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Effectiveness of camphor oil application on reduction of joint pain among menopausal women at selected rural areas,  Coimbatore

Effectiveness of camphor oil application on reduction of joint pain among menopausal women at selected rural areas, Coimbatore

Adedapo. B. Ande, et al. (2011) performed a descriptive cross-sectional study on Features and perceptions of menopausal women in Benin City, Nigeria. In this study 648 women were selected by random sampling technique. The data was collected by using a structured questionnaire. The result shows that the ages of the women studied ranged between 47 and 78 years; mean 57.4 ± 6.3 years. 346 (64.9%) were no longer sexually active. Joint pains (287; 53.8%), hot flushes (272; 51%) and night sweats (22; 42%) were the most common symptoms believed to be related to menopause. The result showed that 302 women (56.7%) actually suffered at least one of the menopause symptoms. Joint pains (52.9%), hot flushes (43.3%) and night sweats (29.8%) were the commonest symptoms experienced. Freedom from monthly bleeding (50.7%) was the most commonly reported advantage of menopause
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Arthrocentesis versus conservative treatments for TMJ dysfunctions: A preliminary prospective study

Arthrocentesis versus conservative treatments for TMJ dysfunctions: A preliminary prospective study

erature are: dislocation of the articular disc with or with no reduction, limitations of mouth opening originating in the joint, joint pain and other internal derangements of the TMJ. 5,7 Arthrocentesis is also indicated for closed lock,, open lock, synovitis, rheu- matoid arthritis, osteoarthritis and adhe- sions. 8 Arthrocentesis is now increasingly recognized as first line surgical intervention in patients who do not respond to conser- vative management. The physical action of lyses and lavage in the superior joint space rather than repositioning the disc is thought
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PREVALENCE OF HYPERMOBILITY IN CHILDREN AGED 6 14 YEAR

PREVALENCE OF HYPERMOBILITY IN CHILDREN AGED 6 14 YEAR

Joint hypermobility, defined as a more-than-normal range of movement in a joint, is either localized or generalized. The tightness or the restraining ligaments determine the maximal range of movement of a joint. Thus, the primary cause of hypermobility is ligamentous laxity. [1] The genetic make-up of an individual determines the extent of generalized joint hypermobility. Ligamentous extensibility is a result of changes in the connective tissue like collagen, elastin, fibrillin, and tenascin. [2] Experts estimate that up to 10% of the general population may have some degree of hypermobility with women affected about three times more often than men due to relaxin hormone. Hypermobile who do suffer chronic joint pain and other symptoms related to hypermobility or due to looseness of other tissues often accompanies hypermobility have a condition called joint hypermobility syndrome. Often, people who suffer from hypermobility syndrome are hypochondriacs or lazy as they avoid many daily activities due to pain. [3] Females are three times more likely to be hypermobile compared to males at any age and hypermobility decreases with increasing age due to tissue stiffening. The reduction in joint hypermobility is more rapid during childhood, lesser in teenage & very slow during adult life. The non-dominant side is typically more hypermobile than the dominant side. [4]
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A COMPARATIVE STUDY OF CHITRAKADI CHURNA WITH RASNAPANCAKA KVATHA IN THE MANAGEMENT OF AMVATA   CHIKITSA SIDDHANTA .......

A COMPARATIVE STUDY OF CHITRAKADI CHURNA WITH RASNAPANCAKA KVATHA IN THE MANAGEMENT OF AMVATA CHIKITSA SIDDHANTA .......

the groups significant reduction in all symp- toms was noticed but mean grade score of each symptom was less in Group- A as compare to group- B expect loss of appetite, constipation and fever. Average mean grade score of joint pain, lethargy, bodyache, loss of appetite, heaviness in pericardial region, constipation,joint swelling, joint stiffness in group B were reduced much faster than Group- A. In Group-A, joint pain, lethargy, bodyache, loss of appetite, heaviness in per- icardial region, constipation, joint swelling, joint stiffness, fever were reduced by 31.25%, 35.71%, 27.65%, 64.28%, 23.07%, 67.34%, 32.65%, 21.62%,76.00% respec- tively.In Group-B, joint pain, lethargy, bod- yache, loss of appetite, heaviness in pericar- dial region, constipation,joint swelling, joint stiffness were reduced by 55.81%, 58.82%, 51.21%, 61.11%, 48.38%, 48.78%, 50.00%, 43.58% , 61.90% respectively.In Group-A, 15(75.00%) patient got mild relief, 03(15.00%) patients got moderate relief and 02(10.00%)patient got poor relief. In Group-B, 08(40.00%) patients got mild re- lief and 12 (60.00%) patients got moderate relief.
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Prevalence of facet joint pain in chronic spinal pain of cervical, thoracic, and lumbar regions

