Articles: back-pain.
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Reg Anesth Pain Med · May 2015
Aberrant analgesic response to medial branch blocks in patients with characteristics of fibromyalgia.
Facet interventions for spine pain have high failure rates, and preprocedural prediction of response is nearly impossible. A potential explanation may be aberrant central pain processing as that existing in conditions like fibromyalgia. To test this hypothesis, we conducted a retrospective study investigating the impact of having characteristics of fibromyalgia on the acute analgesic response to a first diagnostic medial branch block (MBB). ⋯ Characteristics of fibromyalgia may indicate pain that is more centralized in nature, a factor that may explain the aberrant analgesic response to this peripheral intervention. This may have implications for future prediction of treatment response, although prospective studies are needed.
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A retrospective clinical and radiographical study. ⋯ 3.
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We report on a patient with an unusual cause of non-discogenic sciatica. ⋯ The present case suggested that an intrapiriformis lipoma can cause secondary piriformis syndrome and medical practitioners should be aware of this condition and consider lipomas and other occupying lesions of the pelvic muscles as a differential diagnosis in patients presenting with radicular pain.
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Arthritis care & research · May 2015
Prevalence of chronic axial pain, inflammatory back pain, and spondyloarthritis in diagnosed psoriasis.
To provide prevalence estimates for inflammatory back pain (IBP) and spondyloarthritis (SpA) in those subjects with psoriasis using 2009-2010 National Health and Nutrition Examination Survey (NHANES) data. ⋯ There is a higher prevalence of lower axial pain, IBP, SpA, and alternating buttock pain associated with a prior diagnosis of psoriasis. These data may influence the way psoriasis patients are approached in primary care and specialty clinics.
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The authors illustrate a case where an intercostal aneurysm was observed in a patient with type 1 neurofibromatosis. ⋯ Intercostal artery lesions must be considered as a possible diagnosis in NF1.