We, hereby, report a case of pulmonary paragonimiasis in a patient from an endemic region who was misdiagnosed with pulmonary tuberculosis as the clinical features of both diseases are the same. The subtle clue such as eosinophilia, food habits, and travel history can help us diagnose parasitic infections. Pulmonary paragonimiasis with coughing up rusty brown sputum is the most common presentation of the disease. Praziquantel is mainstay of treatment. Highlight: This case report is to draw the attention of the medical fraternity to the diagnosis of paragonimiasis which is endemic in Asian, African, and South American countries, whose diagnosis is often delayed or missed.
{"title":"Pulmonary paragonimiasis: Close mimic to pulmonary tuberculosis in endemic regions","authors":"Smita Sharma, Gyanendra Agrawal, Vinay Labru, Anil Prasad Bhatt, Sharique Ahmed, Rinki Bhatt","doi":"10.25259/ijms_143_2023","DOIUrl":"https://doi.org/10.25259/ijms_143_2023","url":null,"abstract":"We, hereby, report a case of pulmonary paragonimiasis in a patient from an endemic region who was misdiagnosed with pulmonary tuberculosis as the clinical features of both diseases are the same. The subtle clue such as eosinophilia, food habits, and travel history can help us diagnose parasitic infections. Pulmonary paragonimiasis with coughing up rusty brown sputum is the most common presentation of the disease. Praziquantel is mainstay of treatment. Highlight: This case report is to draw the attention of the medical fraternity to the diagnosis of paragonimiasis which is endemic in Asian, African, and South American countries, whose diagnosis is often delayed or missed.","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135355138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mycetoma is a chronic granulomatous inflammation of the dermis and epidermis caused by filamentous bacteria in 60% of cases (actinomycetoma) or fungi (eumycetoma) in 40% of cases. A 45-year-old female presented with a left foot ulcer and gradually increasing swelling for 13 years in our department. The radiograph revealed multiple punch-out lytic areas in the tarsals with sclerosis and destruction of the calcaneum. The characteristic “dotin-circle” sign was appreciated on both ultrasound and magnetic resonance imaging. The causative organism and the radiological evaluation, especially bone involvement, are the most important factors that determine the choice of treatment. In the initial stages, chemotherapeutic drugs along with surgery are effective. The current concept is with treatment with a combination of drugs under the name of Welsh regimen.
{"title":"Maduramycosis masquerading malignancy: A case report from rural oncology center","authors":"Anuradha Shukla, Deepander Singh Rathore, Rahatdeep Brar, Ankur Dwivedi","doi":"10.25259/ijms_31_2022","DOIUrl":"https://doi.org/10.25259/ijms_31_2022","url":null,"abstract":"Mycetoma is a chronic granulomatous inflammation of the dermis and epidermis caused by filamentous bacteria in 60% of cases (actinomycetoma) or fungi (eumycetoma) in 40% of cases. A 45-year-old female presented with a left foot ulcer and gradually increasing swelling for 13 years in our department. The radiograph revealed multiple punch-out lytic areas in the tarsals with sclerosis and destruction of the calcaneum. The characteristic “dotin-circle” sign was appreciated on both ultrasound and magnetic resonance imaging. The causative organism and the radiological evaluation, especially bone involvement, are the most important factors that determine the choice of treatment. In the initial stages, chemotherapeutic drugs along with surgery are effective. The current concept is with treatment with a combination of drugs under the name of Welsh regimen.","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135355140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transfusion-related acute lung injury (TRALI), a rare yet potentially fatal complication, manifests as acute-onset non-cardiogenic pulmonary edema accompanied by severe hypoxemia. In this report, we present the case of a 25-year-old female who experienced TRALI shortly after undergoing a blood transfusion and exhibited a favorable response to steroid therapy.
