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

The reporting of pain was compared for U.K. Persian Gulf War veterans, veterans from the Bosnian conflict, and personnel employed in the military at the time of the Persian Gulf War but not deployed (era comparison group). Pain manikins were used to assess the prevalence of the reporting of pain in different body sites and the prevalence of the reporting of widespread pain, in relation to comparison samples. Data from > 8,195 veterans were collected from a previously reported, cross-sectional, population-based, postal questionnaire survey. A greater proportion of Persian Gulf War veterans reported pain in the majority of the 25 areas of the body, compared with the Bosnia and era comparison groups. A greater proportion of Persian Gulf War veterans also fulfilled American College of Rheumatology criteria for widespread pain, compared with the Bosnia and era comparison groups (odds ratio, 1.82; 95% confidence interval, 1.51-2.20). Participants were much more likely to report pain in an opposite limb if pain was reported in the first limb (odds ratio, 36.9; 95% confidence interval, 31.7-43.0). Widespread pain was also more prevalent in the Persian Gulf War veteran sample compared to the comparison groups. Several years after the end of the Persian Gulf War, veterans still report pain. The mechanisms of this remain unclear. Implications for baseline monitoring of the health of military personnel are discussed.
Mil Med 2006 Dec
PMID:Prevalence of reported pain, widespread pain, and pain symmetry in veterans of the Persian Gulf War (1990-1991): the use of pain manikins in Persian Gulf War health research. 1725 78

The purpose of this investigation was to evaluate the reduction in perceived pain in patients with myofascial pain (MFP) using a group cognitive behavior therapy (CBT) course. Twenty-six participants diagnosed as having MFP were enrolled. Each CBT session had a small-group format, where participants received instruction in habit reversal, stress management, and progressive relaxation. Participants served as their own control subjects and were surveyed for pain intensity, duration, and frequency at study enrollment, before attending the CBT course, and 2 to 3 weeks after course completion. Wilcoxon signed-rank tests revealed that changes in intensity, frequency, and duration were significant (p < 0.001 to p < 0.045). Thirty-three percent of the participants showed improvement with home care instructions before CBT course start, whereas 65% of the participants showed improvement after the CBT course. Participants attending CBT group training exhibited significant improvements in MFP intensity, frequency, and duration, compared with levels reported at the initial evaluation.
Mil Med 2007 Feb
PMID:Efficacy of group cognitive behavior therapy for the treatment of masticatory myofascial pain. 1735 72

This study aimed to identify the types, incidence, and causes of any potential load carriage injuries or discomfort as a result of a 2-hour, forced-speed, treadmill march carrying 20 kg. Subjective load carriage data were collected, through both interviews and questionnaires, from relatively inexperienced soldiers after a period of load carriage. Results from the study showed that the upper limb is very susceptible to short-term discomfort, whereas the lower limb is not. The shoulders were rated significantly more uncomfortable then any other region, and blisters were experienced by approximately 60% of participants. Shoulder discomfort commences almost as soon as the load is added and increases steadily with time; however, foot discomfort increases more rapidly once the discomfort materializes. In conclusion, early development of shoulder pain or blisters may be a risk factor for severe pain or noncompletion of a period of prolonged load carriage.
Mil Med 2007 Mar
PMID:Initial subjective load carriage injury data collected with interviews and questionnaires. 1743 77

Corneal abrasions are a common result of eye trauma. Although they usually heal well with conservative therapy, they still tend to be a source of morbidity, in terms of pain and lost work time. We reviewed 15 cases in which a bandage contact lens was used as the primary treatment for corneal abrasions in an austere environment. We found that the lenses performed well, except for patients who had undisclosed risk factors for corneal ulcers at the outset. When used for carefully selected patients, bandage contact lenses may be a highly effective treatment modality that allows for rapid return to duty.
Mil Med 2007 Apr
PMID:Experience with bandage contact lenses for the treatment of corneal abrasions in a combat environment. 1748 14

