• 제목/요약/키워드: Night pain

검색결과 102건 처리시간 0.027초

Evidence-based use of cold for plantar fasciitis

  • Laymon, Michael S.;Petrofsky, Jerrold S.;Alshammari, Faris;Fisher, Stacy
    • Physical Therapy Rehabilitation Science
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    • 제2권2호
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    • pp.75-80
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    • 2013
  • Objective: The purpose of this study was to examine the effect of cold applied the night before or in the morning on pain and symptoms of plantar fasciitis. Design: Experimental study. Methods: Thirty subjects with plantar fasciitis were recruited for this study. Subjects with plantar fasciitis either had no intervention, cold applied (20 minutes) at night before bed, or 20 minutes in the morning upon wakening. Plantar fascia tenderness and pain were evaluated. There were ten subjects in each group. Measures included visual analog scale, plantar facial thickness via high resolution ultrasound, algometer measure, and range of motion of the ankle and foot. There were 3 groups of 10 subjects, control (no intervention), cold the night before bed, and cold in the morning before rising. Results: The greatest relief of symptoms was cold used at bedtime the night before the measurements. Cold used in the morning was not as effective as cold used in the evening before bed. Cold use reduced the thickness of the plantar fascia and irritation. There was a 13% reduction in plantar fascia thickness with cold the night before (p<0.05), a 44% reduction in pain and an 86 % increase in the force that could be applied to the bottom of the foot without pain (p<0.05). Conclusions: Cold applied for 20 minutes prior bedtime is effective for reduced symptomology caused by plantar fascia inflammation.

당귀수산합유향정통산(當歸鬚散合乳香定痛散)이 야간통을 동반한 교통사고 환자에게 미치는 영향 (Effect of Dangguisoo-san plus Yuhyangjeongtong-san (Dangguixu-san plus Ruxiangdingtong-san) in the Traffic Accidents Patients with Night Pain)

  • 박정우;정수현
    • 한방재활의학과학회지
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    • 제25권1호
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    • pp.87-93
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    • 2015
  • Objectives This study investigated the effect of korean medicine treatment with Dangguisoo-san plus Yuhyangjeongtong-san (Dangguixu-san plus Ruxiangdingtong-san) on traffic accidents patients with night pain. Methods 77 traffic accidents patients with night pain were treated with Dangguisoo-san plus Yuhyangjeongtong-san (Dangguixu-san plus Ruxiangdingtong-san), acupuncture, cupping, physical therapy. VAS (Visual Analogue Scale), NDI (Neck Disability Index), ODI (Oswestry disability index), total sleep time, the number of bed time arousal were checked to evaluate the effectiveness of the treatment. Results VAS, NDI, ODI of patients treated with Dangguisoo-san plus Yuhyangjeongtong-san (Dangguixu-san plus Ruxiangdingtong-san) were all improved and there were statistical significance (p<0.05). Total sleep time, the number of bed time arousal of patients treated with Dangguisoo-san plus Yuhyangjeongtong-san (Dangguixu-san plus Ruxiangdingtong-san) were all improved and there were statistical significance (p<0.05). Conclusions According to the study, Korean complex therapy with Dangguisoo-san plus Yuhyangjeongtong-san (Dangguixu-san plus Ruxiangdingtong-san) might effective in traffic accidents patients with night pain.

어혈, 담음으로 변증된 요추부 추간판 탈출증 환자들의 특성에 관한 연구 (A Study on the Characteristics of Lumbar Disc Herniation Being Classified Blood Stasis and Phlegm-Retained Fluid)

