INTEGRATION BETWEEN MRI AND PHYSICAL THERAPY TO IMPROVE TREATMENT OF PATIENTS WITH SHOULDER PAIN

Background: Shoulder pain is the second most common musculoskeletal disorder treated by physical therapists. The cause for the shoulder pain is multifactorial. However, a specific diagnosis is crucial in the right management of shoulder dysfunction. Therefore, the aim of this study was to find out the efficacy of integrating the MRI for the accurate diagnosis and impact of this on rendering the effective physical therapy interventions in shoulder dysfunction patients. Methods: A retrospective study conducted on 14 patients who undergone an MRI with a 1.5 T unit MAGNETOM Symphony (Siemens), for their shoulder pain, where the diagnosis might be Muscle tears like, subscapularis, infraspinatus,supraspinatus and teres minor muscles; subacromial or subdeltoid bursitis and labral tears were included. All the subjects were then continued with usual physical therapy treatments for four weeks depending on their diagnosis which includes; advice, stretching, mobilization and strengthening exercises, manual therapy, massage, strapping, and electrotherapy . The outcome measures documented from the case sheet were; Visual Analogue Scale grade and passive range of motion of shoulder external / internal rotation and abduction. Results: Paired t test was used to compare the PROM between pre rehabilitation and post rehabilitation testing and the non parametric test, Mann Whitney U test was used for the comparison of VAS. All patients showed a significant improvement in VAS and PROM of abduction, internal and external rotation following physical therapy (P≤ 0.05). Conclusion: MRI is found to be a reliable method of diagnostic procedure for the shoulder pain and the integration of MRI and physical therapy to treat shoulder dysfunction leads to a better outcome

Percutaneous Vertebral Augmentation: The Status of Vertebroplasty and Current Controversies

International audienceVertebroplasty is a cost-effective procedure for the relief of pain and suffering in the appropriate patient when done by a skilled practitioner under good image guidance. No study has ever shown any cost benefit of any balloon-based osteoporotic spine intervention over simple vertebroplasty. No study has ever shown any benefit of any intravertebral implant over vertebroplasty for osteoporotic compression fracture. Recent controversy has highlighted weaknesses in our practice of technology evaluation, and we need to address these issues across the board in the future more scientifically then we have done in the past

Musculoskeletal Injuries Related to Yoga: Imaging Observations

International audienceOBJECTIVE. The purpose of this article is to describe the imaging appearances of musculoskeletal injuries related to yoga. We performed an automated search in the database of a large tertiary care center and conducted a retrospective analysis of the imaging findings in 38 patients over a 9-year period. CONCLUSION. The most frequently encountered musculoskeletal injuries were tendinous lesions, including tears of the supraspinatus, Achilles, and peroneus brevis tendons and fibrocartilaginous tears involving the medial meniscus, acetabular labrum, glenoid labrum, and lumbar disk with extrusion

Primary intraosseous glomus tumor in a middle phalanx

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Analysis of public perception about ionizing radiation

This study assessed the level of public knowledge regarding ionizing radiation, the sources of information available to the public, and the preferred sources of education. A descriptive cross-sectional study was conducted in Jeddah, Saudi Arabia. A 15-question survey was distributed to participants who attended a radiation awareness activity held for the public. Participants were asked to rank their confidence regarding ionizing radiation knowledge on a Likert-style scale. They also answered questions on their perception of risks, the source from which they received health information, and their preferred method of education. Only 3% of the 244 participants were “knowledgeable” about ionizing radiation. Nine percent stated they were confident about their ionizing radiation knowledge, and they were more knowledgeable than unconfident individuals (p = 0.041). Age, gender, and education level played no role in ionizing radiation knowledge (p = 0.746, p = 0.245, and p = 0.060, respectively). Among those who had undergone a medical imaging investigation during the past year, only 24% received an explanation of the risks and benefits. Participants overestimated the risk of nuclear plants, as this was selected as the source with the greatest risk to health, followed by medical sources. Most of those who had prior knowledge searched for the information on the internet (34%), however, more participants would prefer to receive education from their healthcare providers (36%)