The Journal of the American Osteopathic Association
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J Am Osteopath Assoc · Mar 2013
Case ReportsIntestinal angioedema induced by angiotensin-converting enzyme inhibitors: an underrecognized cause of abdominal pain?
Intestinal angioedema caused by angiotensin-converting enzyme inhibitors such as lisinopril is rare but well documented in the literature. Patients with this condition typically present with common symptoms such as diffuse abdominal pain, cramping, nausea, and emesis. ⋯ Awareness of this allergic reaction and careful history taking--noting temporal relationship to occurrence of symptoms--are essential to diagnose this condition; laboratory and radiologic findings are needed to confirm the diagnosis. An accurate diagnosis helps the patient recover quickly and avoid complications from unnecessary tests and invasive procedures.
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J Am Osteopath Assoc · Jan 2013
Case ReportsHeated lidocaine-tetracaine patch for management of shoulder impingement syndrome.
Shoulder impingement syndrome (SIS), a chronic shoulder pain condition, often stems from repetitive overhead activities. In the current report, the author presents 2 cases of SIS. In the first, a woman with a history of SIS found that physical therapy and subacromial steroid injections, while effective, were problematic for long-term use. ⋯ In the other case, a female adolescent athlete with a history of SIS tried, on the recommendation of the author, using the heated transdermal patch instead of steroid injections. Her pain was successfully controlled during activity and at rest with 12 hours-on/12 hours-off patch application. The heated lidocaine-tetracaine topical patch may be an early conservative treatment for patients with acute pain from SIS and warrants examination in controlled studies.
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J Am Osteopath Assoc · Dec 2012
Randomized Controlled Trial Comparative StudyDepression, somatization, and somatic dysfunction in patients with nonspecific chronic low back pain: results from the OSTEOPATHIC Trial.
Depression and somatization are often present in patients with chronic low back pain (LBP). ⋯ The associations among depression, somatization, and LBP in this study are consistent with the findings of previous studies. These associations, coupled with the findings that MZDI and MSPQ scores are correlated with somatic dysfunction, may have important implications for the use of osteopathic manual treatment in patients with chronic LBP.