• Title/Summary/Keyword: wrist pain

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Osteoid Osteoma in Wrist: A Case Report (수근부에 발생한 유골 골종: 증례 보고)

  • Lee, Chae-Chil;Kim, Sang Woo;Jung, Seung-Hyun
    • The Journal of the Korean bone and joint tumor society
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    • v.20 no.2
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    • pp.94-98
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    • 2014
  • Osteoid osteoma can occur in all parts of the skeletal system. More than half occur in lower extremity and rare in wrist. Clinically pain is almost the only symptom worse at night and which is characterized by a rapid improvement by NSAID. We report the cases of osteoid osteoma which shows the characteristic symptoms and got a good results with appropriate imaging work up and surgical treatment.

High prevalence of musculoskeletal pain in individuals with severe obesity: sites, intensity, and associated factors

  • Mendonca, Carolina Rodrigues;Noll, Matias;Santos, Annelisa Silva e Alves de Carvalho;Rodrigues, Ana Paula dos Santos;Silveira, Erika Aparecida
    • The Korean Journal of Pain
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    • v.33 no.3
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    • pp.245-257
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    • 2020
  • Background: Musculoskeletal pain is associated with obesity; however, information on factors associated with pain in adults with obesity and severe obesity is limited. The purpose of this study was to assess the prevalence of musculoskeletal pain by site and intensity of pain and associated factors in individuals with severe obesity (body mass index ≥ 35.0 kg/㎡). Methods: Baseline data from the DieTBra Trial study evaluating pain symptoms in nine body regions over the last seven days using the Nordic Questionnaire on Musculoskeletal Symptoms and Numerical Pain Scale. The variables analyzed using multiple Poisson regression with hierarchical analysis were: sociodemographic, lifestyle, food consumption, clinical, and anthropometric, and the outcome was moderate and intense pain. Results: In 150 participants, there was a high prevalence of ankle and foot pain (68.7%), lower back pain (62.7%), pain in the knees (53.3%) and upper back pain (52.0%), with a predominance of intense pain. Factors associated with pain according to specific sites were: type 2 diabetes with hand/wrist pain; sedentary time with hip pain; insomnia with pain in the hip and knee; edema in the lower limbs with pain in the lower back and ankles/feet; degree of obesity with ankle/foot pain; and percentage of total fat with ankle/foot pain. Conclusions: There was a high prevalence of pain and intense pain in individuals with severe obesity and an association with clinical variables, the degree of obesity, and sedentary lifestyle.

Comparison of Pain, Sense, Bleeding and Hematoma Depending on the Process of Air Elimination of Pressure Band after Percutaneous Coronary Intervention through Radial Artery (요골동맥을 통한 경피적 관상동맥 중재술 후 압박밴드의 공기제거 방법에 따른 통증 강도, 통증 감각, 출혈 및 혈종 비교)

  • Kim, Mi Seok;Oh, Ji Seon;Cho, Hye Young
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.2
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    • pp.275-283
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    • 2012
  • Purpose: This study was conducted to compare pain, sense, bleeding, and hematoma that patients feel depending on the process of eliminating air of pressure band that was applied to patients after percutaneous coronary intervention (PCI) through radial artery. Methods: It was a nonequivalent control group pretestposttest design to compare pain, sense, bleeding, and hematoma by amount and time of eliminating air of pressure band after PCI through radial artery. Results: On arrival at Coronary Care Unit, meaningful difference didn't exist between pain and sense, however, after two hours of starting eliminating air, the points of pain and sense were meaningfully low (p<.001). Also, there was meaningful difference in reciprocal action between group and time (p<.001). Conclusion: After PCI, the conclusion showed there is positive effect in decreasing wrist pain and sense without any influence of bleeding by eliminating air from patients' pressure bands.

