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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Intrathecal instillation of corticosteroid was used in treatment of 188 patients with persistent sciatica or lumbar pain caused by disc hernia or osteochondrosis and recurrent sciatica or lumbar pain after disc operation. 88 of 122 own patients were followed up. Indication, mechanism of steroid action, technic, complications and results are discussed. According to the good results in part of the patients, still after years, the authors believe, that intrathecal corticosteroid administration is a further useful method of conservative treatment of degenerative lumbar disc affections. This therapy can also be used in patients with recurrent, persistent lumbar or leg pain after disc operation.
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PMID:[Intrathecal cortison injection in lumbar disc problems (author's transl)]. 13 22

Scintigraphy with pyrophosphate 99mTc was performed in 230 patients with various forms of ischemic heart disease and in 15 persons with pain in the region of the heart caused by osteochondrosis of the cervical and thoracic spinal segments or vegetovascular dystonia (control group). It was found that labelled purophosphate accumulated in the myocardium in necrosis of the heart muscle or when coronary insufficiency takes a course in which necrosis of the myocardial cells is quite possible. Positive results of scintigraphy with pyrophosphate 99mTc are not a strict criterion of acute myocardial infarction because they are also encountered in a chronic course of ischemic heart disease and are evidence in this case that "a state of risk" has occurred during the disease.
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PMID:[Importance of pyrophosphate-99mTc scintigraphy in the diagnosis of acute myocardial infarct]. 22

A comparative study of 259 patients operated on for ruptured lumbar discs, with and without spinal fusion, has been carried out. Simple removal of the herniated nucleus pulposus was performed in 119 patients while 68 were subjected to combined removal of the herniated disc material and lumbo-sacral fusion. During the first postoperative months the results were similar in the two groups, with a satisfactory result in 89 and 88 per cent of the cases respectively. During the following years a significant difference occurred between the groups. Severe pain recurred in 27% of the patients with simple removal of the herniated disc material and in 15% of those with the combined operation (P less than 0.01). The cause of the recurrence in the patients without fusion was disc herniation in 10% (at the same level in 7% and at a different level in 3%), and adhesions, or osteochondrosis with or without instability in 17%. In the patients with the combined operation the recurrences were caused by pseudoarthrosis in 9%, by disc herniation in 3%, and by other causes in 3%. At the final examination 6--7 years after the first operation, the results were still better in the fused patients, but the difference was no longer significant. Eighty-five per cent of the patients with the combined operation has a satisfactory result with regard to pain as compared with 76% in the other group. Thus, the results show that the combined operation gives better protection against recurrence of pain. However, it is a more extensive procedure and has complications of its own, and it should therefore mainly be used in young patients.
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PMID:Comparison of the results in patients operated upon for ruptured lumbar discs with and without spinal fusion. 66 23

The authors examined 100 patients in whom cervical osteochondrosis developed with pain in the heart, intercostal, sternum area, left hand, as well as radicle, pain, vegetative and reflectory-dystrophical disturbances. The differential diagnosis between pseudocardialgia and cardialgia, on the one hand, and stenocardia, on the other, is not always simple and is based on clinical data, x-ray and ECG examinations. The basis of the pathogenesis in pseudocardialgia is the irritation of posterior sensory radicles by osteophytes or disc protrusion. Cardialgia is an incarceration and excitation of sympathical nerves, leading to disturbances in the myocardial metabolism. A comprehensive conservative treatment may give a favourable effect in the majority of patients, while indications for surgical operations are very rare.
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PMID:[Neurologic features of cervical osteokhondrosis with pseudocardiac and cardiac pain syndromes]. 72 52

Freiberg's disease or osteochondrosis of the second metatarsal head may necessitate surgical intervention because of pain. Several surgical procedures have been recommended. A new surgical procedure similar to the present treatment of hallux rigidus with a silicone rubber implant is described. The procedure is simple and results were cosmetically appealing and functionally effective.
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PMID:Silicone implant for Freiberg's disease. 88 59

