116 results match your criteria single-needle puncture


Comparison of contrast-enhanced ultrasound versus conventional ultrasound-guided percutaneous nephrolithotomy in patients with nondilated collecting system: a randomized controlled trial.

Eur Radiol 2021 Feb 26. Epub 2021 Feb 26.

Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

Objective: To compare the safety, effectiveness, and feasibility of contrast-enhanced ultrasound (CEUS) versus conventional ultrasound-guided percutaneous nephrolithotomy (PCNL) in patients with nondilated collecting system.

Methods: Between July 2018 and July 2020, 160 kidney stone patients with nondilated collecting system planned for PCNL were randomly assigned into two groups, CEUS with retrograde ureteral contrast injection and conventional ultrasound with retrograde ureteral normal saline injection. Patient's demographics, the success rate of puncture, success rate of a single-needle puncture, number of punctures, puncture time, perioperative outcomes, stone-free rate, and incidence of complications were compared. Read More

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February 2021

[Surgical strategy selection and experience summary of prostate cancer with positive single needle biopsy].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Aug;52(4):625-631

Objective: To analyze the clinicopathological characteristics of prostate cancer patients undertaking radical prostatectomy with single positive core biopsy, and to optimize the rational choice of therapeutic strategy.

Methods: In the study, 53 patients with single positive core prostate biopsy and treated by radical prostatectomy from January 2010 to December 2018, were analyzed retrospectively. The mean age was (69. Read More

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A Comparative Study Between Concentric Single-Needle Puncture Technique and Conventional 2-Needle Technique for Temporomandibular Joint Arthrocentesis Plus Corticosteroid Injections.

Craniomaxillofac Trauma Reconstr 2020 Jun 17;13(2):99-104. Epub 2020 Mar 17.

ITS Dental College, Ghaziabad, Uttar Pradesh, India.

The purpose of the study was to compare 2 techniques of arthrocentesis, to find out the efficacy of one over the other at various parameters, and to contribute to the scarce literature of these 2 techniques. Forty patients reported with a chief complaint of pain in temporomandibular joint (TMJ), clicking in TMJ, and restricted mouth opening were included in this study. Twenty patients were divided into 2 groups, all reporting with temporomandibular disorders. Read More

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Safety and efficacy of single-needle leukocyte apheresis for treatment of ulcerative colitis.

Ther Apher Dial 2020 Oct;24(5):503-510

Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, Japan.

Leukocyte apheresis (LCAP) is a safe and effective treatment for active ulcerative colitis (UC) in Japan. Nevertheless, a limitation of LCAP is its requirement for two puncture sites (double-needle [DN] apheresis), sometimes leading to problems with needle puncture. Single-needle (SN) apheresis is useful in hemodialysis and reduces needle puncture pain. Read More

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October 2020

Computer-assisted needle navigation for pediatric internal jugular central venous cannulation: A feasibility study.

J Vasc Access 2020 Nov 27;21(6):931-937. Epub 2020 Apr 27.

Children's National Hospital, Washington, DC, USA.

Introduction: Vascular access for central venous catheter placement is technically challenging in children. Ultrasound guidance is recommended for pediatric central venous catheter placement, yet many practitioners rely on imprecise anatomic landmark techniques risking procedure failure due to difficulty mastering ultrasound guidance. A novel navigation system provides a visual overlay on real-time ultrasound images to depict needle trajectory and tip location during cannulation. Read More

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November 2020

Central venous catheterization in cancer patients with severe thrombocytopenia: Ultrasound-guide improves safety avoiding prophylactic platelet transfusion.

Mol Clin Oncol 2020 May 5;12(5):435-439. Epub 2020 Mar 5.

Department of Onco-Haematology, Hospital Guglielmo da Saliceto, I-29121 Piacenza, Italy.

Prior research has revealed that ultrasound (US) guided central venous catheterization (CVC) is associated with a reduction in the complication rate such as pneumothorax and an improved first-pass success placing CVC in the internal jugular vein. The present study investigated if US-guided CVC, in a subset of cancer patients with severe thrombocytopenia, reduced bleeding risk and avoided prophylactic platelet transfusion. The efficacy and safety of US-guided CVC placement in cancer patients with severe thrombocytopenia was retrospectively analyzed over a period of 9 years (Dec 2000-Jan 2009), 1,660 and 207 patients with cancer underwent US-guided CVC placement into internal jugular vein respectively at the Department of Onco-Haematology, Hospital of Piacenza. Read More

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[Shear wave elastography for guiding prostate puncture and differential diagnosis of prostatic lesions].