Is Early Spinal Cord Stimulation in Patients with Complex Regional Pain Syndrome Necessary? -A case report- (복합부위통증증후군 제I형 환자에서 조기 척수자극술이 필요한가? -증례보고-)

  • Min, Hyoung Ki;Han, Kyung Ream;Lee, Sang Eun;Kim, Kyoung Tae;Kim, Chan
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.223-227
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    • 2006
  • Complex regional pain syndrome (CRPS) is clinically characterized by pain, abnormal regulation of blood flow and sweating, edema of skin and subcutaneous tissues, sensory and motor disturbances, and trophic changes of the skin. A 21-year-old man was suffering from pain and swelling in his right hand and forearm. His arm had been in splints for 3 weeks following an extension injury of the right fingers and wrist, with the pain having developed 2 weeks after the splinting. He was treated with various nerve blocks including continuous epidural infusion, thoracic sympathetic block and peripheral nerve blocks, and squeezing his edematous region under general anesthesia as well as intravenous lidocaine and ketamine infusions. However, all of the performed treatments had no effect on the patient's pain or hand swelling. As a next line therapy, spinal cord stimulation should be considered because of intractable severe pain and swelling to almost all other modalities of therapy. We therefore performed an early intervention of spinal cord stimulation for the patient with refractory CRPS type I 5 months after the onset of pain and have got an excellent result.

Complex Regional Pain Syndrome followed by Artery and Vein Puncture -A report of 2 cases- (동정맥 천자 후 발생한 복합부위통증증후군의 치료 -증례보고-)

  • Ahn, Gyu Yul;Han, Kyung Ream;Lee, Hyun Tak;Kim, Yeui Seok;Kim, Chan
    • The Korean Journal of Pain
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    • v.20 no.1
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    • pp.66-70
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    • 2007
  • No definitive etiology or risk factors have been identified that predispose individuals to developing complex regional pain syndrome (CRPS). We experienced two cases of CRPS developed after arterial and venous puncture which were done in regular medical work. A 35-years old female patient was suffered from pain and allodynia with swelling at right hand and wrist after radial artery puncture for monitoring of blood pressure during general anesthesia. A 24-years old male patient had pain and swelling with allodynia at the right fingers and arm after median cubital vein puncture for blood sampling. They did not have proper pain management as CRPS patients in the past weeks and months after their pain occurred. They were diagnosed as CRPS and started undergoing various interventional procedures, which led to improve their pain condition. Our cases suggest that CRPS could develop without any proved tissue damage in routine medical practice. In conclusion, health care workers should be educated in knowledge about the uncommon medical condition and proper consultation to pain specialist when it happens.

A Review of Lateral epicondylitis (외측상과염에 관한 고찰)

  • Lee Mun-Hwan;Park Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.16 no.4
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    • pp.202-217
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    • 2004
  • Lateral epicondylitis is characterized by pain at the lateral aspect of the elbow, commonly associated with resisted wrist or finger extension and gripping activities. Lateral epicondylitis is also known such as lateral epicondylosis, tennis elbow, or tendonitis of the wrist extensor muscles, especially extensor carpi radialis brevis. Lateral epicondylitis is a common musculoskeletal lesion in the clinical states, so physical therapist usually meet a patients who has the lateral epicondylitis. But many of physical therapists are treating patients based on a self know-how, so I want to describe a systematically about lateral epicondylitis and give a objective information on the lateral epicondylitis. And now I want that they will be treat patients with lateral epicondylitis not a self-experience but based on a objective information.

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"Least Gain or Wrist Pain": A comparative study about performance and usability of mouse, trackball, and touchpad

  • Yunsun Alice Hong;Kwanghee Han
    • International Journal of Advanced Culture Technology
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    • v.11 no.2
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    • pp.298-309
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    • 2023
  • The mouse as an input device has undoubtedly brought convenience to users due to its intuitiveness and simplicity, but it also brought unprecedented issues such as carpal tunnel syndrome (CTS). As a result, the necessity of alternative input devices that put less strain on the wrist, while still providing the convenience of a conventional mouse, has emerged. Unfortunately, there have been several research about alternative devices to replace a mouse, however, they showed inconsistent results. This study suggests that those inconsistent results may stem from the type and the difficulty of tasks used in previous studies. Therefore, we designed this study to compare the performance and perceived workload of three input devices (Mouse/Trackball/Touchpad) in each condition in terms of task type (Targeting/Tracking) and difficulty level (Easy/Hard). The results indicated that there were significant performance differences and no significant workload differences among the three devices, and the interactions were observed in some conditions. These results can provide users with practical guidelines to choose the optimal input device according to their needs or purpose.

