pelvic infections and chronic pelvic pain

... variations in the numbers of bony segments and (pseudo-) articulations of pelvic digits described in the literature For example, Lame [5] and Granieri and Bacarini [7] described a total of six ... elements and at least one (pseudo-) articulation Nguyen et al [8] reported a case series where one patient had one phalanx and one pseudoarticulation, and two other cases with three bony segments and ... sacrotuberous ligament can resemble a pelvic digit [2] The pelvic digit is usually identified via radiography and differentiated from post-traumatic myositis ossificans and heterotopic bone formation...

Ngày tải lên: 11/08/2014, 17:21

... negative and positive feedback loops involving the ovarian steroids (estradiol and progesterone) and peptides (inhibin B and inhibin A) and the hypothalamic [gonadotropin-releasing hormone (GnRH)] and ... presence of breast development and cyclic pelvic pain; or within years of breast development if menarche has not occurred Secondary Amenorrhea or Oligoamenorrhea Anovulation and irregular cycles are ... tract, or musculoskeletal origin Depending on its cause, pelvic pain may require urgent surgical attention Menstrual Disorders Definition and Prevalence Amenorrhea refers to the absence of menstrual...

Ngày tải lên: 06/07/2014, 20:20

... karyotype, but because of the lack of androgen receptor responsiveness, they have severe underandrogenization and female external genitalia The absence of pubic and axillary hair distinguishes them ... endometrium, resulting in menses and, in combination with the inhibins, provides feedback regulation of the hypothalamus and pituitary to control secretion of FSH and LH The prevalence of amenorrhea ... follicle-stimulating hormone (FSH) and luteinizing hormone (LH) secretion from the pituitary to induce ovarian folliculogenesis and steroidogenesis Ovarian secretion of estradiol and progesterone controls...

Ngày tải lên: 06/07/2014, 20:20

... of a careful history, physical examination, and the demonstration of low levels of gonadotropins and normal prolactin levels Eating disorders and chronic disease must be specifically excluded ... chromosomal abnormalities including Turner syndrome, autoimmune polyglandular failure syndromes, radioand chemotherapy, and galactosemia In the majority of cases, however, a cause is not determined ... in the FSH or LH receptors Aromatase deficiency and 17α-hydroxylase deficiency are associated with elevated gonadotropins with hyperandrogenism and hypertension, respectively Gonadotropin-secreting...

Ngày tải lên: 06/07/2014, 20:20

... Causes of Pelvic Pain Acute Chronic Cyclic pelvic Premenstrual pain symptoms Mittelschmerz Dysmenorrhea Endometriosis Noncyclic pelvic pain Pelvic inflammatory disease Ruptured or hemorrhagic Pelvic ... disturbances, and pain originating in the abdominal wall Pelvic pain may reflect pelvic disease per se but may also reflect extrapelvic disorders that refer pain to the pelvis In up to 60% of cases, pelvic ... the pain is acute versus chronic and cyclic versus noncyclic will direct further investigation (Table 51-1) However, disorders that cause cyclic pain may occasionally cause noncyclic pain, and...

Ngày tải lên: 06/07/2014, 20:20

... hypersensitivity, resulting in pain Secondary dysmenorrhea is caused by underlying pelvic pathology Endometriosis results from the presence of endometrial glands and stroma outside of the uterus ... stimulation and cause dysmenorrhea, which generally precedes menstruation by several days Endometriosis may also be associated with painful intercourse, painful bowel movements, and tender nodules ... endometrial glands and stroma within the myometrium Cervical stenosis may result from trauma, infection, or surgery Dysmenorrhea: Treatment Local application of heat; use of vitamins B1, B6, and E and...

Ngày tải lên: 06/07/2014, 20:20

... endometriosis and unexplained pelvic pain were compared [11] Authors showed that patients with chronic pelvic pain present some degree of hyperalgesia and some impairment Souza et al Health and Quality ... April 2006 and December 2008 Patients We included 66 consecutive patients complaining of pelvic pain aged between 25 and 48 years-old in the study We defined pelvic pain as dysmenorrhoea and/ or intermenstrual ... Psychosocial factors and chronic pelvic pain: a comparison of women with endometriosis and with unexplained pain J Psychosom Res 1996, 40:305-315 Ford J, English J, Miles WA, Giannopoulos T: Pain, quality...