Zhonghua Nan Ke Xue 2019 Sep;25(9):792-796

Department of Urology, Hefei Second People's Hospital, Hefei, Anhui 230011, China.

Objective: To assess the value of transrectal shear wave elastography (SWE) in improving the detection of PCa and differentiating benign from malignant prostatic lesion.

Methods: We performed transrectal ultrasonography (TRUS) and SWE for 83 PCa-suspected patients and measured the maximum (Emax) and mean elastic modulus (Emean) of the lesions. In addition to conventional "6+X" puncture, we conducted SWE-guided prostate puncture and evaluated SWE in improving the detection rate of PCa based on the pathological results. Read More

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September 2019

A novel experimental model for studying efficacy of cryosurgery in keloids.

J Eur Acad Dermatol Venereol 2020 Aug 22;34(8):1851-1854. Epub 2020 Mar 22.

Departments of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Center, Brandenburg Medical School Theodor Fontane, Dessau, Germany.

Background: Intralesional cryosurgery is effective in the treatment of keloids; however, clinical studies have presented diversified results.

Objective: A novel, reproducible model for biophysical studies on intralesional cryosurgery of keloids is presented.

Methods: Triplicate studies with a cryosurgical needle on 37°C-heated potatoes, which exhibit identical specific heat and similar heat conductivity with human skin, were performed. Read More

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Single Needle Granulocyte and Monocyte Apheresis for Ulcerative Colitis: A Retrospective Safety Analysis.

Kurume Med J 2020 Jul 15;66(1):1-7. Epub 2020 Jan 15.

Kurume University Hospital Advanced Emergency Medical Service Center.

Introduction: Granulocyte and monocyte apheresis (GMA) is an effective treatment strategy for active ulcerative colitis (UC) in Japan. Single needle (SN) apheresis reduces needle puncture pain in patients because it requires only one puncture site. We evaluated whether single-needle apheresis could be a safe and effective means of reducing patient burden. Read More

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Single needle hemodialysis: is the past the future?

J Nephrol 2020 Feb 19;33(1):49-58. Epub 2019 Sep 19.

Nephrology Section, 0K12, Department of Internal Medicine, University Hospital Ghent, C Heymanslaan, 10, 9000, Ghent, Belgium.

Whereas the usual way to gain access to the vascular bed for hemodialysis is by inserting two needles, an alternative option based on the introduction of only one needle has been available for several decades. Although single needle hemodialysis gradually lost popularity in the early nineties of last century, this option now seems to make a come-back, with the current change in patient mix towards more elderly and cardio-vascular disease and the appearance of more flexible hardware. Single needle hemodialysis offers several advantages, such as the possibility to puncture small or maturing access systems, a decrease in number of punctures with less potential access damage and subsequent complications, the avoidance of central vein catheter use, and an improved quality of life by reducing puncture-related pain, stress and complications. Read More

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February 2020

Comparison of cytological adequacy and pain scale score in ultrasound-guided fine-needle aspiration of solid thyroid nodules for liquid-based cytology with with 23- and 25-gauge needles: a single-center prospective study.

Sci Rep 2019 05 7;9(1):7027. Epub 2019 May 7.

Department of Radiology, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Changwon, 51476, South Korea.

In ultrasound (US)-guided fine-needle aspiration (FNA) of solid thyroid nodules (STN) using liquid-based cytology (LBC), the most appropriate needle size for LBC remains unclear. This study compared the cytological adequacy and complications associated with using 23- and 25-gauge needles in US-guided FNA of STNs using LBC. US-guided FNA was performed in consecutive patients by one radiologist to diagnose STNs ≥ 5 mm in the largest diameter. Read More

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Generalized linear model (GLM) analysis: Multivariables of microcalcification specimens obtained via X-ray guided by stereotactic wire localization biopsy.

J Xray Sci Technol 2019 ;27(3):493-502

Department of Imaging Diagnosis, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Objective: To retrospectively explore correlation of the resected specimen volume of breast microcalcification lesions and endogenous and exogenous factors of stereotactic needle localization biopsy (SNLB).

Materials And Methods: Totally 214 patients underwent SNLB for non-palpable breast lesion with microcalcification lesions. Of 211 patients, 198 patients underwent single needle localization and 13 patients underwent multi-needle localization (26 lesions). Read More

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Efficacy of Sodium Hyaluronate for Temporomandibular Joint Disorder by Single-Puncture Arthrocentesis.