Subjective Symptoms of Cumulative Trauma Disorder in Furniture Manufacturing Workers (가구제조업 근로자의 누적외상성장해에 대한 자각증상)

  • Lee, Kyoung Ok
    • Korean Journal of Occupational Health Nursing
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    • v.6 no.1
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    • pp.44-52
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    • 1997
  • This study was carried out from January to March in 1996 to investigate subjective symptoms of cumulative trauma disorder (CTD). This survey was done by questionnaire of the Personal Ergonomics Profiles (PEP), which was developed by Johnson & Johnson. Number of respondents was 365 employees who were working in three furniture manufactories in Kwangjoo at Province Kyungki. The results were as follows : 1. There was no difference between clerical and labor workers in pain frequencies classified by general characteristics. However, labor workers showed statistically significant differences between working process in pain frequencies. Employees undertaking lifting work showed highest scores in frequencies of pain complaints. Comparing the number of pain occurrences, the married and the female was resulted in high score than the single and the male. There was no differences between ages and working experiences in group. 2. According to the mean frequency of body pain, the back was the most part to be complained in 1. 16 and followed by shoulder, neck, knee, wrist/hand, and forearm in order. Although, the study results showed that the workers working in furniture manufacture were not shown that they have had severe CTD, the female, the married and the the lifting workers were indicated as risk groups to CTD. Therefore, the development of backache prevention programe is necessary to manage pain control and to reduce health risks of CTD employees in their work environment.

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Analysis of Correlation Coefficient between Musculoskeletal Symptoms and Job Stress of Physical Therapists in Twenties: Focusing on Therapeutic Exercise Task (20대 물리치료사의 근육뼈대계 증상과 직무스트레스와의 상관관계 분석: 운동치료 업무를 중심으로)

  • Wang, Joong-San;An, Ho-Jung
    • The Journal of the Korea Contents Association
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    • v.15 no.7
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    • pp.314-321
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    • 2015
  • The purpose of this study is to investigate musculoskeletal symptoms and job stress of physical therapists in their 20s who are responsible for therapeutic exercise and to understand the correlation between the two. This study conducted a research on 144 subjects based on the measurement tools provided by national institution. The results are as follows. Many subjects were experiencing musculoskeletal symptoms and disorder in their hands/wrists/fingers, shoulders, and waist with high proportionate of subjects experiencing the symptoms and disorder in their right hand/wrist/finger. Among job stress, job environment, job requirement, and compensation had significantly positive correlation with physical burden(r=.297~.392, p=.000). In particular, shoulder pain intensity has significantly positive correlation with job requirement, duration of pain in hand, wrist, and fingers as well as workplace culture(r=.331~.478, p=.003~.009) which indicates that musculoskeletal symptoms are some what correlated with job stress. Based on this study, it is necessary to show more concern and make an effort to manage musculoskeletal symptoms and job stress.

Relationship between musculoskeletal subjective symptoms and work environment in dental hygienists (치과위생사의 근골격계 자각증상과 근무환경의 관련성)

  • Kim, Hae-Kyoung;Park, Hyun-Suk;Kim, Young-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.6
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    • pp.1128-1137
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    • 2012
  • Objectives : The purpose of this study was to identify the factors that affect working environment related musculoskeletal subjective symptoms among dental hygienists. Methods : The subjects in this study were 232 dental hygienists working at dental clinics and general hospitals in Daegu. The data has collected through the self-questionnaire survey from July 9th 2012 to July 31th. Results : 1. Musculoskeletal subjective symptoms were 85.3% in shoulder(right), 81.9% in neck, 74.6% in shoulder(left), 65.5% in wrist(right), 56.5% in lower leg(right). 2. Pain frequency of musculoskeletal subjective symptoms were the highest 24.7% in neck. Seeing the severity pain was the highest 9.0% in foot(left). The investigation of work interference related to substantially pain showed the highest 18.5% in wrist(right). 3. Musculoskeletal subjective symptoms correlated with general characteristics such as age, marital status, regular exercise and medical check-up(p<.05). 4. Musculoskeletal subjective symptoms correlated with working environments such as working career, the night treatment, the average daily number of patients handled, the average daily standing work hours, the regular rest, the major job in work place and physical burden(p<.05). Conclusions : The education or program on wrong working habits and bad postures of dental hygienists is needed to prevent musculoskeletal disorder.