Roriz, N; Antunes, F
Pain control in rheumatological disorders is a true clinical challenge because of its multiple presentations.
Unsuccessful pain control attempts, add extra difficulty to its management.
Osteoarticular chronic symptoms, especially in an advanced phase, are strongly incapacitating but often
undervalued despite its functional impact in patient’s life quality.
Treatment options are frequently limited by its side effects, being these one of the major problems when
handling different pharmacological groups.
We report the case of a patient with an enteropathic arthropathy presenting with difficult persisting pain control.
It reflects the importance of a correct and rigorous clinical evaluation leading to therapeutic success.
Morgado, S; Antunes, F
Snapping Scapula Syndrome is a rare disorder that consists mainly in an audible and/or palpable crepitus of the
scapula with movements on the scapulo-thoracic plane. This crepitus is often associated with shoulder or cervicodorsal
pain. Patients generally seek medical help for pain relief.
This syndrome can have many causes, originating from the various anatomical structures involved in the scapulothoracic
movement (bone, muscle, bursa…). The diagnosis is clinical, although imaging studies can be helpful in
the identification of the underlying cause.
Most patients with Snapping Scapula Syndrome are treated conservatively, with a rehabilitation program and
analgesic medication. Surgical approach can be beneficial in patients that do not respond...
Morgado, S; Moura, S
Intensive care unit-acquired weakness (ICU-AW) is recognized as an important and common clinical problem,
associated with an increased morbidity in critical ill patients. This muscle weakness has been described in a wide
range of clinical settings and therefore, has many different terminologies such as “critical illness myopathy – CIM”,
“critical illness polyneuropathy - CIP”, “acute quadriplegic myopathy”, among others. Nowadays, these
designations are considered somewhat restrictive, therefore most authors adopt the more wide range
designation of “ICU-Acquired Weakness”.Generally, these patients have a flacid tetraparesis without cranial nerve palsy, normal or diminished
osteotendinous reflexes and no sensitive alterations unless on the cases traditionally classified as polyneuropathy.
Matias, AC; Antunes, F
Objectives: Assessment of self-perceived health status and quality of life in a sample of patients with failed back
surgery syndrome (FBSS) and analysis of correlations between the bodily pain dimension of the SF-36, the
remaining dimensions of the same instrument and patients clinical data.
Methods: Cross-sectional study with convenience sampling that included 40 patients with FBSS observed in PMR
consultation between January and October 2010. Clinical data were recorded and the Portuguese version of SF-36
was self-administered. SPSS 17.0 was used for statistical analysis.
Results: The mean score in all subscales of the SF-36 was less than 50 points except in social function. There was a
Gaspar, AT; Morgado, S; Antunes, F
Aim: To characterize one population with persistent or recurrent pain after lumbar spinal surgery and evaluate
the functional impact of this pathological condition.
Methods: The sample consisted of patients with a history of back surgery that kept the pain level and whom had
performed imaging examination of the lumbar spine after surgery. The authors made the demographic
characterization of the population and the characterization of pain using the DN-4 survey. It was considered the
findings in neurological examination and the results of imaging studies. The assessment of quality of life was
objectified using the SF-36 survey.
Results: The study included 28 patients, mostly female and working age....
Ferreira, JF; Moreira, V; Lima, CS; Soares, F; Machado, J; Leão, CP
Gaspar, AT; Antunes, F
Type I complex regional pain syndrome is a neurophatic pain syndrome whose physiopathology is not yet fully understood. It mainly affects limb extremities and often occurs after local trauma. There is no consensus on the treatment, but early intervention seems important, particularly in the context of Physical Medicine and Rehabilitation. The authors review physiopathologic mechanisms and point to importance of an early diagnosis, since failure to recognize this clinical picture and the consequent delay in treatment may cause serious functional impairments.
Moreira, V; Antunes, F
Ankle injuries are the most frequently encountered injuries in clinical practice. They are often managed by general practicians, and not only by orthopaedic or physiatric physicians. This injury is usually non-complicated, but some care should be taken to assure an adequate management and to exclude severe lesions. The stability of the ankle is necessary for functional activity of lower extremity, allowing walking and participation in other high demanding activities like running or jumping. There is a constant concern in adopting the best diagnostic and treatment procedures to enhance the recovery and to prevent the chronic joint instability. According to this,...