A thirty-nine year old woman with history of infertility was admitted at the 14 week of gestation complaining of acute abdominal pain. Ultrasound revealed a large intramural fibroid bulging into the uterine cavity showing signs of degeneration. It was pressing on the gestational sac with a normal intrauterine pregnancy. The internal cervical os was funneling indicating incompetence of the inter...

background low back pain (lbp) is one of the most common complaints that is reported by all age groups. objective this study was aimed to investigate the efficacy of epidural steroid injections (epsi) related to different volume injections for treatment of acute low back pain with radiculopathy. patients and methods the study is consisted of seventy five patients who had acute discogenic pain. ...

lallemantia royleana (balangu) is a well known iranian medicinal plant that its seed mucilage has many applications in modern pharmacology. plant mucilage traditionally was used as a gel supplement, and natural matrix for sustained release of drugs. but it seems that these compounds are not a simple additive and also have many undiscovered pharmacological properties. in this research, the anest...

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[Purpose] In this study, we compared upper cervical flexion and cervical flexion angle of computer workers with upper trapezius and levator scapular pain. [Subject] Eight male computer workers with upper trapezius muscle pain and eight others with levator scapular muscle pain participated. [Methods] Each subject was assessed in terms of upper cervical flexion angle and total cervical flexion an...

Gout typically affects the 1st metatarsophalangeal joint. Spinal gout is rarely reported. Moreover, involvement of extensive spines is remarkably unusual. We describe a case of a 76-year-old woman with gout involving cervical, thoracic, and lumbar spines and sacroiliac joint. She presented with fever, severe back pain, and polyarthralgia and had multiple tophi on both elbows and the left 2nd an...

This epidemiologic study was aimed at detecting determinants of acute inflight neck pain. It followed a cohort of 66 student fighter pilots from 1 to 3 years. These pilots were frequently exposed to high +Gz forces. The number of flight hours, strenuousness of work, job satisfaction, symptoms suggesting psychologic distress, smoking habits, and the frequency of muscle strength, muscle endurance...

BACKGROUND It is widely accepted that cervical interlaminar steroid injection (CIESI) is more effective in treating radicular pain than axial neck pain, but without direct comparison. And the differences of effect after CIESI according to MRI findings are inconsistent. In this retrospective study, we evaluated the therapeutic response of CIESI according to pain sites, durations, MRI findings, a...

Congenital absence of cervical spine pedicle can be easily misdiagnosed as facet dislocation on plain radiographs especially in the acute trauma setting. Additional imaging, including computed tomography (CT)-scan with careful interpretation is required in order to not misdiagnose cervical posterior arch malformation with subsequent inappropriate management. A 39-year-old patient presented to t...

INTRODUCTION The costs associated with patients discharged with isolated clinician-elicited persistent midline tenderness and negative computed tomography (CT) findings have not been reported. Our aim was to determine the association of acute and post-acute patient and injury characteristics with health resource costs in such patients following road trauma. METHODS In a prospective cohort stu...