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

Data on the character of evoked central responses of the soleus and the anterior tibial muscles, as well as the minor muscles of the foot sole and patients with the so-called discogenic lumbar radiculitis are presented. In addition, results of treating this pathology by the method of anti-algetic supracutaneous electric stimulation are described. On the basis of comparing all the data it is concluded that of importance in the neurophysiological mechanism of the pain in lumbar osteochondrosis are not only hyperimpulsation alone the thin pain-conducting fibres, but also insufficient conduction of signals alone large-diameter afferent fibres, as well as weakening of the segmental inhibitory processes and deterioration of the functioning of the antinociceptive system.
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PMID:[Neurophysiology of the pain syndrome in lumbar osteochondrosis]. 697 37

Osteochondrosis of the shoulder joint in the horse was diagnosed radiographically in 54 shoulders of 38 horses. Clinical signs were those of an intermittent lameness characterized as a swinging leg shoulder lameness with pain elicited by extension, flexion or abduction of the limb. Diagnosis of shoulder lameness was supported by blocking the shoulder joint with local anesthetics. Radiographic changes consisted of: (1) alteration in the contour of the humeral head and glenoid cavity, (2) periarticular osteophyte formation, (3) sclerosis of the subchondral bone, and (4) bone cyst formation. The primary bony lesion in the shoulder of the horse is similar to that described in the dog, pig, bull, turkey and broiler chicken. Secondary joint disease is a prominent finding with osteochondrosis of the shoulder in the horse. A follow-up study of 17 horses indicated that many of the affected horses had been sold and were being used for pleasure riding and breeding purposes. Those horses still in use usually had less severe radiographic changes at the time of diagnosis.
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PMID:Osteochondrosis of the shoulder joint of the horse. 721 17

Of 26 dogs with elbow osteochondrosis, 11 had osteochondritis dissecans of the medial humeral condyle, seven had fragmentation of the coronoid process of the ulna and eight had both these lesions. Sixteen cases had bilateral involvement. The labrador and retriever breeds were most often affected and the male sex predominated. The clinical features included a foreleg lameness in a young immature dog with pain localised to the elbow joint. The most consistent radiological feature was the presence of osteophyte development especially on the dorsal aspect of the anconeal process, caused by secondary osteoarthritis. The authors are not certain that surgical treatment of elbow osteochondrosis is justified; more extended long-term studies are necessary before surgical and conservative therapeutic regimens can be fully evaluated.
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PMID:Osteochondritis dissecans and fragmentation of the coronoid process in the elbow joint of the dog. 730 50

Electromyographic examination of the quadriceps muscle of the thigh, the anterior tibial muscle, the long peroneal muscle, and the medial head of the gastrocnemius muscle was conducted in 80 patients with lumbar osteochondrosis. Electromyographic signs of abnormalities were detected in 66 (97.1%) of 68 patients with radicular disorders caused by Schmorl's body. According to the results of electromyography, the localization of Schmorl's body was determined correctly in relation to the length of the spleen in 90.6% of cases and in relation to the diameter of the intervertebral disk in 71.9%. A cicatricialadhesive process and medial Schmorl's body were characterized by signs of the involvement of several roots, whereas nonradicular reflex-pain syndromes were marked by a normal electromyographic pattern.
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PMID:[Electromyographic diagnosis of root disorders and localization of lumbar disk herniations]. 738 95

Microwave therapy (millimetric waves) was used for treatment of spinal osteochondrosis. The effect was manifest as early as the first sessions. The pain alleviated, muscular tension decreased, movements recovered, convulsions and numbness of the legs ceased. Possible biophysical mechanisms of EHF waves are discussed.
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PMID:[The mechanism of the therapeutic action of the EHF therapy of spinal osteochondrosis]. 766 Jun 20

Bone system was examined in 112 liquidators; in 71 of these osseous tissue density was studied by osseous densitometer using bienergetic x-ray absorptiometry and in 45 x-ray examinations, analyses of biochemical and hormonal parameters were carried out. Spinal painful syndrome was detected in 61 to 82% of the examinees. For analysis of densitometric and x-ray parameters the liquidators were divided into 2 groups: group 1 included those who worked at the power plant in 1986 (55%) and group 2 were those who worked there in 1987-1989. Radiation doses in group 1 reliably surpassed those in group 2 (p < 0.001). Bone mineral density in the lumbar vertebrae was significantly lower in group 1 as against group 2 and lower in both groups vs. controls. More than 5% osseous mineral loss was revealed in 73% of group 1 liquidators and in 43% of group 2 ones. Analysis of spinal roentgenograms in 45 liquidators showed a high incidence of negligible and moderately expressed osteoporosis without compression fractures of vertebral bodies: osteopenia signs were found in 87% of group 1 examinees complaining of pain in the spine and in 73% of group 2 examinees; signs of osteochondrosis and spondylosis were detected in 40% of group 1 and in 47% of group 2 subjects. Hence, a higher incidence of osteopenia in liquidators, more manifest condition and its higher detection rate in subjects exposed to higher radiation doses indicate a certain contribution of radiation factor to the development of the osteopenia syndrome in liquidators.
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PMID:[Osteopenic syndrome in liquidators of the aftereffects of the accident at the Chernobyl power plant]. 797 3