J Maxillofac Oral Surg 2019 Mar 27;18(1):88-92. Epub 2018 Feb 27.

1Department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Mangalore, India.

Background: The term temporomandibular joint internal derangement has characteristic clinical findings such as restricted mouth opening, pain, irregular deviated jaw function and clicking sounds. The technique of TMJ arthrocentesis has gained widespread acceptance as a simple and effective technique for the treatment of acute persistent closed lock of the TMJ. Arthrocentesis is known as the lavage and lysis of upper joint compartment. Read More

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A survey of current clinical practice of chorionic villus sampling.

Prenat Diagn 2019 03 20;39(4):299-302. Epub 2019 Feb 20.

Fetal Medicine Unit, Department of Obstetrics and Gynaecology, St George's University Hospitals NHS Foundation Trust, London, UK.

Objective: The number of invasive procedures (chorionic villus sampling (CVS) or amniocentesis) for fetal testing is decreasing because of the availability of non-invasive prenatal test (NIPT) leading to a centralisation of prenatal diagnostic services to accredited fetal medicine centres. A new survey was conducted 10 years after the previous one to update the current clinical practice among clinicians who regularly perform CVS.

Method: Consultants from 32 centres in the United Kingdom were invited to take part in an online survey evaluating: The total number of CVS procedures carried out in the unit in a typical week, the preferred route (transabdominal [TA] vs transcervical [TC]), technique (use of local anaesthetic [LA] and needle technique). Read More

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Feasibility of lung cancer RNA acquisition from a single transbronchial or transthoracic needle pass (FASTT trial).

Lung Cancer 2019 01 20;127:6-11. Epub 2018 Nov 20.

Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC, United States; W.G. (Bill) Hefner VA Medical Center, Salisbury, NC, United States. Electronic address:

Introduction: RNA isolation from tumor tissue is used for biomarker analyses and validation. Limited diagnostic material from small volume biopsies combined with an increasing demand for standard histologic, molecular characterization, and next generation sequencing applications often leads to limited material for research. We sought to evaluate small volume sampling of lung cancer tissue collected from a single needle pass during a diagnostic procedure and determine if it can provide RNA of acceptable quantity and quality. Read More

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January 2019

Nondestructive, multiplex three-dimensional mapping of immune infiltrates in core needle biopsy.

Lab Invest 2019 09 6;99(9):1400-1413. Epub 2018 Nov 6.

Department of Molecular Genetics and Cell Biology, The University of Chicago, Chicago, IL, USA.

Enumeration of tumor-infiltrating lymphocytes (TILs) in H&E stained tissue sections has demonstrated limited value in predicting immune responses to cancer immunotherapy, likely reflecting the diversity of cell types and immune activation states among tumor infiltrates. Multiparametric flow cytometry enables robust phenotypic and functional analysis to distinguish suppression from activation, but tissue dissociation eliminates spatial context. Multiplex methods for immunohistochemistry (IHC) are emerging, but these interrogate only a single tissue section at a time. Read More

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September 2019

Evaluation of effusion and articular disc positioning after two different arthrocentesis techniques in patients with temporomandibular joint disc displacement without reduction.

Cranio 2020 Jul 30;38(4):256-263. Epub 2018 Aug 30.

Department of Dentistry, Craniofacial Pain Applied to Dentistry, Dentistry Faculty, Federal University of Rio Grande do Sul , Porto Alegre, RS, Brazil.

Objective: To evaluate joint effusion and positioning of the articular disc through magnetic resonance imaging (MRI) before and after two different arthrocentesis techniques.

Methods: Twenty-six patients with dislocation of the articular disc without reduction (ADDwoR) were included and randomly divided into two groups: single needle arthrocentesis with distention of the upper compartment of the TMJ (A1) and conventional arthrocentesis with 2 needles (A2).

Results: A statistically significant difference was observed between the different effusion categories ( = 0. Read More

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Genomic Heterogeneity and the Small Renal Mass.

Clin Cancer Res 2018 09 14;24(17):4137-4144. Epub 2018 May 14.

Department of Urology, Yale School of Medicine, New Haven, Connecticut.

Tumor heterogeneity may represent a barrier to preoperative genomic characterization by needle biopsy in clear cell renal cell carcinoma (ccRCC). The extent of heterogeneity in small renal tumors remains unknown. Therefore, we set out to evaluate heterogeneity in resected large and small renal tumors. Read More

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September 2018

A new technique of ultrasound guided percutaneous renal biopsy by perforated probe and perpendicular needle trajectory.

