45,881 results match your criteria cervical pain


Kinematics after cervical laminoplasty: risk factors for cervical kyphotic deformity after laminoplasty.

Spine J 2021 Jun 9. Epub 2021 Jun 9.

Department of Neurosurgery, Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea. Electronic address:

Background Context: Laminoplasty of the cervical spine is widely used as an effective surgical method to treat compressive myelopathy of the cervical spine; however, there is an adverse effect of kyphosis after surgery. The risk factors or predictors of kyphosis have not been sufficiently evaluated.

Purpose: To assess the risk factors for kyphosis following laminoplasty. Read More

View Article and Full-Text PDF

Using Item Response Theory to Identify Responders to Treatment: Examples with the Patient-Reported Outcomes Measurement Information System (PROMIS®) Physical Function Scale and Emotional Distress Composite.

Psychometrika 2021 Jun 12. Epub 2021 Jun 12.

Department of psychology, UCLA, Los Angeles, CA, 90095-1563, USA.

The reliable change index has been used to evaluate the significance of individual change in health-related quality of life. We estimate reliable change for two measures (physical function and emotional distress) in the Patient-Reported Outcomes Measurement Information System (PROMIS®) 29-item health-related quality of life measure (PROMIS-29 v2.1). Read More

View Article and Full-Text PDF

Papillary thyroid microcarcinoma with lung metastases: a case report and review of the literature.

Thyroid Res 2021 Jun 11;14(1):15. Epub 2021 Jun 11.

Division of Breast and Endocrine Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.

Background: Distant metastasis from papillary thyroid microcarcinoma (PTMC) is rare. Here we report a case of PTMC with multiple lung metastases.

Case Presentation: A 64-year-old man presented to our hospital with abdominal pain. Read More

View Article and Full-Text PDF

Development and Validation of a Three-Dimensional Printed Training Model to Teach Ultrasound-Guided Injections of the Cervical Articular Process Joints in Horses.

J Vet Med Educ 2021 Jun 11:e20200137. Epub 2021 Jun 11.

Intra-articular injections are routinely performed to alleviate pain and inflammation associated with osteoarthritis in horses. Intra-articular injections require accurate needle placement to optimize clinical outcomes and minimize complications. This study's objectives were to develop and validate a three-dimensional (3D) printed model of an equine cervical articular process joint to teach ultrasound-guided injections. Read More

View Article and Full-Text PDF

Augmented Package of Palliative Care for Women With Cervical Cancer: Responding to Refractory Suffering.

JCO Glob Oncol 2021 Jun;7:886-895

Department of Non-communicable Diseases, World Health Organization, Geneva, Switzerland.

The essential package of palliative care for cervical cancer (EPPCCC), described elsewhere, is designed to be safe and effective for preventing and relieving most suffering associated with cervical cancer and universally accessible. However, it appears that women with cervical cancer, more frequently than patients with other cancers, experience various types of suffering that are refractory to basic palliative care such as what can be provided with the EPPCCC. In particular, relief of refractory pain, vomiting because of bowel obstruction, bleeding, and psychosocial suffering may require additional expertise, medicines, or equipment. Read More

View Article and Full-Text PDF

Essential Package of Palliative Care for Women With Cervical Cancer: Responding to the Suffering of a Highly Vulnerable Population.

JCO Glob Oncol 2021 Jun;7:873-885

Department of Non-communicable Diseases, World Health Organization, Geneva, Switzerland.

Women with cervical cancer, especially those with advanced disease, appear to experience suffering that is more prevalent, complex, and severe than that caused by other cancers and serious illnesses, and approximately 85% live in low- and middle-income countries where palliative care is rarely accessible. To respond to the highly prevalent and extreme suffering in this vulnerable population, we convened a group of experienced experts in all aspects of care for women with cervical cancer, and from countries of all income levels, to create an essential package of palliative care for cervical cancer (EPPCCC). The EPPCCC consists of a set of interventions, medicines, simple equipment, social supports, and human resources, and is designed to be safe and effective for preventing and relieving all types of suffering associated with cervical cancer. Read More

View Article and Full-Text PDF

Cervical Cancer-Associated Suffering: Estimating the Palliative Care Needs of a Highly Vulnerable Population.

JCO Glob Oncol 2021 Jun;7:862-872

Department of Non-communicable Diseases, World Health Organization, Geneva, Switzerland.

