BACKGROUND Among patients with chronic low back pain (CLBP), approximately 37% show signs of a neuropathic pain component (radicular pain). Treatment of this condition remains challenging. Therefore, the current study aimed to investigate the efficacy of duloxetine in the treatment of CLBP patients with neuropathic leg pain. METHODS The study was conducted as a prospective, randomized, placeb...

Methods We studied 19 patients attending our Department (68,4% female, median age 13,6 yrs). The Childhood Health Assessment Questionnaire (CHAQ) was administered to all patients. The CHAQ is a disease specific instrument selected because of its widespread use in the pediatric rheumatology literature and ease of administration. The CHAQ measures functional ability in eight activities of daily l...

Coenzyme Q10 (CoQ10) deficiency has been proposed to be causal in 3-hydroxy-3-methyl-glutaryl coenzyme A reductase inhibitor (statin)-induced myopathies. However, the clinical benefit of supplementation is unproved. The purpose of the present study was to assess the effect of CoQ10 supplementation on myalgias presumed to be caused by statins. Patients currently receiving a statin who developed ...

PURPOSE the aim of this study was to compare clinical outcomes of contracted immobile massive rotator cuff tears mobilised through an arthroscopic interval slide technique versus massive mobile cuff tears directly repaired without any mobilisation. METHODS twenty-five patients who underwent arthroscopic repair for massive rotator cuff tears with a minimum of 18 months follow-up were included....

The mechanism of neuropathic pain (NP) and osteoarthritic (OA) pain, although different, are both defined as chronic pain, and combinations are possible. In this study, the awareness of both types of chronic pain was investigated among patients and doctors. This prospective study was planned and coordinated by the orthopedic and internal medicine clinics and included 100 patients with a diagnos...

With the increase in the number of female physicians in Japan, breaks in their career associated with life events have become more apparent. Based on Schein‟s conceptual theory of career anchors, this study examined the relationship between career anchors, choosing specialty, and life satisfaction among female physicians who had worked in rural practice. A career anchor questionnaire was distri...

Background: The purpose of the present study was to compare the mid-term clinical outcomes of MAT and meniscectomy. Methods: Between July 2006 and December 2010, 20 patients receiving meniscus allograft transplantation were enrolled. The IKDC score, Lysholm score, Tegner score and VAS score were compared between the two groups. X-ray and MRI were used to evaluate the degree of knee joint degene...

RESULTS: All patients had a positive Grind test preoperatively and a negative test after 6 months. Statistically significant improvements were seen (Means scores with P values) VAS at rest 3.25 to 1.425 (P=0.0138), VAS on activity 7.7 to 3.9 (P=0.0021), ROM 46 to 53 (P= 0.0095) and DASH 47.23 to 18.7 (P=0.0046). Strength and Kapandji score improved insignificantly at 6 months. There were no sig...

BACKGROUND To analyse and compare the impact of cardiovascular risk factors and disease on health-related quality of life (HRQoL) in people with and without diabetes living in the community. METHODS We used data of 1,905 people with diabetes and 19,031 people without diabetes from the last Spanish National Health Survey (years 2011-2012). The HRQoL instrument used was the EuroQol 5D-5L, based...

Sirs, Previously multiple criteria were used in the diagnosis of fibromyalgia syndrome (FMS) and, in 1990, the ACR developed criteria for the classification of FMS (1). These criteria required only two components: a history of widespread pain for ≥3 months and tenderness at ≥11 of 18 tender points (TP). These criteria have been criticised since they are largely subjective, diagnosis is often ma...