The Experts below are selected from a list of 264 Experts worldwide ranked by ideXlab platform
Jake Timothy - One of the best experts on this subject based on the ideXlab platform.
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Anterior cervical discectomy and fusion versus posterior cervical foraminotomy in the treatment of Brachialgia: the Leeds spinal unit experience (2008–2013)
Acta Neurochirurgica, 2015Co-Authors: Senthil K. Selvanathan, Chris Beagrie, Simon Thomson, Rob Corns, Kenan Deniz, Chris Derham, Gerry Towns, Jake TimothyAbstract:Background The surgical management of cervical Brachialgia utilising anterior cervical discectomy and fusion (ACDF) or posterior cervical foraminotomy (PCF) is a controversial area in spinal surgery. Previous studies are limited by utilisation of non-validated outcome measures and, importantly, absence of pre-operative analysis to ensure both groups are matched. The authors aimed to compare the effectiveness of ACDF and PCF using validated outcome measures. To our knowledge, it is the first study in the literature to do this. Methods The authors conducted a 5-year retrospective review (2008–2013) of outcomes following both the above procedures and also compared the effectiveness of both techniques. Patients with myelopathy and large central discs were excluded. The main outcome variables measured were the neck disability index (NDI) and visual analogue scores (VAS) for neck and arm pain pre-operatively and again at 2-year follow-up. The Wilcoxon signed-rank test and Student t -tests were used to test differences. Results A total of 150 ACDFs and 51 PCFs were performed for Brachialgia. There was no differences in the pre-operative NDI, VAS neck and arm scores between both groups ( p > 0.05). As expected, both ACDF and PCF delivered statistically significant improvement in NDI, VAS-neck and VAS-arm scores. The degree of improvement of NDI, VAS-neck and VAS-arm were the same between both groups of patients ( p > 0.05) with a trend favouring the PCF group. In the ACDF group, two (1.3 %) patients needed repeat ACDF due to adjacent segment disease. One patient (0.7 %) needed further decompression via a foraminotomy. In the PCF group one (2.0 %) patient needed ACDF due to persistent Brachialgia. Conclusions We found both interventions delivered similar improvements in the VAS and NDI scores in patients. Both techniques may be appropriately utilised when treating a patient with cervical Brachialgia.
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anterior cervical discectomy and fusion versus posterior cervical foraminotomy in the treatment of Brachialgia the leeds spinal unit experience 2008 2013
Acta Neurochirurgica, 2015Co-Authors: Senthil K. Selvanathan, Chris Beagrie, Simon Thomson, Rob Corns, Kenan Deniz, Chris Derham, Gerry Towns, Jake TimothyAbstract:Background The surgical management of cervical Brachialgia utilising anterior cervical discectomy and fusion (ACDF) or posterior cervical foraminotomy (PCF) is a controversial area in spinal surgery. Previous studies are limited by utilisation of non-validated outcome measures and, importantly, absence of pre-operative analysis to ensure both groups are matched. The authors aimed to compare the effectiveness of ACDF and PCF using validated outcome measures. To our knowledge, it is the first study in the literature to do this.
Wolfgang Hönle - One of the best experts on this subject based on the ideXlab platform.
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Karpaltunnelsyndrom: Wann muss der Patient unter das Messer?
DNP - Der Neurologe & Psychiater, 2018Co-Authors: Alexander Schuh, René Handschu, Thomas Eibl, Michael Janka, Wolfgang HönleAbstract:Das Karpaltunnelsyndrom ist das häufigste Engpasssyndrom eines peripheren Nervs. Der Patient bemerkt ein — teilweise schmerzhaftes — Einschlafen der Hand mit Ausstrahlung in die Schulter (Brachialgia paraesthetica nocturna). Hinzu kommt ein Pelzigkeitsgefühl der radialen dreieinhalb Finger. Wann welche Therapieformen indiziert sind, fasst dieser Überblick zusammen.
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Das Karpaltunnelsyndrom — wann muss der Patient unters Messer?
Mmw-fortschritte Der Medizin, 2017Co-Authors: Alexander Schuh, René Handschu, Thomas Eibl, Michael Janka, Wolfgang HönleAbstract:Das Karpaltunnelsyndrom ist das haufigste Engpasssyndrom eines peripheren Nervs. Der Patient bemerkt ein — teilweise schmerzhaftes — Einschlafen der Hand mit Ausstrahlung in die Schulter (Brachialgia paraesthetica nocturna). Hinzu kommt ein Pelzigkeitsgefuhl der radialen dreieinhalb Finger. Lesen Sie hier, wann welche Therapieformen indiziert sind.
Hannu Manninen - One of the best experts on this subject based on the ideXlab platform.
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cervical rotation lateral flexion test in Brachialgia
Archives of Physical Medicine and Rehabilitation, 1992Co-Authors: Karlaugust Lindgren, Eeva Leino, Hannu ManninenAbstract:Abstract The cervical rotation lateral flexion test (CRLF test), developed earlier, was used to examine patients with Brachialgia and thoracic outlet syndrome (TOS) symptoms to detect possible restriction of the movement of the first rib. The test was performed for 23 patients, five of them both before and after treatment. The patients were assessed independently by two clinicians to analyze the interobserver reliability. A cineradiographic examination was performed so that any restriction of the movement of the first rib during expiration and inspiration could be detected objectively. The interobserver repeatability of the test was excellent, thus making the cineradiographic examination unnecessary. It is recommended that this test be included in the clinical investigation of all patients with Brachialgia with or without radicular pain.
