Download or read book The Effects of a Menthol Based Topical Analgesic on Delayed Onset Muscle Soreness Induced Changes to Running Biomechanics and Pain Perception written by Ryan Gagnon and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this thesis was to evaluate the effects of a menthol-based topical analgesic on delayed onset muscle soreness (DOMS) induced changes to running biomechanics and pain perception in well-trained runners. A menthol-based topical analgesic (n=10) was compared against a placebo group (n=10) on measures of kinematics, spatio-temporal parameters, and the perception of pain. Three-Dimensional (3D) kinematics of the ankle, knee and hip as well as subjective pain (Comparative Pain Scale and Pressure Threshold) were measured during level treadmill running at baseline, 48 hours after a 30-minute DOMS-inducing downhill run, and after the application of a menthol analgesic. DOMS was induced from the downhill run as identified by our pain measures, however it had little effect on kinematic variables. Pressure threshold was significantly lower at both measurement sites for both groups and Comparative Pain Scale scores were significantly higher after inducing DOMS. There were significant interactions for condition x group, regardless of running speed; average knee and hip range of motion (ROM) during stance and swing were significantly different than baseline after inducing DOMS. The application of a menthol-based topical analgesic had no significant effect on kinematics or pain perception. Our well-trained participants may have been more well-adapted to manage DOMS-induced soreness while limiting changes to running biomechanics. Variability in gait mechanics may have also played a role in the unexpected changes between participants after inducing DOMS. Regardless of the effectiveness of the DOMS-inducing protocol, the menthol analgesic appeared to have no effect on kinematics or pain variables in well-trained runners. Key Words: Biomechanics, Gait, Menthol, Analgesic, Delayed Onset Muscle Soreness.
Download or read book Upper and Lower body Pain Perception During DOMS written by Sara Mirzabeigi Fini and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Menthol-based analgesic gels have been proven to alleviate delayed onset muscle soreness (DOMS) pain perception. The difference in pain pressure threshold (PPT) between the lower vs. upper extremities is not well understood nor is there much research illustrating the effect of the menthol-based analgesic on pain perception between these extremities during DOMS. Thus, the purpose of this study was to compare the upper- and lower-body's responses to pain 48 hours after DOMS induction and following menthol-based analgesic gel application. Fourteen participants were placed into two groups (placebo and experimental) and each performed 5 sets of 10 repetitions of eccentric contractions of the knee extensors and elbow flexors on an isokinetic dynamometer. PPT measurements were taken via a handheld algometer at baseline, immediately after and 48 hours after the DOMS protocol. After 48 hours the PPT was measured prior to and 15 minutes following gel application and every 5 minutes for 45 minutes thereafter. Statistical analysis revealed a significant difference for PPT in both groups between the knee extensors and elbow flexors (p
Download or read book The Interactive Effect of Pain and Topical Analgesic on Motor Pathway Excitability of the Biceps Brachii written by Lucas Stefanelli and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Delayed onset muscle soreness (DOMS) is muscle pain that arises 24-72 hours after exercise involving unfamiliar strenuous muscle loading. DOMS is commonly induced by eccentric muscle contractions and may signify exercise-induced muscle damage including impaired excitation-contraction coupling and injury to cytoskeletal proteins in the sarcomere. During DOMS, muscle pain is transmitted via A-delta and C-fibre afferents (group III/IV afferents) to the central nervous system (CNS). While it has been shown that muscle force production is significantly diminished in DOMS, there is limited evidence on the influence of DOMS on corticospinal excitability or inhibition. Furthermore, to date no work has investigated how the application of topical analgesic interacts with DOMS to modulate corticospinal excitation. The current thesis employed a model of DOMS involving fatiguing eccentric elbow flexor contraction exercise. We investigated the