{"title":"The unforeseen complication of blood transfusion: Transfusion-related acute lung injury – A case report","authors":"Akhilesh Kumar Singh, Rahul Agrahari, Govind Tripathi","doi":"10.25259/ijms_127_2023","DOIUrl":"https://doi.org/10.25259/ijms_127_2023","url":null,"abstract":"Transfusion-related acute lung injury (TRALI), a rare yet potentially fatal complication, manifests as acute-onset non-cardiogenic pulmonary edema accompanied by severe hypoxemia. In this report, we present the case of a 25-year-old female who experienced TRALI shortly after undergoing a blood transfusion and exhibited a favorable response to steroid therapy.","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136363607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nikee Mehul Parekh, Siddhanth Sunil Sawant, Rachana P. Dabadghav, Ashok Shyam, P. Sancheti
Older people commonly experience life stressors such as reduced mobility, chronic pain, and fatigue. This leads to loneliness, isolation, and psychological distress among them, putting them at risk of developing mental and psychological disorders such as depression, dementia and anxiety. In older people, total knee arthroplasty (TKA) is one of the most common orthopedic surgeries undertaken. For physical therapeutic rehabilitation, home exercise programs (HEPs) are prescribed post-surgery. These programs require a lot of self-motivation which is reduced in those with mental illnesses. The objectives of this study were to assess the psychological distress levels in patients, to assess their HEP adherence, and, lastly, to study whether there is a correlation between the patient’s psychological distress levels and their HEP adherence. Forty-three subjects who underwent TKA were recruited during their post-operative hospital stay. Their demographic data and date of surgery were collected. At 1 month postoperatively, they were sent a Google form comprising two questionnaires-subsection B of the exercise adherence rating scale and patient health questionnaire-4 to measure adherence to HEP and psychological distress levels. Obtained scores were correlated using Spearman’s test. The confidence interval and P value were set at 95% and <0.05, respectively. The mean age of the 43 subjects was 62.58 ± 9.15. Spearman’s correlation coefficient (r) was −0.47, that is, a moderate negative correlation was found and the P value obtained was 0.02 which is statistically significant. Psychological distress levels have a negative correlation with HEP adherence in patients with TKA.
{"title":"Psychological distress levels in patients of total knee arthroplasty and their adherence to home exercise program – A correlational study","authors":"Nikee Mehul Parekh, Siddhanth Sunil Sawant, Rachana P. Dabadghav, Ashok Shyam, P. Sancheti","doi":"10.25259/ijms_276_2021","DOIUrl":"https://doi.org/10.25259/ijms_276_2021","url":null,"abstract":"\u0000\u0000Older people commonly experience life stressors such as reduced mobility, chronic pain, and fatigue. This leads to loneliness, isolation, and psychological distress among them, putting them at risk of developing mental and psychological disorders such as depression, dementia and anxiety. In older people, total knee arthroplasty (TKA) is one of the most common orthopedic surgeries undertaken. For physical therapeutic rehabilitation, home exercise programs (HEPs) are prescribed post-surgery. These programs require a lot of self-motivation which is reduced in those with mental illnesses. The objectives of this study were to assess the psychological distress levels in patients, to assess their HEP adherence, and, lastly, to study whether there is a correlation between the patient’s psychological distress levels and their HEP adherence.\u0000\u0000\u0000\u0000Forty-three subjects who underwent TKA were recruited during their post-operative hospital stay. Their demographic data and date of surgery were collected. At 1 month postoperatively, they were sent a Google form comprising two questionnaires-subsection B of the exercise adherence rating scale and patient health questionnaire-4 to measure adherence to HEP and psychological distress levels. Obtained scores were correlated using Spearman’s test. The confidence interval and P value were set at 95% and <0.05, respectively.\u0000\u0000\u0000\u0000The mean age of the 43 subjects was 62.58 ± 9.15. Spearman’s correlation coefficient (r) was −0.47, that is, a moderate negative correlation was found and the P value obtained was 0.02 which is statistically significant.\u0000\u0000\u0000\u0000Psychological distress levels have a negative correlation with HEP adherence in patients with TKA.\u0000","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"135 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84525200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EN.705.601. Applied Machine Learning. 