• Title/Summary/Keyword: physical pain

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Intra-articular Synovial Hemangioma of the Knee - A Case Report - (슬관절의 관절내 활액막 혈관종 - 증례 보고 -)

  • Kim, Jin-Wan;Cho, Hyung-Lae;Ku, Jung-Hoei;Ko, Young-Chul;Hong, Seong-Hwak
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.1
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    • pp.91-94
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    • 2006
  • Synovial hemangioma of the knee joint has been reported as a rare cause of pain, limitation of motion and hemarthrosis, often seen as an internal derangement of the knee. A 39-year-old woman presented with spontaneous hemarthrosis of the left knee joint and physical exam revealed a small painful mass adjacent to the medial side of the patella. Magnetic resonance imaging revealed an intra-articular tumor. Arthroscopic excision was performed and the histology was characteristic of hemangioma. Through this case, we discuss the diagnosis and treatment options for the synovial hemangioma of the knee.

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ESSENTIAL TREATMENT BY REMOVING THE ETIOLOGY OF MYOFASCIAL PAIN DYSFUNCTION SYNDROME AND INTERNAL DERANGEMENT : REVIEW OF LITERATURES & REPORT OF CASES (저작근막동통증후군과 악관절 내장증의 원인치료 : 문헌적 고찰및 증례보고)

  • Yoo, Jae-Ha;Choi, Byung-Ho;Rhee, Byung-In;Choi, Yong-Seok;Kim, Jin-Kwon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.3
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    • pp.259-272
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    • 1994
  • The authors reviewed the etiology and essential treatment of temporomandibular disorders. The principal etiology was thought to the the myospasm of masticatory musculatures by stress (major cause) and dental irritation. Therefore, we attempted to control the myospasm by stress management, isometric exercise and regular daily physical exercises (walking, Jogging, bycycling, rope skipping, swimming & gymnastic exercise). The result was more favorable (95% success rate) without recurrence in 123 patients, who was referred to our department of dentistry(Oral & Maxillofacial surgery), Wonju Christian Hospital.

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Fibromyalgia Syndrome Combined with Insomnia and Depression Disorder Managed with Korean Medical Treatment: A Case Report (한의학적 치료로 호전된 불면과 우울을 동반한 섬유근통 증후군 환자 치험 1례)

  • Kim, Eui-su;Shin, Min-koo;Kim, Tae-ryun;Oh, Jae-seon;Ma, Young-hun;Le, Young-su
    • The Journal of Internal Korean Medicine
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    • v.36 no.3
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    • pp.400-409
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    • 2015
  • Objectives The study aimed to evaluate the therapeutic effect of Hyungtonghaeul-tang along with Korean medicine treatment for fibromyalgia syndrome. Methods A patient with fibromyalgia syndrome was treated with Hyungtonghaeul-tang as well as Korean medical treatment including acupuncture, electro-acupuncture, bee venom therapy, chuna, aromatherapy, and physical therapy. The counts of tenderness points, widespread pain index (WPI), symptom severity scale score (SS scale score), digital infrared thermal imaging (DITI), Ryodoraku diagnosis, visual analogue scale (VAS), fibromyalgia impact questionnaire (FIQ), and beck depression inventory (BDI) were measured. Results After treatment, the counts of tenderness point, WPI, SS scale score, VAS, FIQ, and BDI were decreased. The DITI and the Ryodoraku pattern recovered normally. Conclusions Hyungtonghaeul-tang along with Korean medicine treatment can be used in the treatment of fibromyalgia syndrome.