Arch Ital Urol Androl 2018 Mar 31;90(1):29-33. Epub 2018 Mar 31.

Hemodialysis Unit, S. Donato Hospital, Arezzo.

The percutaneous biopsy of native kidneys according to the classical methodology is performed under real time ultrasound guidance with the needle introduction along a trajectory of about 30°, aimed to the lower pole of the kidney. Recently, a variant of the classical technique has been introduced by which a perforated ultrasound probe is used to guide the needle along a perpendicular trajectory to the terminal section of the lower kidney pole where the front and back margins of the cortical kidney tissue join each other without renal sinus interposition so to offer to the needle a 3-4 cm thick cortical tissue front which allows to obtain a cortical tissue sample suitable for histological examination even with a single needle pass, while at the same time limiting the possibility of damaging the smaller kidney calices of the lower group whose lesion causes hematuria. In this paper, we present a large survey (50 patients) to compare to data from the literature obtained by using similar needle gauge and with a similar follow-up period after biopsy. Read More

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Ultrasonographic Interval Changes in Solid Thyroid Nodules after Ultrasonography-Guided Fine-Needle Aspiration.

Korean J Radiol 2018 Jan-Feb;19(1):158-166. Epub 2018 Jan 2.

Department of Radiology, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Changwon 51472, Korea.

Objective: None of the previous studies have investigated the interval change in ultrasonography (US) features of solid thyroid nodules (STNs) after US-guided fine-needle aspiration (US-FNA). This study aimed to assess the prevalence and characteristics of US interval changes in STNs after US-FNA.

Materials And Methods: This study included 257 STNs in 257 patients in whom thyroid US and initial US-FNA had been performed by two radiologists from January 2015 to June 2015. Read More

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November 2018

Single-Needle Arthrocentesis with Upper Compartment Distension versus Conventional Two-Needle Arthrocentesis: Randomized Clinical Trial.

Pain Res Manag 2017 3;2017:2435263. Epub 2017 Oct 3.

Private Clinic, Freitas and Castro Street 481, 90040-401 Porto Alegre, RS, Brazil.

The objective of this study was to compare single-needle arthrocentesis with distension of the upper compartment of the temporomandibular joint (TMJ) with the conventional two-needle arthrocentesis. Twenty-six patients with articular disc displacement without reduction (DDWOR) were included in the study and assigned to two groups ( = 13): single-needle arthrocentesis with distension of the upper compartment of the TMJ (1N) and conventional two-needle arthrocentesis (2N). The maximum interincisal distance (MID) and TMJ pain as measured by the visual analog scale (VAS) were compared. Read More

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September 2018

Comparison of the efficiency of irrigation of single and double-needle techniques of temporomandibular joint arthrocentesis: A cadaver study.

Cranio 2017 Nov 1;35(6):405-409. Epub 2017 Mar 1.

d Faculty of Dentistry, Department of Oral and Maxillofacial Surgery , Akdeniz University , Antalya , Turkey.

Objective: To compare the efficacy of the double- and single-needle arthrocentesis techniques in removing methylene blue from the temporomandibular joint (TMJ) space.

Methods: This study was performed in 20 TMJs from 10 fresh cadavers. A total of 1 ml of 10 μM methylene blue solution was injected into the upper joint spaces, just prior to irrigation. Read More

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November 2017

Dynamic Evaluation of Lavage Efficacy in Upper Compartment of the Temporomandibular Joint.

J Oral Maxillofac Surg 2017 Feb 30;75(2):276-283. Epub 2016 Aug 30.

Professor, Department of Orthodontics, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-Sen University, Guangzhou; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China. Electronic address:

Purpose: The aim of this study was to determine the most efficient temporomandibular joint (TMJ) lavage technique for complete irrigation and removal of synovial fluid. The corresponding total lavage fluid volume needed also was investigated.

Materials And Methods: Three-dimensional TMJ lavage models of the classic double- and single-needle techniques with modified cannula sizes (diameters, 2. Read More

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February 2017

Comparison of accuracy of anterior and superomedial approaches to shoulder injection: an experimental study.

SICOT J 2016 Mar 25;2:13. Epub 2016 Mar 25.

Department of Orthopaedic Surgery, Faculty of Medicine, Thammasat University Hospital Klong-Nueng, Klong-Luang, Pathumthani 12120 Thailand.

