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PubMed2001

The superficial skin temperature of low extremities in patients with sciatica.

In some patients with lumbar disc herniation pain of various character and intensity is observed. Besides the pain a number of patients present burning or cold sensations. The superficial temperature of the lower extremities was evaluated in 39 patients with ischialgia, classified for surgical treatment. The differences of skin temperature, however not statistically significant, between the affected and non-affected limbs were found.

Adult↗
PubMed2002

[Evaluation of analgesic action of fluvoxamine compared with efficacy of imipramine and tramadol for treatment of sciatica--open trial].

UNLABELLED: At present time tricyclic antidepressants (TA) are important tools in therapy of chronic pain. However administration of TA produce a number of side effects. Antidepressants of new generation, selective serotonin reuptake inhibitors (SSRI) induce less side effects in patients than TA. The aim of the study was to estimate an analgetic effect of antidepressant of new generation--fluvoksamine (Fevarin) in treatment of ischialgia and comparison with an analgetic effect of impramine and tramadol--opoid receptors antagonist. 70 patients with sociatic neuralgia were included to the research. They were at random divided into three groups. First one was treated with tramadol consisted of 22 persons (18 men and 4 women, average age--42.9 y.), second one treated with impramine consisted of 24 persons (18 men and 6 women, average age--43.2 y.) and third one treated with fluvoksamine consisted of 24 persons (15 men and 9 women, average age--42.3 y.). Observation time was 19 days. Pain intensity was evaluated in four degree descriptive scale. Before and after treatment clinical symptoms of depression were estimated in groups of patients treated with impramine or fluvoksamine by Zung's Depression Scale. There were no statistically significant differences in analgetic effect after treatment with fluvoksamine or impiramine. There was meaningly few number of side effects in the group treated with fluvoksamine. CONCLUSION: Fluvoksamine and impramine have similar effectiveness in treatment of ischialgia, that is why fluvoksamine should be considered as medication when TA are contraindicated.

Adult↗
PubMed2002

Gluteal compartment syndrome and sciatica after bone marrow biopsy: a case report and review of the literature.

The gluteal region is not commonly thought of as a compartment, yet nondistensible osseofascial boundaries do exist. As with any case of compartment syndrome expedient therapeutic measures are critical to salvaging neuromuscular function. The gluteal compartment is unique, however, because of its tremendous muscle mass and great potential for producing devastating systemic sequelae. Gluteal compartment syndrome is most commonly associated with unconscious patients who are recumbent for prolonged periods, but trauma, spontaneous bleeding, and overexertion can also cause it. We present a case report of gluteal compartment syndrome after bone marrow biopsy of the iliac crest. Recognizing gluteal compartment syndrome as an entity and maintaining a high index of suspicion for its development especially in unconscious patients can avert disaster regardless of etiology.

Aged↗