• Title/Summary/Keyword: visceral referred pain

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The study on Visceral Referred Pain (내장 연관통(Visceral referred pain)에 대한 고찰)

  • Ryu, Moon-Sang;Cho, Tae-Young;Song, Yun-Kyung;Lim, Hyung-Ho
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.1-9
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    • 2004
  • The purpose of this article is to contribute to study on visceral referred pain. Recently it is getting more interest in measurement of pain degree and effective treatment. We have researched on specific character of visceral referred pain, oriental medical referred pain, and some theories of the mechanism of the visceral referred pain. But therapeutics of visceral referred pain is not yet known. It will be necessary of additional study later.

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Pulmonary Thromboembolism Presenting with Upper Thoracic Back Pain -A case report- (좌측 상 배부 통증으로 발현된 폐혈전색전증의 증례 -증례 보고-)

  • Lee, Ji Young;Choi, Jin Hwan;Choi, Chang Hoon
    • The Korean Journal of Pain
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    • v.19 no.1
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    • pp.119-122
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    • 2006
  • Upper thoracic back pain can be musculoskeletal in origin or it could be visceral referred pain, which may be indicative of a serious medical condition. We experienced a case of a 55-years-old female patient who complained of upper thoracic back pain for 1 month, which started 10 days after a traffic accident. She described the pain as being a dull, constant nagging sensation with an intensity of 4/10 on the visual analogue scale. Her pain did not subside after trigger point injection of the rhomboid and trapezius muscles. She reported intermittent palpitation, which indicated that the cardiovascular or pulmonary systems were involved. She was diagnosed with pulmonary thromboembolism by the imaging studies. Refractory upper thoracic back pain should be investigated to rule out this treatable, but potentially fatal condition.

The Study to standardize the ST36 Acupoint Location on Rats (흰쥐에서 족삼리 취혈 위치 표준화를 위한 연구)

  • Kim, Jong-Yeop;Choi, Il-Hwan;Hong, Yo-Han;Lim, Sabina
    • Korean Journal of Acupuncture
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    • v.27 no.3
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    • pp.97-108
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    • 2010
  • Background : The location of acupoints on rat, which may differ from that of human body due to anatomical structure, is defined variously among researchers, which may cause the problem of low repeatability and objectivity. Design : The measurement of hind limb consist of measuring the distance between knee joint and tibia tubercle in order to set the knee joint as common criteria. Based on it, the three mostly referred location of ST36 were represented with the knee joint as a datum point and compared. The electroacupuncture stimulation was administrated after the abdominal pain was induced by acetic acid. And the analgesic activity of each ST36 acupoint was evaluated by measuring the number of writhing reflex, in order to observe the differences of treatment effect in accordance with the location of ST36 acupoints. Results : The result of measurement confirmed the differences in the acupoint location of ST36 among researchers. The writhing reflex test using the acetic acid-induced abdominal pain stimulated with electroacupuncture of 100Hz showed that there were statistically significant differences in the analgesic effect between control group and three ST36 groups (P<0.05). However there were no differences observed among three mostly referred location of ST36 acupoints (P>0.05). Conclusions : We recommend "the point located 6.5 mm below the knee joint at the anterior tibial muscle" as a standard ST36 acupoint location qualified by the WHO Standard Acupuncture Point Locations in 2008.

A Case of Painful Trigeminal Neuropathy as a Complication of Progressive Systemic Sclerosis (진행성 전신성 경화증환자에게서 보인 동통성 삼차신경병증 1예)

  • Shin, Kyong Jin;Jun, Dong Chul;Kim, Ju Han;Kim, Seung Hyun
    • Annals of Clinical Neurophysiology
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    • v.4 no.2
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    • pp.146-148
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    • 2002
  • Progressive systemic sclerosis (PSS) is a multi-systemic disorder characterized by abundant fibrosis of the skin, blood vessels, and visceral organs. But it rarely affects the peripheral nervous system. We report a 36-year-old man of painful trigeminal neuropathy as a complication of PSS. He was referred from Rheumatology for the evaluation of abruptly developed bilateral facial pain. He had facial hypesthesia and paresthesia on neurologic examinations. In the blink reflex, ipsilateral and contralateral R1 and R2 responses were not detected during bilateral supraorbital stimulation. But normal latency and CMAP amplitude of facial NCV were found. Under the impression of trigeminal neuropathy caused by PSS, steroid therapy was tried, and his clinical symptoms and electrophysiologic findings were improved. PSS could be the cause of the painful trigeminal neuropathy.

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