Abstract
Objective: To observe the clinical therapeutic effect of acupuncture for joint pain of skeletal fluorosis.
Methods: Ninety-six patients with skeletal fluorosis joint pain were randomly allocated to filiform needle group(33 cases), heat needle group (32 cases) and caltrate group(31 cases); the clinical therapeutic effects of three groups were measured by visual analogue scale (VAS) and the physical, emotional and social changes of the patients were recorded.
Results: After treatment, VAS scores of the filiform needle group and the heat needle group were both lower than that of the medicine group(P0.05), and the scores of quality of life(MOS-SF 36) were both lower than that of the medicine group(P0.05).
Conclusion: Acupuncture (filiform needle and heat needle) could effectively relief the joint pain of skeletal fluorosis, and reduce the negative physical, emotional and social changes of patients.The effect of heat needle was swifter than filiform needle and had better effect on intractable pain, but filiform needle had less uncomfortable sense when manipulated, so filiform needle and heat needle could be coordinated with each other when treating joint pain of skeletal fluorosis to get better effect.
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Alert on long-term lumbago and skelalgia not responsive to anti-rheumatic pharmacotherapy
In our work we have often dealt with patients who were diagnosed with “rheumatic or rheumatoid arthritis” in rural basic medical units or certain hospitals. A minority of those patients did have rheumatoid arthritis, but most of them did not improve with anti-rheumatic pharmacotherapy for multiple years; instead, their conditions
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Rapid-onset diffuse skeletal fluorosis from inhalant abuse
Case: A thirty-year-old man presented with severely debilitating left hip pain and stiffness. Radiographs demonstrated diffuse osteosclerosis and heterotopic bone formation with near ankylosis of the left hip. The patient underwent successful joint-preserving surgery to restore hip range of motion. After disclosing a history of inhalant abuse, which was confirmed
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Paleopathology of skeletal fluorosis
Skeletal fluorosis is one of a range of conditions causing excessive ossification and joint ankylosis in skeletons. It is rarely considered, however, in differential diagnoses of palaeopathological lesions. This paper considers the identification of skeletal fluorosis in a skeletal sample from the island of Bahrain, Arabian Gulf, dating to ca.
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Bone and joint pathology in fluoride-exposed workers
Clinical and radiological investigations were performed for 2,258 aluminum workers exposed to fluoride for an average of 17.6 yr (standard deviation = 7.6). Changes in bone and joints were presented in detail in three groups: (1) exposed up to 5 yr (135 cases), (2) exposed from 6-32 yr (1,463 cases),
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Radiological criteria of industrial fluorosis
The bone radiographs of 43 potroom workers in an aluminium factory, on whom the diagnosis of industrial fluorosis had been confirmed by bone biopsy, are compared with radiographs from 18 control subjects. A higher frequency of ossification of ligament, tendon, and muscle attachments is observed among the fluoride exposed subjects.
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Skeletal Fluorosis: The Misdiagnosis Problem
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