3 Credits. Machine Learning (ML) is the art of solving a computation problem using a computer without an explicit program. ML is now so pervasive that various ML applications such as image recognition, stock trading, email spam detection, product recommendation, medical diagnosis, predictive maintenance, cybersecurity, etc. are constantly used by organizations around us, sometimes without our awareness.In this course, we will rigorously apply machine learning techniques to real-world data to solve real-world problems. We will briefly study the underlying principles of diverse machine learning approaches such as anomaly detection, ensemble learning, deep learning with a neural network, etc. The main focus will be applying tool libraries from the Python-based Anaconda and Java-based Weka data science platforms to datasets from online resources such as Kaggle, UCI KDD, open source repositories, etc. We will also use Jupyter notebooks to present and demonstrate several machine learning pipelines. Prerequisite(s): EN.705.62
{"title":"Artificial intelligence in healthcare: Pros and cons","authors":"Charu Singh, Ashish Gulia, Naveen Bansal","doi":"10.25259/ijms_171_2023","DOIUrl":"https://doi.org/10.25259/ijms_171_2023","url":null,"abstract":"EN.705.601. Applied Machine Learning. 3 Credits. Machine Learning (ML) is the art of solving a computation problem using a computer without an explicit program. ML is now so pervasive that various ML applications such as image recognition, stock trading, email spam detection, product recommendation, medical diagnosis, predictive maintenance, cybersecurity, etc. are constantly used by organizations around us, sometimes without our awareness.In this course, we will rigorously apply machine learning techniques to real-world data to solve real-world problems. We will briefly study the underlying principles of diverse machine learning approaches such as anomaly detection, ensemble learning, deep learning with a neural network, etc. The main focus will be applying tool libraries from the Python-based Anaconda and Java-based Weka data science platforms to datasets from online resources such as Kaggle, UCI KDD, open source repositories, etc. We will also use Jupyter notebooks to present and demonstrate several machine learning pipelines. Prerequisite(s): EN.705.62","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135937625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Bhandari, Richa Paudyal, A. Khanal, Ghanashyam Pandey
Because of ischemic necrosis following postpartum hemorrhage, patients with Sheehan’s Syndrome may exhibit different degrees of anterior pituitary insufficiency. They can report a variety of obscuring clinical signs and symptoms even many years after the postpartum hemorrhage, which could lead to a delay in diagnosis and an increase in mortality and morbidity. We report a case of a 44-year-old G3P3L3 lady who presented with this syndrome with history of postpartum hemorrhage 5 years back during the birth of her last child.
{"title":"A case of a 44-year-old lady presenting with Sheehan’s syndrome","authors":"R. Bhandari, Richa Paudyal, A. Khanal, Ghanashyam Pandey","doi":"10.25259/ijms_138_2023","DOIUrl":"https://doi.org/10.25259/ijms_138_2023","url":null,"abstract":"Because of ischemic necrosis following postpartum hemorrhage, patients with Sheehan’s Syndrome may exhibit different degrees of anterior pituitary insufficiency. They can report a variety of obscuring clinical signs and symptoms even many years after the postpartum hemorrhage, which could lead to a delay in diagnosis and an increase in mortality and morbidity. We report a case of a 44-year-old G3P3L3 lady who presented with this syndrome with history of postpartum hemorrhage 5 years back during the birth of her last child.","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78931324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
It is crucial to identify diabetes risk factors and screen young people for the disease to stop diabetes from developing. An effective and validated approach to assessing population diabetes risk is the Indian diabetes risk score (IDRS). Diabetic women are more vulnerable to many unfavorable outcomes. The objective of this study was to determine the risk of type 2 diabetes mellitus (T2DM) among females aged 30 years and more using IDRS. A cross-sectional study was conducted among 626 self-declared non-diabetic females from July 2022 to January 2023 using a semi-structured interview schedule. IDRS was used to assess diabetes risk. IDRS categorization revealed 15.8%, 44.6%, and 39.6% participants in low-, moderate-, and high-risk categories, respectively. Sensitivity and specificity were 67.5 (60.6–74.4) and 41.6 (34.3–48.9), respectively, compared to the gold standard test (Fasting blood sugar). At a 95% confidence interval, the area under the curve of receiver operating characteristic was found to be 0.6 (0.47–0.68). Nearly two-fifths (39.6%) of the participants had a high risk of getting T2DM. Increments in age, family history of diabetes, lack of physical activity, and abdominal obesity were the most frequent factors associated with a high risk of developing T2DM.
