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

Total rectal prolapse is a disabling disease. The aim of this study was to evaluate pain management, hospital stays, constipation, and continence status among military personnel who underwent laparoscopic surgery. Forty patients (mostly men) underwent laparoscopic rectopexy (LR) or laparoscopic resection rectopexy (LRR). Colonic transit time, postoperative pain scores, preoperative and postoperative anal function, and changes in constipation were assessed. The median operation times for LR and LRR were 126 and 223 minutes, respectively. The median postoperative hospital stays were 3 and approximately 6 days for LR and LRR, respectively. Patients needed fewer analgesics in a short postoperative period. However, there was no difference between the two groups in analgesic requirements. Continence improved for approximately 71% of patients, but constipation was treated for 50% of affected patients. No recurrences were noted in the follow-up periods, which were 13 and 22 months for the LRR and LR groups, respectively. The quality of life for the patients who underwent LR was not as good as that for the patients who underwent LRR, at the end of 1 year. We eliminated total rectal prolapse and almost cured incontinence by using laparoscopy, although the disadvantageous aspects were long operation times and suboptimal healing with respect to constipation and related symptoms. LRR is the more feasible procedure, with the emphasis on elimination of incontinence and constipation, producing a better quality of life for patients, in addition to short hospitalizations, necessity for analgesia for a short time, and return to hard training field activities in a short time among military personnel.
Mil Med 2005 Sep
PMID:The impact of laparoscopic resection rectopexy in patients with total rectal prolapse. 1626 77

The objective of this magnetic resonance imaging study was to evaluate the role of degenerative changes, developmental spinal stenosis, and compression of spinal nerve roots in chronic low back (CLBP) and radicular pain in Finnish conscripts. The degree of degeneration, protrusion, and herniation of the intervertebral discs and stenosis of the nerve root canals was evaluated, and the midsagittal diameter and cross-sectional area of the lumbar vertebrae canal were measured in 108 conscripts with CLBP and 90 asymptomatic controls. The midsagittal diameters at L1-L4 levels were significantly smaller in the patients with CLBP than in the controls. Moreover, degeneration of the L4/5 disc and protrusion or herniation of the L5/S1 disc and stenosis of the nerve root canals at level L5/S1 were more frequent among the CLBP patients. Multifactorial analysis of the magnetic resonance imaging findings provided a total explanatory rate of only 33%. Narrowing of the vertebral canal in the anteroposterior direction was more likely to produce CLBP and radiating pain than intervertebral disc degeneration or narrowing of the intervertebral nerve root canals.
Mil Med 2005 Nov
PMID:Narrowing of lumbar spinal canal predicts chronic low back pain more accurately than intervertebral disc degeneration: a magnetic resonance imaging study in young Finnish male conscripts. 1645 Aug 19

Pain is protective in stress fractures. Its presence usually signals to the trainee to decrease or halt training. This prevents a microstress fracture from progressing into a macrofracture. A case is presented in which an infantry recruit sustained a displaced femoral diaphyseal stress fracture which was totally asymptomatic until the bone broke in the middle of a run.
Mil Med 2006 Jan
PMID:The completely asymptomatic displaced femoral stress fracture: a case report and review of the literature. 1653 71

Diagnosis and management strategies for shin splints in active duty military populations closely resemble those in civilian athletic populations. There is a paucity of evidence supporting the use of many of these interventions. The purpose of this study was to present data on the Shin Saver orthosis as a treatment for shin splints in an active duty military population and to review current condition management. Twenty-five subjects diagnosed with shin splints by a U.S. Army physical therapist were randomly assigned to a shin orthosis treatment group or a control group. There was no significant difference between treatment and control groups in days to finish a 0.5-mile run pain free. Visual analog scales for pain at intake versus after 1 week of relative rest revealed no significant improvement in symptoms in either group. Current best-practice guidelines support a treatment program of rest, cryotherapy, and a graduated walk-to-run program.
Mil Med 2006 Jan
PMID:A randomized controlled trial of a leg orthosis versus traditional treatment for soldiers with shin splints: a pilot study. 1689 42

The aim of this study was to set up a statistical measure for determine the total cumulative noise exposure of Finnish conscripts (n = 1,054) as a result of leisure-time noise activities. All of the conscripts underwent hearing screening. The conscripts' time in noisy activities and their rating of the loudness and estimated noise levels of the activities were used as the predictors in the risk analysis. Self-reported hearing symptoms (i.e., tinnitus, pain in the ear) and hearing loss due to noise exposure were also inquired about. Twenty-seven percent of the conscripts had weekly noise exposure to > 85 dBA. Approximately 20% of the conscripts had >20 dB hearing loss in either ear in the frequency range of 0.5 to 8 kHz. The incidence of hearing symptoms seemed to correlate with an increased noise dose.
Mil Med 2006 Feb
PMID:Estimated leisure-time noise exposure, hearing thresholds, and hearing symptoms of Finnish conscripts. 1657 78

