Introduction: Patients with neck pain often have subjective complaints of muscle stiffness, tension, or tightness in addition to their pain. It has been stated that in neck pain there is tightness of Upper Trapezius leading to weakness of Middle and Lower Trapezius, so this study compares the strength of Upper, Middle and Lower Trapezius muscle on the side of pain and the contralateral side. Method: The strength of Upper, Middle, and Lower Trapezius were assessed and compared on the side ipsilateral and contralateral to the pain in individuals with unilateral neck pain using Stabilizer Pressure bio feedback unit. Results: It has been shown that there is no significant difference in the strength of Upper Trapezius while there is a significant difference in the strength of Middle, And Lower Trapezius muscle on the side of pain and opposite side. Conclusion: The study supports that assessment and strengthening of Upper, Middle, and Lower Trapezius is necessary in individuals with unilateral neck pain.
Pyogenic liver abscess during pregnancy is an extremely rare condition. Although rare, in situations of sepsis or septic shock in pregnancy, as well as the common sources of infection, a possibility of a liver abscess should be considered. We present a case report of 32-year-old primigravida 37.3 weeks by date, 37 weeks by scan with breech presentation with premature rupture of membranes and pain in abdomen since 12 hours with breathlessness, fever and diarrhoea since 2 days came in emergency to study hospital. General condition of the patient on arrival was pulse-140 beats per minute, blood pressure was 90/60 mmHg, respiratory rate was 40/min, on per abdominal examination, breech presentation with fetal heart rate of 150 beats per minute on doppler was noted. Per vaginal examination revealed cervical os 5 cm dilated, 40% effacement, breech presentation, absent membranes. With urgent report of complete hemogram and acid blood gas analysis, metabolic acidosis was noted which was corrected and patient was taken for emergency lower segment caesarean section. Intra-operative, 250 ml greenish pus flakes fluid was noted inside the abdominal cavity. Fluid was drained and sent for culture sensitivity with maximum aseptic precautions, uterus was opened, baby was delivered followed by uterus closure. Ruptured liver abscess 6×4×2 cm in 2nd and 3rd segment of liver was noted, abdominal wash with antibiotics and NS was given, drain was kept. Appropriate antibiotics were started and was discharged on day 14 after suture removal.
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