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Biomedical subjects

M Lindig

Publications and source records attributed to M Lindig.

11 recordsLinked to original sources
PubMed2005

[Risk factors for back pain in children and adolescents].

Factors that have led to the increasing prevalence of back pain amongst children and adolescents living in industrialized nations are mostly unknown. The following literature review was aimed at determining the risk factors for back pain amongst children and adolescents. We searched both PUBMED and MEDLINE between the years 1985 and 2003 for the keywords "children or adolescents" and "back pain". Only data published in original articles were used. The risk for suffering back pain is influenced by physical, behavioural, emotional and social factors. The effects of physical activity, sitting, muscle status, weight of schoolbags, exercise, television and computer use, as well as age and gender on the development of back pain in children and adolescents were examined. Associations between continuous or recurring back pain and psychosocial factors (lifestyle, emotional factors, social relationships) could be demonstrated. There was no relationship between changes of the spine seen by radiological tests and the development of chronic back pain. Longitudinal epidemiological studies are urgently needed to delineate the risk factors for the development as well as the natural history of chronic back pain in the young.

Adolescent↗
PubMed2002

Disappearance of central thalamic pain syndrome after contralateral parietal lobe lesion: implications for therapeutic brain stimulation.

At present there is hardly any appropriate therapy for central pain syndromes available. We report on a unique case of a central thalamic pain syndrome that did not respond to any therapy but disappeared after an additional contralateral parietal lobe lesion. This example indicates that lesions affecting the bilateral balance of thalamo-parietal circuits may lead to pain relief in patients with central pain syndrome, which probably constitutes a bilateral disorder of functional plasticity. This should be taken into account in chronic brain stimulation for persistent pain states.

Electric Stimulation Therapy↗
PubMed2001

[Comparison of severity of chronic pain in patients differing in pain diagnosis: an analysis by means of the Mainz Pain Staging System].

INTRODUCTION: Testing the validity of the Mainz Pain Staging System (MPSS) is often carried out by pain classification according to chronic stage. It is assumed that pain syndromes distribute equally over the chronic stages. This analysis was carried out to answer three questions: Do different pain syndromes vary in chronicity, do the four axes of the MPSS differ between pain syndromes, and are there any specific item responses with respect to a pain syndrome? METHODS: 406 patients with different pain diagnoses were included in this analysis. Patients were chosen from the PAIN-Documentation-System of the pain outpatients' department of the Medical University of Luebeck. The pain score according to MPSS had been assessed, and a diagnosis attributed according to the Multidimensional Classification of Pain (MASK). RESULTS: Pain diagnoses do differ in pain chronification. Patients with headache showing the lowest chronification, and patients with back pain describing the most severe chronification, formed the extreme patient groups. Further analysis using the axes of the MPSS demonstrate different sensitivity with respect to pain syndromes, i. e. intake of drugs being the least sensitive and aspects of time being the most sensitive axes. Statistical analysis using configural frequency analysis indicated a relation between pain syndromes and specific item responses. CONCLUSION: Using pain stages of the MPSS as an experimental factor in studies of pain, it is imperative either to control pain syndromes or to confine to a single pain syndrome, to avoid confusion between pain syndromes and severity of pain chronification.

Chronic Disease↗
PubMed1997

[Postoperative pain therapy using on-demand analgesia after external ear reconstruction with rib cartilage harvesting].

BACKGROUND: The individual experience of postoperative pain values considerably. It is the patient who can best evaluate the intensity of pain and the effect of a given analgesic substance. Patient-controlled analgesia (PCA) enables the patient to self-administer an i.v. analgesic bolus by pressing a button of an electronic pump device within a previously set range. If needed. The resection of rib cartilage to be used for ear reconstructions is associated with intense postoperative pain. This could result in unfavorable stress responses such as impaired cough and clearance of lung secretions carrying a greater risk of bronchitis or pneumonia, prolonged mobilization, and complications of wound healing. Therefore, individually adapted pain therapy is of great importance and technically feasible with modern PCA devices. METHOD: Informed and cooperative children aged five years and older and adults without severe health risks are suitable for PCA. Management, handling, monitoring and documentation of the PCA device are discussed. A 24-hour counselling service is maintained for occurring problems. RESULTS: Almost all patients expressed their great satisfaction with the means of pain therapy. Few patients were apprehensive. The initial scepticism of the involved personnel concerning opioid abuse, over-dosage, or technical problems gave way for a support of the PCA once the great satisfaction of the patients in absence of side effects was witnessed. No patient had to be antagonized for respiratory depression. Nausea and vomiting were rare events. CONCLUSION: Patient-controlled analgesia proved to be an excellent answer to postoperative pain after resections of rib cartilage.

Adult↗
PubMed1991

[Intravenous application of calcitonin following unsuccessful thermocoagulation of the dorsal root entry zone].

Following a traumatic lesion of the brachial plexus, severe pain syndrome in the left shoulder and arm developed in a 42-year-old patient. The pain could not be relieved by multiple therapeutic attempts. Therefore, electrocoagulation of the substantia gelatinosa was performed on the affected side of the evulsed plexus from the dorsal aspect of the cervical spinal cord (Dorsal-Root-Entry-Zone-Lesion, DREZ-operation). After temporary relief, the initial pain syndrome returned. Intravenous salmon-calcitonin infusions administered at our pain clinic led to almost complete remission of pain. Six months later the original symptoms returned and therefore the same infusion scheme was repeated with identical results.

Calcitonin↗
PubMed1975

[Fetal ventriculogram in rhesus immunization. Various aspects].

We considered it useful to attempt to diagnose fetal distress or fetal heart failure in hydropic fetuses using external electrodes with a feto-maternal electrocardiographic machine. The pathological tracings that we obtained have been compared with tracings from a normal pregnancy. The authors have not been able to find that there is a significant difference between the electric axes of normal fetuses and pathological fetuses. In fact in both groups we have found as many normal axes with right deviation as with left deviation. In any case we have found that low voltage ventriculograms with a triangular shape have been more common in hydropic fetuses than in the control group. We do not think that this method will be of any use in diagnosing chronic fetal distress of heart failure. All the same we think that we should devote our attention particularly to those patients that have low voltage ventriculograms of triangular shape. We would like to thank Dr Mario Villamichel for his advice and commentary on the manuscript as well as Dr Luis Senties, the Chef de Service of the Department of Isoimmunisation.

Edema↗