SOFT

CONNECTIVE

TISSUE PAIN

REPORT BY

O.R.GANESAMURTHI

INTRODUCTION

derived largely from embryonic mesoderm

composed of cells,fibres and amorphous substance

(intercellur substance secreted by cells

Function:

binds organs and tissue together.

It must be strong.

Connective tissue fibers, which are made of protein, are of three kinds:

collagenous fibers

elastics fibers

reticular fiber

Connective tissue pain

Introduction

Connective tissue pain :

Pain due to inflammation of the connective tissue of the body..

Axis 1physical conditions

Somatic pain

Deep pain

Musculoskeletal pain

Connective tissue pain

Soft connective pain – more constant then muscle pain

Follow inflammatory time frame

Pain – pulsatile quality

in intensity

Cellulitis is a example of Connective tissue pain

An acute, diffuse, and suppurative inflammation of loose connective tissue, particularly the deep subcutaneous tissues, and sometimes muscle, which is most commonly seen as a result of infection of a wound, ulcer, or other skin lesions.

Purulent inflammatory conditions

Deeper soft tissue

Intensity of pain depends acute , spreading, distensions of tissue

Confinement inflammatory exudate

• Acute cellulitis – swelling and pain

• Involve in sublingual area

• mylohyoid muscle determines

Supra mylohyoid

infra mylohyoid

Palatal cellulitis

Buccal cellulitis

Pterygomandibular space

Infra temporal fossa – facial swelling

Temporal muscle – trismus

Investigations

The history

Clinical course

Manual palpation

Surgical aspiration

Blood culture

Differential diagnosis

Muscle pain

Vascular pain

Glandular pain

Other condition

1. cysts

2. tumor

both begin and malignant

Treatment

Pharmacologic management

Physical therapy

Pharmacologic management

Antimicrobial agent

Analgesic agent

Anti-inflammatory agent

Physical therapy

deep heat therapy diathermy is used for this deep heat therapy

When heat is not helpful ice can be tried

Deep massage can be used

Ultrasound

Taj Mahal- INDIA