Spine
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This is a case report of a cervical epidural abscess presenting with neurologic deficits after cervical epidural steroid injection. ⋯ Cervical epidural abscess is a rare but potentially devastating complication after epidural steroid injection. Neurologic compromise may occur. Timely diagnosis and appropriate treatment may result in good clinical outcomes.
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In a prospective interventional study, problems with performance were evaluated in 101 consecutive patients with chronic low-back pain for more than 12 months, before and after participation in an outpatient-based multidisciplinary pain management program in Mansfield, United Kingdom. ⋯ Patients with chronic low-back pain report problems with diverse activities. The COPM provides a patient-centered outcome measure that displays good external validity and responsiveness to change when addressing the individual's goals.
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Case Reports
Rapid improvement of paraplegia caused by epidural involvements of Burkitt's lymphoma with chemotherapy.
Case report. ⋯ Considering the severe late effects of laminectomy and radiotherapy, chemotherapy should be considered as a first choice of treatment for spinal cord compression caused by malignant lymphoma.
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Cross-sectional study. ⋯ Between-groups differences were observed as lower neck muscle endurance time, reduced left rotation, relatively reduced extension at second test, but greater range of retraction, when the subclinical and normal groups were compared. These data suggest that there are early range changes associated with the development of neck pain.
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Randomized Controlled Trial Clinical Trial
Prolotherapy injections, saline injections, and exercises for chronic low-back pain: a randomized trial.
To assess the efficacy of a prolotherapy injection and exercise protocol in the treatment of chronic nonspecific low back pain. ⋯ In chronic nonspecific low-back pain, significant and sustained reductions in pain and disability occur with ligament injections, irrespective of the solution injected or the concurrent use of exercises.