Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Eighteen tenotomies of the adductor longus tendon were performed in 16 consecutive male athletes (aged 20 to 42) as treatment for chronic groin pain. The criteria for surgery was a history of long-standing (range, 2.5 to 48 months) and distinct pain at the origin of the adductor longus muscle, refractory to conservative treatment. At followup 35 months (range, 4 to 84) after surgery, all patients were improved or free of symptoms. All but 1 of the athletes returned to the same sport within a mean of 6.6 weeks, and 12 of 16 returned to competitive sports within a mean of 14 weeks after surgery. A majority of the patients (10 of 16) returned to full athletic activity, whereas 5 of 16 performed at a reduced level. One patient discontinued his sports activity due to other causes. In conclusion, when conservative treatment fails, tenotomy of the adductor longus tendon gives good long-term functional results in the treatment of chronic groin pain that is localized at the origin of the adductor longus muscle. A decreased muscle strength was observed in this study and did not seem to influence participation in sports.
 ...
PMID:Tenotomy of the adductor longus tendon in the treatment of chronic groin pain in athletes. 145 57

Fifty athletes with chronic undiagnosed groin pain underwent surgical exploration and inguinal hernia repair. Six months later, all athletes were sent questionnaires to assess their return to sport, level of pain (using analogue pain scores) and the overall result of their surgery. Operative findings revealed a significant bulge in the posterior inguinal wall in 40 athletes. Forty-four athletes (88%) replied to the questionnaire. Forty-one athletes (93% of respondents) had returned to normal activities. Pain scores indicated a marked improvement in their level of pain (P less than 0.001). Thirty-three athletes (75%) rated the result as good and 10 (23%) as improved. It is concluded that athletes with chronic groin pain who are unable to compete in active sport should be considered for routine inguinal hernia repair if no other pathology is evident after clinical examination and investigation.
 ...
PMID:Inguinal surgery in athletes with chronic groin pain: the 'sportsman's' hernia. 158

To determine the value of herniography (also known as peritoneography) in the detection of groin hernias, herniographs obtained in 70 consecutive patients with clinically suspected hernias (but with a normal or inconclusive physical examination) were retrospectively evaluated. The radiologic features, complications, and final clinical outcome were reviewed. A total of 30 hernias were found. Sixteen patients underwent surgery; there were no false-positive herniographic diagnoses. No procedure-related complications occurred. These results indicate that herniography is a simple and valuable diagnostic tool in patients with unexplained groin pain or pain in the anterior abdominal wall, with an acceptably low complication rate.
 ...
PMID:Groin hernia: role of herniography. 160 79

198 screw rings implanted before january 1988, 156 were combined with cementless femoral components, and 42 with cemented femoral components (hybrids). Fifteen cases, which were initially included in the first group, became hybrid at 2 years due to replacement of the femoral component by a cemented stem. 21 screw rings (11 per cent) were revised, and replaced with cemented polyethylene sockets. In 7 cases, acetabular reconstruction was required. Revision was justified by roentgenographic instability in only 6 cases. Four other implants were revised due to persistent postoperative pain, although there was no measurable migration on successive roentgenograms. In the 10 remaining cases, revision was initially justified by the femoral component: screw rings were found to be mobile and were replaced in the same time. Symptoms related to screw rings were easier to identify in hybrid arthroplasties, in which cemented femoral components were usually asymptomatic. Fourty five cases had a complete 2 year follow-up (34 were initially hybrid, 11 became hybrid due to revision of the femoral component). Twenty four patients complained of durable postoperative groin pain. In 18 of these cases, pain completely disappeared within the 18 first months. At 2 years, 28 patients had no pain. In 149 cases with complete 2 year roentgenographic follow-up, 126 implants had never migrated, 6 migrated early but stabilized within the first postoperative year, and 17 showed progressive migration over the first two postoperative years, in which 7 were finally revised. These results are inferior to those reported with cement. Some failures were explained by poor implantation techniques or by wrong indications. Other failures remained unexplained, thus justifying a reduction of their use in our institution.
 ...
PMID:[Total hip prosthesis with screw rings. Results over 2 years of a series of 198 consecutive prostheses]. 181 25

Concerns regarding the extent and predictability of pain relief with bipolar hemiarthroplasty have been raised. Inconsistent clinical results have been reported, with persistent postoperative groin pain noted in some patients. A diverse number of bipolar operative techniques have been reported, but discussion of the surgical treatment of capsular tissue has usually been omitted. Although the source of postoperative pain is difficult to determine, the authors report the relief of groin pain after a capsulectomy in a patient with a preexisting bipolar hemiarthroplasty, thus offering one possible etiology.
 ...
PMID:Capsular impingement as a source of pain following bipolar hip arthroplasty. 187 8

