• Title/Summary/Keyword: Head & neck pain

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The Clinical Reaction Study on 64 Cases with Essential Bee Venom Treatment (분리정제봉약침(Essential Bee Venom) 시술환자 64례에 대한 임상적 반응 보고)

  • Jeon, Yong-Tae;Go, Ung;Kim, Sung-Moon;Jeong, Hae-Chan;Han, Kuk-In;Shin, Seon-Ho;Ko, Youn-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.3
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    • pp.165-170
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    • 2016
  • Objectives The purpose of this study was to observe clinical reactions (itching, pain, etc.) after Essential Bee Venom (EBV) treatment. Methods This study was conducted 64 patients who had been injected with EBV in Korean Medicine Hospital of Woosuk University and Haeundae Ja-Seng Hospital of Korean Medicine from October 5, 2015 to February 20, 2016. We checked clinical reactions of treatment region. Results 8 patients (12.5%) complained of localized itching and 4 patients (6.3%) complained of localized pain after EBV injection. In itching reaction of patients, 2 patients (15.4%) occurred itching in head and neck, 4 patients (12.9%) occurred in lumbar and back. In pain reaction of patients, 2 patients (6.5%) occurred pain in lumbar and back, 1 patient (11.1%) occurred pain in upper limb. All clinical reactions were happened within 7 treatment times. Conclusions This study suggested EBV treatment can cause clinical reaction like itching and pain. Clinical reactions were more common in inpatients than outpatient, and all reactions were happened within 7 treatment times. Doctors should recognize physical reaction caused by EBV and explain to patient. Further studies are needed to more improved treatment.

Recurrent ST segment elevations in a patient with asymptomatic early repolarization during head and neck surgery: implications of vasospastic angina

  • Park, Se-Ung;Kim, Sung-Hoon;Kwon, Hye-Mee;Koh, Gi-Ho;Nam, Gi-Byoung;Karm, Myong-Hwan;Kim, Wook-Jong;Ku, Seung-Woo
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.3
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    • pp.189-193
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    • 2018
  • A 57-year-old woman scheduled for cochlear implant removal exhibited preoperative electrocardiographic findings of early repolarization (ER). Four episodes of transient ST segment elevations during surgery raised suspicion for vasospastic angina (VA). In the post-anesthetic care unit, the patient complained of chest discomfort and received sublingual nitroglycerin with uncertain effect. The patient refused to proceed with postoperative invasive coronary angiography, resulting in inconclusive diagnosis. Intraoperative circumstances limit the diagnosis of VA, which emphasizes the need for further testing to confirm the diagnosis. When VA is suspected in patients with underlying ER, it is reasonable to consider invasive examination to establish the diagnosis and prevent recurrence of VA. If ST changes are observed during surgery in patients with preoperative ER, careful monitoring is recommended. Due to general anesthesia, the absence of patient symptoms limits the definitive diagnosis of those with suspected VA. Therefore, additional postoperative surveillance is recommended.

The Effects of Complex Exercise Program on Postural Change, Gait and Balance Ability in Elementary School Students with Forward Head Posture - Case Study (전방머리자세를 가진 초등학생에게 복합운동프로그램이 자세변화와 보행, 균형능력에 미치는 영향: 사례연구)

  • Lee, Yoon-sang;Ahn, Seung-won;Jung, Sang-mo;Park, Hyun-sik;Ju, Tae-seong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.23 no.1
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    • pp.63-72
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    • 2017
  • Background: The purpose of this case study was to investigate into the effect of complex exercise program on the postural change, gait and balance ability in elementary school students with forward head posture. Methods: Four patients with forward head posture were recruited. They were evaluated pre-treatment, and after 6weeks, using neck disability index (NDI), numeric pain rating scale (NPRS), balance ability, foot pressure (fore foot/rear foot peak pressure ratio, F/R ratio), gait ability (cadence, toe out angle, stance phase). Results: First, the angle of forward head posture (craniovertebral angle; CVA and cranialrotation angle; CRA) was decreased in all subjects. The NPRS and NDI were decreased in all subjects. Also, The cadence, toe out angle and F/R ratio were increased in all subjects. The stance phase of gait cycle was positively change in all subjects. Lastly, the static balance ability improved in all subjects. Conclusion: According to the results above, the complex exercise program for students with forward head posture can help improve the postural change, gait and balance ability. Also, the complex exercise program was able to select interventions depending on the patient's condition and the desired goal.

