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Liposuction: Can it be applied to management of lipedema?
Published in Byung-Boong Lee, Peter Gloviczki, Francine Blei, Jovan N. Markovic, Vascular Malformations, 2019
Robert J. Damstra, Tobias Bertsch
Lipedema is a chronic disorder of unknown etiology that mostly affects women. Clinically, there is a bilateral and symmetrical increase in the fat tissue of the legs, hips, and sometimes arms. Additionally, patients with lipedema suffer from pain with pressure or spontaneous pain of the soft tissue in affected areas. Many patients complain about a feeling of “heavy legs.” Whether edema plays a significant role in this disease is the subject of an ongoing discussion at present. It is important to note that there is no scientific evidence for fluid accumulation in patients with pure lipedema. The actual term lipedema is a misnomer term, as it evokes the idea of swelling due to fluid accumulation. However, the term refers to swelling—in the sense of an increase in volume—due to the increase in fat tissue.1
Exercise-Induced Bronchoconstriction
Published in Jonathan A. Bernstein, Mark L. Levy, Clinical Asthma, 2014
Christopher Randolph, John M. Weiler
The symptoms of EIB include cough, wheeze, chest tightness (or chest pain in children), shortness of breath, dyspnea, excessive mucus production, and “feeling out of shape” even though the individual is really in an acceptable physical condition.3,13,51–57 The signs and symptoms may also be vague, including poor performance, heavy legs, muscle cramps, sore throat, and stomachache.3,13,36,51,52 Post-race cough is the most commonly reported symptom in elite athletes. Nevertheless, a sensitivity/specificity analysis did not demonstrate the effectiveness of self-reported symptoms as a negative or positive predictor of changes in the pulmonary function after exercise.3,13,52
Clinical management
Published in Alistair Burns, Michael A Horan, John E Clague, Gillian McLean, Geriatric Medicine for Old-Age Psychiatrists, 2005
Alistair Burns, Michael A Horan, John E Clague, Gillian McLean
The first question to ask is whether the pain is confined to the back. If it radiates through the buttock and below the knee, a herniated disc or spinal stenosis should be suspected. Bilateral radiation down the legs suggests a central disk herniation (a neurosurgical emergency): there may be neurological signs attributable to the sacral nerve roots (saddle anaesthesia, bowel dysfunction, bladder dysfunction). Most degenerative disorders of the back improve with rest and worsen with activity: pain that persists unabated with rest, particularly when it disturbs sleep, suggests infection or c�ncer. Always check for any known diagnoses of c�ncer. Patients with lumbar spinal stenosis complain of leg pain with walking (especially downhill) or extensi�n of the lumbar spine, heavy legs and back pain. This is sometimes confused with vascular claudication caused by arterial disease: vascular claudicants generally have worse pain going uphill while the opposite is usually the case for those with lumbar spinal stenosis. The pain of spinal stenosis is relieved by sitting or bending forwards.
Determining optimum seat depth using comfort and discomfort assessments
Published in International Journal of Occupational Safety and Ergonomics, 2020
Samira Bahrampour, Jalil Nazari, Iman Dianat, Mohammad Asghari Jafarabadi, Ahmad Bazazan
The comfort and discomfort ratings over the duration of the experimental session are presented in Figures 3 and 4, respectively. The respondents reported a higher level of mean comfort rating for the seat depth of 40.2 cm (seat depth based on the 5th percentile of the BPL) compared to the other seat depth designs. Based on the overall mean discomfort ratings measured at 90 min, a seat depth of 40.2 cm also caused less discomfort than other seat depth designs. These findings confirm that a seat depth of 40.2 cm, which was based on the 5th percentile of the BPL, was more suitable for the studied population than the other seat depths. The mean subjective ratings for the seat depths of 52.0 and 32.0 cm indicated a higher level of perceived stiffness, restless, tiredness, uneven pressure along with sore muscles and heavy legs. The results demonstrated that the 52.0 and 32.0 cm seat depths are not preferred compared to the seat depth of 40.2 cm.
Risk factors for venous symptoms in Russian patients with chronic venous disease
Published in Current Medical Research and Opinion, 2019
Igor A. Zolotukhin, Evgeny I. Seliverstov, Yuri N. Shevtsov, Ilona P. Avakiants, Andrey M. Tatarintsev, Aleksander I. Kirienko
Not only did overall prevalence of venous symptoms appear to be lower in our study, but assessment of different complaints separately also showed significant dissimilarities. We registered night cramps, itching and paresthesia in 14.7%, 7.0% and 3.1% of patients respectively, while in the Vein Consult Program the rates were as follows – 46.5%, 18.5% and 23.8%15. Jawien et al. found cramps in 57.5% of CVD sufferers14. Lower occurrence rates were also demonstrated for more common symptoms such as heavy legs, fatigue and sensation of swelling.
Contributions of pain intensity, body mass index and balance to physical function in individuals with bilateral knee osteoarthritis
Published in European Journal of Physiotherapy, 2021
Chiedozie J. Alumona, Babatunde O. A. Adegoke
Body mass index was found to be a significant predictor of physical function thereby supporting the view that obesity is a determinant of disability in individuals with knee osteoarthritis [29,30]. Higher BMI (which tends to obesity) may result in greater energy expenditure during performance of physical function due to the transference of more weight to the lower limbs and swinging of heavy legs with consequent poor performance of physical function [31].