Sternal wound complications after sternotomy carry significant morbidity and mortality rates. Sternal fractures attributable to blunt trauma may cause incapacitating pain or may be plagued by symptoms resulting from chronic nonunion. A sternal fixation system has been developed and used successfully for the management of poststernotomy complications, as well as for symptomatic fractures and fracture nonunion. This article reports the successful use of this technique for three patients at our institution. The use of rigid sternal fixation could potentially be extended to include primary sternotomy closure in patients at high risk for sternal dehiscence and nonunion. This technique may also substitute for sternal rewiring in the initial management of poststernotomy complications.
Mil Med 2007 Oct
PMID:The use of rigid sternal fixation for complex poststernotomy wounds and a military-unique fracture at an Army medical center. 1798 80

This article describes the circumstances surrounding an intense, constant pain in the temporal region (visual analog scale 9-10) experienced by a 22-year-old combat officer in the Israel Defense Forces following a mild facial injury. The officer's wound included penetration of shrapnel particles into the facial skin, causing severe pain. Evaluations performed by a general surgeon, neurologist, psychiatrist, and otorhinolaryngologist did not reveal the source of this pain. Finally, a dental examination revealed that shrapnel had penetrated into the intraoral buccal mucosa near the right upper first molar. A "cold test" indicated the need for endodontic treatment of this tooth. After the treatment was completed, the patient's headache disappeared immediately, and the patient did not experience pain during a 6-month follow-up period. This case emphasizes the need for a dental surgeon to perform a meticulous intraoral examination in cases involving facial wounds.
Mil Med 2007 Dec
PMID:The role of the military dental surgeon in treating facial injuries: a case report. 1827 30

This study evaluated the capacity of a screening test to predict discharge from military training. When starting their training, 590 artillery and 258 ranger conscripts were tested in step-up, step-down, rising from a 0.40-m-high bench, and bilateral squat tests, with pain intensity ratings. Ranger conscripts who did not complete their training were noted. The rising test identified 82% and the step-down test 81% of artillery conscripts who reported pain at any level during any of the screening tests. Receiver operating characteristic curve analysis revealed that both the step-down test and the rising test were good in predicting discharge from military ranger training because of knee problems. The step-down test identified 80% of ranger conscripts who did not complete training because of knee disorders. The tests constitute a simple, time-saving, cost-effective tool in a systematic process for screening knee pain to identify high-risk groups, for prioritization of interventions.
Mil Med 2008 Mar
PMID:Screening tests detect knee pain and predict discharge from military service. 1841 28

A casual comment made regarding the amount of "mole skin" being dispensed to airmen to handle blisters, pressure points, and foot pain led to the development of an impromptu voluntary survey in an attempt to quantify the number of personnel with foot care concerns and the spectrum of those problems. With only a small number of sick call visits related to foot and ankle problems, the amount of mole skin being dispensed was surprising. This survey represents the results of a comprehensive evaluation of a base population involved in support of the first 2 months of Operation Iraqi Freedom.
Mil Med 2008 Apr
PMID:A survey of deployed foot problems in a desert environment. 1847 25

An extensive cross-sectional questionnaire was used to estimate the prevalence of neck pain and to identify risk factors (short term to long term) in the occurrence of neck pain in military office workers. Two standardized scales (Neck Disability Index and Tampa Scale for Kinesiophobia) allowed assessment of the impact of neck pain on the person's life and the pain-related fear avoidance. A total of 629 completed questionnaires were evaluated which revealed the following: lifetime prevalence (78%), week prevalence (53%), point prevalence (59%), year prevalence (65%) (once-only, 19%; regular, 51%; long term, 15%; never, 7%). The results of this study provided support for the role of physical and psychosocial job characteristics in the etiology of neck pain in military office workers.
Mil Med 2008 May
PMID:Prevalence and risk factors of neck pain in military office workers. 1854 69

Retrorectal tumors are rare and frequently present either incidentally or with vague symptoms. Schwannomas of the presacral region are one variant described as benign tumors of neurogenic origin. The "ancient degenerative variant" is uncommonly reported. We present the case of a 37-year-old man presenting with symptoms of left renal colic, impotence, and left trochanteric pain. Computed tomography and magnetic resonance imaging of the pelvis showed a presacral mass with cystic changes and calcifications consistent with a schwannoma. The patient underwent an exploratory laparotomy with resection of the tumor, which subsequent analysis showed to be a schwannoma with ancient degenerative changes.
Mil Med 2008 Aug
PMID:Atypical presentation of a retrorectal ancient schwannoma: a case report and review of the literature. 1875 4


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