Pain Disorders and Variations in Upper Limb Morphology in Music Students

2002 ◽  
Vol 17 (4) ◽  
pp. 169-172 ◽  
Author(s):  
Gavin Miller ◽  
Fiona Peck ◽  
J Stewart Watson

The aim of this study was to identify the incidence and prevalence of upper limb pain and dysfunction in music students and to see whether there was any relationship between upper limb pain and upper limb morphology. Ninety-two music students and 65 nonmusician controls were questioned regarding upper limb pain and both groups were examined for upper limb abnormalities. The results of the study demonstrated that music students were five times more likely to report an upper limb pain syndrome than controls. Upper limb pain was not related to morphological variations such as small, weak, or hypermobile hands or to the presence of an anomaly. Instead, the study showed that upper limb pain was associated with being a musician, the number of years playing an instrument, duration of practice periods, and previous injury.

Pain ◽  
2014 ◽  
Vol 155 (3) ◽  
pp. 591-597 ◽  
Author(s):  
Tina Mainka ◽  
Florian S. Bischoff ◽  
Ralf Baron ◽  
Elena K. Krumova ◽  
Volkmar Nicolas ◽  
...  

2020 ◽  
Vol 10 (6) ◽  
pp. 411-420
Author(s):  
Ke-Vin Chang ◽  
Yi-Hsiang Chiu ◽  
Wei-Ting Wu ◽  
Po-Cheng Hsu ◽  
Levent Özçakar

Botulinum toxin (BoNT) has been widely employed to treat poststroke spasticity, cervical dystonia and muscle hyperactivity. Recently, BoNT injections are increasingly used in treating musculoskeletal pain. The mechanism of BoNT in pain relief comprises relaxation of overused muscles and inhibition of inflammatory nociceptive cytokines/neurotransmitters. As BoNT injections seem promising in treating painful musculoskeletal disorders, we aimed to investigate its effectiveness in shoulder and upper limb pain. Although the present article is a narrative review, we employed a systematic approach to search for relevant articles in PubMed. A total of 19 clinical studies were included. Here, we observed that intramuscular BoNT injections were helpful in stroke patients with hemiplegic shoulder pain. In shoulder joint pain, intra-articular and intrabursal BoNT injections achieved a longer period of pain relief than corticosteroid injections. Similarly, a more durable effect of intramuscular BoNT than saline injections was seen in shoulder myofascial pain. Its use in complex regional pain syndrome and persistent upper limb pain in breast cancer survivors was insufficient, necessitating more studies. Since not all of the included studies could provide Class I of evidence based on the efficacy criteria used by American Academy of Neurology, controlled clinical trials in a larger number of patients are necessary to verify validity of these findings in the future.


2021 ◽  
Vol 49 (3) ◽  
pp. 030006052110040
Author(s):  
Kuen Su Lee ◽  
Yoo Kyung Jang ◽  
Gene Hyun Park ◽  
In Jae Jun ◽  
Jae Chul Koh

Spinal cord stimulation (SCS) has been used to treat sustained pain that is intractable despite various types of treatment. However, conventional tonic waveform SCS has not shown promising outcomes for spinal cord injury (SCI) or postamputation pain. The pain signal mechanisms of burst waveforms are different to those of conventional tonic waveforms, but few reports have presented the therapeutic potential of burst waveforms for the abovementioned indications. This current case report describes two patients with refractory upper limb pain after SCI and upper limb amputation that were treated with burst waveform SCS. While the patients could not obtain sufficient therapeutic effect with conventional tonic waveforms, the burst waveforms provided better pain reduction with less discomfort. However, further studies are necessary to better clarify the mechanisms and efficacy of burst waveform SCS in patients with intractable pain.


2019 ◽  
Vol 48 (11) ◽  
pp. 746-750
Author(s):  
Brendan Mouatt ◽  
Steven J Kamper

Author(s):  
Manal Adel ◽  
Marwa Mashaal ◽  
Kareem Mahmoud ◽  
Shady Mashhour ◽  
Haytham Soliman

We report a case of superior vena cava obstruction of a 39 years old female patient with primary antiphospholipid syndrome presented with upper limb pain and swelling ,which improved on thrombolytic therapy ,we review patients with Antiphospholipid syndrome and management with thrombolytic therapy .


1998 ◽  
Vol 55 (4) ◽  
pp. 264-271 ◽  
Author(s):  
J. M. Harrington ◽  
J. T. Carter ◽  
L. Birrell ◽  
D. Gompertz

2007 ◽  
Vol 29 (3) ◽  
pp. 321-346 ◽  
Author(s):  
M. Calnan ◽  
D. Wainwright ◽  
C. O’Neill ◽  
A. Winterbottom ◽  
C. Watkins
Keyword(s):  

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