effect of DOMS on indices of corticospinal excitability (motor evoked potential [MEP] and cervicomedullary evoked potential [CMEP] area and latency) and inhibition (silent period), peripheral motor excitability (Mmax area and latency), and pain pressure threshold (PPT) in the dominant biceps brachii muscle, as well as how application of a menthol-based topical analgesic (Biofreeze®) influenced these outcomes. Two experiments were employed to test the effects of topical analgesic in participants with and without DOMS. In the first experiment (Experiment A: No DOMS), 16 young healthy adults (F = 8, M = 8; age = 23 ± 1.1 yr; body mass = 71.9 ± 9.1 kg; height = 174.2 ± 8.2 cm) were randomly allocated to receive either a menthol-based topical analgesic gel (Topical Analgesic, n = 8) or a placebo gel (Placebo, n = 8) in a double-blind fashion, during a single session; DOMS was not induced. Prior to the application of gel (pre-gel), as well as 5 (post-5 min), 15 (post-15 min), 30 (post-30 min), and 45 (post-45 min) minutes after the application of gel, MEP area, latency, and silent period; CMEP area and latency; and Mmax area and latency were measured. Participants' MEP and CMEP areas were normalized to Mmax area. Neither group showed a statistically significant change in these outcome measures at any post-gel time-point compared to pre-gel (p > .05). In the second experiment (Experiment B: DOMS), 16 young healthy male adults (age = 26 ± 5.1 yr; body mass = 81.9 ± 9.1 kg; height = 179.8 ± 6.1 cm) completed two experimental sessions. During the first session participants completed a fatiguing eccentric elbow flexor contraction protocol to induce DOMS. Participants returned 48 hours later and were randomly allocated to Topical Analgesic (n = 8) or Placebo (n = 8) in a double-blind fashion. During the second session MEP area/Mmax area, MEP latency, silent period, CMEP area/Mmax Area, CMEP latency, Mmax area, and Mmax latency were measured at the same time-points as above. Additionally, PPT was measured during session one (pre-DOMS), as well as at the above time-points. Both groups exhibited a statistically significant decrease in PPT from pre-DOMS to pre-gel (Topical Analgesic, pre-DOMS = 7.03 ± 2.48 kg, pre-gel = 3.12 ± 1.26 kg, p 0.001 Placebo, pre-DOMS = 5.77 ± 2.35 kg, pre-gel = 3.51 ± 1.58 kg, p = .005). Following the application of gel there was a significant increase in PPT at post-15 min (3.70 ± 1.69 kg, t(7) = -2.619, p = .034), post-30 min (3.92 ± 1.67 kg, t(7) = -3.987, p = .005), and post-45 min (4.33 ± 1.65 kg, t(7) = -4,566, p = .003) compared to pre-gel (3.12 ± 1.26 kg) in the Topical Analgesic group only. Under the Placebo group, there was no statistically significant change in PPT values (p .05). Regarding neurophysiological changes there was a statistically significant increase in silent period compared to pre-gel (85.67 ± 19.65 ms) at both post-30 min (96.08 ± 26.62 ms, p = .045) and post-45 min (94.23 ± 22.32 ms, p = .029), in the Topical analgesic Group. The Placebo group did not exhibit a statistically significant change in silent period at any time-point (p > .05). No other measures of corticospinal (MEP area/Mmax area, MEP latency, CMEP area/Mmax area, CMEP latency) or peripheral motor excitability (Mmax area, Mmax latency) were significantly different after the application of topical analgesic or placebo gel (p > .05). When comparing pre-gel neurophysiological outcomes in participants from Experiment A: No DOMS (n = 16) and Experiment B: DOMS (n = 16), there were statistically significant differences in MEP area/Mmax area (Experiment A = 0.222 ± 0.169; Experiment B = 0.097 ± 0.057, p = .011), CMEP area/Mmax area (Experiment A = 0.186 ± 0.148; Experiment B = 0.077 ± 0.045; p = .012), and silent period (Experiment A = 77.41 ± 31.05 ms; Experiment B = 100.85 ± 32.29 ms; p = .045). No other neurophysiological measures were significantly different across experiments (p > .05). The present findings suggest that DOMS imposes changes in the neuromuscular system that result in increased pain, reduced corticospinal excitability, and elevated corticospinal inhibition. Following the administration of menthol-based topical analgesic, but not a placebo gel, there is a reduction in pain which is accompanied by further increases in corticospinal inhibition. These results provide novel information on the neurophysiological effects of DOMS, as well as the influence on topical analgesic on DOMS-induced neurophysiological changes.