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An Accurate Forward Head Posture Detection using Human Pose and Skeletal Data Learning

  • Jong-Hyun Kim
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.8
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    • pp.87-93
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    • 2023
  • In this paper, we propose a system that accurately and efficiently determines forward head posture based on network learning by analyzing the user's skeletal posture. Forward head posture syndrome is a condition in which the forward head posture is changed by keeping the neck in a bent forward position for a long time, causing pain in the back, shoulders, and lower back, and it is known that daily posture habits are more effective than surgery or drug treatment. Existing methods use convolutional neural networks using webcams, and these approaches are affected by the brightness, lighting, skin color, etc. of the image, so there is a problem that they are only performed for a specific person. To alleviate this problem, this paper extracts the skeleton from the image and learns the data corresponding to the side rather than the frontal view to find the forward head posture more efficiently and accurately than the previous method. The results show that the accuracy is improved in various experimental scenes compared to the previous method.

Effect of the Oblique Fluoroscopic Approach for Performing Stellate Ganglion Block (성상신경절 차단 시 빗김법의 효과)

  • Park, Chan Hong;Lee, Do Seok;Kim, Bong Il
    • The Korean Journal of Pain
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    • v.19 no.1
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    • pp.68-71
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    • 2006
  • Background: Stellate ganglion block (SGB) is a selective sympathetic blockade that affects the head, neck and the upper extremities. It is an important method that has been frequently used in pain clinics due to its wide range of indications. But there were some problem with performing SGB at C6 or C7. Thus, various techniques have been recently introduced to successfully perform SGB; among them, there is the oblique approach. This study was performed to evaluate the effectiveness of the oblique approach for performing SGB in C7. Methods: Forty six patients with sudden hearing loss were studied. In group I, the patient underwent C7 oblique SGB with 1% mepivacaine (3 ml) under fluoroscopic guidance. In group II, the patients underwent the C7 classical anterior approach SGB with 1% mepivaine (5 ml) under fluoroscopic guidance. We compared the occurrence of Horner's syndrome, the side effects and the changes of temperature of the skin of the hand. Results: The rate of Horner's syndrome was 81.5% in the group I and 84.2% in the group II. The rate of incurring increased skin temperature (${\geq}34^{\circ}C$) of the fingers was 77.7% and 79.4% in each group, respectively. Conclusions: The C7 oblique approach for SGB showed the same SGB effect compared with the C7 anterior approach for SGB, and there were also fewer complications. We conclude that C7 oblique SGB may be a beneficial method for treating patients with this particular malady.

Extranodal Rosai-Dorfman Disease in Mediastinum - A Case Report - (종격동에서 발생한 Rosai-Dorfman 질병의 증례 - 1례 보고 -)

  • 최주원;오태윤;조은윤;장운하
    • Journal of Chest Surgery
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    • v.35 no.10
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    • pp.768-772
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    • 2002
  • Sinus histiocytosis with massive lymphadenopathy or Rosai-Dorfman disease(RDD) is a rare type of histiocytosis syndrome, that presents in its most typical form as massive, painless, bilateral lymph node enlargement in the neck during the first or second decade of life. The disease involves extranodal site in over 25% to 43% of the cases, however cases of extranodal RDD without nodal disease have rarely been reported. The involved sites of extranodal RDD have been reported various that were orbit, ocular adnexae, head and neck, upper respiratory tract, breast, gastrointestinal tract, CNS, etc. A 35 year-old man was present with pleural pain on left anterior chest and anterior mediastinal mass, that underwent an excision to remove the suspected invasive thymoma, and the diagnosis was confirmed to extranodal Rosai-Dorfman disease.

Spontaneous Bilateral Supratentorial Subdural and Retroclival Extradural Hematomas in Association with Cervical Epidural Venous Engorgement

  • Cho, Chul-Bum;Park, Hae-Kwan;Chough, Chung-Kee;Lee, Kyung-Jin
    • Journal of Korean Neurosurgical Society
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    • v.46 no.2
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    • pp.172-175
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    • 2009
  • We describe a case of 36-year-old man who presented with a subacute headache preceded by a 1-month history of posterior neck pain without trauma history. Head and neck magnetic resonance imaging (MRI) studies disclosed bilateral supratentorial subdural and retroclival extradural hematomas associated with marked cervical epidural venous engorgement. Cerebral and spinal angiography disclosed no abnormalities except dilated cervical epidural veins. We performed serial follow-up MRI studied to monitor his condition. Patient's symptoms improved gradually. Serial radiologic studies revealed gradual resolution of pathologic findings. A 3-month follow-up MRI study of the brain and cervical spine revealed complete resolution of the retroclival extradural hematoma, disappearance of the cervical epidural venous engorgement, and partial resolution of the bilateral supratentorial subdural hematoma. Complete resolution of the bilateral supratentorial subdural hematoma was confirmed on a 5-month follow-up brain MRI. The diagnosis and possible mechanisms of this rare association are discussed.

