Short-term cervical spinal cord stimulation for central post-stroke pain: a case report and literature review
CONCLUSION: A potential role of spinal cord stimulation in the treatment of post-stroke pain is proposed in combined with traditional medication or other neuromodulation strategies, to achieve better control of pain in the future.PMID:38694358 | PMC:PMC11060234 | DOI:10.1097/MS9.0000000000002025 (Source: Annals of Medicine)
Source: Annals of Medicine - May 2, 2024 Category: Internal Medicine Authors: Xu Zhang Xuebin Yan Yuzhao Huang Haocheng Zhou Source Type: research
Prognostic Factors and Treatment Effect Modifiers for Physical Health, Opioid Prescription, and Health Care Utilization in Patients With Musculoskeletal Disorders in Primary Care: Exploratory Secondary Analysis of the STEMS Randomized Trial of Direct Access to Physical Therapist-Led Care
CONCLUSIONS: Patients with musculoskeletal conditions with lower levels of pain self-efficacy, higher pain severity, and presenting with low back pain have less favorable clinical and health care outcomes in primary care. Prespecified characteristics did not modify the treatment effect of the offer of a direct-access physical therapist-led pathway compared to GP-led care.IMPACT: Patients with musculoskeletal conditions receiving primary care in the form of direct-access physical therapist-led or GP-led care who have lower levels of self-efficacy, higher pain severity, and low back pain are likely to have a less favorable p...
Source: Physical Therapy - May 2, 2024 Category: Physiotherapy Authors: James Zouch Nazim Bhimani Andr é Bussières Manuela Ferreira Nadine E Foster Paulo Ferreira Source Type: research
Use and experienced effectiveness of non-pharmacological treatments for chronic spinal cord injury related pain in The Netherlands: A cross-sectional survey
CONCLUSION: Patients with SCI experiencing pain often use non-pharmacological treatments. Most treatments were described as moderately effective. Research on specific non-pharmacological treatments and different types of pain separately is needed to further determine the effectiveness of non-pharmacological treatments.PMID:38695723 | DOI:10.1080/10790268.2024.2345448 (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 2, 2024 Category: Orthopaedics Authors: Tim C Crul Aline J Hakbijl-van der Wind Charlotte M van Laake-Geelen Johanna Ma Visser-Meily Marcel Wm Post Janneke M Stolwijk-Sw üste Source Type: research
Lower Limb Proprioception in Low Back Pain and Its Relationship With Voluntary Postural Control
This study aimed to investigate whether patients with low back pain (LBP) had impaired lower limb proprioception and its association with somatosensory acuity. Thirty patients with LBP and 30 asymptomatic people volunteered, using Sway Discrimination Apparatus tests to assess somatosensory acuity during voluntary anteroposterior and mediolateral postural sway. Results showed significantly reduced somatosensory acuity in mediolateral sway in LBP patients (p = 0.005) with ankle, knee, and hip proprioception showing significantly impairment compared to asymptomatic controls (all p ≤ 0.012). Regression analysis showed that a...
Source: Journal of Motor Behavior - May 2, 2024 Category: Neurology Authors: Zhengquan Chen Oren Tirosh Jia Han Roger Adams Doa El-Ansary Adrian Pranata Source Type: research
Prognostic Factors and Treatment Effect Modifiers for Physical Health, Opioid Prescription, and Health Care Utilization in Patients With Musculoskeletal Disorders in Primary Care: Exploratory Secondary Analysis of the STEMS Randomized Trial of Direct Access to Physical Therapist-Led Care
CONCLUSIONS: Patients with musculoskeletal conditions with lower levels of pain self-efficacy, higher pain severity, and presenting with low back pain have less favorable clinical and health care outcomes in primary care. Prespecified characteristics did not modify the treatment effect of the offer of a direct-access physical therapist-led pathway compared to GP-led care.IMPACT: Patients with musculoskeletal conditions receiving primary care in the form of direct-access physical therapist-led or GP-led care who have lower levels of self-efficacy, higher pain severity, and low back pain are likely to have a less favorable p...