{"title":"Risk assessment of type 2 diabetes mellitus using Indian diabetes risk score among females aged 30 years and above in urban Delhi","authors":"Pritam Halder, Girish Jeer, B. Nongkynrih","doi":"10.25259/ijms_53_2023","DOIUrl":"https://doi.org/10.25259/ijms_53_2023","url":null,"abstract":"\u0000\u0000It is crucial to identify diabetes risk factors and screen young people for the disease to stop diabetes from developing. An effective and validated approach to assessing population diabetes risk is the Indian diabetes risk score (IDRS). Diabetic women are more vulnerable to many unfavorable outcomes. The objective of this study was to determine the risk of type 2 diabetes mellitus (T2DM) among females aged 30 years and more using IDRS.\u0000\u0000\u0000\u0000A cross-sectional study was conducted among 626 self-declared non-diabetic females from July 2022 to January 2023 using a semi-structured interview schedule. IDRS was used to assess diabetes risk.\u0000\u0000\u0000\u0000IDRS categorization revealed 15.8%, 44.6%, and 39.6% participants in low-, moderate-, and high-risk categories, respectively. Sensitivity and specificity were 67.5 (60.6–74.4) and 41.6 (34.3–48.9), respectively, compared to the gold standard test (Fasting blood sugar). At a 95% confidence interval, the area under the curve of receiver operating characteristic was found to be 0.6 (0.47–0.68).\u0000\u0000\u0000\u0000Nearly two-fifths (39.6%) of the participants had a high risk of getting T2DM. Increments in age, family history of diabetes, lack of physical activity, and abdominal obesity were the most frequent factors associated with a high risk of developing T2DM.\u0000","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"431 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73406431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Balasubramaniam, S. Cheulkar, P. Joshi, A. R. Patil, R. Badwe, R. Dikshit, S. Banavali, Suvarna N. Patil
The objective of this study was to elucidate the various challenges in establishing cancer registry and further provide inputs to commission infrastructure for cancer treatment, in this rural setup. Population of Ratnagiri district is covered in its entirety. Registry data for the year 2015 - 2016 is analyzed. Population-Based Cancer Registry staff has visited various hospitals, pathology laboratories, radiological centers, panchayats, local physicians, anganwadi, primary health-care centers, etc., to collect the information. An in-house software was developed in visual basic with DB platform for data entry, validation checks and MS-Office Excel and SPSS Ver 21 were used for analysis. Cancer incidence rate (age-adjusted incidence rate ) of Ratnagiri district is 39.1 and 39.6/100,000 for male and female, respectively, and is in comparison with other rural Indian registries. In males, mouth cancer and breast cancer in females were leading site of cancer. Results of Ratnagiri registry are valuable for cancer control activities.
本研究的目的是阐明建立癌症登记的各种挑战，并进一步为农村地区癌症治疗的委托基础设施提供投入。Ratnagiri区的人口全部被覆盖。本文分析了2015 - 2016年的注册数据。以人口为基础的癌症登记处工作人员访问了各医院、病理实验室、放射中心、村委会、当地医生、安干瓦迪、初级保健中心等，以收集信息。采用数据库平台visual basic开发内部软件进行数据录入、验证检查，使用MS-Office Excel和SPSS Ver 21进行分析。Ratnagiri县男性和女性的癌症发病率(年龄调整后的发病率)分别为39.1 /10万和39.6/10万，与印度其他农村登记处相比。在男性中，口腔癌和乳腺癌是女性的主要癌症部位。Ratnagiri登记的结果对癌症控制活动有价值。
{"title":"Incidence of cancer in a rural registry in India-Ratnagiri, Maharashtra","authors":"G. Balasubramaniam, S. Cheulkar, P. Joshi, A. R. Patil, R. Badwe, R. Dikshit, S. Banavali, Suvarna N. Patil","doi":"10.25259/ijms_152_2021","DOIUrl":"https://doi.org/10.25259/ijms_152_2021","url":null,"abstract":"\u0000\u0000The objective of this study was to elucidate the various challenges in establishing cancer registry and further provide inputs to commission infrastructure for cancer treatment, in this rural setup.\u0000\u0000\u0000\u0000Population of Ratnagiri district is covered in its entirety. Registry data for the year 2015 - 2016 is analyzed. Population-Based Cancer Registry staff has visited various hospitals, pathology laboratories, radiological centers, panchayats, local physicians, anganwadi, primary health-care centers, etc., to collect the information. An in-house software was developed in visual basic with DB platform for data entry, validation checks and MS-Office Excel and SPSS Ver 21 were used for analysis.\u0000\u0000\u0000\u0000Cancer incidence rate (age-adjusted incidence rate ) of Ratnagiri district is 39.1 and 39.6/100,000 for male and female, respectively, and is in comparison with other rural Indian registries. In males, mouth cancer and breast cancer in females were leading site of cancer.\u0000\u0000\u0000\u0000Results of Ratnagiri registry are valuable for cancer control activities.\u0000","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86938381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Increasing diversity is essential not only for equal healthcare among all individuals but also for equal socio-economic potential for all genders and ethnicities. With changing demographics over the years, we tried to assess the impact of university programs for the promotion of equality in ethnic representation in the medical community. The US population, based on the data taken from the US Census Bureau, was compared to the Faculty Administrative Management Online User System (FAMOUS) data to analyze the representation of the medical community to the general US population. Females have reached near parity in their representation within the medical community faculty. Underrepresented in medicine individuals have not come far enough to reach parity in their representation within the medical community. As compared to the general US population, while Asians are overrepresented, Black and Hispanic proportions in the medical community are still underrepresented.