Foot Drop of Contralateral Limb after Deformity Correction in a Polio Patient: A Case Report

  • Seo, Sang Gyo;Park, Jae Young;Kim, Jin-Tae;Kim, Ji-Beom;Lee, Dong Yeon
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.2
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    • pp.83-86
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    • 2014
  • Postpoliomyelitis syndrome is a common neurological disorder that occurs in patients who have experienced paralytic poliomyelitis. Recently, as a result of vaccination against poliovirus, incidence of poliomyelitis is exceedingly low. However, many patients with postpolio syndrome may encounter anesthesia when undergoing surgery, such as for correction of foot deformity and other operations. We report on a 45-year-old woman who experienced paralysis of her contralateral limb after operation on the left foot under spinal anesthesia. Postoperative electromyography/nerve conduction study (EMG/NCS) was performed in order to determine the cause of paralysis. Motor power of the sequelae involved leg showed improvement with time and recovered fully to the preoperative level at six months after the index operation. A precise evaluation, including a physical examination and EMG/NCS, should be performed preoperatively when spinal anesthesia is planned for postpolio syndrome patients.

The Experiences of Patients in Intensive Care Units(ICU) (중환자실 환자의 경험)

  • Kim, Young-Hae;Koo, Mi-Jee;Kim, So-Hee;Kim, Young-Mi;Lee, Nae-Young;Chang, Koung-Oh
    • Journal of Korean Academy of Nursing
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    • v.37 no.6
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    • pp.924-931
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    • 2007
  • Purpose: The purpose of this study was to describe the essence of the experiences of patients in an ICU, and to understand them from the patients' point of view. Methods: Participants in this study were six patients in P hospital. Data collection consisted of in-depth interviews and an observation method done from January to April in 2005. The method was analysis using the phenomenological method proposed by Colaizzi(1978). Results: The themes were classified into eight theme clusters. The eight theme clusters were finally grouped into four categories, 'shock', 'pain', 'gratefulness' and 'pleasure of revival'. Conclusion: The ICU patients had negative experiences in physical mental critical situations, but also positive experiences in consolation and nurses and families' encouragement. Therefore, ICU nurses must support patients and their families to minimize the negative experiences and maximize the positive experiences.

Practical Considerations in Anesthesia for Electroconvulsive Therapy (전기경련치료의 마취를 위한 실제적 문제들)

  • Youn, Tak;Kim, Yong Sik;Lee, Nam Young;Kim, Se Hyun;Choi, Jun Gwon;Lee, Jeoung Hyuk;Chung, In Won
    • Korean Journal of Biological Psychiatry
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    • v.24 no.3
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    • pp.110-128
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    • 2017
  • Electroconvulsive therapy (ECT) has been recognized effective as primary or secondary treatments for major psychiatric disorders including depression and schizophrenia, as well as psychiatric emergency such as suicide, food refusal and catatonia, and so on. Medicines used in anesthetic induction for ECT, cause various reactions in autonomous, hemodynamic, and neuromuscular systems. The anesthetics also affect the duration, threshold, and intensity of seizures evoked with electric stimuli, and thus modify the seizure quality in ECT. Individual characteristics of age, sex, weight, comorbid physical disorders, and medications should also be considered for optimal clinical response after ECT. When preparing for anesthesia, adequate anesthetic agents and muscle relaxants, and rapid recovery should be carefully considered. We conducted a case-series study to address practical issues that are frequently encountered during ECT anesthesia with reviews of updated journals in order to provide practical helps to clinicians who are preparing ECT for their patients.

The Effects of Bag Weight and Carrying Bag Position on Vastus Medialis Oblique and Vastus Lateralis Muscle Activity Ratio during Step up in Healthy Adult (계단오르기 동안 가방의 무게와 가방메기 형태가 안쪽빗넓은근과 가쪽넓은근의 근활성도비에 미치는 영향)

  • Cho, Hyunrae
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.3
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    • pp.49-55
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    • 2014
  • Purpose : The purpose of this study was to investigate the effect of cross bag weight and carrying bag position type on vastus medialis oblique and vastus lateralis muscle activity ratio during step up. Method : Twenty healthy subjects participated in this study. subjects randomized performed step up with bag weight less than 15%, more than 15% of totalbody weight and without bag and carrying bag position ipsilateral and contralateral. muscle activity was measured with surface electromyography. One-way analysis of variance with repeated measures was used with a significance level of 0.05 Result : The results of this study were as follows: 1. The muscle activity ratio decreased significantly ipsilateral bag position more than 15% of body weight(p<.05). Also, the muscle activity ratio increased significantly contra lateral bag position more than 15% of body weight(p<.05). Conclusion : In conclusion, it was found that applied carrying bag position with weight on VMO,VL muscle activity ratio during step up down. Therefore carrying bag position can be used to selective activate vastus medialis oblique muscle in subjects with patellofemoral pain syndrome.

