OBJECTIVE To present a radiculopathy case due to unilateral facet hypertrophy developing three years after a lumbar disc hernia operation. CASE REPORT A fifty two-year-old female patient, who had been operated on for a left L5-S1 herniated lumbar disc three years ago, was hospitalized and re-operated with a diagnosis of unilateral facet hypertrophy. She had complaints of left leg pain and wal...

Background Patients with lumbar disc disease may present with low back pain, pain that radiates down to the lower extremity (radiculopathy), and leg pain that increases with ambulation (neurogenic claudication). Patients may first undergo diagnostic studies (magnetic resonance imaging, computed tomographic examinations) to determine whether there is any significant nerve root or thecal sac comp...

background: the comparison between voluntary and automatic contraction of deep abdominal muscles in patients with nonspecific low back pain (nlbp) may justify being the best treat for them. the aim of this case-controlled study was to compare changes in the thickness of the transverses abdomin is (tra) and internal oblique (io) muscles during the abdominal drawing-in maneuver (adim) and the act...

BACKGROUND Total knee arthroplasty (TKA) has been reported to be the most successful treatment for patients with advanced osteoarthritis, however, early postoperative pain has become an unresolved issue. The aim of this Meta-analysis is to evaluate the efficacy and safety of steroid addition to multimodal cocktail periarticular injection (MCPI) in patients undergoing TKA. METHOD Clinical rand...

OBJECTIVE To compare the efficacy of intraarticularly injected bupivacaine with levobupivacaine when administered in combination with morphine and adrenaline for post-operative analgesia and functional recovery after knee surgery. MATERIALS AND METHODS Sixty American Society of Anesthesiologists physical status I-II patients were randomized into three groups: Group B was administered 30 mL is...

BACKGROUND Gender-related differences in pain have been clearly shown in experimental settings. Clinical studies of such differences have produced conflicting findings. No studies have shown a significant difference in pain experience associated with differences in functional outcomes. Arthroscopic anterior cruciate ligament reconstruction (AACLR) produces pain of moderate intensity and provide...

OBJECTIVE To compare the therapeutic effects between drainage blood reinfusion and temporary clamping drainage after total knee arthroplasty in patients with rheumatoid arthritis to provide a basis for clinical practice. METHODS Data from 83 patients with rheumatoid arthritis undergoing total knee arthroplasty were retrospectively analyzed. The 83 patients were divided into a drainage blood r...

Most brain imaging studies of pain are done using a two-state subtraction design (state-related design). More recently event-related functional magnetic reasonance imaging (fMRI) has also been used for studying pain. Both designs severely limit the application of the technology to clinical pain states. Recently we demonstrated that monitoring time fluctuations of perceived pain could be used wi...

A 25-year-old man had several episodes of low back pain over a 3-year period. The initial episodes were described as simple backaches, unassociated with radicular pain, and were relieved by bed rest and aspirin . One year later, the patient sought chiropractic therapy on two occasions for recurrent backache. He failed to obtain relief and, while under treatment, began to experience radiating pa...