300 males experiencing pain and motor dysfunction as a result of lumbar osteochondrosis received sulfide balneotherapy. The baths contained moderate (50-150 mg/l) and high concentrations (150-250 mg/l) of hydrogen sulfide. The effect of the treatment was assessed with repeated goniometry by means of specially devised instruments by 6 parameters. According to the degree measurements, the recovered motility in the lumbar spine in patients on large-concentration baths surpassed that in patients on less concentrated ones 1.5-fold.
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PMID:[The quantitative assessment of spinal motor function during the action of hydrogen sulfide baths on patients with lumbar osteochondrosis]. 801 34

The authors describe an iliac osteochondrosis in 98 teenagers aged of 12 to 17 years, responsible for anterior, medial or posterior pains of pelvis and the lumbar zone, squaring with the period of ossification of the iliac crest. The spontaneous pain was revived by pressing a precise zone of the iliac crest. These pains have the usual characteristics of the pains of ossification of apophysis. The identification of the characteristics allows to avoid any further investigation which will have to be realised in case of doubt or modification of the evoluting symtomatology. It is to recognize this cause of pain so as not to attribute it to a regional morphological anomaly that may lead to excessive surgical indications. The evolution was constantly favourable after a few weeks delay. Only a momentary and adapted restriction of sporting activities is justified.
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PMID:[Apophysitis of the iliac crest. A little known cause of low back pain and pelvic pain in children]. 828 70

As in the knee joint, lasers can be used during ankle arthroscopy for their resective and ablative properties. Reports on arthroscopic treatment of degenerative and post-traumatic disorder of the ankle by conventional techniques are encouraging. We have used laser in ankle arthroscopy in three main situations: (1) When exuberant scar tissue from previous capsulo-ligamentous damage (e.g. after ankle sprain) symptomatically restricts range of motion and causes pain (ankle impingement). Laser is used in this case at middle energy, as a resector. (2) In the presence of cartilaginous lesions, as in osteoarthritis, flake fractures or osteoarthritis, flake fractures or osteochondrosis dissecans. Here laser is used at lower energy to reshape the cartilaginous surface without resective effect ("welding"). (3) When impaired range of motion is due to osteophytic rims, mainly at the anterior tibia, resulting from previous capsular lesions. Laser is then used at high energy to cut excessive bone. A series of 16 patients underwent ankle arthroscopy at our clinic, mainly for post-traumatic disorders, including impingement, osteochondrosis dissecans and osteoarthritis. The most frequently encountered intraarticular findings were impingement by post-traumatic synovitis and scar tissue of the anterio-lateral and postero-lateral compartments, with or without an osteophytic rim of the distal anterior tibial border. Scar tissue, synovitis and osteophytes were debrided in half of the patients purely mechanically (with arthroscopic scissors or shaver) and in the other half with the holmium laser. The results are encouraging; 50% of patients had no symptoms at all at follow-up (9.5 months on average), and another 38% were satisfied with a significant improvement. In two cases, no improvement at all occurred: one patient complained of persistent pain with lack of objective findings and is believed to have developed "insurance neurosis." The other had severe postinfectious osteoarthritis that was operated too late in the course to influence pain positively. Concerning the clinical, functional and subjective follow-up results there was no relevant difference between the two groups. We recommend ankle arthroscopy to treat post-traumatic impingement syndromes of the antero-lateral, antero-medial and postero-lateral compartments of the ankle joint; the use of lasers seems to have a slightly better analgetic effect, allows an easier approach than is the case with shavers or other bulky arthroscopic resectors, and allows shaping of convex resection surfaces, which cannot be performed with a shaver.
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PMID:[Use of laser in arthroscopy of the ankle. Indications, method, first results]. 862 49

Quantitative parameters characterizing the shape and interlocation of the vertebrae were determined in roentgenograms of 60 healthy persons and of 61 patients suffering from chronic pain syndrome caused by cervical osteochondrosis. The calendar age of the persons examined has correlated mostly with a group of parameters characterizing the shape of vertebrae (the highest correlation was with the length of vertebrae). Using the multiple correlation method the authors have worked out highly reliable (p < 0.00005) regressive models of the calendar age of healthy persons and have confirmed the increased rate of age changes in a cervical segment of the spine in patients suffering from cervical pain syndrome.
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PMID:[Age-related changes in the cervical spine studied based on the results of a quantitative analysis of its structural-functional characteristics]. 884 22


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