Download or read book Effects of a Topical Analgesic Using Massage on Delayed Onset Muscle Soreness written by Carrie Varvil and published by . This book was released on 2009 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Essentials of Interventional Cancer Pain Management written by Amitabh Gulati and published by Springer. This book was released on 2018-12-28 with total page 510 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides a comprehensive review and expertise on various interventional cancer pain procedures. The first part of the text addresses the lack of consistency seen in the literature regarding interventional treatment options for specific cancer pain syndromes. Initially, it discusses primary cancer and treatment-related cancer pain syndromes that physicians may encounter when managing cancer patients. The implementation of paradigms that can be used in treating specific groups of cancer such as breast cancer, follows. The remainder of the text delves into a more common approach to addressing interventional cancer pain medicine. After discussing interventional options that are commonly employed by physicians, the text investigates how surgeons may address some of the more severe pain syndromes, and covers the most important interventional available for our patients, intrathecal drug delivery. Chapters also cover radiologic options in targeted neurolysis and ablative techniques, specifically for bone metastasis, rehabilitation to address patients’ quality of life and function, and integrative and psychological therapies. Essentials of Interventional Cancer Pain Management globally assesses and addresses patients’ needs throughout the cancer journey. Written by experts in the field, and packed with copious tables, figures, and flow charts, this book is a must-have for pain physicians, residents, and fellows.
Download or read book Concepts and Principles of Pharmacology written by James E. Barrett and published by Springer Nature. This book was released on 2019-12-24 with total page 466 pages. Available in PDF, EPUB and Kindle. Book excerpt: Celebrating 100 years of HEP, this volume will discuss key pharmacological discoveries and concepts of the past 100 years. These discoveries have dramatically changed the medical treatment paradigms of many diseases and these concepts have and will continue to shape discovery of new medicinies. Newly evolving technologies will similarly be discussed as they will shape the future of the pharmacology and, accordingly, medical therapy.
Download or read book Low Back Disorders written by Stuart McGill and published by Human Kinetics. This book was released on 2007 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: This second edition of 'Low Back Disorders' provides research information on low back problems and shows readers how to interpret the data for clinical applications.
Download or read book Pain in Women written by Allison Bailey and published by Springer Science & Business Media. This book was released on 2012-08-09 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain is a complex experience, influenced by many variables. There is currently growing interest in the influence of sex and gender on the experience of pain. The fact that there are sex differences in pain and analgesia is now a well-recognized phenomenon within the field of pain medicine. However, the specific mechanisms underlying these differences remain somewhat poorly understood. Traditionally, these sex differences in pain experience have been attributed largely to psychological, behavioral and socio-cultural variables - in particular, a perceived greater willingness on the part of women to report painful symptoms and seek medical attention. Although psychosocial factors do influence pain perception, there is now substantial evidence to support a strong role for hormonal factors mediating sex differences in pain modulation. In Pain in Women: A Clinical Guide, a renowned group of experts in pain medicine breaks new ground in the field by synthesizing and elucidating the range of biological and neurohormonal factors underlying these conditions and clarifying potential treatment options based on these factors. The initial section of this unique title introduces the topic of pain in women and its importance and then goes on to describe hormonal and myofascial considerations in this patient population. The second section addresses specific pain disorders common in women and the various treatment options for these, including rehabilitative and complementary and alternative medicine (CAM) treatments. The third and final section covers the specific populations of the pregnant/postpartum woman, issues related to breast cancer, the female athlete, menopausal considerations and the role of physical therapy in women’s health. Timely and state-of-the-art, Pain in Women: A Clinical Guide is an important new reference that fills a significant need in the developing area of pain medicine.
Download or read book Spinal Disorders written by Norbert Boos and published by Springer Science & Business Media. This book was released on 2008-09-24 with total page 1162 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spinal disorders are among the most common medical conditions with significant impact on health related quality of life, use of health care resources and socio-economic costs. This is an easily readable teaching tool focusing on fundamentals and basic principles and provides a homogeneous syllabus with a consistent didactic strategy. The chosen didactic concept highlights and repeats core messages throughout the chapters. This textbook, with its appealing layout, will inspire and stimulate the reader for the study of spinal disorders.
