scholarly journals Utility of STIR-MRI in Detecting the Pain Generator in Asymmetric Bilateral Pars Fracture: A Report of 5 Cases

2018 ◽  
Vol 58 (2) ◽  
pp. 91-95 ◽  
Author(s):  
Kazuta YAMASHITA ◽  
Toshinori SAKAI ◽  
Yoichiro TAKATA ◽  
Fumio HAYASHI ◽  
Fumitake TEZUKA ◽  
...  
Keyword(s):  
1998 ◽  
Vol 5 ◽  
pp. 197
Author(s):  
G.N. Kryzhanovsky
Keyword(s):  

Reumatismo ◽  
2018 ◽  
Vol 70 (4) ◽  
pp. 251-256 ◽  
Author(s):  
F. Ginanneschi ◽  
G. Filippou ◽  
A. Adinolfi ◽  
V. Di Sabatino ◽  
B. Frediani ◽  
...  

This paper is aimed at investigating whether peripheral dysfunction at the neuromuscular level may represent a pain generator in fibromyalgia. We studied the prevalence of spasmophilia (SP), carpal tunnel syndrome (CTS) and ulnar neuropathy at the elbow (UNE) in a group of 40 subjects suffering from fibromyalgia. Clinical and electrophysiological data were obtained to ascertain whether comorbid conditions were present. For subjective evaluation of symptoms severity, validated questionnaires for CTS and UNE were completed by patients. Twenty subjects were positive for SP (50%); CTS was diagnosed in 12 subjects (30%); no patient suffered from UNE; 6 subjects were affected at the same time by SP and CTS (15%); 14 subjects (35%) were affected by SP alone. The prevalence of CTS and SP was higher in fibromyalgia subjects than in the general population. The scores of the questionnaires related to CTS were significantly higher in fibromyalgia subjects positive for CTS, with respect to the other subjects. In fibromyalgia, CTS and SP may be considered clinical entities in themselves, the importance of which lies in their acting as peripheral pain generators that enhance or initiate central sensitization, thereby contributing to chronic widespread pain. The amplification of pain is indeed a correctable/misguided message that occurs inside the brain of fibromyalgia subjects and identification and local treatment of pain generators would lessen the total pain burden. The magnitude of the overlap in symptoms between fibromyalgia and CTS/SP necessitates careful investigation of these conditions.


2008 ◽  
Vol 16 (3) ◽  
pp. 180-186 ◽  
Author(s):  
Istvan Szabó ◽  
Pascal Boileau ◽  
Gilles Walch
Keyword(s):  

2019 ◽  
Vol 5 (2) ◽  
pp. 60-62
Author(s):  
Uttam Sidhaye ◽  
Varshali M Keniya ◽  
Anutosh D Kulkarni

Author(s):  
Robert D. Boutin ◽  
Philip Robinson

AbstractThe groin and pelvis represent a large anatomical region with disorders affecting a diverse array of osteoarticular, musculotendinous, gastrointestinal, and genitourinary structures. Although it can be difficult to pinpoint a pain generator clinically, patients often present with non-specific orthopedic complaints at the anterior, lateral, inferior, or posterior aspect of the pelvis. The purpose of this practical review is to highlight the most important anatomy, injury patterns, and diagnostic imaging findings at each of these four sites.


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