Study on the Treatment Mechanism of Back-Shu Points for Organ Dysfunction (배수혈의 내장기 치료 기전에 관한 연구)

  • Hwang, Man-Suk
    • Korean Journal of Acupuncture
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    • v.33 no.3
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    • pp.95-101
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    • 2016
  • Objectives : This study aims to overview the therapeutic mechanism of back-shu points in terms of sympathetic visceral motor nervous system. Methods : Studies about autonomic nervous system, and studies and ancient texts about back-shu points were reviewed. We interpreted possible mechanism of back-shu points considering similarities of anatomical and physiological characteristics of back-shu points and visceral motor nervous system. Results : Afferent signals for organ lesions that can develop the symptoms of autonomic neurological symptoms, pain, hyperalgesia through the skin segment. Through a physical examination of the myotome and dermatome, it is possible to diagnose segmental disorders. Treatment stimulation of the thick fibers of the disorder segment skin can reduce abnormal autonomic influence over the sympathetic reflex mechanism. In addition, if spinal muscles are relaxed, the pressure on the nerve roots could be reduced and consequently the hyperactivity of the sympathetic visceral motor signal would be suppressed. Conclusions : The back-shu points treatments work through the mechanism of the sympathetic nervous reflex. Moreover, segmental acupuncture can reduce tension of the spinal muscles, thereby improving pathological conditions of the sympathetic nervous system.

Observation of Fine Structures of Defective Herbal Acupuncture Needles (약침용 불량 Needle의 미세 형태 관찰)

  • Park, Won-Pil;Kim, Hyun-Do;Kwon, Ki-Rok
    • Journal of Pharmacopuncture
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    • v.8 no.1
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    • pp.67-71
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    • 2005
  • Objectives : This study was conducted to observe the tip of needles which induce poor needle sensation upon injection of herbal acupuncture. Methods : Among the syringes used for herbal acupuncture, needles which cause poor sensation were collected and evaluated by SEM (scanning electron microscope) for changes in structure, existence of impure matters, physical damage, and etc. Results : 1. Various forms contributed to poor needle sensation. Bent needle body, damaged or crooked needle tip, and blunted tip 2. Poor needles could be made during the manufacturing process, during insertion of the needle into the vial(except for the lubricants), and repeated procedures with one needle at different regions. Conclusion : Poor needles induce unnecessary pain and discomfort not only to the patients but also to administrators during injection. Herbal acupuncture is a treatment technique injecting herbal extract on the meridian points, and strict quality check must be enforced to prevent occurrence of poor needles.

Biceps long head tendon revisited: a case report of split tendon arising from single origin

  • Kim, Kyung-Cheon;Rhee, Kwang-Jin;Shin, Hyun-Dae;Byun, Ki-Yong
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2008.03a
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    • pp.165-165
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    • 2008
  • A 27-year-old, right-hand-dominant woman with a posttraumatic anterior shoulder dislocation 3 months earlier after traYc accident presented because of pain and limited range of motion in the right shoulder. On physical examination, the patient had negative instability tests and a sulcus sign. On arthroscopic examination, a bifurcate long biceps tendon with two limbs was observed about 1 cm distal to the origin in the supraglenoid tubercle. We found no evidence of a tear in the long biceps tendon on probing, and the margin of each limb was smooth and round. Although this anatomic variant may be benign, its presence might be associated with other shoulder pathology. It is interesting to speculate whether the aberrant biceps anatomy in our patient contributed to transfer of injury at dislocation to the rotator cuff rather than to the classic anterior-inferior capsulolabral complex. In addition, recognition of the described anatomic variant on arthroscopy can aid the shoulder surgeon in focusing treatment on the actual pathology.

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