Speciality
Spotlight

 




 


Family Practice


 

 







Musculoskeletal
Conditions and Fibromyalgia

 

  • Fibromyalgia

    Nicassio PM, Radojevic V, Weisman MH, et al [California School of Professional Psychology, San Diego; Univ of California-San Diego, La Jolla]

    A Comparison of Behavioral and Educational Interventions for Fibromyalgia

    J Rheumatoal 24: 2000-2007, 1998

      


    Pain being a subjective phenomenon has to be accepted as described by patient. Objectively it is possible to measure behavior to pain and the disability caused thus. These are distinct from educational and behavioral elements. Intervention effects are evaluated in this paper.

      


    Pain coping methods were taught to 48 subjects for 10 weeks. This constituted the behavioral group. 35 received education on a number of health related subjects and comprised the educational group. 88.7% were women in the age group of 24 to 78 years and had suffered for 11.1 years.

       


    A large number of parameters were used for evaluation including pain behavior, depression, coping with pain and helplessness.

       


    It was most impressive to find that relief from a feeling of helplessness resulted in reduction of pain and thus the ability to cope with it.

       

  • Fibromyalgia

    Siegel DM, Janeway D, Baum J [Univ of Rochester, NY]

    Fibromyalgia Syndrome in Children and Adolescents: Clinical Features at Presentation and Status at Follow-up

    Pediatrics 101: 377-382, 1998

       

    Fibromyalgia syndrome [FS] is described as a noninflammatory condition. Though well known in adults it is seen in children also. Records from 1989 to 1995 bearing this diagnosis and telephone interviews were the basis of this study. The work was done in a university associated pediatric rheumatology clinic. A pediatric rheumatologist had confirmed the diagnosis. Classic findings were diffuse pain, poor sleep and tender points. Less frequent were headache, morning stiffness and fatigue. Forty-five children including 41 girls [42 white] in a mean age of 13.3 were evaluated.

       

    FS is a milder disease in children and unlike adults has a better prognosis. It is not an unusual disease in children and a good response to tricyclic anti-depressant is reported.

          

  • Davis PT, Hulbert JR, Kassak KM, et al [ Northwestern College of Chiropractic, Bloomington, Minn; American Univ, Beirut, Lebanon]

    Comparative Efficacy of Conservative Medical and Chiropractic Treatments for Carpal Tunnel Syndrome: A Randomized Clinical Trial

    J Manipulative Physiol Ther 21: 317-326, 1998

       

    Carpal tunnel syndrome [CTS] can be treated conservatively or with surgery.

       

    A randomized trial compares medical and chiropractic forms of management. Radio and local newspaper notices comprised the information sources. Those operated upon or already being treated were excluded in this self-reporting subjects’ group. 91 individuals between 21 and 45 years of age with a confirmed diagnosis of CTS were put into 2 categories. One received 800 mgm tablets of ibuprofen thrice a day for 1 week, twice a day in the second week and once a day for 1 week. They wore wrist supports at night. The second category received chiropractic treatment comprising manipulation of soft tissues and bony prominences of the affected extremity and back. Ultra sound over the carpal tunnel and at night wrist supports were used in addition.

       

    A self assessment combined with vibrometric evaluation of the finger tips revealed no difference in the benefit in the two groups. Recovery of a demyelinated but not axonal degenerated median nerve is possible.

          

  • Nonsteroidal Locally Applied Drugs

    Moore RA, Tramer MR, Carroll D, et al [ Univ of Oxford, England]

    Quantitive Systematic Review of Topically Applied Non-steroidal Anti-inflammatory Drugs

    BMJ 316: 333-338, 1998

        

    This review article is the outcome of going through the MEDLINE, Excerpta Medica Database and Oxford Pain Relief Database. Thus 10,160 patients representing 86 trials are covered. Of the effective ointments for pain relief ketoprofen, ibuprofen and piroxicam proved to be better than indomethacin and benzydamine. The last two have been described as no beter than of placebo value.

       

  • Myrer JW, Measom G, Durrant E, et al [ Brigham Young Univ., Provo, Utah]

    Cold-and Hot-pack Contrast Therapy: Subcutaneous and Intramuscular Temperature Change

    J Athletic Train 32: 238-241, 1997

       

    Empiric treatment of soft tissue injury with alternate cold and heat is examined in this article. Microprobes were placed in the gastrocnemius – soleus muscle and subcutaneous tissue of 16 healthy volunteers.

       

    Temperature fluctuation was more in the subcutaneous tissue than the muscle. As a mode of therapy for muscle tissue, it is not advised.

       

  • Stanitski CL [Children’s Hosp of Michigan, Detroit]

    Correlation of Arthroscopic and Clinical Examinations With Magnetic Resonance Imaging Findings of Injured Knees in Children and Adolescents

    Am J Sports Med 26: 2-6, 1998

        

    This paper compares, clinical findings magnetic resonance imaging[ MRI] and arthroscopic observations in 28 patients of an average age of 14 years presenting with knee injuries. Anterior cruciate ligament [ACL], meniscal and articular surface injuries were evaluated.

        

    Clinical accuracy for ACL was 96 percent, 93 for meniscal injuries and 89 percent for articular surface injuries. Difference between clinical and MRI findings was 75 percent in general. Clinical and arthroscopic concordance was 78.5 percent.

        

    This information seems pertinent when investigations are demanded.

