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

The correlation between the severity of vibration syndrome and hand-tool operating time in chain saw workers has been studied. The total chain saw operating time was calculated by using the equation: chain saw operating hours/day X days/year X years, and 266 chain saw operators were classified into four groups (0-2000 h, 2000-5000 h, 5000-8000 h, over 8000 h). Forty-six forestry workers not using chain saws were used as controls. The prevalence rates of symptoms were checked and statistically compared in each group. In the group with under 2000 hours' experience, symptoms were generally confined to tingling, numbness, or pain; with 2000-5000 hours peripheral nerve and circulatory disturbances, including Raynaud's phenomenon, and muscle and general body conditions were influenced to some degree; with 5000-8000 hours' functional changes were noted; while with over 8000 hours about half the operators suffered severely from functional or organic changes due to vibration.
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PMID:Epidemiological study of vibration syndrome in response to total hand-tool operating time. 613 Jul 82

Eighteen patients experiencing 22 episodes of recurrent herpes simplex skin infections were treated with topical applications of a solution containing 4% zinc sulphate in water. In all patients, pain, tingling and burning stopped completely within the first 24 hours of zinc therapy. Crusting occurred within 1-3 days and no adverse effects were observed.
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PMID:Topical application of zinc-solutions: a new treatment for herpes simplex infections of the skin? 615 33

In a young woman a strong carpal-tunnel-syndrome was observed after everey of her three deliveries, apparently at the termination of the lactation. Pain and tingling in the arms and hands was very good to be influenced by diuretics. It has be concluded from these facts, that this type of carpal-tunnel-syndrome is to trace back to a temporary generalized oedema, probable caused by the hypothalamical oxytocin-producing centre.
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PMID:[Genesis and therapy of postpartum carpal tunnel syndrome]. 652 7

The clinical appearance of foramen magnum tumor is protean and, even at the stage when serious neurological deficits are present, the lesions are often misdiagnosed as another disease, especially cervical spondylosis and multiple sclerosis, and patients may undergo improper concervative or even surgical treatments. The best guarantee against misdiagnosis, we believed, was to establish a definition of "Foramen Magnum Syndrome" to facilitate the recollection of its peculiar clinical findings. "Foramen Magnum Syndrome" is composed of: 1. Cape distribution of sensory loss; 2. Atrophy of the intrinsic muscles of the hands; 3. Neck or suboccipital pain; 4. Dysesthesia of the hands (numbness, tingling, and cold sensation); 5. Eleventh cranial nerve palsy; 6. Stereoanesthesia. (Remember the mnemonic CANDES or DESCAN) Among these, cape distribution of sensory loss, eleventh cranial nerve palsy and cold dysesthesia (not numbness or tingling sensation) are of great importance for topological diagnosis. We also pointed out the similarities between the clinical picture of syringomyelia and that of the advanced stage of foramen magnum tumor. The syringomyelic syndrome, often seen in Arnold-Chiari malformation and basilar impression, has been attributed to the concurrent syrinx of cervical cord. But the clinical analysis of foramen magnum tumors showed that this is not always true and that compressive lesions at the foramen magnum alone can cause syringomyelic syndrome.
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PMID:[Proposal for the definition of "foramen magnum syndrome"--foramen magnum tumor and abnormalities]. 665 78

Symptoms as reported by myocardial infarction (MI) patients are not easily distinguishable from the symptoms reported by patients with a diagnosis of 'noncardiac chest pain' (NCCP) (hyperventilation and/or functional complaints). MI patients and patients with a diagnosis of NCCP were questioned by means of a structured interview in order to determine what symptoms they had perceived during the prodromal and the acute phase. In the acute phase, more MI patients reported pain in the center of the chest than did NCCP patients. In both the acute and the prodromal phase NCCP patients reported the following atypical symptoms more often than the MI patients: palpitations, tingling of fingers, and 'numb feelings' in arms and legs. The duration of the prodromal pain attacks of the NCCP patients varied from a few minutes to several hours (median: more than half an hour), the MI patients reported a shorter duration of prodromal pain attacks (median: 10 min).
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PMID:Myocardial infarction patients during the prodromal and acute phase: a comparison with patients with a diagnosis of 'noncardiac chest pain'. 665 70