Source: Health Physics - May 2, 2024 Category: Physics Authors: James Zouch Nazim Bhimani Andr é Bussières Manuela Ferreira Nadine E Foster Paulo Ferreira Source Type: research
Spinopelvic interactions in total hip arthroplasty: 295 patients followed for a minimum follow-up of 10 years
CONCLUSIONS: Concurrent spinal pathology influences THA outcomes at a minimum follow-up of 10 years. Sex, age, and associated lumbar degeneration can affect clinical and radiological changes over time. A decrease in SFP angle values over time was found in patients sustaining late dislocation.PMID:38695378 | DOI:10.1177/11207000241248074 (Source: Hip International)
Source: Hip International - May 2, 2024 Category: Orthopaedics Authors: Eduardo Garc ía-Rey Laura Salda ña Source Type: research
Antinociceptive effects of gamma-linolenic acid in the formalin test in the rats
CONCLUSION: The findings have validated the antinociceptive impact of GLA and hinted towards its immunomodulatory influence in the formalin test.PMID:38694379 | PMC:PMC11060212 | DOI:10.1097/MS9.0000000000002001 (Source: Annals of Medicine)
Source: Annals of Medicine - May 2, 2024 Category: Internal Medicine Authors: Kaveh Rahimi Arman Nourishirazi Hamidreza Delaviz Zohreh Ghotbeddin Source Type: research
Short-term cervical spinal cord stimulation for central post-stroke pain: a case report and literature review
CONCLUSION: A potential role of spinal cord stimulation in the treatment of post-stroke pain is proposed in combined with traditional medication or other neuromodulation strategies, to achieve better control of pain in the future.PMID:38694358 | PMC:PMC11060234 | DOI:10.1097/MS9.0000000000002025 (Source: Annals of Medicine)
Source: Annals of Medicine - May 2, 2024 Category: Internal Medicine Authors: Xu Zhang Xuebin Yan Yuzhao Huang Haocheng Zhou Source Type: research
Anatomical damages in the spinal nerve roots and the spinal cord after brachial plexus injury: descriptive study from a cohort of consecutive patients who underwent DREZ-lesioning for pain —practical implications
ConclusionsKnowledge of intradural lesions post-BPI helps in guiding surgical indications for repair and functional neurosurgery for pain control. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - May 2, 2024 Category: Neurosurgery Source Type: research
A detailed review of the spinal accessory nerve and its anatomical variations with cadaveric illustration
AbstractThe spinal accessory nerve, considered part of the eleventh cranial nerve, provides motor innervation to sternocleidomastoid and trapezius. A comprehensive literature review and two cadaveric dissections were undertaken. The spinal accessory nerve originates from the spinal accessory nucleus. Its rootlets unite and ascend between the denticulate ligament and dorsal spinal rootlets. Thereafter, it can anastomose with spinal roots, such as the McKenzie branch, and/or cranial roots. The spinal accessory nerve courses intracranially via foramen magnum and exits via jugular foramen, within which it usually lies anterior...