  • 엄태웅;이차로;김호준;이명종
    • 한방재활의학과학회지
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    • 제23권4호
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    • pp.159-167
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    • 2013
  • Objectives In this study, we wanted to find out the characteristics - gender, SLR test, valsalva test, duration, ESR, CRP and night pain - of lumbar disc herniation being classified as blood stasis and phlegm-retained fluid. Methods We surveyed 42 patients suffering from lumbar disc herniation using the diagnosis blood stasis syndrome, water retention syndrome of the comprehensive diagnosis of QI blood water. Blood stasis and phlegm-retained fluid are identical with blood stasis syndrome, water retention syndrome. Then we analyzed the characteristics - gender, SLR test, valsalva test, duration, ESR, CRP and night pain - of the patients suffering from lumbar disc herniation who were diagnosed as blood stasis and phlegm-retained fluid. Results Patients were sorted into two groups: 18 blood stasis patients and 30 phlegm-retained fluid patients. Gender (Woman), acute phase and night pain are related to blood stasis. Acute phase, positive of SLR test is related to phlegm-retained fluid. There was no correlation between blood stasis and SLR test, valsalva test, duration, ESR, CRP. Also no correlation between phlegm-fluid and gender, valsalva test, duration, ESR, CRP and night pain. Conclusions By Considering the characteristics - gender, SLR test, valsalva test, duration, ESR, CRP and night pain - of lumbar disc herniation patients, it can help to analyze the pattern of its symptoms.

소양인 족번열에 대한 숙지황고삼탕 치험 1례 (A Case Report of Soyangin Burning Feet Syndrome Treated with Sukjiwhanggosam-tang)

  • 권미혜;이준희
    • 사상체질의학회지
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    • 제35권4호
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    • pp.86-95
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    • 2023
  • Introduction This is the first case report of a soyangin suffering from burning feet syndrome who reported a significant improvement after taking Sukjiwhanggosam-tang. Case presentation The patient complained of hot feet, pain and numbness that occurred during the night. The patient was diagnosed with 'Yin deficiency diurnal fever disease' and treated with Sukjiwhanggosam-tang as well as acupuncture and cupping therapy. The degree of improvement in heat sensation, pain and numbness was expressed in numeric rating scale compared to the first visit. Conclusion After treatment, the heat sensation, pain and numbness of feet was decreased significantly, and the condition improved much at night.

관절경하 회전근 개 봉합술 후 다중 통증 조절법을 이용한 초기 통증 조절의 유용성 (Effectiveness of Multimodal Pain Control in Early Phase After Arthroscopic Rotator Cuff Repair)

  • 박창민;김종해;김석준;최창혁
    • Clinics in Shoulder and Elbow
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    • 제15권1호
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    • pp.1-7
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    • 2012
  • 목적: 사각근간 상완 신경총 차단 하 회전근 개 복원술 후 다중 통증 조절법을 통한 초기통증 조절의 유용성을 확인해 보고자 하였다. 대상 및 방법: 회전근 개 전층 파열로 관절경 하 회전근 개 복원술을 시행한 80명의 환자들을 대상으로 하였다. 전례에서 술 전 마취로 사각근간 상완 신경총 차단을 시행하였고 수술 후 견봉하 공간에 Bupivacaine 유치 도관을 통한 일회성 통증 조절만 시행한 A군 (Group A : Local analgesia group)과 유치 도관 주사에 추가하여 경구 약물로 아편양 제재, 아세트아미노펜-트라마돌 복합제, 선택적 COX2 억제제를 사용하는 다중 통증 조절법을 시행한 B군 (Group B : Multimodal control group)으로 나누어 비교하였다. 수술 당일 야간, 술 후 1, 2, 3일 및 술 후 2주의 주간과 야간의 통증 점수 (visual analogue scale, VAS), 입원 중 추가 투여한 ketolorac 주사의 횟수와 약물과 관련된 부작용에 대해 비교, 분석을 하였다. 결과: 수술 당일 야간, 술 후 1, 2, 3일, 술 후 2주의 주간 및 야간의 평균 VAS는 A군에서 각각 7.4점, 7점/6.8점 (주/야), 4.5점/5.2점, 4.8점/5.0점, 2.2점/2.7점 이었으며 B군에서 각각 6.5점, 4.3점/5.4점, 3.2점/4.3점, 3.0점/4.1점, 2.4점/2.5점으로 수술 당일 야간과 수술 후 1,2,3일의 주간통 및 술 후1일의 야간통에서 각각 유의한 감소를 보였다 (p<0.05). A군과 B군의 하루 당 평균 ketolorac 투여 횟수는 각각1.1회, 0.5회였고 부작용의 차이는 없었다. 결론: 관절경적 회전근 개 복원술 후 다중 통증 조절법을 통한 초기 통증 조절은 효과적인 진통조절을 보여 환자의 만족도를 높일 수 있는 방법으로 생각되었다.