Purpose: To enable design of optimum palliative care for women with cervical cancer, we studied the most common types of suffering and their severity, prevalence, and duration.

Methods: We first reviewed the literature on the major types, severity, prevalence, and duration of suffering associated with cervical cancer. We then conducted a modified Delphi process with experts in cervical cancer care to supplement the literature. Read More

View Article and Full-Text PDF

Efficacy and safety of chemotherapy combined with different doses of IL-2 maintenance therapies for acute myeloid leukemia: A protocol for a Bayesian network meta-analysis.

Medicine (Baltimore) 2021 Jun;100(23):e26098

Affiliated Hospital of Shandong University of Traditional Chinese Medicine.

Background: Acute myeloid leukemia (AML) is the most common malignant tumor of the hematopoietic system, which seriously threatens the lives of patients. Most AML patients have acute onset, severe condition, and poor prognosis. The present study aimed to comprehensively evaluate the effectiveness and safety of chemotherapy combined with different doses of interleukin-2 (IL-2) maintenance treatments in AML by Bayesian network meta-analysis (NMA). Read More

View Article and Full-Text PDF

Dry Needling versus Trigger Point Injection for Neck Pain Symptoms Associated with Myofascial Trigger Points: A Systematic Review and Meta-analysis.

Pain Med 2021 Jun 11. Epub 2021 Jun 11.

Department of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, Madrid, Spain.

Objective: To examine the effects of dry needling against trigger point (TrP) injections (wet needling) applied to TrPs associated with neck pain.

Methods: Electronic databases were searched for randomized clinical trials where dry needling was compared to TrP injections (wet needling) applied to neck muscles and collected outcomes on pain or related-disability. Secondary outcomes consisted of pressure pain thresholds, cervical mobility, and psychological factors. Read More

View Article and Full-Text PDF

Could the Valsalva manoeuvre be an alternative to the tenaculum for intrauterine device insertion?

Eur J Contracept Reprod Health Care 2021 Jun 11:1-4. Epub 2021 Jun 11.

Department of Obstetrics and Gynaecology, Alanya Education and Research Hospital, Alanya, Turkey.

Objectives: This study investigated whether the Valsalva manoeuvre (VM) could be an alternative to use of the tenaculum for intrauterine device (IUD) insertion. The aims were to establish whether VM could provide good patient comfort and enable the insertion to be performed successfully with adequate pain control in cases where the cervix could not be passed spontaneously.

Methods: Women who attended the outpatient clinic of Alanya Education and Research Hospital between November 2017 and December 2020 for IUD insertion were randomly assigned to the VM ( = 52) or tenaculum ( = 55) group. Read More

View Article and Full-Text PDF

Cervical Endocrine Surgery With a Novel Opioid-Limited Perioperative Protocol.

Am Surg 2021 Jun 11:31348211025736. Epub 2021 Jun 11.

Department of General Surgery, 7005Beaumont Health System, Royal Oak, MI, USA.

Background: Recent studies have demonstrated that patients undergoing cervical endocrine surgery could be comfortably discharged with minimal opioid analgesia. However, no study to date has examined the efficacy of limiting administration of opioids intraoperatively. We have developed a novel protocol for patients undergoing cervical endocrine surgery that eliminates perioperative opioids. Read More

View Article and Full-Text PDF

Impact of Opioid Prescribing Guidelines on Postoperative Opioid Prescriptions Following Elective Spine Surgery: Results From an Institutional Quality Improvement Initiative.

Neurosurgery 2021 Jun 10. Epub 2021 Jun 10.

Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Background: With a dramatic rise in prescription opioid use, it is imperative to review postsurgical prescribing patterns given their contributions to the opioid epidemic.

Objective: To evaluate the impact of departmental postoperative prescribing guidelines on opioid prescriptions following elective spine surgery.

Methods: Patients undergoing elective cervical or lumbar spine surgery between 2017 and 2018 were identified. Read More

View Article and Full-Text PDF

Front-Back Cervical Deformity Correction by Anterior Cervical Discectomy and Fusion With Posterior Instrumentation: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2021 Jun 10. Epub 2021 Jun 10.

Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.