{"title":"Diversity in United States medical faculty relative to population trends, 2005–2019","authors":"T. Baran, Jeffrey S. Wicks, A. Sharma","doi":"10.25259/ijms_32_2023","DOIUrl":"https://doi.org/10.25259/ijms_32_2023","url":null,"abstract":"Increasing diversity is essential not only for equal healthcare among all individuals but also for equal socio-economic potential for all genders and ethnicities. With changing demographics over the years, we tried to assess the impact of university programs for the promotion of equality in ethnic representation in the medical community. The US population, based on the data taken from the US Census Bureau, was compared to the Faculty Administrative Management Online User System (FAMOUS) data to analyze the representation of the medical community to the general US population. Females have reached near parity in their representation within the medical community faculty. Underrepresented in medicine individuals have not come far enough to reach parity in their representation within the medical community. As compared to the general US population, while Asians are overrepresented, Black and Hispanic proportions in the medical community are still underrepresented.","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75903196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Wani, Shreshthi Pramod Burnwal, Sanket S. Mungikar, Kapil Garg, Goutami Katage
Trismus is a painful condition that restricts the temporomandibular joint range of motion (ROM) causing difficulty in eating, chewing, speaking, etc., affecting the oral health-related quality of life (OHRQOL). It often presents as a complication during pre-malignancy stage or after oral cancer treatment. Its prevalence is between 28% and 79%, and it is 8 times more common in edentulous patients. The 57-year-old male complained of continuous tongue and jaw pain with difficulty in chewing, eating, and speaking 1 year before and gradually developed small ulcers over the right jaw. After complete investigation, the patient was diagnosed with jaw cancer and underwent radiotherapy for 2 months. This patient came with complaints of pain, difficulty in mouth opening to physiotherapy department, 3 months following radiotherapy, diagnosed as a case of trismus. A comprehensive physiotherapy protocol including LASER, mobilization, Myofascial release, active exercises for the period of 4 weeks was given. Outcomes for pain, jaw mobility, and OHRQOL were evaluated at baseline and 4 weeks. Four weeks of comprehensive physiotherapy protocol was found effective in reducing pain and improving jaw mobility and OHRQOL in patients with trismus following radiation therapy.
{"title":"Physiotherapy for pain, jaw mobility, and oral health-related quality of life in patient with trismus following radiation therapy for jaw cancer: A case report","authors":"S. Wani, Shreshthi Pramod Burnwal, Sanket S. Mungikar, Kapil Garg, Goutami Katage","doi":"10.25259/ijms_108_2023","DOIUrl":"https://doi.org/10.25259/ijms_108_2023","url":null,"abstract":"\u0000\u0000Trismus is a painful condition that restricts the temporomandibular joint range of motion (ROM) causing difficulty in eating, chewing, speaking, etc., affecting the oral health-related quality of life (OHRQOL). It often presents as a complication during pre-malignancy stage or after oral cancer treatment. Its prevalence is between 28% and 79%, and it is 8 times more common in edentulous patients.\u0000\u0000\u0000\u0000The 57-year-old male complained of continuous tongue and jaw pain with difficulty in chewing, eating, and speaking 1 year before and gradually developed small ulcers over the right jaw. After complete investigation, the patient was diagnosed with jaw cancer and underwent radiotherapy for 2 months. This patient came with complaints of pain, difficulty in mouth opening to physiotherapy department, 3 months following radiotherapy, diagnosed as a case of trismus. A comprehensive physiotherapy protocol including LASER, mobilization, Myofascial release, active exercises for the period of 4 weeks was given. Outcomes for pain, jaw mobility, and OHRQOL were evaluated at baseline and 4 weeks.\u0000\u0000\u0000\u0000Four weeks of comprehensive physiotherapy protocol was found effective in reducing pain and improving jaw mobility and OHRQOL in patients with trismus following radiation therapy.\u0000","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86801035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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