Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Oct 2000
Clinical TrialTreatment of proximal plantar fasciitis with ultrasound-guided steroid injection.
To investigate the efficacy of ultrasound-guided steroid injection for the treatment of proximal plantar fasciitis and to evaluate mechanical properties of the heel pad after steroid injection. ⋯ Ultrasound offers an objective measurement of the therapeutic effect on proximal plantar fasciitis. Accurate steroid injection under ultrasound guidance can effectively treat proximal plantar fasciitis without significant deterioration of the mechanical properties of the heel pads.
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Arch Phys Med Rehabil · Oct 2000
Case ReportsPainless aortic dissection presenting as high paraplegia: a case report.
Acute aortic dissection is a catastrophic episode that usually presents as a sudden, painful, ripping sensation in the chest or back. Physical findings may include loss of pulses and aortic regurgitation. It is associated with neurologic sequelae in as many as one third of patients. ⋯ Sensation was absent from T6 through S5. Computed tomography of the chest revealed a type A dissecting aneurysm. The vascular supply to the spinal cord and the differential diagnosis for new onset paraplegia are discussed.
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Arch Phys Med Rehabil · Oct 2000
Randomized Controlled Trial Comparative Study Clinical TrialDisability measurement in persons with back pain: a validity study of spinal range of motion and velocity.
To evaluate the criterion validity and responsiveness to change of spine kinematic variables to assess disability in patients with low back pain. ⋯ Spine kinematics during flexion and extension of the trunk do not appear to be a valid measure of disability in patients with subacute and chronic back pain.
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Arch Phys Med Rehabil · Oct 2000
Case ReportsGabapentin for chronic pain in spinal cord injury: a case report.
A 30-year-old white woman with an L1 complete spinal cord injury (SCI) secondary to a gunshot wound in 1985, presented to a chronic pain service for evaluation. She had a 13-year history of chronic lower extremity pain. She described her discomfort as "throbbing, aching, and stabbing." She had tried many different medications, including opioids, Tegretol, and tricyclic antidepressants, without success. ⋯ She was placed on gabapentin 300 mg 3 times daily; within 1 week, her visual analog pain scale fell from 95 mm to 27 mm, and her McGill Short Form pain score fell from 13 to 3. Her mood also vastly improved. This case report suggests that gabapentin should be studied as a therapeutic option for treating central pain post-SCI and should be considered as a viable, well-tolerated, low-toxicity tool.