세명대학교 부속한방병원 야간 진료실 내원환자의 실태분석 (Survey on the Actual Conditions of Patients in Semyung University Attached Oriental Medical Hospital Night Clinic.)

  • 민웅기;남창규
    • 대한한의학회지
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    • 제20권4호
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    • pp.50-61
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    • 2000
  • This study on the visits of the oriental medical night clinic of patients, was made to be used as reference data by examining and analyzing statistically the many actual conditions of patients who had been visited in Semyung University Attached Oriental Medical Hospital during the period from April, 1998 to March, 1999. The purpose of this survey was to understand the characteristics of patients, to evaluate the roles of Night Clinic of oriental medical hospital, and contribute to the systemic and efficient management of night clinic service. The results obtained were as follows: I. Distribution of sex: male 53% (421 cases), female 47% (379 cases) 2. The age distribution of patients showed the highest in under ten, followed by the thirties and fifties, forties and twenties in order. 3. The monthly distribution of patients showed the highest in October 1998, followed by May 1998 and February 1999 in order. 4. The daily distribution of patients showed the highest in Sunday, followed by Saturday, Monday, Friday and Tuesday in order. 5. The regional distribution revealed the highest in Jecheon with 76% of all patients, followed by Danyang in order. 6. The distribution of arrival time showed the highest in 7:00 pm~0:00 am (27%), followed by 5:30 pm~7:00 pm (23%) in order. 7. The admission rate in patients was 17%. Among them direct visiting rate was 85%. Circulatory systemic disease was the highest. 8. The highest incidences by disease were of motor system with 48% (394cases), followed by diseases in circulatory system with 19% (l48cases). The majority of the patients 67% was connected with two diseases. 9. The chief complaint of pediatric diseases was febrile seizure with 64% (32cases), digestive disease was abdominal pain with 44% (90cases), circulatory diseases was motor disturbance with 43% (83cases), motor system disease was leg pain with 37% (l19cases), respiratory disease was fever with 46% ( 41 cases). 10. In the treatment method, a major portion of treatment methods was acupuncture treatment with 32% (373cases), followed by acupuncture & herbal medicine treatment with 23% (275cases). The most commonly used herbal medicines were Hangsapyunguisan(l6%) and Ojeoksan(l4%).

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요추 추간판 탈출증의 통증치료시 발견된 유골골종 -증례 보고- (A Case of Osteoid Osteoma Diagnosed during Treatment of Herniated Nucleus Pulposus)

  • 노만석;강훈수;김정호
    • The Korean Journal of Pain
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    • 제10권2호
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    • pp.262-265
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    • 1997
  • We experienced a case of osteoid osteoma in thoracic vertebra accompanied with herniated nucleus pulposus during the management of back pain. A 32 year old male patient with herniated nucleus pulposus complained of back pain and radiation to right leg. Lumbar epidural block with 1% mepivacaine 5 ml was performed for pain control and it relieved the radiating pain. However patient continued to experience severe exacerated back pain at night which responded to aspirin. Therefore we performed further examination for existence of disease of the spine and diagnosed osteoid osteoma in the right pedicle of T12 vertebra. In conclusion, we recommend physicians when evaluating patients with back pain to be congnizant of possible existence of neoplastic disease of the spine and incorporate it in differential diagnosis.