Ngày tải lên: 12/08/2014, 01:22

... VT, SF, RE, and MH for subjects without chronic pain, and in BP, VT, SF, RE, and MH for subjects with chronic pain For subjects without chronic musculoskeletal pain at baseline, and regarding ... outcome in GH, SF, and RE for subjects without chronic pain, and in RE and MH for subjects with chronic pain For subjects without chronic musculoskeletal pain at baseline, and regarding alcohol ... predicted better outcome in SF and RE for subjects without chronic pain, and in RE and MH for subjects with chronic pain For subjects without chronic musculoskeletal pain at baseline, belonging...

Ngày tải lên: 18/06/2014, 19:20

... prolonged stance duration and lower velocity and step length if compared to OG and healthy subjects, and a less physiological knee and ankle strategy It can be speculated that pain- relief may represent ... patients with chronic low back pain and nonsymptomatic controls Clin Rehabil 2002, 16(1):16-26 Lamoth CJ, Daffertshofer A, Meijer OG, Beek PJ: How persons with chronic low back pain speed up and slow ... pain, cervicobrachial and lumbosacral radicular syndromes) and some related risk factors J Neurol Sci 2001, 192(1-2):17-25 Larsson UE: Influence of weight loss on pain, perceived disability and...

Ngày tải lên: 19/06/2014, 08:20

... treatment such as antiprostaglandins and requiring bed rest) and/ or dyspareunia and/ or chronic pelvic pain (n = 26) The degree of pain was established using a visual analogue scale, VAS scale ... dispareunia or chronic pelvic pain (n = 25) Group B included patients presenting severe dysmenorrhea (with no response to conventional analgesic, treatment such as antiprostaglandins and requiring ... other than cystic ovarian endometriosis (2 teratomas and haemorragic cysts) The presence and type of pelvic adherences, mean rAFS score and stages, and sizes of endometriomas were not statistically...

Ngày tải lên: 20/06/2014, 07:20

... VAS is among the most widely used pain scales [30] and has been used in many conditions, including acute and chronic pain of various origins [31-33] The validity and reliability of the VAS using ... mm (absence of pain) and 100 mm (unbearable pain) have been demonstrated for different pain indications [33] and values for the MCID have been established for different types of pain; for example, ... different chronic pain conditions, including chronic low back pain [46], osteoarthritis [47], and ankylosing spondylitis [48] The limitations of our study were that we used only one anchor and we...

Ngày tải lên: 20/06/2014, 15:20

... contributions MB and VD conceived the study and provided the research idea; VM, LBie < and MB performed clinical work and surveyed the patients; MB, OP and VB performed the analysis, MB, VB and OP drafted ... approach to chronic pain: Scientific advances and future directions Psychological Bulletin 2007, 133:581-624 Vlaeyen JW, Linton SJ: Fear-avoidance and its consequences in chronic musculoskeletal pain: ... of the art Pain 2000, 85:317-332 Denison E, Asenlo P, Lindberg P: Self-efficacy, fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients...

Ngày tải lên: 20/06/2014, 15:20

... VT, SF, RE, and MH for subjects without chronic pain, and in BP, VT, SF, RE, and MH for subjects with chronic pain For subjects without chronic musculoskeletal pain at baseline, and regarding ... outcome in GH, SF, and RE for subjects without chronic pain, and in RE and MH for subjects with chronic pain For subjects without chronic musculoskeletal pain at baseline, and regarding alcohol ... predicted better outcome in SF and RE for subjects without chronic pain, and in RE and MH for subjects with chronic pain For subjects without chronic musculoskeletal pain at baseline, belonging...

Ngày tải lên: 20/06/2014, 16:20

... Coghill RC: Reproducibility of pain measurement and pain perception Pain 2002, 98(1-2):205-216 31 Cleeland CS, Ryan KM: Pain assessment: global use of the Brief Pain Inventory Ann Acad Med Singapore ... Background pain characteristics and analgesic therapy, on the whole sample (n = 240) Characteristic N (%) Pain duration (weeks) Mean (SD) 17.7 (21.8) Type of paina Somatic pain 162 (67.5) Visceral pain ... background and peak pain intensities Table reports the Kappa values for reproducibility evaluation for both scales and for the two different pain intensity measured (background and pain exacerbations)...