Prevalence of facet joint pain in chronic spinal pain of cervical, thoracic, and lumbar regions

local or paramedian tenderness over the area of the facet joints, and reproduction of pain with deep pressure. Blocks were performed with intermittent fluoroscopic vis- ualization using a 22-gauge, 2-inch spinal needle at each of the indicated medial branches in the cervical and tho- racic spine, and with a 22-gauge, 3.5-inch spinal needle at each of the indicated medial branches at the L1–L4 levels and the L5 dorsal ramus at the L5 level of the lumbar spine. All blocks were performed by one physician (LM). Target points were identified as described by Bogduk [28]. Intravenous access was established and light sedation with midazolam was offered to all patients. Each facet nerve was infiltrated with 0.5 mL of 1% lidocaine or 0.25% bupivacaine. A positive response was defined as at least 80% reduction of pain with previously painful movements as assessed using a verbal analog type of pain rating scale. Following each block, the patient was exam- ined and asked to perform previously painful movements. To be considered positive, pain relief from a block had to last at least 2 hours when lidocaine was used, and at least 3 hours, or greater than the duration of relief with lido- caine, when bupivacaine was used. Any other response was considered as a negative outcome.
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Consumption of an aqueous cyanophyta extract derived from <em>Arthrospira platensis</em> is associated with reduction of chronic pain: results from two human clinical pilot studies<div><br /></div><div><br /></div>

Consumption of an aqueous cyanophyta extract derived from <em>Arthrospira platensis</em> is associated with reduction of chronic pain: results from two human clinical pilot studies<div><br /></div><div><br /></div>

Two human clinical pilot studies were conducted on healthy human subjects with well-defined areas of moderate chronic joint pain affecting their activities of daily living. For both studies, 12 study participants were enrolled after obtaining written informed consent, as approved by Sky Lakes Medical Center Institutional Review Board (FWA 2603). Inclusion criteria were subjects of either sex, 45–75 years of age, eating a balanced Western diet, with .6 months of chronic pain in well-defined anatomical area(s) involving joints. Exclusion criteria were recent trauma that would affect pain scoring and recent changes in diet, supplements, or medication that could potentially affect joint health and pain scores. Daily consump- tion of over-the-counter pain medication and supplements that may be beneficial to joint health was not an exclusion criterion; however, subjects were instructed to maintain this consumption constant during the study.
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Musculoskeletal Pain, Physical Function, and Quality of Life After Bariatric Surgery

Musculoskeletal Pain, Physical Function, and Quality of Life After Bariatric Surgery

Associations between joint pain and MBS. Percent change in BMI indicates a 10% reduction in BMI. Depressive symptoms were de fi ned as clinical-range depressive symptoms by using a suggested total score of . 17 as a conservative cut point on the BDI-II. Comorbidities included hypertension, dyslipidemia, fatty liver disease, obstructive sleep apnea, chronic kidney disease, pseudotumor cerebri, polycystic ovary syndrome, asthma, gastroesophageal re fl ux disease, and stress urinary incontinence; a composite load score was computed from the total number for comorbidities for each participant. Musculoskeletal joint pain was de fi ned as any reported level of lower back, hip, knee, or ankle and/or foot pain. LE joint pain was de fi ned as any reported level of hip, knee, or ankle and/or foot pain.
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Comparative effectiveness of open versus minimally invasive sacroiliac joint fusion

Comparative effectiveness of open versus minimally invasive sacroiliac joint fusion

In conclusion, both the open and MIS sacroiliac joint fusion techniques resulted in statistically and clinically significant improvement for patients with sacroiliac joint pain refractory to nonoperative management who had a temporary response to image-guided diagnostic/therapeutic block. However, MIS sac- roiliac joint fusion resulted in at least four-fold improvement in ODI scores over the open technique (median 44 versus 9, respectively). Additionally, nearly 40% more patients in the MIS group reached MCID, and the surgical times and hospital stays were significantly reduced. Surgeons who treat sacroiliac disorders via their surgical technique of choice are encouraged to report their case series using the ODI and attempt to charac- terize their patient cohorts as much as possible. This will allow the different techniques to be compared in the future.
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 HOW TO LIVE WITH RHEUMATOID ARTHRITIS???

