Soft connective pain'

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  • The tissues and organ in an animal’s body must be supported and held in position. Connective tissueIt may be defined as group of elements derived largely from embryonic mesoderm and composed of cells,fibres and amorphous substance(intercellur substance secreted by cells
  • Pain that emanates from the soft connective structure of the mouth and face .pain from these structures are predominantly inflammatory and related to other sign of inflammation by which the source of pain may be identified
  • Soft ct pain is considerably more constant then muscle pain and it usually follow an inflammatory time and frame. When inflammatory exudate is confined the pain develops a pulsatile quality and increased in intensity when evacuated by penetration,rupture,or surgical drainage ,pain intensity drops dramatically and the pulsatile quality disappears.
  • Cellulitis mean inflammation of cellular space mainly purulent inflammation of loose CT. Most purulent inflammatory conditions involve deeper soft tissue of the face and mouth are designated as cellulitis. Specific terms may designate certain types and location of cellulitis involvement the intensity of pain depend largely on the acute rate of spreading distension of tissue and confinement of inflammatory exduate.
  • Acute cellulitis is usually evident from swelling and pain no diagnostic problem occur as long as the inflammation is located in accessible region. When this conditions involve the sublingual area it is location relative to the mylohyoid muscle largely determine the clinical feature and behaviour
  • Supra hyoid muscle cellulitis lifts the tongue and interfere with speech and swallowing
  • Infra hyoid muscle cellulitis cause external swallowing in the submental and sub mandibular area and may interfere with respiration
  • Palatal cellulitis cause swelling that interfere with speech and swallowing
  • The buccal cellulitis cause external swelling of the face that easily spread to the eyelids. Spreading and location of the swelling related to that anatomical arrangement of the facial muscle and to the anchorage of facial barriers
  • Pterygomandibular space cellulitis cause trismus as the result of medial pterygoid muscle involvement . Similar inflammation of masseter muscle also dos like that.
  • Cellulitis cause characteristics facial swelling above the zygoma and trismus as the result of temporal muscle involvement .
  • The Taj Mahal is located in Agra, India. Taj Mahal to be one of the present new seven wonders of the world. The Taj Mahal attracts from 2 to 4 million visitors annually, with more than 200,000 from overseas. Most tourists visit in the cooler months of October, November and February.

Transcript

  • 1. SOFT CONNECTIVE
    TISSUE PAIN
    REPORT BY
    O.R.GANESAMURTHI
  • 2. INTRODUCTION
    derived largely from embryonicmesoderm
    composed of cells,fibres and amorphous substance
    (intercellur substance secreted by cells
  • 3. Function:
    binds organs and tissue together.
    It must be strong.
  • 4. Connective tissue fibers, which are made of protein, are of three kinds:
    • collagenous fibers
    • 5. elastics fibers
    • 6. reticular fiber
  • Connective tissue pain
    Introduction
    Connective tissuepain :
    Pain due to inflammation of the connective tissue of the body..
  • 7. Axis 1
    physical conditions
    Somatic pain
    Deep pain
    Musculoskeletal pain
    Connective tissue pain
  • 8.
    • Soft connective pain – more constant then muscle pain
    • 9. Follow inflammatory time frame
    • 10. Pain – pulsatile quality
    • 11. 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.
  • 12.
    • Purulent inflammatory conditions
    • 13. Deeper soft tissue
    • 14. Intensity of pain depends acute , spreading, distensions of tissue
    • 15. Confinement inflammatory exudate
    • Acute cellulitis – swelling and pain
    • 16. Involve in sublingual area
    • 17. mylohyoid muscle determines
  • Supra mylohyoid
  • 18. infra mylohyoid
  • 19. Palatal cellulitis
  • 20. Buccal cellulitis
  • 21. Pterygomandibular space
  • 22. Infra temporal fossa – facial swelling
    Temporal muscle – trismus
  • 23. Investigations
  • Differential diagnosis
    1. cysts
    2. tumor
    both begin and malignant
  • 31. Treatment
    Pharmacologic management
    Physical therapy
  • 32. Pharmacologic management
    • Antimicrobial agent
    • 33. Analgesic agent
    • 34. Anti-inflammatory agent
  • Physical therapy
    • deep heat therapy diathermy is used for this deep heat therapy
    • 35. When heat is not helpful ice can be tried
    • 36. Deep massage can be used
    • 37. Ultrasound
  • Taj Mahal- INDIA