objectives: the aims of this study were to evaluate the efficacy of conservative treatment in patients with and without cervical ribs and thoracic outlet syndrome (tos). from so many kinds of conservative treatment in literature, we used a multidisciplinary approach (correction of posture, maximizing muscle endurance and power, stretch shorten muscles, massage for trigger points and maximize th...

background: ectopic pregnancy is one of the main problems in women in reproductive age that needs special attention and appropriate strategy should be managed. in some cases expectant management seems good strategy without any medicine or surgery and their possible side effects. but are the outcomes always the same? which outcomes should we expect? case: we have reported 2 patients whose ectopi...

BACKGROUND Suicidal digoxin intoxication is a rare clinical entity. Clinical suspicious remains of paramount importance as adequate interpretation of the electrocardiographic changes enable to readily initiate treatment. METHOD We describe a case of suicidal attempt after massive digoxin intake that was satisfactory managed with conservative management strategy that involved a close clinical ...

Initial treatment of shoulder multidirectional instability (MDI) consists of nonoperative modalities of physical therapy and rehabilitation; if this fails, surgical treatment can become necessary. MDI of the shoulder can be challenging to manage in individuals who fail conservative management. Historically, surgical treatment for MDI has been open capsular plication; however, arthroscopic capsu...

Neurogenic claudication was first related to lumbar stenosis (Verbiest H, 1954). Since, decompressive surgery was indicated in patients who failed to respond to conservative therapy. It is followed by posterior fusion in cases where the motion segment showed instability or in case where a secondary instability is expected to develop after surgery. However, while many patients have benefited fro...

Neurogenic claudication was first related to lumbar stenosis (Verbiest H, 1954). Since, decompressive surgery was indicated in patients who failed to respond to conservative therapy. It is followed by posterior fusion in cases where the motion segment showed instability or in case where a secondary instability is expected to develop after surgery. However, while many patients have benefited fro...

Deep dentinal lesion progress is often presented as the point of no return for the specific pulp involved. In these lesions, however large variations and changes within the lesion environment may be detected. As the disease process is better studied and understood, more conservative treatments have come 5 up in the treatment of deep carious lesions. One such is a step-wise excavation procedure,...

objectives: patients suffering from mild to moderate knee osteoarthritis may be treated with unloader knee orthoses or laterally wedged insoles. the aim of this study was to identify and compare the effects of two orthoses in these patients. methods: 56 patients with medial compartment knee oa were evaluated when wearing an unloader knee orthosis and insoles with a 6° lateral wedge which were r...

introduction: prevalence of abdominal trauma is increasing during recent years. abdomen is the third most affected part of body by trauma. early diagnosis can help us select better methods for managing abdominal trauma. even though newer imaging techniques such as ct scan are available, abdominal trauma is still a complex matter, which every doctor in the emergency department has to deal with. ...

DESCRIPTION A 58-year-old man with a history of surgery for traumatic injury to his right lower extremity developed extensive swelling of the affected extremity consistent with lymphedema after the operation. He presented to the plastic surgeon with continued worsening of the swollen extremity after failing conservative management.