Online ISSN: 2515-8260

Keywords : Joint pain

Wrist Joint Pain: A Clinical and Radiological Correlation

Sandeep Madineni, Mandepudi Geethika, Subhashreddy Doni, G. Harshavardhan Reddy, G. Naga Vaishnavi, V.N.S. Madhavi Latha, T. Ganesh

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 2656-2667

Background: Wrist discomfort is frequent in Orthopedic OPD. Computers, phones, laptops, and other electronics aggravate wrist pain. Treatment requires accurate diagnosis. Diagnostic imaging confirms. Ultrasound, MRI, and X-ray are employed. Critical imaging. Sonography and physical exam solve diagnostic problems. Real-time ultrasound is cost-effective for wrist imaging. Ultrasound imaging has improved for wrist joint diseases. It's cheaper than other methods. Cost and availability make wrist ultrasonography significant in our country. Ultrasound is the primary line of imaging for a patient with wrist joint pain. Use ultrasound along with X-rays and clinical exam to aid in speedy and decisive diagnosis, avoiding expensive investigative modalities. To describe USG image interpretation problems.
Material and Methods: In our study, a prospective analysis of 100 individuals who had wrist pain was included. Additionally, a pre-written consent is obtained. All patients got a complete clinical examination, a USG of the affected wrist with comparison to the other side, and an X-ray (PA & Lateral) of the affected wrist
Results: A wide range of pathologies, including anomalies of the local bones, joints, and soft-tissue structures including tendons, can cause the clinical manifestation of wrist pain. US can help identify the precise source of wrist pain.
Conclusion: For a case of wrist pain, a USG examination can be performed as the initial line of inquiry because it is affordable, real-time, and enables comparison with the contralateral side.

Assessment of role of physiotherapy in diagnosis and treatment of the Myofascial Pain Dysfunction syndrome

Sonali Roy, Ritika Agarwal

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1348-1352

Background:Patients of MPDS present with varying degrees of unilateral facial pain, masticatory muscle tenderness, joint crepitation and limitation of mandibular movement. The present study was conducted to assess role of physiotherapy in diagnosis and treatment of the Myofascial Pain Dysfunction syndrome. Materials & Methods: 80 patients with Myofascial Pain Dysfunction syndrome of both genders were divided into 2 groups of 40 each. Group I patients were treated with passive movement and group II with relaxation. Resisted static contraction for opening, closing, protrusion and lateral movement were performed on all patients by instructing the patient to attempt these movements against the resistance of the operator's hand so that temporomandibular joint movement is minimal. This test is positive if pain was reproduced in the muscle being statically contracted. The masseter, temporalis, medial and lateral pterygoid were palpated bilaterally on all patients at both the attachments and muscle bellies for assessment of tenderness. Results: In present study, out of 80 patients, males were 35 and females were 45. Resisted static contractions showed pain in 12% and no pain in 82%, on palpation, 30% had pain and 70 % had no and on EMG, spasm was present in 20% and no spasm in 80%. The difference was significant (P< 0.05). Symptom-free or occasional pain was seen in 65% in group I and 76% in group II. Little or no improvement was seen in 35% in group I and 24% in group II. The difference was significant (P< 0.05). Conclusion: Physiotherapy found to be effective in management and treatment of patients with myofascial pain dysfunction syndrome.