Clinical study of 1 case of patient with Hypothyroidism (갑상선(甲狀腺) 기능저하증(機能低下症) 환자(患者) 1례(例)에 대(對)한 임상적(臨床的) 고찰(考察))

  • Kim, Yong-Sung;Kim, Kyung-Su
    • Herbal Formula Science
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    • v.9 no.1
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    • pp.397-403
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    • 2001
  • Tyroid gland is the biggist endocrine organ which is located in front of trochea. The role of the thyroid gland in the total body economy comprises the synthesis, storage, and secretion of thyroid hormones, which are necessary to growth, development, and normal bodymetabolism. Hypothyroidism is the state of a dificiency in the secretion of Thyroid hormone. This may result from idiopathic myxedema, or distruction or removal of thyroid, or goiter, or thyroid adenomas. Hypothyroidism corresponds to thick lips, dry skin, puffy eyelids, coars hair, megaloglossia, and pudgy hands etc. On one case of Hypothyroidism who was hospitalized for the chief complaints of fatigue, general weakness, coldness, edema in head, neck site, lumbago. I diagnosed this case as dificiency of Qi and blood(氣血兩虛) or dificiency of warm-Qi in spleen and kidney(脾腎陽虛). And then I used Moxa treatment to increase Qi and blood, and Acupuncture treatment to reduce shoulder and neck pain, lumbago. And Herb-med is used to increase Qi and blood, and recover of general condition. As a result, this patient got better more quickly.

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Treatment and Prevention of Abnormality with Lateral Flexion and Rotation in Cervical Spine

  • Lee, Hyun-Chang;Shin, Seong-Yoon;Park, Ki-Hong
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.10
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    • pp.189-194
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    • 2019
  • In the healthcare system, the human neck(cervical spine) is one of the most important organs. The area that supports the human head is the cervical spine. Nowadays, we are often overworked our neck to calls with the smart phone or see the monitors. In this paper, we investigate the abnormalities of lateral flexion and rotation of the cervical spine. The normal angle of lateral flexion is $20^{\circ}$ to $45^{\circ}$ and the normal angle of rotation is $50^{\circ}$ to $90^{\circ}$. If this angle is below normal and we feel pain, there is something wrong with the cervical spine. In addition, learn how to measure the lateral flexion and rotation of the neck or cervical spine, and also to find out how to treat an abnormality. We also look at how to prevent more than lateral flexion and rotation of the cervical spine. The experiment was carried out with 100 people in their 50s, men and women, to find out whether the neck is abnormal.

Effects of Deep Cervical Flexor Exercise with Visual Guide on Muscle Activity and Craniovertebral Angle in Subjects with Forward Head Posture

  • Son, Kuk-kyung;Cynn, Heon-Seock;Lee, Ji-Hyun;Park, Dong-Hwan;Kim, Bo-Been
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.2
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    • pp.53-61
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    • 2019
  • PURPOSE: Forward head posture (FHP) is a head-on-trunk malalignment that results in musculoskeletal dysfunction and neck pain. To improve forward head posture, both the craniocervical flexion exercise (CCFE) and the visual guide (VG) technique have been used. This study compared the immediate effects of CCFE and VG combined with CCFE on craniovertebral angle (CVA), as well as on the activity of the sternocleidomastoid (SCM) and anterior scalene (AS) muscles during CCFE in subjects with FHP. METHODS: In total, 16 subjects (nine males, seven females) with FHP were recruited using the G-power software. Each subject conducted CCFE and CCFE combined with VG in random order. The CVA was recorded using a digital camera and the ImageJ image analysis software. The EMG data of SCM and AS were measured by surface electromyography. A paired T-test was used to assess differences between the effects of the CCFE and VG combined with CCFE interventions in the same group. RESULTS: The CVA was significantly greater for CCFE combined with the VG than for CCFE alone (p<.05). The activity of the SCM and AS muscles was also significantly greater when the VG was combined with CCFE than during CCFE alone across all craniocervical flexion exercise phases (p<.05). CONCLUSION: Use of the VG technique combined with CCFE improved FHP in subjects with FHP compared to CCFE alone.