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.
  • Soft connective pain'

    2. 2. INTRODUCTION <br />derived largely from embryonicmesoderm<br />composed of cells,fibres and amorphous substance<br />(intercellur substance secreted by cells<br />
    3. 3. Function:<br />binds organs and tissue together.<br />It must be strong.<br />
    4. 4. Connective tissue fibers, which are made of protein, are of three kinds: <br /><ul><li>collagenous fibers
    5. 5. elastics fibers
    6. 6. reticular fiber </li></li></ul><li>Connective tissue pain<br />Introduction<br />Connective tissuepain :<br />Pain due to inflammation of the connective tissue of the body.. <br />
    7. 7. Axis 1<br />physical conditions<br />Somatic pain<br />Deep pain<br />Musculoskeletal pain<br />Connective tissue pain<br />
    8. 8. <ul><li>Soft connective pain – more constant then muscle pain
    9. 9. Follow inflammatory time frame
    10. 10. Pain – pulsatile quality
    11. 11. in intensity </li></li></ul><li>Cellulitis is a example of Connective tissue pain<br />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.<br />
    12. 12. <ul><li>Purulent inflammatory conditions
    13. 13. Deeper soft tissue
    14. 14. Intensity of pain depends acute , spreading, distensions of tissue
    15. 15. Confinement inflammatory exudate </li></li></ul><li><ul><li>Acute cellulitis – swelling and pain
    16. 16. Involve in sublingual area
    17. 17. mylohyoid muscle determines </li></li></ul><li>Supra mylohyoid <br />
    18. 18. infra mylohyoid <br />
    19. 19. Palatal cellulitis <br />
    20. 20. Buccal cellulitis <br />
    21. 21. Pterygomandibular space<br />
    22. 22. Infra temporal fossa – facial swelling<br />Temporal muscle – trismus <br />
    23. 23. Investigations <br /><ul><li> The history
    24. 24. Clinical course
    25. 25. Manual palpation
    26. 26. Surgical aspiration
    27. 27. Blood culture</li></li></ul><li>Differential diagnosis<br /><ul><li>Muscle pain
    28. 28. Vascular pain
    29. 29. Glandular pain
    30. 30. Other condition</li></ul> 1. cysts <br /> 2. tumor<br /> both begin and malignant <br />
    31. 31. Treatment <br />Pharmacologic management<br />Physical therapy <br />
    32. 32. Pharmacologic management<br /><ul><li>Antimicrobial agent
    33. 33. Analgesic agent
    34. 34. Anti-inflammatory agent</li></li></ul><li>Physical therapy <br /><ul><li>deep heat therapy diathermy is used for this deep heat therapy
    35. 35. When heat is not helpful ice can be tried
    36. 36. Deep massage can be used
    37. 37. Ultrasound </li></li></ul><li>Taj Mahal- INDIA<br />