THE EFFECTS OF NOVOCAIN INJECTIONS ON SIMULATED VISCERAL PAIN
Authors: Dennison Young
Journal: Annals of Internal Medicine (1943)

Article1 November 1943THE EFFECTS OF NOVOCAIN INJECTIONS ON SIMULATED VISCERAL PAINDENNISON YOUNG, M.D.DENNISON YOUNG, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-19-5-749 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPeripheral manifestations of nerve root involvement in spondylitis have been known since the days of von Bechterew,1but it was not recognized until many years later that similarly radicular pain secondary to hypertrophic or infectious arthritis of the spine2, 3, 4, 5, 6or narrowing of the intervertebral spaces7, 8could mimic intrathoracic disease or acute abdominal emergencies. The usual treatment of this type of pain has consisted of various drugs, physical measures including baking and massage, manipulations of the affected joints, and often roentgen-ray therapy. Unfortunately most of these measures yield but transient relief and frequently the pain has...Bibliography1. VON BECHTEREW W: Steifigkeit der Wirbelsäule und ihre Verkrümmung als besondere Erkrankungsform, Neurol. Centralbl., 1893, xii, 426. Google Scholar2. GUNTHERKERR LWJ: The radicular syndrome in hypertrophic osteoarthritis of the spine, Arch. Int. Med., 1929, xliii, 212. CrossrefGoogle Scholar3. GUNTHERSAMPSON LJJ: The radicular syndrome in hypertrophic osteoarthritis of the spine. Root pain and its differentiation from heart pain, Jr. Am. Med. Assoc., 1929, xciii, 514. CrossrefGoogle Scholar4. NACHLAS IW: Pseudo-angina pectoris originating in the cervical spine, Jr. Am. Med. Assoc., 1934, ciii, 323. CrossrefGoogle Scholar5. HANFLIG SS: Pain in the shoulder girdle, arm and precordium due to cervical arthritis, Jr. Am. Med. Assoc., 1936, cvi, 523. CrossrefGoogle Scholar6. KELLY LC: Chronic hypertrophic osteoarthritis in the cervical spine with radiculitis. A report of forty cases with a review of the literature, together with some notes on effective methods of treatment. Parts I, II and III, New York State Jr. Med., 1942, xlii, 144, 246, 336. Google Scholar7. TURNEROPPENHEIMER ELA: A common lesion of the cervical spine responsible for segmental neuritis, ANN. INT. MED., 1936, x, 427. Google Scholar8. OPPENHEIMERTURNER AEL: Discogenetic disease of the cervical spine with segmental neuritis, Am. Jr. Roentgenol., 1937, xxxvii, 484. Google Scholar9. BRAVSIGMOND EAH: The local and regional injection treatment of low back pain and sciatica, ANN. INT. MED., 1941, xv, 840. Google Scholar10. KELLGREN JH: A preliminary account of referred pains arising from muscle, Brit. Med. Jr., 1938, i, 325. CrossrefGoogle Scholar11. KELLGREN JH: Observations on referred pain arising from muscle, Clin. Sci., 1938, iii, 175. Google Scholar12. KELLGREN JH: On the distribution of pain arising from deep somatic structures with charts of segmental pain areas, Clin. Sci., 1939, iv, 35. Google Scholar13. KELLGREN JH: Some painful joint conditions and their relation to osteoarthritis, Clin. Sci., 1939, iv, 193. Google Scholar14. KELLGREN JH: Somatic simulating visceral pain, Clin. Sci., 1940, iv, 303. Google Scholar15. HARMANYOUNG JBRH: Muscle lesions simulating visceral disease, Lancet, 1940, i, 1111. CrossrefGoogle Scholar16. PARKERADSON HLAW: Compression of the spinal cord and its roots by hypertrophic osteoarthritis, Surg., Gynec., and Obst., 1925, xli, 1. Google Scholar17. NATHAN PW: The neurological condition associated with polyarthritis and spondylitis, Am. Jr. Med. Sci., 1916, clii, 667. CrossrefGoogle Scholar18. SHERRINGTON CS: On the anatomical constitution of nerves of skeletal muscles; with remarks on recurrent fibers in the ventral spinal nerve-root, Jr. Physiol., 1894, xvii, 211. Google Scholar19. LEWISKELLGREN TJH: Observations relating to referred pain, viscero-motor reflexes and other associated phenomena, Clin. Sci., 1939, iv, 47. Google Scholar20. LIVINGSTON WK: Back disabilities due to strain of the multifidus muscle. Cases treated by novocain injection, West. Jr. Surg., Obst., and Gynec., 1941, xlix, 259. Google Scholar21. GUTSTEIN-GOOD M: Idiopathic myalgia. Simulating visceral and other diseases, Lancet, 1940, i, 326. CrossrefGoogle Scholar22. MOYNAHAN EJ: Treatment of acute sprains by procaine infiltration (Leriche's method), Lancet, 1939, i, 672. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Tallahassee, Florida*Received for publication June 8, 1942.From the Medical Division, Montefiore Hospital for Chronic Diseases, New York, N. Y. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAbdominal and pelvic painLetters to the editorReferences 1 November 1943Volume 19, Issue 5Page: 749-756KeywordsAbdominal painAnkylosing spondylitisArthralgiaArthritisDrug therapyInfectious diseasesNervesSpondylitis ePublished: 1 December 2008 Issue Published: 1 November 1943 PDF downloadLoading ...