Ngày tải lên: 20/06/2014, 16:20

... acute and chronic pain states Background Incision associated with surgery causes acute pain and surgery has been identified as a potential major cause of chronic pain conditions [1-3] Between 10 and ... induced pain and prevention of chronic pain induced by incision They show that resveratrol potently and efficaciously inhibits ERK and mTOR signaling in sensory neurons in vitro The mTOR [39-42] and ... (Figure 3A) and a reversible inhibition of both ERK (Figure 3B and C) and mTOR signaling (Figure 3D–H) Hence, resveratrol dose- and time-dependently activates AMPK and inhibits ERK and mTOR signaling...

Ngày tải lên: 21/06/2014, 19:20

... Mittelschmerz is pelvic pain associated with ovulation Pelvic Pain HIGH-YIELD FACTS Laparoscopy is the final, conclusive step in diagnosing pelvic pain, but it should only be done ... McGraw-Hill, 1998: 508 175 Pelvic Pain Salpingitis/PID Rising white blood cell count UA HIGH-YIELD FACTS TABLE 17-1 Differential Diagnosis of Acute GYN Pelvic Pain Pelvic Pain HIGH-YIELD FACTS NOTES ... Hematuria/dysuria Ⅲ Constipation/melena Ⅲ Pelvic and leg pain Ⅲ Fistulas Ⅲ Sacral backache or pain in sciatic distribution Ⅲ Costovertebral angle and flank pain 193 Cervical Cancer Hysterectomy after...

Ngày tải lên: 05/08/2014, 16:20

... 1.5.1 Pain evaluation 1.5.2 Pain measurement 1.5.3 References 5 5 6 8 8 CHRONIC PELVIC PAIN 2.1 Background 2.1.1 Introduction to urogenital pain syndromes 2.2 Definitions of chronic pelvic pain ... pain and terminology (Table 4) 2.3 Classification of chronic pelvic pain syndromes Table 3: EAU classification of chronic urogenital pain syndromes (page 10) Table 4: Definitions of chronic pain ... Acute or chronic pain Pain may also be described as either acute or chronic pain: A  cute pathological pain has an acute onset and is short-lived, usually less than a week or so, and is associated...

Ngày tải lên: 06/08/2014, 17:21

... Response and participation rates Of the 2,312 eligible subjects, 497 (13%) had chronic widespread pain, 768 (21%) were free of chronic widespread pain but at risk of its future development, and 1047 ... age- and sex-matched pain free controls Griep and colleagues [9] examined the HPA axis function in a group of 40 patients with fibromyalgia, 28 with non-inflammatory low back pain and 14 pain ... the lowest third, while those with chronic widespread pain were three times more likely (Fig 3a) Both subjects 'at risk' and those with chronic widespread pain had higher, though non-significant,...

Ngày tải lên: 09/08/2014, 06:23

... picking up and manipulating objects with their hands and pulling, reaching and turning or twisting the arms, making everyday activities and tasks very difficult to fulfil Twenty-seven and 15 concepts ... practices and ideologies - e570 Social services, systems and policies e575 General social services, systems and policies - e580 Health services, systems and policies 36 e590 Labour and employment ... Political services, systems and policies ICF, International Classification of Functioning, Disability and Health; CWP, chronic widespread pain relevant outcomes of treatment in CWP and FM from the patient...

Ngày tải lên: 09/08/2014, 14:20

... convulsions and the pain as long as pressure was applied to the points (figure 2) The figure shows the point in the left hand that the patient Figure could press to stop the pain attacks and facial ... neurons and excruciating pain is experienced Another reason for the pain relief following botulinum toxin treatment is conceivable: painful perception may be secondary to the muscular spasm and caused ... neuralgia and postsurgical incisional pain syndromes Because the case described here showed a considerable correlation between muscle hyperactivity and pain perception, we hypothesize that facial pain...

Ngày tải lên: 12/08/2014, 00:20