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Types of Low Back Pain Of the several symptoms of spinal disease (pain, stiffness, limitation of movement, and deformity), pain is of foremost importance Four types of pain may be distinguished: local, referred, radicular, and that arising from secondary (protective) muscular spasm These several types of pain can often be discerned from the patient s description; reliance is placed mainly on the character of the pain, its location, and conditions that modify it Local pain is caused by any pathologic process that impinges on structures containing sensory endings Involvement of the periosteum of the vertebral body, capsule of apophysial joints, muscles, annulus brosus, and ligaments is often exquisitely painful, whereas destruction of the nucleus pulposus alone produces little or no pain Local pain is most often described as steady and aching, but it may be intermittent and sharp and, though not well circumscribed, is always felt in or near the affected part of the spine Usually there is re exive protective splinting at the corresponding spinal segments by intense contraction of the paravertebral mus- how to view pdf file in asp.net c# Pdf Viewer in ASP.net - CodeProject
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PDF Viewer -Overview. Introduction to PDF Viewer . Essential PDF Viewer is a 100% managed .NET component that will have the ability to view and print PDF ... cles, and certain movements or postures that counteract the spasm and alter the position of the injured tissues tend to aggravate the pain Also, the super cial structures in the involved region are tender and direct pressure on them evokes pain Muscles that are continually in re ex spasm may also become tender and sensitive to deep pressure Referred pain is of two types, one that is projected from the spine to viscera and other structures lying within the territory of the lumbar and upper sacral dermatomes and another that is projected from pelvic and abdominal viscera to the spine Pain due to disease of the upper part of the lumbar spine is often referred to the ank, lateral hip, groin, and anterior thigh This has been attributed to irritation of the superior cluneal nerves, which are derived from the posterior divisions of the rst three lumbar spinal nerves and innervate the superior portions of the buttocks Pain from the lower part of the lumbar spine is usually referred to the lower buttocks and posterior thighs and is due to irritation of lower spinal nerves, which activate the same pool of intraspinal neurons as the nerves that innervate the posterior thighs Pain of this type is usually rather diffuse and has a deep, aching quality, but it tends at times to be more super cially projected McCall and colleagues and Kellgren have veri ed these areas of reference by the injection of hypertonic saline into the apophysial joints But, as Sinclair and coworkers have pointed out, the sites of reference are inexact and cannot be relied on for the precise anatomic localization of lesions In general, the intensity of the referred pain parallels that of the local pain In other words, maneuvers that alter local pain have a similar effect on referred pain, though lacking the precision and immediacy of so-called root pain Pain from visceral diseases is usually felt within the abdomen, anks, or lumbar region and may be modi ed by the state of activity of the viscera and sometimes by assuming an upright or supine posture Its character and temporal relationships have little relationship to movement of the back Radicular or root pain has some of the characteristics of referred pain but differs in its greater intensity, distal radiation,. how to show pdf file in asp.net c# Generate PDF Using iTextSharp In ASP.NET MVC - C# Corner
Jul 5, 2016 · This code snippet is for generate PDF using iTextSharp in ASP.NET MVC. how to open pdf file in new window in asp.net c# Q567731 - ASP.NET PDF viewer control | DevExpress Support Center
Feb 3, 2014 · Technology: .NET, Platform: ASP.NET MVC, Type: Question, Subject: ASP.NET PDF viewer control. 4: Intervertebral Disc (Annulus Fibrosus) Figure 11-2 The main ligamentous structures of the spine A Buckling of the yellow ligament (ligamentum avum) may compress the nerve root or the spinal nerve at its origin in the intervertebral foramen, particularly if the foramen is narrowed by osteophytic overgrowth B Posterior aspect of the vertebral bodies Fibers of the posterior longitudinal ligament merge with the posteromedial portion of the annulus brosus, leaving the posterolateral portion of the annulus relatively unsupported (Reproduced by permission from Finneson) circumscription to the territory of a root, and factors that excite it The mechanism is stretching, irritation, or compression of a spinal root within or central to the intervertebral foramen The pain is sharp, often intense, and usually superimposed on the dull ache of referred pain; it nearly always radiates from a paracentral position near the spine to some part of the lower limb Coughing, sneezing, and straining characteristically evoke this sharp radiating pain, although each of these actions may also jar or move the spine and enhance local pain; jugular vein compression, which raises intra- Which device can absorb excess power What can I use to remove EMI from the power source What should I use to provide backup battery power How can I prevent problems from blackouts, surges, and EMI all at the same time A suppressor A noise filter A UPS Get a UPS that has an integrated suppressor and noise filter . mvc pdf viewer ASP . NET PDF Viewer User Control Without Acrobat Reader ...
19 Sep 2013 ... ASP . NET PDF document viewer control that does not require any Acrobat product to be installed. asp.net mvc create pdf from view EVO PDF Viewer Control for ASP . NET
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