiology Tags: Agri Source Type: research
Abstract Braces and splints can immobilize and protect joints, reduce pain, decrease swelling, and facilitate healing of acute injuries. They are also used for injury prevention and chronic pain reduction, and to alter the function of a joint. The medial unloading (valgus) knee brace is an option for patients with medial knee osteoarthritis, but evidence of long-term benefit is limited. The patellar stabilizing brace helps maintain proper patellar alignment but has mixed results in treating patellofemoral pain syndrome. The patellar tendon strap is effective in treating pain from patellar tendinopathy. The knee im...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
I don’t think it comes as a surprise to many that physical pain and mental pain often seem to be connected. I often hear from people with severe obsessive-compulsive disorder who also suffer from debilitating physical pain. And it’s not unusual, once their OCD is treated, for their physical symptoms to subside or even disappear completely. Sometimes the pain those with OCD experience is directly related to compulsions they perform. For example, some people with OCD are compelled to perform extensive rituals while showering, perhaps twisting and turning in particular ways for a specific amount of time. This migh...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anxiety and Panic Caregivers OCD Personal Phobia Avoidance Chronic Pain Compulsions Fibromyalgia Obsessions Rituals stiff joints Source Type: blogs
The carpal tunnel syndrome (cts) is a common entity with chronic pain and nocturnal paraesthesia, but also psychological factors may determine pain and outcome.
Source: Clinical Neurophysiology - Category: Neuroscience Authors: Tags: Poster (P) Source Type: research
Title: Carpal Tunnel SyndromeCategory: Diseases and ConditionsCreated: 12/31/1997 12:00:00 AMLast Editorial Review: 7/10/2018 12:00:00 AM
Source: MedicineNet Chronic Pain General - Category: Anesthesiology Source Type: news
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