Background: Spondylodiscitis is a chameleon among infectious diseases due to the lack of specific symptoms with which it is associated. It is nevertheless a serious infection, with 7% mortality of hospitalized patients, in large part because of delayed diagnosis. The aim of this study was to develop a diagnosis and course-of-disease index to optimise its treatment. Material and methods: Through...

Objectives This study aims to explore whether extracorporeal shockwave treatment (ESWT) based on the theory of fascial manipulation (FM) at select treatment points is superior to traditional local ESWT for pain relief in adhesive capsulitis of the shoulder. Methods Data from patients with adhesive capsulitis of the shoulder who received weekly ESWT according to fascial manipulation theory (ES...

OBJECTIVES Systemic β-endorphin, an endogenous opioid and stress hormone, has been demonstrated to correlate with the postoperative pain intensity, however its putative role as a postoperative pain biomarker has not been cleared. METHODS Thirty patients scheduled for elective hysterectomy were included into the study. Postoperative pain was assessed by a numeric rating scale from 0 to 10. Pla...

Introduction: Given the importance of pain assessment in the older adults, instrumentation for pain measurement is inevitable. The aim of this study is to compare psychometric properties of three commonly used pain intensity scales; (Numeric Rating Scale , Verbal Descriptor Scale (VDS) and, Faces Pain Scale Revised (FPS-R)) in Isfahanian older adults, to identify the most validated and reliable...

QUESTION What is the effect of early physiotherapy intervention on pain and patient satisfaction in acute low back pain? DESIGN Randomised trial with concealed allocation, assessor blinding, and intention-to-treat analysis. PARTICIPANTS 110 patients attending the Accident and Emergency Department of a local acute hospital. INTERVENTION The experimental group received early physiotherapy i...

Deep nerve hydrodissection uses fluid injection under pressure to purposely separate nerves from areas of suspected fascial compression, which are increasingly viewed as potential perpetuating factors in recalcitrant neuropathic pain/complex regional pain. The usage of 5% dextrose water (D5W) as a primary injectate for hydrodissection, with or without low dose anesthetic, could limit anesthetic...

This randomized controlled trial was performed to investigate whether placebo effects in chronic low back pain could be harnessed ethically by adding open-label placebo (OLP) treatment to treatment as usual (TAU) for 3 weeks. Pain severity was assessed on three 0- to 10-point Numeric Rating Scales, scoring maximum pain, minimum pain, and usual pain, and a composite, primary outcome, total pain ...

Background: The symptom ‘dizziness’ is common in patients with chronic whiplash related disorders. However, little is known about dizziness in neck pain patients who have not suffered whiplash. Therefore, the purposes of this study are to compare baseline factors and clinical outcomes of neck pain patients with and without dizziness undergoing chiropractic treatment and to compare outcomes base...

OBJECTIVE The purpose of this report is to describe the response of a geriatric patient with low back pain and a history of leukemia, multiple compression fractures, osteoporosis, and degenerative joint disease using Activator chiropractic technique. CASE REPORT An 83-year-old man who is the primary caretaker for his disabled wife had low back pain after lifting her into a truck. The patient ...

arterial blood gas (abg) sampling is a painful procedure with no perfect technique for quelling the discomfort. an ideal local anesthesia should be rapid, easy to learn, inexpensive, and noninvasive. this study was aimed to compare pain levels from abg sampling performed with vapocoolant spray in comparison to placebo. we hypothesized that pretreatment with the vapocoolant would reduce the pain...