Bernhard Uehleke - One of the best experts on this subject based on the ideXlab platform.
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Brachialgia paraesthetica nocturna can be relieved by wet cupping results of a randomised pilot study
Complementary Therapies in Medicine, 2006Co-Authors: Rainer Ludtke, Uwe Albrecht, Rainer Stange, Bernhard UehlekeAbstract:Summary Background Centuries ago cupping was one of the most used medical therapies worldwide but it is now regarded as an antiquated and unsafe treatment. Nevertheless it is widely used especially in Germany and China. Objective To investigate the effectiveness of "wet cupping" of a defined connective tissue area (over the Musculus trapezius ) in patients suffering from Brachialgia paresthetica nocturna. Design Monocenter, randomised, controlled, sequential clinical trial. Setting Section of pain management at the District Hospital of Rudersdorf, Germany. Patients Brachialgia-patients of both sexes without age restictions were eligible if they suffered from chronical tonsillar irritations and showed pathologic indurations of the connective tissue area. Interventions The active group was "wet cupped" once, i.e. the skin first was scarified and then blood was drawn by applying vacuum cupping glasses. The control group was left untreated. Main outcome measure Pre- to post-treatment change of Brachialgia severeness, calculated from 1-week averages of the means of three subscales (pain, tingling and numbness), each assessed on a 0–10 numeric analogue scale. Results N =20 patients were randomised (13 women, median age 47 years). Treatment effects can be found in the active (−2.3±1.9 score points) but not in the control group (+0.5±1.0 points; p =0.002; triangle test). The results are supported by secondary outcome criteria. Adverse events were not documented in any patient. Conclusions This study suggests short-term effects of a single wet cupping therapy, which remain at least for 1 week. As the trial lacks of an adequate and blinded placebo therapy the findings are potentially biased.
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assoziationen zwischen chronischer tonsillenreizung verquellungen von bindegewebszonen und einer Brachialgia paraesthetica nocturna
Forschende Komplementarmedizin, 2006Co-Authors: Bernhard Uehleke, Rainer Ludtke, Uwe Albrecht, Rainer StangeAbstract:Projective and reflex zones of inner organs to the body’s surface are well described but there are only few clinical studies about abnormal zones. Objective: The aim of our study was to investigate
Senthil K. Selvanathan - One of the best experts on this subject based on the ideXlab platform.
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Anterior cervical discectomy and fusion versus posterior cervical foraminotomy in the treatment of Brachialgia: the Leeds spinal unit experience (2008–2013)
Acta Neurochirurgica, 2015Co-Authors: Senthil K. Selvanathan, Chris Beagrie, Simon Thomson, Rob Corns, Kenan Deniz, Chris Derham, Gerry Towns, Jake TimothyAbstract:Background The surgical management of cervical Brachialgia utilising anterior cervical discectomy and fusion (ACDF) or posterior cervical foraminotomy (PCF) is a controversial area in spinal surgery. Previous studies are limited by utilisation of non-validated outcome measures and, importantly, absence of pre-operative analysis to ensure both groups are matched. The authors aimed to compare the effectiveness of ACDF and PCF using validated outcome measures. To our knowledge, it is the first study in the literature to do this. Methods The authors conducted a 5-year retrospective review (2008–2013) of outcomes following both the above procedures and also compared the effectiveness of both techniques. Patients with myelopathy and large central discs were excluded. The main outcome variables measured were the neck disability index (NDI) and visual analogue scores (VAS) for neck and arm pain pre-operatively and again at 2-year follow-up. The Wilcoxon signed-rank test and Student t -tests were used to test differences. Results A total of 150 ACDFs and 51 PCFs were performed for Brachialgia. There was no differences in the pre-operative NDI, VAS neck and arm scores between both groups ( p > 0.05). As expected, both ACDF and PCF delivered statistically significant improvement in NDI, VAS-neck and VAS-arm scores. The degree of improvement of NDI, VAS-neck and VAS-arm were the same between both groups of patients ( p > 0.05) with a trend favouring the PCF group. In the ACDF group, two (1.3 %) patients needed repeat ACDF due to adjacent segment disease. One patient (0.7 %) needed further decompression via a foraminotomy. In the PCF group one (2.0 %) patient needed ACDF due to persistent Brachialgia. Conclusions We found both interventions delivered similar improvements in the VAS and NDI scores in patients. Both techniques may be appropriately utilised when treating a patient with cervical Brachialgia.
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anterior cervical discectomy and fusion versus posterior cervical foraminotomy in the treatment of Brachialgia the leeds spinal unit experience 2008 2013
Acta Neurochirurgica, 2015Co-Authors: Senthil K. Selvanathan, Chris Beagrie, Simon Thomson, Rob Corns, Kenan Deniz, Chris Derham, Gerry Towns, Jake TimothyAbstract:Background The surgical management of cervical Brachialgia utilising anterior cervical discectomy and fusion (ACDF) or posterior cervical foraminotomy (PCF) is a controversial area in spinal surgery. Previous studies are limited by utilisation of non-validated outcome measures and, importantly, absence of pre-operative analysis to ensure both groups are matched. The authors aimed to compare the effectiveness of ACDF and PCF using validated outcome measures. To our knowledge, it is the first study in the literature to do this.