Front-back procedures for cervical deformity permit the correction of cervical kyphosis in the setting of unfused facets. Here, we highlight the operative treatment of a 65-yr-old female entailing a 4-level anterior cervical discectomy and fusion (ACDF) at C3-C4, C4-C5, C5-C6, and C6-C7 with hyperlordotic interbody implants, supplemented by a posterior C2-T2 instrumented fusion. The patient initially presented with symptoms of treatment-refractory neck pain while neurologically intact on examination. Read More

View Article and Full-Text PDF

Laterally Extended Endopelvic Resection Versus Chemo or Targeted Therapy Alone for Pelvic Sidewall Recurrence of Cervical Cancer.

Front Oncol 2021 25;11:683441. Epub 2021 May 25.

Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, South Korea.

Background: Laterally extended endopelvic resection (LEER) has been introduced for treatment of pelvic sidewall recurrence of cervical cancer (PSRCC), which occurs in only 8% of patients with relapsed cervical cancer. LEER can only be performed by a proficient surgeon due to the high risk of surgical morbidity and mortality, but there is no evidence as to whether LEER is may be more effective than chemo or targeted therapy alone for PSRCC. Thus, we aimed to compare the efficacy and safety between LEER and chemo or targeted therapy alone for treatment of PSRCC. Read More

View Article and Full-Text PDF

Uterine Isthmus Agenesis with Inverted Uterine Body and Malrotated Kidney.

J Minim Invasive Gynecol 2021 Jun 7. Epub 2021 Jun 7.

The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USA.

A 21-year-old with a history of cyclic abdominal pain beginning at age 13 and a prior diagnosis of a complex Mullerian anomaly represented with abdominal pain and a finding of a right distended hemi-uterus, left hematosalpinx, and cervix separate from the uterine body. After laparoscopic decompression for symptomatic relief at that time, she presented to our center for definitive mangament. After diagnostic vaginoscopy and laparoscopy confirmed the diagnosis of uterine isthmus agenesis, an abdominal approach to utero-cervical anastomosis was planned and undertaken. Read More

View Article and Full-Text PDF

Comparison of effectiveness of muscle energy technique with Mulligan mobilization in patients with non-specific neck pain.

J Pak Med Assoc 2021 Jun;71(6):1532-1524

Riphah International University, Lahore Campus, Pakistan.

Objective: To compare the efficacy of muscle energy technique with Mulligan mobilisation in patients having non-specific neck pain.

Methods: The quasi-experimental study was conducted at the Physiotherapy Department of Mayo Hospital, Lahore, Pakistan, from March to September 2017, and comprised patients of either gender having non-specific neck pain who ere divided into two groups. In group 1 patients, muscle energy technique was used, while group 2 patients had Mulligan mobilisation. Read More

View Article and Full-Text PDF

Safety and Efficacy of 10 kHz Spinal Cord Stimulation for the Treatment of Refractory Chronic Migraine: A Prospective Long-Term Open-Label Study.

Neuromodulation 2021 Jun 10. Epub 2021 Jun 10.

The Headache Service, Pain Management and Neuromodulation Centre Guy's & St Thomas' NHS Foundation Trust, London, UK.

Background: Refractory chronic migraine (rCM) is a highly disabling condition for which novel safe and effective treatments are needed. Safety and long-term efficacy of paresthesia-free high cervical 10 kHz spinal cord stimulation (SCS) were here prospectively evaluated for the treatment of rCM.

Materials And Methods: Twenty adults with rCM (mean numbers of preventive treatments failed: 12. Read More

View Article and Full-Text PDF

Post-COVID-19 exacerbation of fibrodysplasia ossificans progressiva with multiple flare-ups and extensive heterotopic ossification in a 45-year-old female patient.

Rheumatol Int 2021 Jun 10. Epub 2021 Jun 10.

Department of Rheumatology, Physical and Rehabilitation, Medicine University Hospital Center "Sestre Milosrdnice", Zagreb, Croatia.

Fibrodyplasia ossificans progressiva (FOP) is a rare hereditary disease, which has a variable course characterized by occasional flare-ups of heterotopic ossification (HO) in soft tissues that are followed by swelling, stiffness, pain and warmth. Here, we report for the first time a case of a 45-year-old female patient with known FOP recovering from COVID-19 with disease progression potentially linked with the viral illness. In December 2020 the patient contracted a mild form of COVID-19 infection without need for hospital admission. Read More

View Article and Full-Text PDF

Can emergency nurses safely and effectively insert fascia iliaca blocks in patients with a fractured neck of femur? A prospective cohort study in an Australian emergency department.