Transcutaneous electrical nerve stimulation (TENS) of the nervi cutaneus surae medialis was applied to 59 healthy subjects and 30 patients suffering from chronic myofascial pain in one lower limb, with an intensity of current that induced a well tolerated tingling sensation. Each period of stimulation lasted 24 minutes. The thresholds of the tactile, tingling and painful sensations were tested at fixed intervals before, during and after stimulation. Trains of constant current square waves in the distribution area of the stimulated nerve (local thresholds) and in other areas (general thresholds) were used. In all subjects repeated changes of the current were necessary in order to maintain constant tingling during the first period of TENS (changing phase); after that few if any changes of the current were necessary (steady phase). There were changes in thresholds within the territory of the electrically stimulated nerve, and marked changes elsewhere and generally in the body. In healthy subjects local thresholds increased during both phases of TENS; general thresholds decreased during the changing phase and increased during the steady phase. After TENS, thresholds showed the same trend as during the steady phase. Trends of the sensory thresholds during and after TENS differed in different subjects according to their thresholds before TENS. Thresholds did not return to normal for more than 20 minutes after TENS. In the group of 30 patients there was a significant difference between thresholds on the two sides of the body. The difference between the two sides was reduced by TENS. Pain relief induced by TENS may be related to this fact.
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PMID:Changes of cutaneous sensory thresholds induced by non-painful transcutaneous electrical nerve stimulation in normal subjects and in subjects with chronic pain. 697 55

Percutaneous electrical stimulation (PES) for relief of acute postoperative pain was applied in 10 patients after cesarean section and in 20 women who had undergone various gynecological operations. Thirty other women, subjected to identical surgical interventions, served as controls. In the latter group, the electrodes were attached to a nonfunctioning apparatus. In all patients, including the controls, the two electrodes were introduced intradermally, one on each side of the incision. Implantation was carried out at the end of the surgical procedure while the patient was still anesthetized, and stimulation was commenced immediately. The electrical stimulation was applied continuously for 1 to 3 postoperative days. The generation of pulses was perceived by the patients as a tingling sensation. Complete pain relief was obtained in 40% of the patients treated with PES, whilst in 27% the pain was markedly diminished. Postoperative analgesic medication in this group was reduced by 50-80% as compared to the analgesic requirements in the control group. Other beneficial effects observed in the treated patients included early ambulation, early peristalsis, postpartum uterine contractions and absence of respiratory complications.
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PMID:Postoperative analgesia by percutaneous electrical stimulation in gynecology and obstetrics. 697 67

We report a case of very slowly progressive, high-cervical spondylotic myelopathy with symmetrical deep sensory deficits in the palms. A 76-year-old man began to feel tingling sensation in the second fingers of the bilateral hands 30 years prior to admission. The abnormal sensation spread from the first to the third fingers, and subsequently all over the palms. He noticed intermittent sharp pain in the dermatomes of C4 and 5 bilaterally from his late sixties, and later he developed clumsiness of fine finger movements. In recent years he experienced stiffness in the thighs while walking. On neurological examination, there was a mild sensory deficits in light touch over the bilateral palms, while perception of temperature and pain was normal. Vibration sense was severely and position sense mildly impaired. Discriminative sensation, including graphesthesia, stereognosis, two-point discrimination and texture recognition, was severely impaired over the bilateral palms. On the other hand, all modalities of sensation were normal in the lower limbs. Gross motor dysfunction, such as weakness of limbs, amyotrophy or gait disturbance, was not present. He did not show limb ataxia, but the dexterity of his fingers was severely impaired. Deep tendon reflexes were mildly increased except for the Achilles tendons that were hyporeactive. Plantar responses were flexor bilaterally. Nerve conduction study revealed giant F waves and H reflexes by stimulations of the median and ulnar nerves bilaterally.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[A case of very slowly progressive, high-cervical spondylotic myelopathy presenting with symmetric deep sensory deficits in the palms]. 754 39

Five patients suffering from painful alcoholic neuropathy showed severe painful sensory disturbance in their extremities. Although their pain was not ameliorated by the typical usual analgesic agents, oral mexiletine (MX) therapy was remarkably effective for the pain (especially tingling and aching sensation) without major side effects. This study indicated that the minimum effective dose was 300 mg per day and the effective concentration of MX in plasma was 0.66 +/- 0.15 micrograms/ml in these patients. Thus, oral MX therapy can be a reliable treatment for pain in alcoholic neuropathy.
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PMID:Mexiletine for painful alcoholic neuropathy. 754 47

Meralgia paresthetica (Bernhart-Roth Syndrome) is characterised by pain, burning, or tingling paresthesias, and decreased touch and pain sensation on the anterolateral aspect of the thigh. It is due to neuropathy of the lateral femoral cutaneous nerve (LFCN). Conservative treatment is usually successful in relieving the symptoms in most of the patients. We describe two patients who required surgical treatment for intractable symptoms. Although neurolysis with transposition is the most common procedure, we preferred neurectomy with excision of a portion of the LFCN for its very low recurrence rate as opposed to neurolysis. The area of anesthesia generated by this procedure in the distribution of the LFCN tends to shrink with time. Moreover, this pathology, to our knowledge, has not been reported much in the African literature.
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PMID:Meralgia paresthetica: a report on two cases treated surgically. 755 97


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