Home Remedies for Whiplash
The majority of posttreatment esophageal strictures in our patients are secondary to radiation or due to scarring of the surgical anastomosis. Every effort is made to rule out residual or recurrent tumor at the site of stricture prior to embarking on stricture dilation. We dilate strictures only if the patient has significant dysphagia that prevents adequate nutrition and the stricture is less than 10 mm in diameter. Both bougies (Savary-Guillard dilators) and through-the-scope balloons are used for stricture dilation. The through-the-scope balloons are more convenient because they do not require fluoroscopic guidance. However, in patients with long strictures that cannot be traversed by endoscope or with tight strictures in which the lumen cannot be seen, a guidewire is used with fluoroscopic assistance. Balloon or Savary dilation over the guidewire is performed with fluoroscopic guidance. Dilation is usually limited to no more than 3 sizes in a single session, and patients are...
In a recent survey, 67 of patients with MS reported pain at some point in their disease course, a frequency comparable to that of controls (47). However, twice as many patients with MS reported active pain than did the control group. They also tended to have pain most often in the extremities and trunk, whereas the controls more often reported head, back, and neck pain. Several distinct pain syndromes may occur in MS patients. Some experience severe, lancinating neuralgic pains in the limbs or elsewhere others complain of more persistent, intolerable dysesthesias, frequently with a burning quality (42,43). Patients with spasticity often report painful spasms or cramping sensations in the legs.
In the cervical region, compression expresses itself as sensory and motor symptoms and signs of numbness and weakness in the upper limbs, which may be flaccid or spastic depending on the level, and weakness of the trunk and lower limbs, which will have increased tone or even spasticity. If vertebrae are involved in the pathological process, there is often neck pain (or referred interscapular pain), but intradural lesions are often painless.
Most spinal injuries are caused by road traffic accidents, falls or during sport. Many patients sustain a whiplash injury to the soft tissues and ligaments following road accidents, but bony and neurological injuries are more likely when the occupant has been ejected from the vehicle or suffered head injury. Falls from a height, either onto the head or feet, can cause spinal injury, whilst swimming (particularly diving) and horse riding, in addition to contact sports, give rise to a significant number of spinal injuries each year.
When used for treatment of whiplash, botulinum toxin relived pain significantly compared with a placebo treatment, but showed a nonsignificant trend in improving subjective functioning (71). In another study, 46 patients with coexisting chronic tension headaches and temporomandibular disorders reported a 50 or greater improvement in headache pain. A randomized, double-blind study found that 11 of 15 subjects who received botulinum toxin A injections for low back pain had more than 50 pain relief vs 4 of 16 who received saline injections (72). By 8 weeks, these figures were 9 of 15 and 2 of 16, respectively, and function had improved in the treatment group.