 HOW TO LIVE WITH RHEUMATOID ARTHRITIS???

Rheumatoid Arthritis (RA) is a chronic auto-immune disease characterized by painful inflammation of the joints and surrounding tissues, leading to long term disability. Rheumatoid arthritis can begin at any age but has its peak between 35 to 55 years of age. RA shows hereditary linkage. Women and smokers are most often affected. The patient doesn’t feel any symptoms during inactive state of the disease. RA progresses in a symmetrical pattern involving both the sides of the body. Once rheumatoid arthritis is confirmed by diagnosis, treatment should start as early as possible. The treatment for rheumatoid arthritis focuses initially on reducing the joint inflammation and pain with the use of analgesics and anti-inflammatory agents. In the next stage, joint function is restored by administering Disease Modifying Anti-rheumatic Drugs (DMARDs) thus preventing joint deformity. Treatment is generally based on the degree of severity of RA. Patients with mild RA are advised to take rest and are prescribed analgesics and anti-inflammatory medicines, which include fast acting drugs like NSAIDs. Slow acting drugs like (DMARDs) such as methotrexate, sulfasalazine, lelflunomide etc., and Body’s reaction modifiers (BRMs) such as rituximab, anankinra, infliximab etc., are reserved for patients suffering from moderate to severe RA. The patient is advised to undertake regular exercises like walking, stretching, swimming or cycling, which are aimed at reducing body weight. The patient suffering from arthritis can carry out his normal day-to-day activities with the help of proper medication and regular exercise.
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A model of impairment and functional limitation in rheumatoid arthritis

A model of impairment and functional limitation in rheumatoid arthritis

Inquiries into physical disability in RA, needing to weigh the influence of numerous variables interacting over time in complex ways, benefit from a conceptual framework, or model [8]. A model informs research by clarifying the relationships between variables, and facilitates communi- cation of ideas related to the research in question [9]. In studying the development of disability in RA, we pro- posed a theoretical framework [10], which we based on the disablement process that occurs with aging [8]. Ini- tially based on purely theoretical grounds, our model pro- posed strategies to quantify the four sequential stages of the main disease-disability pathway in RA: pathology → impairment → functional limitation → physical disability [10]. A useful device to facilitate the understanding of these stages of disablement, is to think of them in terms of the level at which they occur, and can be quantified. Thus, pathology occurs at the level of molecules, cells, or tissues, and is measured using tests such as the erythrocyte sedi- mentation rate, the C-reactive protein concentration, cytokine expression patterns, or images of the joints obtained with X-ray or MRI. Impairments are dysfunctions or structural abnormalities that occur at the level of organs or organ systems. They include signs and symptoms of disease such as pain, morning stiffness, joint tenderness, swelling and deformity. Functional limitations are restric- tions in basic physical or mental actions, and they involve the whole person. Although they can be measured in a number of different ways, we have chosen to use perform- ance-based functional tests such as the grip strength, walk- ing velocity and the timed shirt-button test to measure functional limitations [11]. Disability involves difficulty with a physical or mental activity, within a social context. The measurement level therefore should include the per- son and the societal environment. We have used self report measures of physical disability such as the Health Assessment Questionnaire, or the physical function scale of the SF-36, to measure physical disability [12].
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A CLINICAL STUDY OF GOMUTRA BHAVITA LEKHANIYA MAHAKASHAYA IN THE MANAGEMENT OF OBESITY .......

