216 Volume 26 Number 3 Lower extremity pain is common in childhood, with etiologies ranging from benign muscular conditions to systemic disease. We are presenting a three-part series of evidence-based practice guidelines to aid the provider in efficiently determining the diagnosis and treatment of a childwith lower extremity pain. Part I focused on the history, physical examination, and diagnos...

he traditional Chinese acupuncture has been reported to alleviate pain and is widely accepted as a complement therapy for pain relief in the world. In 1996, a novel acupuncture strategy, Fu's subcutaneous needling (FSN), was developed from the traditional Chinese acupuncture, but quite different from it. In FSN, needles are penetrated and swayed in the subcutaneous layer, but not the muscular l...

People having an epileptic crisis present to the hospital with an altered mental status and generalised fatigue. The most common orthopaedic pathology associated to epilepsy is the undiagnosed posterior shoulder dislocation. These same patients often complain from back pain that is often neglected and misdiagnosed as muscular contracture following the epilepsy crisis. We describe here the case ...

Materials and methods We have analyzed the results of a comprehensive examination of 5 over 60 age patients (Group 1: aged 76+/-5,2 years) and 5 control over 60 age patients (Group 2; aged 74+/-2,2 years). Every group was studied with a manual objective examination of the skeletal muscle apparatus to find perceived and evoked contractures reported on a paper map support. This map allows to tran...

Subjects with chronic, diffuse, unexplained muscular aching were recruited--21 from a primary care practice, nine from a rheumatology practice, and two from a pain clinic. No additional criteria were used to select subjects. Subjects with mild or moderate symptoms differed from those with severe symptoms with respect to the following characteristics: the presence of fatigue on awakening, the nu...

MANY observers have reported pathologic changes in the myoeardium of patients with muscular dystrophy similar to those in the skeletal muscles.'-8 Clinical evidence of involvement of the heart has also been noted, consisting of persistent tachycardia,9 10 arrhythmias,10 congestive heart failure, chest pain, cardiac enlargement, changes in heart sounds, murmurs, electrocardiographic alterations ...

A familial myopathy affecting a man, his three daughters, and one of his brothers is reported. The quadriceps muscle was predominantly involved, with aching pain as an early feature, and later prominent areas of hypertrophy projecting from patches of atrophy gave the quadriceps a most striking and unusual appearance. Presentation was in adult life, and the course was relatively benign, pelvic g...

XxiCHAitD Smith, mason, a strong muscular man, about fifty years of age, first complained of a pain in the small of his back, in January, 1814, almost immediately after lifting a heavy burthen. This pain was of a spasmodic kind, returned by fits, and occasionally with great violence, which opiates alone were capable of relieving. During the first six months, these attacks of pain were confined ...

Lower extremity pain is common in childhood, with etiologies ranging from benign muscular conditions to systemic disease. We are presenting a three-part series of evidence-based practice guidelines to aid the provider in efficiently determining the diagnosis and treatment of a childwith lower extremity pain. Part I focused on the history, physical examination, and diagnostic work up (Duey-Holtz...