1. It must be considered a fact that in the genesis of osteochondrosis dissecans of the medial as well of the lateral talar dome a traumatic event is of decisive importance. In regard to the idiopathic type of osteochondrosis dissecans, it is usually the medial talar dome which is affected, but even here the traumatic genesis is prominent. Proof of a traumatic genesis is established once the following suppositions are satisfied: a) diagnosis of an adequate trauma, b) a nearly uninterrupted anamnesis of pain, c) a process at the edges visible in the radiogram. 2. Surgical treatment is imperativ in cases of cartilage floating with the danger of blocking. Excision of the focus including the injured and necrotic subchondral spongiosa and transplantation of healthy spongiosa can ward off a dissecation and thus damage of the joint cartilage as well as a sinking of the cartilage into the focus. However, there is no imperious indication for surgical intervention. 3. Development of arthrosis is rare, even after a long follow-up period up to 25 years. Serious complaints like pain during stress or rest are eceptional. Arthrodesis of the ankle joint as suggested by Schnabert (1939), is not necessary even in cases there the talar dome appears to be totally decayed in the radiogram, since over the years there is a definite discrepancy between the findings in the radiogram and the subjective complaints. 4. We noted an enlargement of the osteochondrotic process in singular cases, and parallel to this a deterioration of the clinical picture. Restitutio ad integrum in the radiogram has never been seen even in patients who have been free of symptoms for 25 years.
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PMID:[Aetiology, therapeutics and prognosis of osteochondrosis dissecans of talar dome (author's transl)]. 118 Jul 63

A classification of changes in the inferior lumbar portion of the spine that cause radicular pain and symptoms not amenable to concervative therapy is given. In most cases the said changes can be educed through a clinico-roentgenological investigation. Anatomical data bear proof to the presence of structural variants in which, in case of an intercurrent osteochondrosis without hernia of the disc, the compression of the root becomes quite probable. The classification lists changes that should be looked for when no hernia of the disc could be detected and lays emphasis on the multiplicity of causes accounting for the emergence of vertebrogenic radiculitis.
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PMID:[Vertebrogenic lumbosacral radiculitis unrelated to disk herniation]. 119 4

The authors report their experience in the application of laser therapy using 904 nm laser irradiation and impulse power of 10 W on patients with vertebrogenic lumboradiculalgia (osteochondrosis and herniation of the intervertebral disk). The therapeutic effect of the PROMETEUS type laser system is compared to that of similar equipment reported in literature. Pain was usually relieved between days five and 10 of laser therapy, or, in cases of slower convalescence, by day 15. Clinical symptoms of the disorders also disappeared simultaneously with the alleviation of pain. Our results are similar to those obtained by A.S. Krjuk (1986) and S. Gatev (1985), better than those of Van Lyancin (1988) and worse than those of D. Milani (1987). Laser therapy produces no side effects. It is an important contribution to the armamentarium of modern physiotherapeutic methods. When it is administered properly, it is painless, aseptic and does not cause trauma or allergic reactions. Moreover, it reduces the usage of drugs and consumable materials.
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PMID:Therapeutic effect of the laser system Prometeus in the treatment of vertebrogenic lumboradiculalgia. 136 8

Exercise test in coronary patients with angina of effort class II and III, painless cardiac ischemia reflected their increased coronary and myocardial reserves due to peloid therapy of cervical and thoracic osteochondrosis. As indicated by bicycle ergometry, angina of effort class III complicated by attacks of retrosternal pain at rest, circulatory insufficiency stage IIA, complex arrhythmia present contraindications for peloid application.
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PMID:[The coronary and myocardial reserves of patients with ischemic heart disease under the influence of the peloid therapy of concomitant spinal osteochondrosis]. 141 15

Data are reported of an experimental-clinical substantiation and therapeutic use of acetylsalicylic acid ultraphonophoresis of pain syndromes of radicular and reflex genesis in 144 patients with lumbar osteochondrosis. Improvement was noted in 57.3% in severe pain, 31.2% in moderate pain, and 75% in mild pain. Aspirin ultraphonophoresis was effective in pain syndrome of radicular genesis in 71% of cases and in 60.5% of reflex genesis.
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PMID:[Acetylsalicylic acid ultraphonophoresis in the treatment of the pain syndrome in patients with lumbar osteochondrosis]. 144 14


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