Use of oral colchicine in low-back pain.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to M R Rask.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Glomus tumor is a very painful pericytal lesion of the arteriovenous anastomotic complex that controls circulation in a limb. Glomus tumor usually involves a digit. Prostaglandin inhibition may control the glomus tumor pain, but surgical removal is the cure. When the condition is discovered early, or when there is no gross evidence of tumor, thermography and localized anesthetic blocks are invaluable in arriving at the proper diagnosis.
Peripheral nerve tumors are rare, usually encapsulated and intraneural in location. A 33-year-old woman with a nonencapsulated paraneural neoplasm of the median nerve obtained pain relief without recurrence from surgical excision of the tumor. This represents an exceedingly rare disorder of peripheral nerves.
Fifty patients with acute and chronic damaged disk syndromes responded (68% good or excellent results) to minimal colchicine usage (0.6 to 1.2 mg per day), indicating that more complicated measures may be avoided in many distressed patients who suffer from disk disease. The usefulness of colchicine is slightly better in the acute than in the chronic disk syndrome, but any disk-suffering patient deserves a therapeutic trial of this possibly valuable medicament, before progressing to more complex, invasive procedures.
Explore the source record for details and available documents.
Rheumatoid disease as a cause for achilles tendon rupture has been inferred but never reported to my knowledge. A patient with confirmed achilles tendon rupture from rheumatoid disease has been free from disease for nine years following tenoplasty and synoviobursectomy of the achilles tendon.
Explore the source record for details and available documents.
After a short term of employment in a new job, 3 young heroin addicts became disabled from low back pain due to neisseria gonorrhea prostatitis. Each returned to work after a few weeks of antibiotic therapy without symptoms following proper diagnosis. These patients demonstrate the importance of a careful history and thorough examination of the patient with low back pain including a rectal examination of the prostate gland.
Anomalies of the lumbosacral nerve roots, if unrecognized, may lead to injury of that nerve in operations on lumbar disks. Myelography rarely predicts the anomaly before operation. However, the presence of congenital skeletal defects of the lumbosacral joint should alert the surgeon to the possibility of anomalous nerve roots. Two cases of spondylolisthesis of the lumbosacral joint with with associated nerve root abnormalities are presented.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Subluxation of the tendon of origin of the long head of the biceps femoris muscle (or snapping bottom) is a rare, previously unreported degeneration of the tendinous attachments of the muscle at the ischial tuberosity. It occurs in a patient who wears out this attachment through a lifetime of hyperflexion hip movements, such as are required in bending to reach the floor. The snapping of the tendon across its point of origin causes pain and swelling in the buttock. In the older nonathlete, if conservative measures fail, the treatment of choice is simple tenotomy. The condition should not be confused with weaver's bottom (ischiogluteal bursitis), even though it may be a cause for that bursitis.
Entrapment of the superior gluteal nerve can occur as a result of compression by anterior-superior tendinous fibers of the piriformis muscle and cause aching claudication-type buttock pain, weakness of abduction of the affected hip with a waddling gait, and tenderness to palpation in the area of the buttock superolateral to the greater sciatic notch. Instilling anesthetic into the point of entrapment may relieve the pain completely, but superior gluteal neurolysis may be required to effect a permanent cure.
Explore the source record for details and available documents.