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O Kogstad

Publications and source records attributed to O Kogstad.

14 recordsLinked to original sources

[Pain school. Therapeutic offers to patients with fibromyalgia and other non-malignant pain problems].

A prospective study of 71 patients with fibromyalgia (Yunus 1981 criteria) experience improved quality of life and management of pain after treatment at a pain school for one year. There was no significant improvement in total pain score (VAS) and sickness impact profile (SIP) for these patients compared with 71 paired controls with fibromyalgia matched by age and sex. The need for health care services was reduced and more patients from the pain school group returned to work. The main programme in the pain school classes consisted of information on chronic, non-malignant pain, psychomotoric physiotherapy and group therapy. The pupils evaluated all three items as important, with group dynamics as most beneficial. Good results have also been achieved in other chronic, non-malignant patients. Organized and structural pain management programmes in pain school classes have a favourable cost benefit profile and we recommend more use of such classes in the Norwegian health care system.

Adult

"Pelvic girdle relaxation"--suggested new nomenclature.

The term "pelvic girdle relaxation" is not uniformly used. For better understanding of pelvic joint pain during and after pregnancy it is crucial to have commonly accepted definitions for the different conditions. A committee appointed by the Norwegian Medical Association suggests the term "physiological pelvic girdle relaxation" for the ligament relaxation that occurs during any pregnancy. Ligament relaxation that causes considerable pain and/or pelvic instability during pregnancy and/or puerperium (so that daily function is impaired) is termed "symptom-giving pelvic girdle relaxation". A pain condition in one or more of the pelvic joints outside pregnancy and puerperium is called "pelvic joint syndrome".

Female

[Pelvic girdle relaxation. Pathogenesis, etiology, definition, epidemiology].

Pelvic girdle relaxation is physiologic during pregnancy and is caused by hormonal and biomechanical factors. When a pregnant women presents herself as a patient with low back- and pelvic pain, walking dysfunction, and when the pain is reproduced by sacroiliac provocation tests, the diagnosis "symptom-giving pelvic girdle relaxation" may be justified. If the same symptoms and signs continue after delivery, we suggest the term "pelvic joint syndrome". Studies of selected patients indicate an incidence of 1.5 to 16%. In a random Norwegian population comprising 1,045 women, 25% claimed to have had pelvic girdle relaxation pre- and/or post partum. Four months post partum a point prevalence of 26.5% was found to have pelvic and low back pain. One of three was diagnosed as pelvic joint syndrome on the basis of special criteria after having excluded other diagnoses by clinical examination, X-ray and laboratory controls. Symptomatic lowback pain may be a difficult differential diagnosis. Risk factors for pelvic joint syndrome seem to be previous pelvic girdle relaxation or pelvic girdle relaxation in mother and sisters.

Back Pain

[Symptomatic pelvic girdle relaxation. Clinical aspects].

In pregnancy a relaxation of the sacroiliac joints and the symphysis is a physiologic phenomenon which usually occurs without symptoms. In some cases, however, these changes cause characteristic symptoms, with pain and difficulty in walking: the symptomatic pelvic girdle relaxation. The condition may be confirmed by tenderness of the joints and provocation of pain by the sacroiliac joints tests. Usually the symptoms disappear shortly after giving birth, but some women suffer for several months, and a few suffer persistent symptoms, the pelvic joint syndrome.

Back Pain

[Retropharyngeal tendinitis after chiropractor therapy].

We describe a patient diagnosed as having retropharyngeal tendinitis with severe neck pain, difficulties in swallowing and muscular spasm in the neck. Roentgenograms and CT showed the characteristic picture of soft tissue swelling and calcification in a prevertebral position in front of C1 and C2 corresponding to the longus colli muscle. The syndrome is not often diagnosed but in patients with neck pain the differential diagnosis should be kept in mind.

Chiropractic

[Antiphlogistic agents].

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Anti-Inflammatory Agents, Non-Steroidal