What is causing this patient's severe back pain?

Author(s):  
Brea Heil ◽  
Catherine Lee
Keyword(s):  
2002 ◽  
Vol 126 (4) ◽  
pp. 491-492
Author(s):  
Peter Depowski ◽  
Charles Trimarchi ◽  
Jiang Qian
Keyword(s):  

2014 ◽  
Vol 1 (4) ◽  
pp. 29-32 ◽  
Author(s):  
S Shubham ◽  
RP Yadav

AIM: To analyze the prevalence of low backache among practicing dentists of Eastern Region of Nepal. METHODS: A descriptive cross-sectional, questionnaire based study was conducted among the practicing dentists of Eastern region of Nepal from April 2012 July 2012. A pre-tested, pre-calibrated self-administered verbal rating questionnaire "The Oswestry Low Back Pain Disability Questionnaire" was distributed to a random sample of 85 dentists from different parts of eastern region of Nepal through direct contact and e-mails. RESULTS: A total of 85 dentists were identified among which 76 dentists participated in the research. Research finding showed that the prevalence of back pain among practicing dentists in Eastern region of Nepal was 90.79% among which 50% (minimal), 36.84% (moderate) and3.95% (severe). Among 45 males 4.44% had no back pain, 53.33% had minimal, 37.77% had moderate and 4.44% had severe back pain. On contrary females (31 participants) showed lesser prevalence of low back pain with 16.12% no back pain, 45.16% minimal, 35.48% moderate and3.22% severe back pain. The participants were divided into 3 different age group intervals in which dentists between 25-30 years were 50 in which 8% had no back pain, 58% had minimal, 28% moderate and 6% had severe back pain. Between 31-35 years were 22 participants in which 50% had minimal, 50% moderate and 0% had severe low back pain. More than 35 years were 4 participants in which 75% had no back pain, 25 % had moderate. Similarly the participants were divided into 5 different groups according the years of clinical practice in dentists having 1- 2 years of clinical practice (37 participants) had 2.70% no back pain, 56.75% minimal, 35.13% moderate and 5.40% severe back pain. 16 participants had 3-4 years of clinical practice out of which 12.50% had no low back pain, 62.50% had minimal, 18.75% had moderate and 6.25% had severe back pain. 10 participants had 5-6 years of clinical practice out of which 10% had no low back pain, 50% had minimal and 40% had moderate. 9 participants had 7-8 years of clinical practice out of which 11.11% had no low back pain, 33.33% had minimal and 55.55% had moderate. 5 participants had >9 years of clinical practice out of which 75% had no low back pain, 25% had minimal and 25% had moderate. CONCLUSION: The prevalence of back pain among dental personnel in Eastern region of Nepal was relatively high. The significant risk factors associated with it might be poor posture. Innovations for preventive and, ergonomic strategies should be undertaken to reduce the low back pain. DOI: http://dx.doi.org/10.3126/jucms.v1i4.9570 Journal of Universal College of Medical Sciences (2013) Vol.1 No.04: 29-32


2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Nasrin Bazgir ◽  
Elham Shafiei ◽  
Neda Hashemi ◽  
Hassan Nourmohamadi

Osteoporosis is a disease known to reduce bone density and to damage bone microarchitecture leading to increased fracture risk. Osteoporosis is one of the most common diseases among the middle aged and elderly people that impose high costs on the community. So far, despite rare cases of pregnancy and lactation-associated osteoporosis (PLO) reported in Iran, it can be treated with accurate diagnosis. Patient Introduction. A 24-year-old woman was referred to the outpatient rheumatologic clinic after the cesarean section during the first pregnancy with severe back pain. In the thoracolumbar radiographs, a loss of vertebral height in the T11 to L5 vertebra was recognized. Other complaints were abdominal pain and anemia. In order to evaluate the gastrointestinal disease and celiac, the patient underwent gastrointestinal and hematologic workup. Ultimately, secondary causes of the osteoporosis were excluded. Based on the patient’s clinical course, imaging finding, and exclusion of other causes of osteoporosis, the patient was diagnosed with PLO. Conclusion. Clinicians should be aware of PLO as rare complication of pregnancy. The situation should be particularly considered in females offering from new onset back pain in the third trimester of pregnancy or breastfeeding period.


2018 ◽  
Vol 46 (6) ◽  
pp. 572-574 ◽  
Author(s):  
I. Mohamed Iqbal ◽  
R. Morris ◽  
M. Hersch

We report a case of serious neurologic injury due to inadvertent epidural injection of 8 ml of the antiseptic 2% chlorhexidine in 70% alcohol during a procedure aimed to relieve the pain of labour. This resulted in immediate severe back pain, progressive tetraparesis and sphincter dysfunction caused by damage to the spinal cord and nerve roots. Subacute hydrocephalus necessitated drainage, but cranial nerve and cognitive function were spared. Magnetic resonance imaging documented marked abnormality of the spinal cord and surrounding leptomeninges. In the ensuing eight years, there has been clinical and electrophysiological evidence of partial recovery, but neurologic deficit remains severe.


1999 ◽  
Vol 158 (8) ◽  
pp. 679-680 ◽  
Author(s):  
J.-H. Höpner ◽  
E. Mengel ◽  
K. Brühl ◽  
P. Gutjahr
Keyword(s):  

QJM ◽  
2003 ◽  
Vol 96 (12) ◽  
pp. 950-951
Author(s):  
T. Bianda ◽  
R. Delli Carpini ◽  
M. Pagnamenta ◽  
C. Schmid

2011 ◽  
Vol 45 (15) ◽  
pp. A21-A21
Author(s):  
M. A. Akhtar ◽  
A. Clark ◽  
G. Ayana ◽  
S. Smith

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