Acquired focal dystonia is often precipitated by minor local traumatic injury, resulting in severe pain and disability. An active duty soldier with shoulder dystonia, after a fall, that responded partially to botulinum toxin A is described. Post-traumatic dystonia as a neurological illness is discussed, with emphasis on mechanisms, precipitating causes, differential diagnosis, and treatment implications for battlefield clinicians.
Mil Med 2006 Jun
PMID:Post-traumatic shoulder dystonia in an active duty soldier. 1680 27

Although the health benefits of exercise for individuals with Persian Gulf War veterans illnesses (GWVI) are documented, many of these individuals do not exercise regularly enough to obtain benefits. The purpose of this study was to investigate factors predicting exercise compliance among individuals with GWVI in a multicenter, randomized, clinical trial. Participants were 1,092 veterans who reported at least two of the following cardinal symptoms of GWVI: (1) fatigue, (2) musculoskeletal pain, and (3) cognitive problems. Participants received exercise alone or exercise and cognitive-behavioral therapy. The overall level of compliance was relatively low during the exercise treatment phase (46.2%) and decreased by one-half during the follow-up period (23.0%). Predictors of compliance during treatment included less pain and greater age, motivation, and body mass index. Predictors of compliance during the follow-up period included less pain and greater age. The results highlight factors that affect adoption and maintenance of physical activity in a population with GWVI.
Mil Med 2006 Sep
PMID:Predictors of exercise compliance in individuals with Gulf War veterans illnesses: Department of Veterans Affairs Cooperative Study 470. 1703 19

This pilot study used a randomized controlled clinical trial design to compare the effects of standard emergency medical care to auricular acupuncture plus standard emergency medical care in patients with acute pain syndromes. Eighty-seven active duty military personnel and their dependents with a diagnosis of acute pain completed the study, which was conducted in the emergency room (ER) at Malcolm Grow Medical Center, Andrews Air Force Base, Maryland. The primary outcome measure was change in pain level from baseline, as measured by the Numerical Rating Scale. Participants in the acupuncture group experienced a 23% reduction in pain before leaving the ER, while average pain levels in participants in the standard medical care group remained basically unchanged. (p < 0.0005). However, both groups experienced a similar reduction in pain 24 hours following treatment in the ER. More research is needed to elucidate treatment effects and to determine mechanisms.
Mil Med 2006 Oct
PMID:Auricular acupuncture in the treatment of acute pain syndromes: A pilot study. 1707 56

The aim of this study was to compare the psychological factors between young Korean conscripts with lumbar disc herniation (LDH) and healthy controls and to evaluate the interrelationships among pain, disability, and psychological factors in LDH conscripts. The subjects consisted of 56 young conscripts with LDH and 76 controls. All subjects completed Beck's Depression Inventory and Spielberger's State-Trait Anxiety Inventory. To evaluate pain intensity and functional disability, the Visual Analogue Scale and the Modified Oswestry Low Back Pain Disability Questionnaire were used. LDH conscripts had more depression and anxiety than the controls. The functional disability of the LDH conscripts was significantly related to the four variables: pain intensity, depression, state anxiety, and trait anxiety. Pain intensity and state anxiety significantly contributed to the functional disability in the LDH conscripts. This study suggests that LDH conscripts have some psychological problems, such as depression and anxiety, in comparison to healthy controls. Furthermore, the pain intensity and state anxiety predict the functional disability in LDH conscripts.
Mil Med 2006 Nov
PMID:Interrelationships among pain, disability, and psychological factors in young Korean conscripts with lumbar disc herniation. 1715 52

The purposes of this study were to assess the prevalence of temporomandibular disorders in Croatian war veterans suffering from post-traumatic stress disorder (PTSD) and to analyze the impact of the disease on mandibular function. One hundred eighty-two male subjects participated in the study. The examined group consisted of 94 subjects who had taken part in the war in Croatia and for whom PTSD had previously been diagnosed. Patients were compared with an age- and gender-matched group of subjects who had not taken part in the war and for whom PTSD was excluded by means of a psychiatric examination. The study used a clinical examination and standard questionnaire. Statistically significant differences were found in almost all measured parameters. With regard to restricted movements, overbite, and overjet, the differences obtained did not have clinical significance. The most significant differences were found in the parameters of pain. Headache was experienced by 63.83% of the subjects with PTSD, facial pain by 12.77%, and pain in the region of the jaw by 10.64%. Headache was the most intense pain, with an average intensity of 4.92 on a scale of 0 to 10. Pain on loading, temporomandibular joint clicking, and intrameatal tenderness were more prevalent in the PTSD group than in the healthy control group. The study supports the concept that PTSD patients are at increased risk for the development of temporomandibular disorder symptoms.
Mil Med 2006 Nov
PMID:The prevalence of temporomandibular disorders in war veterans with post-traumatic stress disorder. 1715 58


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