Download or read book Treatment of Chronic Pain by Interventional Approaches written by Timothy R. Deer and published by Springer. This book was released on 2014-12-08 with total page 554 pages. Available in PDF, EPUB and Kindle. Book excerpt: From reviews of Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches: "Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches is a major textbook... [I]t should be a part of all departmental libraries and in the reference collection of pain fellows and pain practitioners. In fact, this text could be to pain as Miller is to general anesthesia." Journal of Neurosurgical Anesthesiology Edited by master clinician-experts appointed by the American Academy of Pain Medicine, this is a soft cover version of the Interventional sections of the acclaimed Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches. It is intended as a primary reference for busy clinicians who seek up-to-date and authoritative information about interventional approaches to treating chronic pain. State-of-the-art coverage of full range of techniques: neural blockades, neurolysis blocks, and neurostimulation Review of clinically relevant anatomy and physiology "Key Points" preview contents of each chapter
Download or read book Physical Medicine and Rehabilitation Board Review Fourth Edition written by Sara J Cuccurullo, MD and published by Springer Publishing Company. This book was released on 2019-10-28 with total page 1040 pages. Available in PDF, EPUB and Kindle. Book excerpt: Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller. Praise for the Third Edition: “The author has done it again, producing an excellent, concise resource that provides clinicians with an optimal solution for studying for the written board examination." © Doody’s Review Service, 2015, Alan Anschel, MD (Shirley Ryan AbilityLab) This fourth edition of the incomparable review bible for the Physical Medicine and Rehabilitation Board Examination has been thoroughly updated to reflect current practice and the core knowledge tested on the exam. Recognized for its organization, consistency, and clarity through editions, the book distills the essentials and provides focused reviews of all major PM&R topics including stroke, traumatic brain injury, musculoskeletal medicine, spinal cord injuries, pain management, and more. Every chapter in the fourth edition has been rigorously evaluated and refreshed to ensure that the information is accurate and up to date. Sections on cancer treatment and rehabilitation, rheumatologic disease, and ultrasound have been significantly upgraded to incorporate new board requirements and changes in criteria for diagnosis and management. Written in outline format for easy access to information, Physical Medicine and Rehabilitation Board Review, Fourth Edition is modeled on the content blueprint for the Self-Assessment Examination for Residents (SAE-R) used by residents nationwide. Board pearls are indicated with an open-book icon to highlight key concepts and flag important clinical and board-eligible aspects of each topic. The topics are divided into major subspecialty areas written by author teams with clinical expertise in the subject and reviewed by senior specialists in each area. More than 500 signature illustrations—now with color added—clarify and reinforce concepts. In addition to its proven value as the primary resource for Board preparation and MOC, the book is also a trusted clinical reference for day-to-day practice needs. New to the Fourth Edition: Thoroughly reviewed, revised, and updated to reflect current practice and core knowledge tested on Boards Significant upgrades to ultrasound content Expanded sections on cancer treatments and rehabilitation along with rheumatologic guidelines and treatments, including new criteria for diagnosis Addition of color to highlight artwork and content areas Key Features: Board "Pearls" are highlighted with an open-book icon to flag key concepts and stress high-yield aspects of each topic Covers all topics on the content outlipne for the Self-Assessment Examination for Residents (SAE-R) used by residents nationwide Authored by physicians with special interest and expertise in their respective areas and reviewed by senior specialists in those areas Organizes information in outline format and by topic for easy reference Includes over 500 detailed illustrations to clarify concepts Provides updated epidemiologic and statistical data throughout
Download or read book Musculoskeletal Injuries and Conditions written by Se Won Lee, MD and published by Springer Publishing Company. This book was released on 2016-11-28 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: Musculoskeletal Injuries and Conditions: Assessment and Management is a practical guide to diagnosis and treatment of musculoskeletal conditions in clinical practice. More comprehensive than a handbook, yet more clinically-focused than a desk reference, this volume is a one-stop guide for clinicians who deal with musculoskeletal disorders and injuries in the practice setting. The book is organized by anatomic region, from neck to toe, and written in outline format. Each chapter concisely presents the basic knowledge that every practitioner needs to have at the ready in the outpatient clinical context. Taking a uniform approach based on isolating symptoms and the location of the pain, the book presents a uniquely practical template for non-operative management of a broad spectrum of musculoskeletal problems. All chapters include epidemiology, anatomy, biomechanics, physical examination, diagnostic studies, and treatment. Flowcharts for differential diagnosis and initial management are provided for chief complaints. Helpful tables, lists, and over 150 anatomic illustrations supplement the text throughout. Given the increasing importance of ultrasound in clinical decision-making at the point of care, a mini-atlas of normal and abnormal findings for common injuries is presented as part of the imaging work-up. Designed to help busy practitioners diagnose and treat musculoskeletal disorders in the clinic or office, this book is an essential resource for physicians in rehabilitation and sports medicine, primary care, orthopedics, and other healthcare professionals who work in outpatient settings. Key Features: Provides a consistent approach to managing common musculoskeletal conditions based on location of pain Bulleted format and clear heading structure make it easy to find information More than 30 flowcharts map out differential diagnosis, diagnostic approach, and initial management strategy for each complaint Packed with useful tables, lists, and over 150 illustrations of surface anatomy Integrates musculoskeletal ultrasound into the imaging workup, with over 40 normal and abnormal scans to aid in recognizing signature pathologies at the point of care Purchase includes free access to the fully-searchable downloadable e-book with image bank