Introduction: We aimed to compare the accuracy between the standard anterior technique of shoulder injection and the new superomedial technique modified from Neviaser arthroscopic portal placement. Intra-articular placement, especially at the long head of biceps (LHB) tendon, and needle depth were evaluated.

Methods: Fifty-eight patients (ages 57 ± 10 years) requiring shoulder arthroscopy in the beach-chair position were recruited. Read More

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Single-needle arthrocentesis (Shepard cannula) vs. double-needle arthrocentesis for treating disc displacement without reduction.

Cranio 2016 Sep 13;34(5):296-302. Epub 2016 Apr 13.

b College of Dentistry, Suez Canal University , Ismailia , Egypt.

Objectives: To compare single- vs. double-needle arthrocentesis with viscosupplementation for treating disc displacement without reduction of the temporomandibular joint.

Methods: Fifty-six patients with a magnetic resonance imaging diagnosis of non-reducing disc displacement were included. Read More

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September 2016

Investigation of Sacral Needle Depth in Minimally Invasive Sacrocolpopexy.

Female Pelvic Med Reconstr Surg 2016 Jul-Aug;22(4):214-8

From the *Division of Female Pelvic Medicine and Reconstructive Surgery, Departments of Urology and Obstetrics/Gynecology, Loyola University Chicago Stritch School of Medicine, Maywood; and †Northwestern University, Physical Medicine and Rehabilitation and Biomedical Engineering Department, Rehabilitation Institute of Chicago, Sensory Motor Performance Program, Chicago, IL.

Purpose: The aims of the study were to optimize surgical safety and to minimize vertebral disc puncture during sacral needle placement at the time of minimally invasive sacrocolpopexy. Cadaveric studies report that the anterior longitudinal ligament (ALL), which covers the vertebral disc and vertebrae, has a reported thickness of only 1.4 to 2. Read More

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November 2017

Percutaneous Renal Access: Surgical Factors Involved in the Acute Reduction of Renal Function.

J Endourol 2016 Feb 26;30(2):178-83. Epub 2015 Oct 26.

3 Department of Biostatistics, Indiana University School of Medicine , Indianapolis, Indiana.

Introduction And Objective: Studies in patients and experimental animals have shown that percutaneous nephrolithotomy (PCNL) can acutely impair glomerular filtration and renal perfusion, but the factors contributing to this decline in renal function are unknown. The present study assessed the contribution of needle puncture of the kidney vs dilation of the needle tract to the acute decline in renal hemodynamic and tubular transport function associated with PCNL surgery.

Materials And Methods: Acute experiments were performed in three groups of anesthetized adult farm pigs: sham-percutaneous access (PERC), that is, no surgical procedure (n = 7); a single-needle stick to access the renal collecting system (n = 8); expansion of the single-needle access tract with a 30F NephroMax balloon dilator and insertion of a nephrostomy sheath (n = 10). Read More

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February 2016

Low magnitude of tensile stress represses the inflammatory response at intervertebral disc in rats.

J Orthop Surg Res 2015 Feb 7;10:26. Epub 2015 Feb 7.

Department of Anesthesiology, Tianjin First Central Hospital, No.24 Fukang Road, Nankai District, Tianjin City, 300192, PR China.

Objective: This study aims to determine if the involvement of tensile stress affects the expressions of inflammatory cytokines interleukin-17(IL-17), interleukin-1β (IL-1β), and inducible nitric oxide synthase (iNOS) at intervertebral discs in vivo.

Material And Method: Sixty-four female Sprague-Dawley rats were randomly divided into four groups: sham, tail-suspended (TS), tail-suspended with needle puncture (TSNP), and single-needle puncture (SNP) groups. A tail-suspension device provides low magnitude of tensile stress (2. Read More

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February 2015

Protective effects of cannabidiol on lesion-induced intervertebral disc degeneration.

PLoS One 2014 17;9(12):e113161. Epub 2014 Dec 17.

Department of Morphology, Physiology and Basic Pathology, Dental School, University of São Paulo (USP), NAPNA, Ribeirão Preto, Brazil.

Disc degeneration is a multifactorial process that involves hypoxia, inflammation, neoinnervation, accelerated catabolism, and reduction in water and glycosaminoglycan content. Cannabidiol is the main non-psychotropic component of the Cannabis sativa with protective and anti-inflammatory properties. However, possible therapeutic effects of cannabidiol on intervertebral disc degeneration have not been investigated yet. Read More

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September 2015