Practice Fusion, a company that provides a free, web-based Electronic Health Record application to physicians, has announced the top 20 most diagnosed conditions in the U.S. in 2010. Among those top 20, four are chronic pain conditions. 1. Hypertension 2. Hyperlipidemia (high cholesterol/triglycerides) 3. Diabetes 4. Back pain 5. Anxiety 6. Obesity 7. Allergic rhinitis 8. Reflux esophagitis 9. Respiratory problems 10. Hypothyroidism 11. Visual refractive errors 12. Osteoarthritis 13. Fibromyalgia/myositis, neuritis 14. Malaise and fatigue 15. Pain in joint 16. Acute laryngopharyngitis 17. Acute maxillary sinusitis 18. Major depressive disorder 19. Acute bronchitis 20. Asthma As I looked over the list, two things struck me right away... First – Given that one-fifth of the most frequently diagnosed conditions involve chronic pain, it would seem reasonable that the medical community in general, and medical schools in particular, s...
Definition A contracture is a tightening of muscle, tendons, ligaments, or skin that prevents normal movement. See also: Becker's muscular dystrophy Cerebral palsy Duchenne muscular dystrophy Dupuytren's contracture Volkmann's contracture Alternative Names Deformity - contracture Considerations A contracture develops when the normally elastic (stretchy) connective tissues are replaced by inelastic (nonstretchy) fiber-like tissue. This makes it hard to stretch the area and prevents normal movement. Contractures occur primarily in the skin, underlying tissues, muscle, tendons, and joint areas. The most common causes are scarring and lack of use (due to immobilization or inactivity). Common Causes Inherited disorders (such as muscular dystrophy ) Injury (including burns) Nerve damage Reduced use (for example, from immobilization)
Alternative Names Wry neck; Loxia Prevention While there is no known prevention, early treatment may prevent a worsening of the condition. References Spiegel DA, Hosalkar HS, Dormans JP, Drommond DS. The neck. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap. 679. Persing J. Prevention and management of positional skull deformities in infants. American Academy of Pediatrics Committee on Practice and Ambulatory Medicine, Section on Plastic Surgery and Section on Neurological Surgery. Pediatrics . 2003;112:199-202. Patel M, Shah K. Orthopedics. In: Rakel RE, ed. Textbook of Family Medicine . 7th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 42.
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