OBJECTIVE To compare the effectiveness of manipulative therapy, physiotherapy, treatment by the general practitioner, and placebo therapy in patients with persistent non-specific back and neck complaints. DESIGN Randomised clinical trial. SETTING Primary health care in the Netherlands. PATIENTS 256 patients with non-specific back and neck complaints of at least six weeks' duration who had...

1 of 2 DESCRIPTION A middle-aged patient was referred for endoscopic removal of fl at polyps in the ascending and descending colon. The intervention was unremarkable and during afternoon rounds the patient felt well with no abdominal pain. She did however complain of pain in the neck which she reported to have occasionally. On physical examination of the neck, a subcutaneous crepitus was noted ...

Objective. A study to determine the efficacy of chloroethane spray compared to normal saline in the treatment of spastic torticollis in children and adolescents. Hypothesis. Chloroethane spray is more superior to normal saline for the treatment of spastic torticollis in children and adolescents in the pediatric emergency room. Design. Prospective randomized study. Setting. Urban inner-city hosp...

INTRODUCTION Neck injuries are a common complaint of military aviators which often result in lost workdays, reduced functional performance in flight situations and may restrict or prohibit aviators furthering their flight careers [1]. These injuries have been mainly attributed to the high accelerative (+Gz) loads experienced during routine flying activities and the additional weight of flight h...

Introduction Although the incidence of tuberculosis (TB) in Japan has been decreasing yearly, Japan remains ranked as an intermediate-burden country for TB. Objective This study aims to investigate the current situation of head and neck extrapulmonary TB (EPTB) diagnosed in our department. Methods We retrospectively reviewed the clinical records of 47 patients diagnosed with EPTB in the head an...

INTRODUCTION Computer related musculoskeletal disorders affect millions of computer users yearly in developed nations as reported in the literature. With proliferation of computer systems in the developing nations, the associated musculoskeletal pain has yet to be investigated. This serves as impetus for this study. METHODS A structured questionnaire was used to obtain information from comput...