Current concepts for lumbar disc herniation

ConclusionsThe exact event leading to disc herniation remains unclear. Non-operative treatments should be the first-line treatment for most patients with lumbar disc herniation. Operative treatment remains the current gold standard, with minimally invasive endoscopic microdiscectomy techniques showing best results with respect to postoperative pain and function. Regenerative medicine is promising.
Source: International Orthopaedics - Category: Orthopaedics Source Type: research

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Authors: Nuhmani S Abstract Patellar tendinopathy, or jumper's knee is a common musculoskeletal condition characterized by progressive activity-related pain on the anterior aspect of the knee and tenderness on the patellar tendon. A conservative method is often the first choice of treatment, which can include anti-inflammatory medication, injection therapies, physiotherapy, eccentric exercises, extra corporeal shock wave therapy, orthosis, etc. Although there are several treatment options available, the management of patellar tendinopathy is still controversial. The literature reveals many different injection metho...
Source: The Physician and Sportsmedicine Online - Category: Sports Medicine Tags: Phys Sportsmed Source Type: research
Conclusions. This study identified the unique role of demographic and clinical variables in mental illness stigma among patients with schizophrenia. Nurses should consider these variables when implementing anti-stigma intervention programs. Impact Statement Both clinical and demographic variables are associated with perceived stigma toward mental illness among patients diagnosed with schizophrenia. PMID: 31535959 [PubMed - as supplied by publisher]
Source: Contemporary Nurse - Category: Nursing Tags: Contemp Nurse Source Type: research
Authors: Beita AKV, Whayne TF Abstract This review is directed at increasing awareness of two diverse rare upper gastrointestinal problems that occur at opposite ends of the age spectrum and are difficult to diagnose and treat. The superior mesenteric artery syndrome (SMAS) likely involves a young patient, especially female, and is especially associated with rapid weight loss, resulting in relative strangulation of the duodenum by a narrowing of the angle between the superior mesenteric artery (SMA) and the aorta. On the other hand, atherosclerosis of the SMA is associated most likely with postprandial upper intest...
Source: Cardiovascular and Hematological Agents in Medicinal Chemistry - Category: Cardiology Tags: Cardiovasc Hematol Agents Med Chem Source Type: research
Empathy is known as the ability to share and understand someone else's feelings. Previous research has either addressed the neural correlates of empathy for pain or social exclusion, but no study has examined empathy for physical and psychological (social)...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Violence and Weapons Issues Source Type: news
BACKGROUND: The purpose of this study was to assess the associations of comorbid opioid use disorders and psychiatric disorders with suicide attempts among veterans seeking pain care. METHODS: The cohort (N = 226 444) was selected by identifying pa...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
Publication date: Available online 20 September 2019Source: International Journal of Surgery Case ReportsAuthor(s): Shin Takayama, Kaishi Satomi, Masayuki Yoshida, Chikashi Watase, Takeshi Murata, Sho Shiino, Kenjiro Jimbo, Akihiko SutoABSTRACTINTRODUCTIONSpontaneous regression of a malignant tumor is defined as “the partial or complete disappearance of a malignant tumor in the absence of any treatment.” Herein, we report a case of occult breast cancer with axillary lymph node metastasis that showed spontaneous tumor regression based on the histopathological findings.PRESENTATION OF THE CASEA 67-year-old woman ...
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
ConclusionsAmong athletes undergoing knee surgery, severe pain catastrophizing is negatively associated with return to similar level of sport. Instrumental support and problem-focused coping strategies are associated with improved outcomes. High preoperative pain scores are negatively associated with improvement in kinesiophobia after rehabilitation.
Source: Journal of Science and Medicine in Sport - Category: Sports Medicine Source Type: research
Publication date: Available online 20 September 2019Source: Reumatología Clínica (English Edition)Author(s): Susana Aideé González-Chávez, César Pacheco-Tena, Rosa María Campos Torres, Celia María Quiñonez-Flores, Greta Reyes-Cordero, Teresita de Jesús Caraveo FrescasAbstractObjectiveTo characterize the orofacial abnormalities in patients with rheumatoid arthritis (RA) and compare them with those in a reference population.MethodsThe study included 30 RA patients and 30 consecutive patients in an odontology clinic in whom RA was ruled out. Patients underw...
Source: Reumatologia Clinica - Category: Rheumatology Source Type: research
Aortocaval fistula (ACF) is a rare but serious complication of ruptured abdominal aortic aneurysm (AAA). We discuss a 72-year-old man who presented with abdominal pain, acute renal failure, and bilateral leg phlegmasia. Computed tomography (CT) angiography confirmed an 8.5-cm AAA with ACF (Fig 1).
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Extreme IR Source Type: research
A 91-year-old man presented emergently with anterior neck pain, severe dysphagia, and neck expansion after a fall 1 day earlier. His oxygen saturation level was 88% on 4 L of oxygen. A triple-phase computed tomographic (CT) angiogram of the neck showed a massive prevertebral hematoma from a bleeding pseudoaneurysm (Fig 1). A right vertebral artery angiogram showed the prevertebral pseudoaneurysm to be supplied by a tiny muscular branch that was too small for selective transarterial catheterization (Fig 2).
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Extreme IR Source Type: research
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