http://orthopaedic-surgery-india.blogspot.in/2014/03/diagnosis-and-treatment-for-nonspecific.html

Diagnosis and Treatment for Nonspecific Lower Back Pain in Adults!!

If you have lower back pain, you are not alone. Nearly everyone at some point has back pain that interferes with work, routine daily activities, or recreation. As people age, bone strength and muscle elasticity and tone tend to decrease. The discs begin to lose fluid and flexibility, which decreases their ability to cushion the vertebrae causes pain. Low back pain can differ from person to person. The pain may be mild, or it can be so severe that you are unable to move. Depending on the cause of your back pain, you may also have pain in your leg, hip, or on the bottom of your foot. Many people with chronic back pain have arthritis and extra wear and tear on the spine. This may be due to:

• Heavy use from work or sports
• Past injuries and fractures
• Past surgery

Risk Factor
You are at greater risk for low back pain if you

• Are over age 30
• Are overweight
• Are pregnant
• Do not exercise
• Feel stressed or depressed
• Have a job in which you have to do a lot of heavy lifting, bending and twisting, or that involves whole body vibration
• Smoke

Signs and Symptoms
You may feel a variety of symptoms if you have back pain, including:

• Dull aching
• Sharp pain
• Tingling or burning sensation
• Weakness in your legs or feet

How is low back pain diagnosed?

• Blood tests, especially a complete blood count and erythrocyte sedimentation rate
• CT scan of the lower spine
• MRI scan of the lower spine
• Myelogram (an x-ray or CT scan of the spine after dye has been injected into the spinal column)
• X-ray
• Discography

How is back pain treated?
Most low back pain can be treated without surgery. Treatment involves using analgesics, reducing inflammation, restoring proper function and strength to the back, and preventing recurrence of the injury. 
Surgical Treatments

• Spine fusion
• Disc replacement
• Discectomy
• Foraminotomy
• IntraDiscal Electrothermal Therapy 
• Spinal laminectomy
• Radiofrequency lesioning

Non-Surgical Treatments

http://www.healio.com/orthopedics/hip/news/online/%7Ba51c113c-a80a-4081-a4f5-b89de33b464c%7D/inflammatory-neuropathy-may-cause-weakness-pain-after-hip-surgery

Inflammatory neuropathy may cause weakness, pain after hip surgery

Ipsilateral weakness and pain experienced by patients after hip surgery may be caused by inflammatory neuropathy, according to results published in Mayo Clinic Proceedings.

“Neuropathy after surgery can significantly affect postsurgical outcomes,”Nathan Staff, MD, PhD, a neurologist at Mayo Clinic, stated in a Mayo Clinic press release. “The good news is that if we’re able to identify patients experiencing postsurgical inflammatory neuropathy, rather than damage caused by a mechanical process, we may be able to provide treatment immediately to mitigate pain and improve overall outcomes.”

Researchers performed cutaneous sensory nerve biopsy on seven patients who developed unexplained ipsilateral leg weakness and pain within 1 month of hip surgery. Researchers reviewed patient medical records for the clinical, electrophysiologic, radiologic and pathologic features of the new neuropathy, according to the study abstract.

Results showed all nerve biopsies were abnormal with axonal damage, inflammation, signs of ischemic injury and nerve microvasculitis. Researchers treated six patients with intravenous methylprednisolone, and all patients showed improvement in function and pain at median follow-up of 6 months.

References:

Laughlin RS. Mayo Clin Proc. 2014;doi:10.1016/j.mayocp.2013.10.027.

www.mayoclinicproceedings.org.

Disclosure: The researchers have no relevant financial disclosures.

Discusión entre pares / Young man operated out side the country since 8month by orif for elbow & wrist #. For ur opinion of management

Indian-Orthopaedic Research-Group

Ahmed Anaam

Young man operated out side the country since 8month by orif for elbow & wrist #.
For ur opinion of management .

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  Sanjay Joseph This is an absolute disaster. However we need more physical findings and better xrays to comment.

  Ayer a las 12:43 · Me gusta · 1
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  Zaw Thu Ya better to have a look at pre-op xrays.

  Ayer a las 12:43 · Me gusta
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  Ahmed Anaam Loss of sup. forearm in pronation, no nvd.

  Ayer a las 12:44 · Me gusta
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  Ahmed Anaam Sever disused osteopenia or osteoporosis .