A CLINICAL STUDY OF GOMUTRA BHAVITA LEKHANIYA MAHAKASHAYA IN THE MANAGEMENT OF OBESITY .......

wagni mandya, leads to excessive deposition of fat in body leads to obesity. In the past few years there has been a dramatic increase in obe- sity and obesity related health hazards. At pre- sent in India about 30 million Indians are obes e. It is predicted to double in the next 5 years. Easy access to high-calorie packaged foods, con- sumption of more calories than one can burn out by exercise, lack of exercise, sedentary lifestyles have resulted in almost 70% Indians in mega- cities such as Mumbai, Delhi, Bangalore or Chennai being overweight or obese. Obese indi- viduals are at increased risk of morbid- ity/mortality from type 2 diabetes, hypertension, coronary artery disease (CAD), cancer (particu- larly colon, prostate, and breast cancer), sleep apnoea, degenerative joint disease, thromboem- bolic disorders, and dermatologic disorders [4].
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A Study on Udhira Vatha Suronitham

A Study on Udhira Vatha Suronitham

Synovial Joints are highly evolved articulations which permit free movements. Because the human lower limbs are concerned with locomotion and the upper limbs provide a great versatility of movements, it is not surprising that most of the joints are of the synovial type. The integrity of a synovial joint results from its ligaments and capsule which bind the articulation externally and to some extent from the surrounding muscles. The contiguous bony surfaces are covered with hyaline cartilage and the joint cavity is surrounded by a fibrous capsule, the inner surface of which is lined by a synovial layer containing cells that are thought to secrete the viscous lubricating synovial fluid.
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Fabrication of Exoskelton

Fabrication of Exoskelton

mechanisms, such as reducers and chain belts, between the motors and their loads, and construct a simple mechanism (direct-drive) where the arm links are directly coupled to the motor rotors. This elimination can lead to excellent performance: no backlash, low friction, low inertia, low compliance and high reliability, all of which are suited for high-speed, high-precision robots. First we propose a basic configuration of direct-drive robots. Second a general procedure for designing direct-drive robots is shown, and the feasibility of direct drive for robot actuation is discussed in terms of weights and torques of joints. One of the difficulties in designing direct-drive robots is that motors to drive wrist joints are loads for motors to drive elbow joints, and they are loads for motors at shoulders. To reduce this increasing series of loads is an essential issue for designing practical robots. We analyze the joint mass system for simplified kinematic model of the direct-drive robots, and show how the loads are reduced significantly by using rare-earth motors with light-weight and high torque. We also discuss optimum kinematic structures with minimum arm weight.
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Temporomandibular Joint Dysfunction with Facial Pain in Children

Temporomandibular Joint Dysfunction with Facial Pain in Children

Temporomandibular joint dysfunction with myofascial pain, a well-known clinical disorder in adults, is reported in children.. Of these pediatric patients, 35% had a reactive depression a[r]

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<p>Effects of desensitizing dentifrices on the reduction of pain sensitivity caused by in-office dental whitening: a double-blind controlled clinical study</p>

<p>Effects of desensitizing dentifrices on the reduction of pain sensitivity caused by in-office dental whitening: a double-blind controlled clinical study</p>

There are different dentifrices on the market for attenu- ating tooth sensitivity. 19–22 In addition to this indication, such dentifrices may aid in reducing and/or eliminating dental sensitivity caused by the whitening treatment. Thus, desensitizing dentifrices can be an option to reduce the adverse effects of whitening agents 18–20 because they decrease the excitability of nerve fi bers present in the pulp or promote the obliteration of dentin tubules. 22 The reduction of excitability in the nerve fi bers occurs due to the diffusion of potassium salts through the enamel and dentin. The potassium salts reach the nerve endings and affect the transmission of the nerve impulses, 11,19 reducing or eliminating the pain through the action of substances containing potassium nitrate (PN). 21 On the other hand, the occlusion of dentinal tubules reduces the permeability of the dentin and blocks the hydrodynamic mechanism by means of substances containing sodium fl uoride (SF) or arginine and calcium carbonate (ACC). 21
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A Simple Approach of Low Back Pain

A Simple Approach of Low Back Pain

The long-term prognosis of LBP is generally good. In 2008, in Australian primary health care centers a cohort study was done on 973 patients with recent onset LBP to estimate the one-year prognosis and to identify the prognostic factors. This study found that 83% had mild or no pain, 86% had minimal or no disability at one year follow-up; however, only 72% had completely recovered [6]. In 2010, a survey was done on Australian general practice physicians (GP) about the application of LBP management guidelines showed that although the guide- lines discourage the use of imaging, over one-quarter of patients were referred for imaging [6], and while the guidelines recommend that initial care should focus on advice and simple analgesics, only 20.5% received ad- vice and 17.7% of patients received analgesics. The analgesics provided were typically non-steroidal anti-in- flammatory drugs (37.4%) and opioids (19.6%). This indicates that the usual care provided by GPs for LBP does not match the care endorsed in international evidence-based guidelines and may not provide the best outcomes for patients. The unendorsed care may contribute to the high costs of managing LBP, and possibly to the fact that some aspects of the care provided carry a high risk of adverse effects [7].
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				Cupping therapy in pain management- A review