Source: Anatomical Science International - May 2, 2024 Category: Anatomy Source Type: research
The Effect of Cannabinoids on Single-level Lumbar Arthrodesis Outcomes in a Rat Model
The opioid epidemic is a public health crisis affecting spine care and pain management. Medical marijuana is a potential non-opioid analgesic yet to be studied in the surgical setting since its effects on bone healing are not fully understood. Studies have demonstrated analgesic and potentially osteoinductive properties of cannabinoids with endocannabinoid receptor expression in bone tissue. (Source: The Spine Journal)
Source: The Spine Journal - May 2, 2024 Category: Orthopaedics Authors: Harold Fogel, Diana Yeritsyan, Kaveh Momenzadeh, Nadim Kheir, Caleb M. Yeung, Mohammadreza Abbasian, Edith Martinez Lozano, Rosalynn M. Nazarian, Ara Nazarian Tags: Basic Science Source Type: research
Calf injury in a padel player
Introduction Calf injuries are common in sports that involve high speed running, increased running loads and rapid acceleration and deceleration such as in padel. Padel is a racquet sport that combines elements of tennis and squash played on an enclosed court surrounded by glass walls. In calf injuries, the medial head of the gastrocnemius is most commonly injured as the muscle extends over two joints (knee and ankle) and contains a high density of type 2 fast-twitch muscle fibres.1 History A padel player in his early 30s presented with acute pain in his right posterior calf after making an abrupt forward step to accelerat...
Source: British Journal of Sports Medicine - May 2, 2024 Category: Sports Medicine Authors: Pedret, C., Mecho, S., Balius, R., Ahmad, G. Tags: BJSM Images in sports medicine Source Type: research
Characterizing the presentation, management, and clinical outcomes of patients with intradural spinal chordomas: a systematic review
CONCLUSIONS: Treatment of intradural spinal chordomas primarily involves resection and radiotherapy. A significant challenge and complication in management is spinal tumor seeding after resection, with 9 studies proposing seeding as a mechanism of tumor metastasis in 11 cases. Factors such as tumor size, Ki-67 positivity, and distant metastasis may correlate with worse outcomes and demonstrate potential as prognostic indicators for intradural spinal chordomas. Further research is needed to improve understanding of this tumor and develop optimal treatment paradigms for these patients.PMID:38691865 | DOI:10.3171/2024.2.FOCUS...
Source: Neurosurgical Focus - May 1, 2024 Category: Neurosurgery Authors: Max A Saint-Germain Patrick Kramer Carly Weber-Levine Kelly Jiang Abdel-Hameed Al-Mistarehi Kristin J Redmond Sang H Lee Chetan Bettegowda Nicholas Theodore Daniel Lubelski Source Type: research
Characterizing the presentation, management, and clinical outcomes of patients with intradural spinal chordomas: a systematic review
CONCLUSIONS: Treatment of intradural spinal chordomas primarily involves resection and radiotherapy. A significant challenge and complication in management is spinal tumor seeding after resection, with 9 studies proposing seeding as a mechanism of tumor metastasis in 11 cases. Factors such as tumor size, Ki-67 positivity, and distant metastasis may correlate with worse outcomes and demonstrate potential as prognostic indicators for intradural spinal chordomas. Further research is needed to improve understanding of this tumor and develop optimal treatment paradigms for these patients.PMID:38691865 | DOI:10.3171/2024.2.FOCUS...
Source: Neurosurgical Focus - May 1, 2024 Category: Neurosurgery Authors: Max A Saint-Germain Patrick Kramer Carly Weber-Levine Kelly Jiang Abdel-Hameed Al-Mistarehi Kristin J Redmond Sang H Lee Chetan Bettegowda Nicholas Theodore Daniel Lubelski Source Type: research
Neurologic Approach to Radiculopathy, Back Pain, and Neck Pain
Prim Care. 2024 Jun;51(2):345-358. doi: 10.1016/j.pop.2024.02.003. Epub 2024 Mar 11.ABSTRACTBack pain and neck pain are common in clinical practice, but significant challenges and pitfalls exist in their diagnosis, treatment, and management. From the neurologic standpoint, cervical radiculopathy and lumbosacral radiculopathy are characterized by neck pain or back pain accompanied by sensory and motor symptoms in an arm or leg. The basic neurologic examination is vital, but testing like electromyography and MRI is often needed especially in cases that fail conservative management. Oral medications, injection-based therapies...
Source: Primary Care - May 1, 2024 Category: Primary Care Authors: Canaan Coker Jade Park Ryan D Jacobson Source Type: research
