Ultrasound-guided nerve blocks are becoming more essential for the management of acute pain in the emergency department (ED). With increased block frequency comes unexpected complications that require prompt recognition and treatment. The superficial cervical plexus block (SCPB) has been recently described as a method for ED management of clavicle fracture pain. Horner's syndrome (HS) is a rare...

BACKGROUND Several tests have been suggested to assess the isometric endurance of the cervical flexor (NFME) and extensors (NEE) muscles. This study proposes to determine whether neck flexors endurance is related to extensor endurance, and whether cervical muscle endurance is related to disability, pain amount and pain stage in subjects with neck pain. METHODS Thirty subjects (18 women, 12 me...

conclusions this study demonstrated improved analgesic effects after using intravenous patient controlled analgesia with ketamine on postoperative pain in opium abusers. patients and methods after institutional review board approval for ethical considerations, a randomized double-blinded placebo controlled clinical trial was conducted. a total of 140 male patients aged 18-65 years, undergoing o...

introduction: headache is the most common neurologic symptom among referees to the emergency department (ed), while the best treatment has not yet been found. therefore, in the present study pain relief effects of metoclopramide and acetaminophen were compared in patients suffered acute primary headache. methods: this study was a double-blind randomized clinical trial performed in imam khomeini...

conclusions intravenous paracetamol appears to provide better analgesia than intravenous morphine in acute limb trauma. further larger studies are required. objectives this study was conducted to compare intravenous paracetamol and intravenous morphine sulfate for acute pain reduction in patients with limb trauma. patients and methods in a randomized double-blinded clinical trial, all patients ...

BACKGROUND AND PURPOSE A patient with multiple sclerosis (MS) may be seen by a physical therapist for evaluation before the MS diagnosis is definitively made, after a relapse, or during a progression. The diagnosis of MS should be part of the differential diagnosis if the symptoms of a patient with neurological issues fit the pattern of a progressive disease. Multiple sclerosis can affect any p...

A 53-year-old woman complaining of worsening dys-pnoea and enlarging swelling in the neck after cough and acute sudden pain at the base of the neck. Contrast enhanced CT scan showing large cervical and mediastinal hematoma with bilateral pleural effusion (Fig. 1). Angiography: ruptured aneurysm of left lower thyroid artery treated by embolization (Fig. 2). Fig. 1. Contrast enhanced CT scan show...

abstract   background: osteoarthritis (oa) is the most common joint disease occuring after middle age. because of the high mobility of the neck, oa is common in the cervical spine. the purpose of this study was to determine and compare the effects of intermittent traction on patients with mild and moderate cervical oa. therefore, 32 patients with cervical oa were recruited.   methods: aclinical...