1/5. Lumbosacral radiculopathic pain presenting as groin and scrotal pain: pain management with twitch-obtaining intramuscular stimulation. A case report and review of literature.BACKGROUND: Chronic groin and scrotal pain is a common entity plaguing a significant population of young athletic individuals. Aside from urologic and visceral etiologies, there is a vast array of underlying musculoskeletal and spinal abnormalities that may be found in these individuals. FINDINGS: Presented is a patient found to have chronic, spine-related groin and scrotal pain diagnosed with lower lumbar discogenic disease by physical examination findings, imaging studies and multi-level chronic radiculopathy by electrodiagnostic studies who was treated with twitch-obtaining intramuscular stimulation (TOIMS). Symptoms of groin and scrotal pain abated with therapy. CONCLUSION: Twitch-obtaining intramuscular stimulation has a promising role in the treatment of groin and scrotal pain of radiculopathic origin.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
2/5. Diabetic thoracic polyradiculopathy.Diabetic thoracic polyradiculopathy usually causes severe, chronic abdominal pain in patients with type 2 diabetes of variable duration. Other diabetic complications, weight loss and paretic abdominal wall protrusion are common. Sensory, motor and autonomic functions are affected. The diagnosis can be made from the characteristic history, physical examination findings, paraspinal electromyography, and other procedures. The differential diagnosis includes postherpetic neuralgia, abdominal wall pain, malignancy, and other spinal disorders. The pathology appears to be immune-mediated neurovasculitis resulting in ischemic injury. Traditional therapy is symptomatic, but recent pathological findings and clinical experience suggest that immunotherapy may be effective.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
3/5. cauda equina syndrome after epidural steroid injection: a case report.OBJECTIVE: Conventional treatment methods of lumbusacral radiculopathy are physical therapy, epidural steroid injections, oral medications, and spinal manipulative therapy. cauda equina syndrome is a rare complication of epidural anesthesia. The following case is a report of cauda equina syndrome possibly caused by epidural injection of triamcinolone and bupivacaine. CLINICAL FEATURES: A 50-year-old woman with low back and right leg pain was scheduled for epidural steroid injection. INTERVENTION AND OUTCOME: An 18-gauge Touhy needle was inserted until loss of resistance occurred at the L4-5 level. Spread of the contrast medium within the epidural space was determined by radiographic imaging. After verifying the epidural space, bupivacaine and triamcinolone diacetate were injected. After the injection, there was a reduction in radicular symptoms. Three hours later, she complained of perineal numbness and lower extremity weakness. The neurologic evaluation revealed loss of sensation in the saddle area and medial aspect of her right leg. There was a decrease in the perception of pinprick test. Deep-tendon reflexes were decreased especially in the right leg. She was unable to urinate. The patient's symptoms improved slightly over the next few hours. She had a gradual return of motor function and ability of feeling Foley catheter. All of the symptoms were completely resolved over the next 8 hours. CONCLUSION: Complications associated with epidural steroid injections are rare. Clinical examination and continued vigilance for neurologic deterioration after epidural steroid injections is important.- - - - - - - - - - ranking = 0.1181939645108keywords = physical (Clic here for more details about this article) |
4/5. Transcutaneous electrical nerve stimulation: an adjunct in the pain management of guillain-barre syndrome.Transcutaneous electrical nerve stimulation was applied in the pain management of a patient with guillain-barre syndrome. As subjectively reported by the patient, her back and lower extremity pain was significantly decreased although her foot paresthesia was not decreased. The program was continued for an 11-day period because TENS was considered a valuable adjunct for the patient's comfort. Transcutaneous electrical nerve stimulation is a valuable addition to our repertoire of available physical therapy modalities. We hope that as clinical experience with TENS increases, fellow clinicians will volunteer the experiences of their endeavors.- - - - - - - - - - ranking = 0.1181939645108keywords = physical (Clic here for more details about this article) |
5/5. Electromyographic biofeedback as a physical therapeutic adjunct in guillain-barre syndrome.The case history of a patient with polyradiculoneuritis with symmetrical ascending motor weakness and distal sensory impairment (guillain-barre syndrome) is reviewed in relation to a new application of electromyographic biofeedback. In addition to the normal therapeutic procedures, a special device was used to control the amount of therapeutic exercise delivered to the patient in one muscle grouping. Results indicate that this type of adjunctive therapy adds to the current methods of evaluation and treatment of maintaining a patient's interest over a lengthy hospitalization, allowing the therapist to attend several patients simultaneously, and enabling continuous quantitative evaluation of the patient's progress.- - - - - - - - - - ranking = 0.47277585804321keywords = physical (Clic here for more details about this article) |