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Juvenile fibromyalgia (JFM) syndrome is a condition under the spectrum of chronic pain syndrome. It is characterized by chronic musculoskeletal pain with multiple tender points and other associated symptoms. Diagnosis requires ruling out organic causes in addition to at least five out of 18 tender points and fulfilling three out of 10 criteria. JFM can be debilitating and overwhelming to both the patient and the physician. Management requires an incredibly careful multidisciplinary approach, including psychotherapy and physiotherapy among others.
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http://dx.doi.org/10.7759/cureus.12496 | DOI Listing |
Front Pediatr
August 2025
Department of Pediatric Orthopedics, Children's Hospital of Nanjing Medical University, Nanjing, China.
Background: Isolated sustentaculum tali fractures among pediatric cohorts represent an exceedingly uncommon entity (<1% of all calcaneal fractures), with limited published evidence regarding operative intervention in prepubescent patients. Diagnostic complexities emerge from radiographically indiscernible fracture patterns, mandating cross-sectional imaging modalities. This case study documents the youngest reported patient (7-year-old female) and introduces the first comprehensive morphometric analysis of fracture characteristics and clinical outcomes following surgical management via open reduction and internal fixation (ORIF) utilizing Kirschner wire (K-wire) stabilization.
View Article and Find Full Text PDFN Engl J Med
September 2025
National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, MD.
Background: Controversy persists regarding the appropriate duration of therapy with benzathine penicillin G in persons with early (i.e., primary, secondary, or early latent) syphilis ( infection).
View Article and Find Full Text PDFMedicine (Baltimore)
August 2025
Department of Acupuncture and Moxibustion and Massage, College of Traditional Chinese Medicine, Xinjiang Medical University, Urumqi, China.
Rationale: Coccyx fractures and subluxations are commonly caused by trauma, often leading to severe pain and restricted mobility. Traditional treatments focus on analgesia and immobilization; however, recovery periods are prolonged. This study explores the efficacy of acupuncture combined with Tai Chi in promoting rehabilitation for coccyx fractures.
View Article and Find Full Text PDFSAGE Open Med Case Rep
August 2025
Department of Anesthesiology, Tokyo Medical University, Shinjuku-ku, Japan.
Anterior cutaneous nerve entrapment syndrome is pain caused by compression of the anterior cutaneous branch of the intercostal nerve as it passes from the posterior sheath of the rectus abdominis muscle through the rectus abdominis muscle. In this report, we describe a case of pulsed radiofrequency treatment to the sheath of the rectus abdominis muscle for anterior cutaneous nerve entrapment syndrome. The patient was a 27-year-old man.
View Article and Find Full Text PDFCureus
July 2025
Internal Medicine, University of Tripoli, Tripoli, LBY.
Adult intussusception is uncommon and usually presents with nonspecific symptoms. Cross-sectional imaging is extremely important for diagnosis. In adults, a lead point is often present and indicates the underlying cause, which can be benign or malignant.
View Article and Find Full Text PDF