         




 

 

Speciality Spotlight

 

 

Musculoskeletal Conditions and Fibromyalgia
 

  • Fibromyalgia
    Nicassio PM, Radojevic V, Weisman MH, et al [California School of Professional Psychology, San Diego; Univ of California-San Diego, La Jolla]
    A Comparison of Behavioral and Educational Interventions for Fibromyalgia
    J Rheumatoal 24: 2000-2007, 1998
      
    Pain being a subjective phenomenon has to be accepted as described by patient. Objectively it is possible to measure behavior to pain and the disability caused thus. These are distinct from educational and behavioral elements. Intervention effects are evaluated in this paper.
      
    Pain coping methods were taught to 48 subjects for 10 weeks. This constituted the behavioral group. 35 received education on a number of health related subjects and comprised the educational group. 88.7% were women in the age group of 24 to 78 years and had suffered for 11.1 years.
       
    A large number of parameters were used for evaluation including pain behavior, depression, coping with pain and helplessness.
       
    It was most impressive to find that relief from a feeling of helplessness resulted in reduction of pain and thus the ability to cope with it.
       

  • Fibromyalgia
    Siegel DM, Janeway D, Baum J [Univ of Rochester, NY]
    Fibromyalgia Syndrome in Children and Adolescents: Clinical Features at Presentation and Status at Follow-up
    Pediatrics 101: 377-382, 1998
       
    Fibromyalgia syndrome [FS] is described as a noninflammatory condition. Though well known in adults it is seen in children also. Records from 1989 to 1995 bearing this diagnosis and telephone interviews were the basis of this study. The work was done in a university associated pediatric rheumatology clinic. A pediatric rheumatologist had confirmed the diagnosis. Classic findings were diffuse pain, poor sleep and tender points. Less frequent were headache, morning stiffness and fatigue. Forty-five children including 41 girls [42 white] in a mean age of 13.3 were evaluated.
       
    FS is a milder disease in children and unlike adults has a better prognosis. It is not an unusual disease in children and a good response to tricyclic anti-depressant is reported.
          

  • Davis PT, Hulbert JR, Kassak KM, et al [ Northwestern College of Chiropractic, Bloomington, Minn; American Univ, Beirut, Lebanon]
    Comparative Efficacy of Conservative Medical and Chiropractic Treatments for Carpal Tunnel Syndrome: A Randomized Clinical Trial
    J Manipulative Physiol Ther 21: 317-326, 1998
       
    Carpal tunnel syndrome [CTS] can be treated conservatively or with surgery.
       
    A randomized trial compares medical and chiropractic forms of management. Radio and local newspaper notices comprised the information sources. Those operated upon or already being treated were excluded in this self-reporting subjects’ group. 91 individuals between 21 and 45 years of age with a confirmed diagnosis of CTS were put into 2 categories. One received 800 mgm tablets of ibuprofen thrice a day for 1 week, twice a day in the second week and once a day for 1 week. They wore wrist supports at night. The second category received chiropractic treatment comprising manipulation of soft tissues and bony prominences of the affected extremity and back. Ultra sound over the carpal tunnel and at night wrist supports were used in addition.
       
    A self assessment combined with vibrometric evaluation of the finger tips revealed no difference in the benefit in the two groups. Recovery of a demyelinated but not axonal degenerated median nerve is possible.
          

  • Nonsteroidal Locally Applied Drugs
    Moore RA, Tramer MR, Carroll D, et al [ Univ of Oxford, England]
    Quantitive Systematic Review of Topically Applied Non-steroidal Anti-inflammatory Drugs
    BMJ 316: 333-338, 1998
        
    This review article is the outcome of going through the MEDLINE, Excerpta Medica Database and Oxford Pain Relief Database. Thus 10,160 patients representing 86 trials are covered. Of the effective ointments for pain relief ketoprofen, ibuprofen and piroxicam proved to be better than indomethacin and benzydamine. The last two have been described as no beter than of placebo value.
       

  • Myrer JW, Measom G, Durrant E, et al [ Brigham Young Univ., Provo, Utah]
    Cold-and Hot-pack Contrast Therapy: Subcutaneous and Intramuscular Temperature Change
    J Athletic Train 32: 238-241, 1997
       
    Empiric treatment of soft tissue injury with alternate cold and heat is examined in this article. Microprobes were placed in the gastrocnemius – soleus muscle and subcutaneous tissue of 16 healthy volunteers.
       
    Temperature fluctuation was more in the subcutaneous tissue than the muscle. As a mode of therapy for muscle tissue, it is not advised.
       

  • Stanitski CL [Children’s Hosp of Michigan, Detroit]
    Correlation of Arthroscopic and Clinical Examinations With Magnetic Resonance Imaging Findings of Injured Knees in Children and Adolescents
    Am J Sports Med 26: 2-6, 1998
        
    This paper compares, clinical findings magnetic resonance imaging[ MRI] and arthroscopic observations in 28 patients of an average age of 14 years presenting with knee injuries. Anterior cruciate ligament [ACL], meniscal and articular surface injuries were evaluated.
        
    Clinical accuracy for ACL was 96 percent, 93 for meniscal injuries and 89 percent for articular surface injuries. Difference between clinical and MRI findings was 75 percent in general. Clinical and arthroscopic concordance was 78.5 percent.
        
    This information seems pertinent when investigations are demanded.
         

 

By |2022-07-20T16:43:31+00:00July 20, 2022|Uncategorized|Comments Off on Musculoskeletal Conditions and Fibromyalgia

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