← Return to Article Details Cupping therapy in pain management- A review

Pain is the most common reason for seeking therapeutic alternatives to conventional medicine 1 . Raktamokshan is accepted as half of the therapeutic measure in Shalyatantra like Basti in Kayachikitsa 2 . Raktamokshan is one of the fascinating and satisfactory answer for many diseases. Shring and Alabu therapy mentioned in Ayurveda for Raktamokshan can be correlated with cupping which is a modified form of Shring and Alabu therapy 3 .

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2587.pdf

2587.pdf

We also assessed patients for a 'clinic'illy significant reduction in pain' by looking at their ability to have intercourse, and a 50% reduction in intercourse related pain post treatm[r]

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Cervical spine pain and its association with shoulder joint problems

Cervical spine pain and its association with shoulder joint problems

in adult populations have concerned different occupational groups, and the main interest has focused on work-related risk factors. On the other hand, shoulder pain is a common clinical symptom and a notable cause of work disability and health care costs (Silverstein B, et al., 2002). Shoulder pain is as common as neck pain with a prevalence in the general population as high as 6-11% under the age of 50 years, increasing to 16-25% in the elderly people (Luime JJ, et al., 2004). Rotator cuff disease and impingement syndrome are terms used synonymously with shoulder pain and these conditions have an unfavourable outcome in many patients and may impose a burden on the individual and society (van der Windt DA, et al 1996). The prognosis of shoulder pain may be influenced by different factors or a combination of factors such as sociodemographics, genetics, psychological, personal traits, occupational factors, work status, characteristics of the shoulder pain, use of medication, and treatment (Kennedy CA, et al., 2006). Potential risk factors related to physical load on the shoulder include heavy work load, awkward postures (for example, with trunk flexed forward), repetitive movements, vibration, work with elevated arms or working with arms above shoulder level, monotonous repetitive work, forceful exertions, pushing and pulling, carrying loads supported by the shoulder and duration of employment. Consistent findings were found for repetitive movements, vibration, and duration of employment (van der Windt DA, et al., 2000; Hoozemans MJM, et al., 2002). Nearly all studies that assessed psychosocial risk factors reported at least one positive association with shoulder pain, but the results were not consistent across studies for either high psychological demands, poor control at work, poor social support, or job dissatisfaction (van der Windt DA, et al., 2000). Shoulder pain may also reflect shoulder joint disorders such as adhesive capsulitis, synovitis, glenohumeral instability,
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Prolonged Fever, Diarrhea, Abdominal Pain, and Joint Pain in a 9-Year- Old Boy

Prolonged Fever, Diarrhea, Abdominal Pain, and Joint Pain in a 9-Year- Old Boy

inflammatory bowel disease should all be ruled out. Infections are often at the top of the differential diagnosis list because they are common identi fi able causes of prolonged fever. 3,4 With 12 days of fever, abdominal pain, and diarrhea, bacterial and parasitic causes of diarrhea (Salmonella, Shigella, Campylobacter , Yersinia, and Clostridium difficile) should be considered. In addition, given the new history of joint pains, reactive arthritis should be considered. Dr Mandelia, Infectious Disease Infections are a primary consideration for febrile illness and are a cause of prolonged fever 16% to 79% 5,6 of the time. Aside from a viral illness like infectious mononucleosis, bacterial infections like enteric fever, tuberculosis, bartonellosis, 7 and brucellosis should also be considered. Liver abscesses, hepatitis, spinal infections, and pyelonephritis are also important to consider in a patient with prolonged fevers and abdominal symptoms. With the joint pains, it is pertinent to obtain a history of travel to areas endemic to Lyme disease. Lastly, Kawasaki disease (KD) needs to be considered and has been described in the literature in this age group as case reports. 8
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