J Clin Nurs 2021 Jun 9. Epub 2021 Jun 9.

Nursing Research Institute, St Vincent's Health Network Sydney, St Vincent's Hospital Melbourne and Australian Catholic University, Darlinghurst, NSW, Australia.

Aims And Objectives: To compare the effectiveness and safety of ultrasound-guided fascia iliaca block (FIB) insertion in patients with fractured neck of femur by trained emergency nurses with insertion by doctors.

Background: The FIB is an effective and safe form of analgesia for patients with hip fracture presenting to the emergency department (ED). While it has traditionally been inserted by medical doctors, no evidence exists comparing the effectiveness and safety of FIB insertion by nurses compared with doctors. Read More

View Article and Full-Text PDF

Complementary Medicine Use in Patients with Low Back or Neck Pain: Results of the 2017 National Health Interview Survey.

Pain Med 2021 Jun 9. Epub 2021 Jun 9.

Department of Internal and Integrative Medicine, Evang. Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Germany.

Objective: Complementary and integrative medicine (CIM) including mind-body medicine (MBM) is a treatment option that has been proven to alleviate symptoms in patients with low back and neck pain.

Methods: Prevalence and predictors of MBM use and consultation of CIM practitioners in patients with low back and neck pain in the American adult population are examined using data from the National Center for Health Statisticś National Health Interview Survey, 2017.

Results: A weighted total of 81,671,436 (33. Read More

View Article and Full-Text PDF

Pregabalin versus placebo to prevent chronic pain after whiplash injury in at-risk individuals: results of a feasibility study for a large randomised controlled trial.

Pain 2021 Jun 8. Epub 2021 Jun 8.

Recover Injury Research Centre, NHMRC Centre of Research Excellence in Recovery Following Road Traffic Injuries, The University of Queensland, Herston, Australia. Department of Emergency Medicine, Gold Coast Hospital and Health Service, Gold Coast, Queensland, Australia. Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD, Australia. School of Medicine, Griffith University, Gold Coast, QLD, Australia. Faculty of Medicine, The University of Queensland, Herston, Australia. Department of Emergency Medicine, Logan Hospital, Brisbane, Australia. Medical School, The University of Western Australia, Perth, Australia. Menzies Health Institute Queensland, Griffith University, Brisbane, Australia. Institute for Trauma Recovery, Department of Anesthesiology, University of North Carolina School of Medicine, Chapel Hill, USA. Centre for the Business and Economics of Health, University of Queensland, Brisbane, Australia. Dipartimento di Sociologia e Diritto dell'Economia, University of Bologna, Bologna, Italy.

Abstract: There are few effective treatments for acute whiplash-associated disorders (WAD). Early features of central sensitisation predict poor recovery. The effect of pregabalin on central sensitisation might prevent chronic pain after acute whiplash injury. Read More

View Article and Full-Text PDF

Brazilian version of the Neck Bournemouth Questionnaire does not have a well-defined internal structure in patients with chronic neck pain.

Clin Rehabil 2021 Jun 10:2692155211024034. Epub 2021 Jun 10.

Postgraduate Program on Physical Education, Universidade Federal do Maranhão, São Luís, MA, Brazil.

Objective: To investigate the structural validity of the Brazilian version of the Neck Bournemouth Questionnaire in patients with chronic neck pain.

Design: Cross-sectional study.

Setting: Community participants collected via online platform. Read More

View Article and Full-Text PDF

Comparing Mid-Term Outcomes Between ACDF and Minimally Invasive Posterior Cervical Foraminotomy in the Treatment of Cervical Radiculopathy.

Spine (Phila Pa 1976) 2021 Jun 8. Epub 2021 Jun 8.

St. Joseph's University Medical Center, Department of Orthopaedic Surgery, Paterson, NJ.

Study Design: Retrospective Cohort Study.

Objective: To compare MI-PCF and ACDF in the treatment of unilateral cervical radiculopathy.

Summary Of Background Data: Minimally invasive posterior cervical foraminotomy (MI-PCF) has been shown to be equally effective as ACDF in treating cervical radiculopathy due to foraminal stenosis and similar pathologies. Read More

View Article and Full-Text PDF

A Case of Dentatotomy for Pain and Spasticity and Systematic Review.

Stereotact Funct Neurosurg 2021 Jun 9:1-5. Epub 2021 Jun 9.

