Association between obesity and craniofacial muscles sensitivity: an experimental study in pain-free subjects.
The objective of this study was to investigate if any association exists between obesity and muscle sensitivity in the craniofacial region of healthy individuals with different body mass index (BMI). The study was designed as a parallel single blinded investigation approved by the North Denmark Region Committee on Health Research Ethics (N-20180029). Written informed consent was obtained from all participants. Subjects were divided into normal BMI (18.5-24.9 kg/m2) and high BMI (≥25.0 kg/m2). Measurement of body composition parameters was followed by pressure algometry applied on skin overlying masseter and temporalis muscles before and after a cold pressor test (CPT). Deltoid muscle was used as a reference point. Statistical analysis was carried out to investigate the difference in mean pressure pain threshold (PPT) values and the conditioned pain modulation (CPM) effect. Forty subjects were included (20 normal BMI and 20 high BMI). No significant difference was found in mean PPT values or mean CPM effect between the BMI groups (PPT: masseter P=0.763, temporalis P=0.425, deltoid P=0.595 and CPM effect: masseter P=0.396, temporalis P=0.463, deltoid P=0.484). Mechanical muscle sensitivity and CPM effect were sex-independent. No influence of BMI was identified on mechanical muscle sensitivity in the craniofacial region of healthy individuals. PMID: 31523361 [PubMed]
ConclusionHysteroscopy as a safe and relatively low pain procedure. Local anesthetic in the form of a paracervical block has been used historically to decrease pain during the procedure. Paracervical block does not significantly decrease pain during procedure, even in menopausal women who were found to have higher pain scales on average. Therefore, future studies should further investigate strategies to decrease pain during office hysteroscopy especially for postmenopausal women.
ConclusionIn addition to clinical diagnosis, many demographic and health system factors are associated with use of robot-assistance for hysterectomy. This may indicate decreased access to the robot among underserved patient populations coupled with the capacity of large, urban facilities to make capital investments in robotic equipment.
ConclusionsIn our cohort, obesity was associated with low risk of CDP among hospitalized patients with pouchitis. This finding warrants further validation in prospective studies.
Might the obesity epidemic, with its accompanying prevalence of back, joint, and muscle pain, be partially responsible for the increasing prescription opioid use in the United States?Pain
The prevalence of obesity is rising, and increasing numbers of joint Arthroplasty surgeries are being performed on obese patients. Concern exists that obesity increases surgical risk, however its impact on postoperative function following Total Hip Arthroplasty is inconsistently affirmed and less understood. A paucity exists in the literature pertaining long term objective functional measures. We investigate the impact of obesity on hip pain, function and satisfaction 10 years following Total Hip Arthroplasty.
CONCLUSION: Osteochondromas are rarely symptomatic in skeletally mature patients. While most are benign with a very low risk of malignant transformation, surgical excision can yield excellent results and significant pain relief in symptomatic patients. PMID: 31572670 [PubMed]
CONCLUSION: It is necessary that physicians dealing with obesity advice patients about possible visual disturbance of this extract when taken in overdose so that they can see an ophthalmologist immediately. PMID: 31578090 [PubMed - as supplied by publisher]
ConclusionsTo our best knowledge, this study is the first to present outcomes of morbidly obese patients who underwent RVHR. The results indicate the safety and efficacy of RVHR in morbid obesity with a low recurrence rate as well as a long freedom-of-recurrence time. Further studies are needed to better elucidate the role of robotic surgery in morbidly obese patients.
AbstractObjectiveMassive weight loss leads to marked knee pain reduction in persons with knee pain, but the reason for the reduction in pain is unknown. To quantify the contribution of MRI changes in pain sensitive structures, bone marrow lesions (BML), synovitis, and in pain sensitization, or depressive symptoms to knee pain improvement after substantial weight loss.MethodsMorbidly obese patients with knee pain on most days were evaluated before bariatric surgery or medical weight management and at 1 ‐year follow‐up for BML and synovitis seen on MRI, pressure pain threshold (PPT) at patella and right wrist, depressive...
Abstract Background: The aim of this prospective cohort study was to determine the effect of preoperative mental health status on functional outcome 1 year after total hip arthroplasty (THA). Methods: Data were collected for 677 patients from a randomized controlled trial in Alberta who received primary THA between April 2005 and June 2006 (sex, age, body mass index [BMI], comorbidities, back pain and need for another lower limb arthroplasty procedure within 1 yr after surgery). The Western Ontario and McMaster University Osteoarthritis Index (WOMAC) and 36-Item Short Form Health Survey (SF-36) mental health ...