Femoral neck stress fractures are unusual but not rare athletic injuries. In one large series they accounted for 5% of all stress fractures. Early recognition of the signs and symptoms of this injury is important, as objective findings are often delayed. The potential problems from this fracture are serious. The aetiology includes repeated force above a certain load without internal bone response time. Loss of shock absorption due to muscle fatigue and limitation of ankle motion by boots or splints may also play a role. The diagnosis is based on the finding of groin pain and radiographic testing, which often requires plain films and bone scintigraphy. Regular radiographic findings present in stages progressing from a normal film through sclerosis to a disruption of the cortex and displacement. Bone scintigraphy may be positive 2 or more weeks before plain film changes are present. Classification schemes follow the radiographic changes. A classification system and treatment plan may be based on 3 categories of these fractures--compression side, tension side and displaced femoral neck fracture. Treatment ranges from rest with early symptoms to surgical stabilisation for any widening of cortical cracks and/or displaced fractures. Prompt diagnosis and carefully supervised treatment is the key to preventing displacement. Prolonged disability secondary to pain, nonunion or avascular necrosis is associated with displacement of the femoral neck stress fracture.
 ...
PMID:Femoral neck stress fractures. 231 77

This paper describes the patterns of pain induced from lumbar facet joints, from the posterior primary rami of L5, and from the medial articular branches of the posterior primary rami from T11 to L4 in patients undergoing diagnostic spinal infiltrations for chronic pain. No consistent segmental or sclerotomal pattern was found in 385 observations on 138 patients. Pain radiating to the buttock or trochanteric region occurred mostly from the L4 and L5 levels, while groin pain was produced from L2 to L5. The nerves supplying the facet joints gave rise to distal referral of pain significantly more commonly than the joints themselves.
Pain 1989 Oct
PMID:Distribution of pain provoked from lumbar facet joints and related structures during diagnostic spinal infiltration. 253 Apr 85

In 64 women aged 60-90 (mean 69) years with groin pain of obscure origin (no palpable mass), the diagnostic contribution of positive-contrast herniography was retrospectively evaluated. Groin hernia was found in 28 patients (44%), and was judged to have caused the pain in 18 of them. In 13 of these patients herniorrhaphy relieved the symptoms, and in the other five surgery was contraindicated. The origin of the groin pain in the remaining 46 patients was judged to be musculoskeletal (21), intestinal (11), urogenital (3) or other (11). Herniography thus can substantially contribute in the clinical investigation of groin pain of unclear origin in elderly women.
 ...
PMID:The value of herniography in elderly women with groin pain of obscure origin. 274 22

Three patients with fractures at or near the pubic symphysis presented with groin pain simulating hip fracture or arthritis. A 71-year-old osteoarthritic woman was treated with a nonsteroidal antiinflammatory drug (NSAID) and exercises for right-sided sciatic pain after a minor fall, but developed left groin pain and tenderness over the pubic symphysis after two days of exercise. She had an impacted fracture of the left pubic symphysis which responded to use of a cane. The second patient was a 90-year-old woman with rheumatoid arthritis (on steroids) who complained of right hip pain after a series of falls in her home. Initially treated with Buck traction for a presumed hip fracture, she was later treated with heat and exercises after negative hip x-rays were obtained. Retrospective analysis of pelvic films and bone scan revealed a right pubic symphysis fracture. The third patient was an 83-year-old rheumatoid arthritic woman with inability to walk secondary to left groin pain. Pubic tomograms revealed disruption of the superior aspect, and bone scan showed increased uptake of the left pubic bone. She was treated with moist heat, rest, and NSAID. Twenty-four cases of os pubis fractures without major trauma or symphysis disruption have been reported. All patients had osteoporosis, and six had rheumatoid arthritis. Our three cases are presented to increase awareness of pubic symphysis fractures as a cause for groin pain, especially in patients with osteoporosis and rheumatoid arthritis.
 ...
PMID:Groin and hip pain due to fractures at or near the pubic symphysis. 277 89

Hip pain can be categorized as either anterior groin pain, lateral trochanteric pain, or posterior buttock pain. Reproduction of the pain during passive and active range of motion of the hip against resistance provides the most accurate localization. The very important intra-articular diagnoses with poorer prognoses and more urgent requirement for treatment, such as a septic joint and hip fracture, often present with anterior groin pain. Trochanteric bursitis is the most common cause of lateral pain next to osteoarthritis. Buttock pain occasionally represents a radiation from lumbar disc or facet joint disease but more commonly is muscular in origin. Management of osteoarthritis of the hip successively challenges the primary care physician to provide effective patient education regarding NSAIDs, assistive devices for walking, and optimal timing of total hip arthroplasty.
 ...
PMID:Hip pain. 306 95


1 2 3 4 5 6 7 8 9 10 Next >>