Unit of Stereotactic and Functional Neurosurgery, General Hospital of Mexico, Mexico City, Mexico.

Background: Surgical interventions for spasticity aim to improve motor function and pain in cases that are refractory to medical treatment. Ablation of the cerebellar dentate nucleus (dentatotomy) may be a useful alternative.

Case Report: A 55-year-old male patient with spasticity, secondary to a traumatic cervical spinal cord injury with quadriparesis, had bilateral lumbar DREZotomy with an improvement that lasted for 6 years. Read More

View Article and Full-Text PDF

Talaromycosis marneffei of the Cervical Spine: An Unusual Infection.

J Am Acad Orthop Surg Glob Res Rev 2021 06 9;5(6). Epub 2021 Jun 9.

From the Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Talaromyces marneffei infection (TMI) causing vertebral osteomyelitis of the cervical spine is extremely rare. TMI in an HIV-uninfected patient is also unusual. This report presents the successful treatment of an HIV-uninfected TMI patient who underwent C6 and T1 vertebrectomies, bone grafting, and anterior cervical plating accompanied by antifungal therapy. Read More

View Article and Full-Text PDF

Fatal outcome of cervical myelopathy caused by fibrocartilaginous embolism. Rare cause of spinal vascular damage.

Ideggyogy Sz 2021 May;74(5-6):207-210

Department of Laboratory Medicine, Semmelweis University, Budapest.

Background And Purpose: Fibrocartilaginous embolism is a rare cause of ischemic myelopathy. Authors report a case of a 39-year-old woman with progressive tetraparesis and severe autonomic dysfunction. Despite of the detailed examinations, the definite diagnosis was verified by autopsy. Read More

View Article and Full-Text PDF

[A case of destructive cervical spondylarthropathy related to chronic dialysis].

Ideggyogy Sz 2021 May;74(5-6):211-215

Pécsi Tudományegyetem, Klinikai Központ, Idegsebészeti Klinika, Pécs.

A case of a 61-year-old male patient suffered chronic renal failure and dialysed for 23 years with destructive cervical spondylarthropathy is presented. The patient presented with sudden onset of cervical pain radiating into his shoulders without neurological deficits. CT and MRI of the cervical and thoracic spine revealed severe destructive changes and compressive fractures of C6 and C7 vertebrae which caused the narrowing of the nerve root canals at these levels. Read More

View Article and Full-Text PDF

Adult Age Differences in Self-Reported Pain and Anterior CSF Space in Chiari Malformation.

Cerebellum 2021 Jun 9. Epub 2021 Jun 9.

Department of Psychology, The University of Akron, Akron, OH, 44325-4301, USA.

Chiari malformation type I (CMI) is a neural disorder with sensory, cognitive, and motor defects, as well as headaches. Radiologically, the cerebellar tonsils extend below the foramen magnum. To date, the relationships among adult age, brain morphometry, surgical status, and symptom severity in CMI are unknown. Read More

View Article and Full-Text PDF

A Tribological Comparison of Facet Joint, Sacroiliac Joint, and Knee Cartilage in the Yucatan Minipig.

Cartilage 2021 Jun 9:19476035211021906. Epub 2021 Jun 9.

Department of Biomedical Engineering, University of California, Irvine, CA, USA.

Objective: Pathology of the facet and sacroiliac (SI) joints contributes to 15% to 45% and 10% to 27% of lower back pain cases, respectively. Although tissue engineering may offer novel treatment options to patients suffering from cartilage degeneration in these joints, the tribological characteristics of the facet and SI joints have not been studied in either the human or relevant large animal models, which hinders the development of joint-specific cartilage implants.

Design: Cartilage was isolated from the knee, cervical facet, thoracic facet, lumbar facet, and SI joints of 6 skeletally mature Yucatan minipigs (). Read More

View Article and Full-Text PDF

Prevalence of Low Back and Cervical Back Pain in Military Helicopter Crews: An Underestimated Italian Problem.

J Spec Oper Med 2021 ;21(2):67-71

Background: Studies have highlighted the incidence and prevalence of chronic pain, which is an epidemic problem in all career sectors, as well as estimated the economic loss that follows its pathology. Several studies have indicated a high incidence of chronic osteoarticular pain in military service members, particularly in flight personnel. To date, no studies have estimated the incidence of pain pathology in the Italian military population, despite the implications related to flight qualification. Read More

View Article and Full-Text PDF