Children’s pain must become a priority for all health care professionals. Health professionals must be trained in pain measurement and management techniques that are specific for infants and children, and there should be an expectation by children and their parents that pain will be assessed and managed. Health services officials must initiate programs to ensure that appropriate medications and the resources for non-pharmacological management are available and that pain is assessed, prevented, and treated. Countries around the world must proclaim that children have the right to the best pain management possible and put into place mechanisms to see that this right is realized.
Acute mastoiditis is the most common, and usually the initial, complication of AOM . The diagnosis can be confusing due to differing uses of the term “mastoiditis”. Radiographic mastoiditis simply refers to fluid in the mastoid air cells , which can occur with any AOM due to communication between the middle ear and the mastoid air cells. However, acute mastoiditis for the EP involves clinical evidence of mastoid inflammation such as erythema, tenderness to palpation, bogginess, and swelling over the mastoid bone . A clinical diagnosis of acute mastoiditis necessitates treatment with IV antibiotics with a consideration for tympanostomy and mastoidectomy . Occasionally, a CT scan with IV contrast should be considered to evaluate for additional complications such as abscess.
When I recommend trigger point tools to my clients I always recommend that they also purchase Claire Davies The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief. Mr. Davies explain the trigger point phenomenon and muscle pain in everyday language. But what makes this book worth its weight in gold are the individual muscle trigger point treatments that Davies has compiled. His diagrams and step by step instructions help you locate which muscles are contributing to your pain, how to find the trigger point and treat it. It takes time and practice to master finding trigger points, but once you learn you have a tool and method to help relieve muscle pain throughout the body. If you are suffering from headaches that go up into the eyes, migraines and a painful stiff neck, treating the trigger points in the suboccipital muscles can help reduce or eliminate you pain. This book is a must-have for anyone interested in finding the cause and treating muscle pain.