Download or read book The Toxicant Induction of Irritant Asthma Rhinitis and Related Conditions written by William J. Meggs and published by Springer Science & Business Media. This book was released on 2014-01-24 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Untoward reactions to environmental chemicals, particularly when a subject reports difficulties with exposures to chemicals of diverse classes involving more than one organ system, have been poorly understood and an area of great controversy. Studies of airway inflammation induced by respiratory irritants have established neurogenic inflammation as the mechanism for irritant asthma and rhinitis. Remodeling of the airway after an acute irritant exposure can lead to a heightened sensitivity to irritants that persists. Recognition that rhinitis, while sometimes regarded as a trivial disease, is associated with extra-airway manifestations such as fatigue and disturbances of sleep, mood, and cognition, further elucidates how chemical exposures can be serious for susceptible individuals. This book reviews current scientific understanding of irritant airway inflammation and related conditions, including cardiovascular effects of particulate exposures, airborne contact dermatitis and irritant dermatitis, and the brain as a target organ for both allergic and irritant reactions. It is essential reading for physicians and other healthcare workers caring for patients with environmental intolerances. Allergists, toxicologists, occupational and environmental physicians, and pulmonologists will find the materials particularly valuable. Patients and advocates for those with chemical intolerances will also find the book of interest.
Download or read book Cartilage Imaging written by Thomas M. Link and published by Springer Science & Business Media. This book was released on 2011-04-06 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: This authoritative book provides state-of-the-art practices and new developments in the imaging of cartilage, associated pathologies, and repair procedures. With a main focus on MRI, major advances in cartilage imaging are put into clinical context relevant for radiologists, rheumatologists, and orthopedic surgeons. International experts provide their insights on cartilage pathologies associated with such conditions as osteoarthritis, osteochondral trauma, and cartilage repair. Morphological MRI techniques are outlined, including new sequences and high field imaging. Molecular imaging techniques able to characterize the biochemical composition of the cartilage matrix are discussed, such as T2 relaxation time, T1rho, and dGEMRIC methods. The first book of its kind, Cartilage Imaging: Significance, Techniques, and New Developments encompasses the full scope of knowledge in this rapidly evolving field. Identifying key techniques for characterizing disease processes as well as objectively and quantitatively evaluating the results of therapy, this outstanding resource is of benefit to all physicians interested in assessing cartilage disease and repair.
Download or read book Complementary Alternative Therapies in Nursing written by Ruth Lindquist and published by Springer Publishing Company. This book was released on 2014 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart
Download or read book Understanding Fever and Body Temperature written by Ewa Grodzinsky and published by Springer Nature. This book was released on 2019-08-22 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers several areas, such as immunology, infectious diseases, physiology, general nursing, and medicine as well as measurement accuracy and the history of our understanding of fever. This book employs an interdisciplinary approach to exploring our concept of body temperature and specifically fever. The present volume revolves around thermometry, taking the reader on a journey from the past to the present. Yet while the emphasis is on the clinical importance of obtaining accurate, quantitative measurements of body temperature, the reader is also introduced to the most recent clinical work on the subject. This book represents a truly cross-disciplinary collaboration, using evidence-based practice to integrate physiological and immunological knowledge. The authors’ intention with this volume is to help readers gain better insight into the importance of using knowledge from different disciplines to develop an appreciation of the different aspects of body temperature. In addition, the reader will come to understand the concept of fever in a broader perspective than is traditionally adopted.
Download or read book Travell and Simons Trigger Point Flip Charts written by Janet G. Travell and published by . This book was released on 1996 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: Volumes 1 and 2 of Drs. Travell and Simons' Myofascial Pain and Dysfunction: The Trigger Point Manual have been hailed as the definitive references on myofascial pain and locating trigger points. Now all the upper and lower extremity pain patterns and their corresponding trigger points are clearly illustrated on convenient flip charts, ideal for patient education.
