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Biomedical subjects

R L Swezey

Publications and source records attributed to R L Swezey.

At least 37 records · Page 2Linked to original sources
PubMed1983

The physician and the arthritis patient: informed partners in therapy.

By creating an environment for treatment and rehabilitation which is simultaneously functional, attractive, and clearly responsive to the arthritis patient's medical, functional and emotional needs, the physician sends the message that he is concerned about all aspects of care and willing to do his share in promoting and maintaining the therapeutic partnership with the patient.

Arthritis, Rheumatoid↗
PubMed1982

Physical therapies in arthritis: which to choose, when to use, how not to abuse.

Over 31,000,000 people in the United States have arthritis. Almost all of them will need treatment at some time. No less sophistication is needed for the judicious prescription of rehabilitative therapies than for the prescription of drugs or surgery. The potential for benefit from such therapies is great, but so also is the possibility for misuse or abuse. It is important to use well what has been well used, to know what is new, and to choose wisely.

Arthritis↗
PubMed1979

Juxta-articular adiposis dolorosa: what is it? Report of 2 cases.

Juxta-articular adiposis dolorosa may be defined as the localised accumulation of painful fat near joints, most commonly the knee. It exists as a separate entity that must be distinguished from other causes of knee pain. We present 2 patients with this condition and review the literature. Various approaches to therapy are discussed. A classification of painful fat near joints is proposed.

Adiposis Dolorosa↗
PubMed1979

Arthritic hand response to pressure gradient gloves.

Five women with osteoarthritis and 10 with rheumatoid arthritis and finger joint involvement wore a pressure gradient glove, a control glove, or no glove in a randomly assigned sequence. All were outpatients. Each patient wore the assigned glove nightly for 1 week, after which a battery of subjective and objective data, including number of tender joints, ring size, grip strength, palmar temperature, and hand function were obtained. In all, 105 separate examinaion sessions were completed over 7 visits, with each hand serving as its own control in the experimental design. The palmar skin temperature was elevated in both patient groups when either a pressure gradient or control glove was worn. In patients with rheumatoid arthritis, the only significant difference was that the pressure gradient glove reduced ring size when compared to the control glove or no glove. No differences were detected in the patients with osteoarthritis.

Arthritis, Rheumatoid↗
PubMed1976

Inhibition of secondary osteophyte formation in rheumatoid arthritis.

Using radiographically demonstrated joint narrowing as an index of joint damage, a reduced incidence of osteophyte size and number as a measure of osteoarthritic change in the PIP and knee joints of patients with RA as compared to DJD has been demonstrated. The possible pathogenetic factors discussed include reduced joint use in RA, increased resilience of juxta-articular bone associated with osteoporosis in RA and the possibility that products of inflammation in the RA joint act locally or via juxta-articular vascular mechanisms to inhibit the secondary changes of DJD. Further study of the possible pathogenic mechanisms including the roles of joint stress, juxta-articular osteoporosis, and possible effects of the inflammatory reaction of the rheumatoid joint on intra-articular structures and juxta-articular vascular phenomena are needed.

Adult↗
PubMed1976

Pseudo-radiculopathy in subacute trochanteric bursitis of the subgluteus maximus bursa.

Seventy patients, averaging 82 years of age, were referred for low back pain and/or a suspected herniated disk. Objective neurological deficits consistent with L5 or S1 root involvement were identified in 5 of the 70 patients. Trochanteric bursitis (TB), often mimicking radiculitis, was diagnosed in 31 patients. Trochanteric bursitis was associated with lumbosacral strain and lumbar osteoarthrosis in 21 of 31 patients and with an S1 disk in 1 of those 31 patients. Degenerative joint disease of the ipsilateral hip was present in 4 of 20 of these patients with TB. Six patients with low back pain had both hip and knee arthritis (including two patients with rheumatoid arthritis). Three patients had degenerative hip disease without low back complaints. The remaining patient had TB associated with left hemiparesis. All patients had limitation of lumbosacral motion. Patients with arthritic hips had apparent shortening of the affected leg of one-half inch or greater. Trochanteric bursitis is a common complication of lumbosacral strain, frequently mimicking radiculopathy. Gait alteration associated with back pain or static traction on gluteal musculature during rest therapy may be predisposing factors. The association of TB with hip disease and/or leg length discrepancies was again confirmed.

Aged↗
PubMed1975

The consequences of habitual knuckle cracking.

Habitual knuckle cracking in children has been considered a cause of arthritis. A survey of a geriatric patient population with a history of knuckle cracking failed to show a correlation between knuckle cracking and degenerative changes of the metacarpal phalangeal joints.

Age Factors↗
PubMed1975

Septic arthritis due to pseudomonas in heroin addicts.

Ten cases of septic arthritis due to Pseudomonas occurred in users of heroin. Nine cases were monarticular, two each occurring in the sternoclavicular and the sacro-iliac joints. Review of the literature suggests that the incidence of Pseudomonas septic arthritis is increasing, especially among heroin addicts. The reported cases in adults suggest a predilection for the sternoclavicular joints (eight of forty-one) which is even more pronounced among addicts (seven of twenty-four). Pseudomonas infection associated with drug abuse should be suspected in cases of isolated sternoclavicular inflammation. The drugs used for treatment of septic arthritis due to Pseudomonas should include gentamicin and carbenicillin, in conjunction with adequate drainage by aspiration or surgery.

Adult↗