CERVICAL AND BACK PAIN IN MENOPAUSE
V. Fay, T. Szakonyi, A. Farago ("Nyiro Gyula" Teaching Hospital, Budapest, Hungary)
In the Outpatient Clinic for Neurorehabilitation ("Nyiro Gyula" Teaching Hospital, Budapest, Hungary) a complex physiotherapy was introduced for women who were treated with hormone replacement therapy and suffered from severe cervical and back pain. It was assumed that the complaints were in effect caused by painful muscular spasms arising from a psychosyndrome typical of menopause. Following a complete check-up comprising X-ray, laboratory tests, internal, neurological gynecological and psychological examinations, individually adjusted antidepressant therapy was given in addition to a complex treatment of the muscular spasms. The complaints stopped in the majority of the cases after a two- months period. It is concluded that the therapy of menopausal pain should be a multidisciplinary effort.
ACTIVE APPROACH IN TREATMENT OF WHIPLASH INJURIES TO THE CERVICAL SPINE
Zvonko Kejla, Nankovic Vjekoslav, Buljat Gojko,Kvesic Drazen (University Clinic for Traumatology, Zagreb, Croatia), Cop Renata (Special. Rehab. Center Varazdinske Toplice, Croatia)
During 1996 a total of 4,478 patients with whiplash injury to the cervical spine were treated at the University Trauma Center Zagreb, which serves as a trauma center for an area with 1 million inhabitants.
According to the treatment tactics suggested by the Quebec Task Force, we reduced diagnostic procedures, giving emphasis to clinical findings, reevaluating patient after two or four weeks, if needed. The patients were treated with short time immobilization and effective analgesia during first two or three days, after which they were encouraged to perform exercises at home.
Good results were achieved during the first week after injury in 82% of patients, while the remaining 18% had to perform additional physiotherapy under supervision.
The QTF system of treatment of whiplash injuries to the cervical spine is effective in reducing the treatment time in this type of injury.