  Ayer a las 12:45 · Me gusta
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  Sanjay Joseph Wrist and elbow movements? Better xrays please.

  Ayer a las 12:49 · Me gusta
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  Ahmed Anaam No move. At wrist
  90 deg at elbow .

  Ayer a las 12:57 · Me gusta
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  Praveen Kumar Clinical photographs pl

Pre-hospital treatment key to catastrophic spine injuries in youth sports

http://www.healio.com/spine-surgery/trauma/news/online/%7Bc006d8e7-8dd5-43f1-8b72-d52b9c243f96%7D/pre-hospital-treatment-key-to-catastrophic-spine-injuries-in-youth-sports

Pre-hospital treatment key to catastrophic spine injuries in youth sports

• May 5, 2014

PHILADELPHIA — Although catastrophic injuries to the spine among youth who participate in sports participants are rare, having a game day, pre-hospital treatment plan in place is essential, according to a physician who spoke on the topic at the American Academy of Neurology Annual Meeting, here.

“Injuries to the cervical spine in sport are uncommon, but can result in devastating consequences,” Seifert said. – by Robert Linnehan

Reference:

Seifert TD. Session #C82. Presented at: American Academy of Neurology Annual Meeting; April 26-May 3, 2014; Philadelphia.

Disclosures: Seifert has no relevant financial disclosures.

http://www.drfernandonoriega.com/361/a-brave-asturian-cavo-varus-foot-by-spina-bifida/?utm_source=rss&utm_medium=rss&utm_campaign=a-brave-asturian-cavo-varus-foot-by-spina-bifida

A brave Asturian, cavo varus foot by spina bifida

Posted on May 1, 2014 by

She was determined to solve the problem of her left foot, after so many neurological controls anyone knew about the possibility of reconstructing her feet in order to improve her walking ability.

Frequent falls, lack of stability was a constant in her everyday life. She decided to be operated and they practiced metatarsal’s osteotomies yet it did not solved the problem, It made it even worse.

She visited the IICOP and I explored her feet, finding a lack of functionality of the anterior tibial muscle, a shortening of the Achilles tendon as well as a cavo varus foot deformity. The gait was typical of this sort patients, as you can watch in the video below.

She went back to her home town and told everyone what she had experienced in Madrid.The neurologist transmit her an utterly feeling of disbelief when he was hearing about foot reconstruction techniques.

Nonetheless she was decisive, she wanted us to operate on her neurological foot caused by spina bifida.

Last october we made a full correction of her left foot, both a lengthening of the muscles and a transplant of the posterior tibial tendon to the lift of the foot were done. The hinfoot bones were aligned and finally clawtoes were repaired. There was no need in strengthening the calf muscles.

She came back to the IICOP a few months after surgery. She was very happy that she could walk normally even she asked if she could wear high heels and the answer was:“YES, WHY NOT?”

The neurologist was shocked when he saw the foot correction. Now the patient have a normal life she is able to walk again without pain, using normal shoes.

I think is the responsibility of many neurologists or rehabilitation doctors(hopefully one of them read me) to stay tuned for their patients and have a duty to know that neurological feet can be rebuilt and this return the patient the ability to have a better life.

MARCHA EN ESPINA BIFIDA Y SIRINGOMIELIA

http://youtu.be/26T_AqCWtUs 

 

Driving ability hampered by dominant arm immobilization

http://www.healio.com/orthopedics/arthroscopy/news/online/%7B9fff9034-553b-4fc6-8c90-2004eed40e8e%7D/driving-ability-hampered-by-dominant-arm-immobilization

Driving ability hampered by dominant arm immobilization HOLLYWOOD, Fla. — Driving ability was more profoundly impaired in patients who had surgery on their dominant driving arm than patients who had surgery on their non-dominant arm, according to a study presented at the Arthroscopy Association of North America Annual Meeting. Read more “Although shoulder arthroscopic repairs may not adversely standard driving conditions, they certainly limited the ability to perform evasive maneuvers under hazardous conditions,” Jazrawi said. – by Christian Ingram Reference: Jazrawi LM. Paper #SS-21. Presented at: Arthroscopy Association of North America Annual Meeting; May 1-3, 2014; Hollywood, Fla. Disclosure: Jazrawi has no relevant financial disclosures.