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Factors Affecting the Quality of Sleep in Young Adults

  • Chang, Ae Kyung;Lee, Kyung Hye;Chang, Chong Mi;Choi, Jin Yi
    • 지역사회간호학회지
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    • 제32권4호
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    • pp.497-505
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    • 2021
  • Purpose: The study aimed to identify the effects of sleep hygiene (use of caffeine, alcohol, night eating syndrome, stress, and coping styles), social network, and smartphone-related factors on quality of sleep in young adults. Methods: This was a descriptive research design. Participants completed a questionnaire on evidence-based variables including caffeine intake, alcohol consumption, social network, night eating syndrome, stress, coping styles, and smartphone-related factors. Stepwise multiple regression was used for data analysis to identify factors that influenced the participants' quality of sleep. This study included 288 young adults in South Korea. Results: This study identified the factors affecting quality of sleep in young adults. Their average weekly sleep duration was 6.86 hours with low sleep quality, indicated by a score of 59.34 points (range 17-100). The predictors of sleep quality were sleep mood, sub-items of night eating syndrome, effects of pain over the last four weeks, and social networks, which explained 33% of the variance. Conclusion: Sleep-induced diseases in young adults could be prevented by identifying sleep mood, pain, and social networks, which is important for health and using them as a basis for intervention.

요통의 진단과 치료 (Diagnosis and Management of Low Back Pain)

  • 장재홍;김병조
    • Annals of Clinical Neurophysiology
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    • 제14권1호
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    • pp.1-6
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    • 2012
  • Low back pain is a common clinical condition with heterogeneous causes and challenges to manage. High prevalence and numerous assessments result in an enormous socioeconomic burden. Clinician must conduct efficient and stepwise evaluation process to rule out serious spinal pathology, neurologic involvement, and identify risk factors for chronicity. The process can be achieved through the focused history taking and physical examination. Certain factors related to serious spinal pathology include age (>50 years), trauma, unexplained fever, recent urinary or skin infection, unrelenting night or rest pain, unexplained weight loss, osteoporosis, immunosuppression, steroid use, and widespread neurological symptoms. In non-specific low back pain, diagnostic imaging and laboratory studies are often unnecessary and can disturb an appropriate management. For the management of acute low back pain, patient education and medication such as acetaminophen, non-steroidal anti-inflammatory drugs, and muscle relaxants are recommended. For chronic low back pain, behavior therapy, back exercise, and spinal manipulation are beneficial. The evidence based approach could improve success rate of management, result in prevention of acute low back pain from being chronic intractable pain.

Prostate cancer in workers exposed to night-shift work: two cases recognized by the Korean Epidemiologic Investigation Evaluation Committee

  • Sungkyun Park;Seongwon Ma;Hoekyeong Seo;Sang Gil Lee;Jihye Lee;Shinhee Ye
    • Annals of Occupational and Environmental Medicine
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    • 제35권
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    • pp.52.1-52.13
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    • 2023
  • Background: In 2019, the International Agency for Research on Cancer re-evaluated the carcinogenicity of night-shift work and reported that there is limited evidence that night-shift work is carcinogenic for the development of prostate cancer. Therefore, in 2020 and 2021, the Korean Epidemiologic Investigation Evaluation Committee concluded that 2 cases of prostate cancer were occupational diseases related to the night-shift work. Here, we report the 2 cases of prostate cancer in night-shift workers which were first concluded as occupational diseases by the Korean Epidemiologic Investigation Evaluation Committee. Case presentation: Patient A: A 61-year-old man worked as a city bus driver for approximately 17 years, from 2002 to 2019, and was exposed to night-shift work during this period. In March 2017, the patient was diagnosed with high-grade prostate cancer through core-needle biopsy after experiencing stinging pain lasting for 2 months. Patient B: A 56-year-old man worked as an electrician and an automated equipment operator in a cement manufacturing plant for 35 years from 1976 to 2013 and was exposed to night-shift work during this period. In 2013, the patient was diagnosed with high-grade prostate cancer through core needle biopsy at a university hospital because of dysuria that lasted for 6 months. Conclusions: The 2 workers were diagnosed with high-grade prostate cancer after working night shifts for 17 and 35 years respectively. Additionally, previous studies have reported that high-grade prostate cancer has a stronger relationship with night-shift work than low or medium-grade prostate cancer. Therefore, the Korean Epidemiologic Investigation Evaluation Committee concluded that night-shift work in these 2 patients contributed to the development of their prostate cancer.