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

Time-limited (12 sessions) group psychotherapy was provided for 14 patients with a variety of serious medical illnesses. All patients were referred for psychiatric assistance and most had minimal or no psychiatric disorder. Patients not terminally ill, in continuous pain, or cognitively impaired, but otherwise unselected, were offered treatment. Emphasis was placed on validation of feelings, interpersonal understanding, and problem solving. Increased sense of well being was noted in all patients by self-report; this was contrasted by findings on the Millon Behavioral Health Inventory indicating generally sustained somatic concern. A moderate reduction in the number of visits to other clinics was noted during the treatment period. Although outcome data are incomplete, this appears to be a useful and cost-effective treatment for mixed groups of emotionally distressed medical patients.
Mil Med 1992 Oct
PMID:Emotional distress in chronic medical illness: treatment with time-limited group psychotherapy. 145 76

Exercise-induced exertional compartment syndrome was first described by Vogt in 1945 as "march gangrene." The authors report a case of a 20-year-old United States Marine presenting with the florid findings of acute crural compartment syndrome. The patient's history of prior episodes of crural pain following long hikes led the authors to conclude that this patient had a chronic exertional compartment syndrome.
Mil Med 1992 Mar
PMID:Exertional compartment syndrome in a Marine grunt. 147 Mar 65

The development, initiation, and evaluation of a decentralized pharmacy satellite within the operating room, requiring neither additional capital funding nor any major construction, is described. The satellite offers numerous programs to aid the operating room staff. Included in this effort is the complete management of all controlled substances within the operating room, post-anesthesia-care unit, and same-day-surgery unit. Pharmacists function as pharmaceutical resources playing a major role in the pain service unit. Success of the satellite is assessed via a number of parameters including staff survey response, quality assurance impact, and inventory management.
Mil Med 1992 May
PMID:Decentralized operating room pharmacy services in a military teaching hospital. 163 Jun 61

We have developed an ambulatory recorder capable of monitoring low back muscle tension, trunk motion, and ratings of pain and fatigue. It weighs 22 ounces, fits into a canteen belt, and records every second for 18 hours. Eleven subjects wore the recorder during all walking hours for between 3 and 5 days. Six subjects had chronic low back pain due to muscle tension, three experienced low back pain after labor, and two had no pain. Movement and muscle tension correlated highly when subjects were pain free but not when they were in pain. Muscle tension increased before pain was experienced.
Mil Med 1991 May
PMID:Development of an ambulatory recorder for evaluation of muscle tension-related low back pain and fatigue in soldiers' normal environments. 182 44

Medical personnel should be able to recognize vascular injuries. Knowing the key signs of ischemia, namely pallor, pulselessness, pain, paresis, and paresthesia and the soft signs of vascular injury will help to prevent limb loss.
Mil Med 1990 May
PMID:Recognition of vascular injury in the trauma patient. 211 86

Discharge summaries over a four-year period for 543 veteran inpatients treated for post-traumatic stress disorder (PTSD) were reviewed for the frequency and nature of medical problems. Results demonstrated that a majority, 60% of the sample, had an identified medical problem. Of those patients, 42% had multiple medical problems. One patient in four showed some type of musculoskeletal or pain problem. Eight per cent had sequelae from combat-related trauma. The results illustrate a high base rate with a wide variety of physical conditions among PTSD inpatients. This suggests that closer attention should be given to the interaction of medical problems with PTSD expressed symptomatology in future research or clinical treatment.
Mil Med 1989 Feb
PMID:Coexisting physical conditions among inpatients with post-traumatic stress disorder. 249 81

Persistent pain following trauma can lead to long-term disability. This article reviews the pain syndromes most commonly seen following trauma. These include myofascial pain, sympathetically maintained pain, and phantom pain syndromes. Early diagnosis and treatment is emphasized in order to minimize the development of secondary problems of physical dysfunction, emotional deterioration, and substance abuse. Treatment modalities appropriate to these syndromes are reviewed and include medical, anesthesiological, rehabilitative, and behavioral medicine approaches. With prompt diagnosis and referral to a multidisciplinary pain treatment center, most patients will experience significant decreases in their pain, allowing them to return to the workforce and resume a normal life.
Mil Med 1989 Feb
PMID:Persistent pain following trauma. 249 87

One hundred five military recruits were evaluated in our outpatient clinic for pain in the lower limb following prolonged sustained physical effort and strain. Plain x-ray investigations augmented by technetium-99m polyphosphate demonstrated the presence of 80 stress fractures in 52.4% of the patients. None of the patients had any anatomical abnormalities of the lower limbs. Of the stress fractures seen, 82.5% were located in the tibial and femoral diaphyses and 16.2% were in the small bones of the foot. Plain radiography gave false negative results in 87.3% of documented fractures. The remaining 47.6% of these recruits had no evidence of stress fractures. However, 74% of them had various anatomical deformities of the lower limb, mainly of the feet. Correction of these deformities enabled these patients to return to previous strenuous activities of their basic military training. The pathogenesis of stress fractures is still not understood. However, the development of persistent pain in the lower limb following prolonged sustained intensive physical activity needs further investigation. Anatomical deformities may be associated with development of stress fractures.
Mil Med 1989 Jun
PMID:Lower limb pain and disability following strenuous activity. 249 64

Because of evidence that topical phenytoin (PHT) can promote wound healing, we undertook pilot clinical trials to evaluate its effectiveness in treating decubitus ulcers that resulted from war-related wounds at Basrah Teaching Hospital, Basrah, Iraq. Prompt pain relief, decreased wound exudate and bacterial contamination, enhanced granulation tissue formation, and more rapid healing characterized the PHT group. Fifteen PHT-treated decubitus ulcer patients healed in 1-3 weeks (one graft) versus 6-8 weeks (five grafts) in the control group. In addition, 20 patients with missile wounds were treated with PHT in an open trial. Further trials of PHT in war-related wounds are indicated.
Mil Med 1989 Apr
PMID:Preliminary experience with topical phenytoin in wound healing in a war zone. 249 25

We studied a group of active duty military personnel with well-defined, lumbar discogenic, radicular pain syndromes. Our study group included 29 patients, 12 of whom required surgery during the study period. Three of the 29 patients had to be medically retired from active military service. Two patients required permanent limited-duty assignment and 10 others required prolonged (6 months or more) periods of limited duty. These findings highlight the significant adverse impact of lumbar disk disease on fitness for full active duty in military personnel.
Mil Med 1989 Oct
PMID:Lumbar disk disease in active duty military personnel. 251 75


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