In Bangladesh piriformis syndrome is more common in female, especially among housewives. A fall often precedes the condition. Piriformis syndrome should be considered as possible diagnosis when sciatica occurs without a clear spine pathology.

: Osteoarthritis (OA) is the most prevalent type of arthritis worldwide, resulting in pain and often chronic disability and a significant burden on healthcare systems globally. Non-steroidal anti-inflammatory drugs (NSAIDs), analgesics, intra-articular corticosteroid injections are of little value in the long term, and opioids may have ominous consequences. Radiotherapy of knee OA has no added value. Physical therapy, exercises, weight loss, and lifestyle modifications may give pain relief, improve physical functioning and quality of life. However, no single treatment has regenerating potential for damaged articular cartilage. Due to a better understanding of osteoarthritis, innovative new treatment options have been developed. In this narrative review, we focus on emerging OA knee treatments, relieving symptoms, and regenerating damaged articular cartilage that includes intra-articular human serum albumin, conventional disease-modifying anti-rheumatic drugs (DMARDs), lipid-lowering agents (statin), nerve growth factors antagonists, bone morphogenetic protein, fibroblast growth factors, Platelet-Rich Plasma (PRP), Mesenchymal Stem Cells (MSC), exosomes, interleukin-1 blockers, gene-based therapy, and bisphosphonate.

Piriformis syndrome is an underdiagnosed extraspinal association of sciatica. Patients usually complain of deep seated gluteal pain. In severe cases the clinical features of piriformis syndrome are primarily due to spasm of the piriformis muscle and irritation of the underlying sciatic nerve but this mysterious clinical scenario is also described in lumbar spinal canal stenosis, leg length discrepancy, piriformis myofascial pain syndrome, following vaginal delivery, and anomalous piriformis muscle or sciatic nerve. In this paper, we describe piriformis and fibromyalgia syndrome in a 30-year-old young lady, an often missed diagnosis. We also focus on management of the piriformis syndrome.

'chondromas' of the spine, which were on display in the Harvard medical school pathology museum. The presence of pain was initially, and often still is, ascribed to pressure on nerve roots. In 1956, Kelly believed that pressure on a nerve would lead to loss of function and not to pain. Later, Lindahl and Rexed (1996) reported findings from laminectomy, proving that the inflammatory response of injured nerve roots caused by prolapsed lumbar intervertebral disc (PLID), led to development of sciatica-type pain [1]. Lumbago means low back pain (LBP), and mostly exists

This paper presents the zooarchaeological observations on animal remains of Alaybeyi Höyük unearthed from 2016 and 2017 excavation sessions. Dated to 4721-4553 cal. BC, Alaybeyi stands so far as the oldest archaeological settlement discovered in northeast Anatolia. Therefore, the faunal assemblage at Alaybeyi offers great opportunity to study the status of animals and their relationships with humans in the largely unexplored Kars-Erzurum plateau covering a period from the Chalcolithic to Late Iron Age. Taxonomic and osteometric analyses show that, like the present day, cattle were dominant over caprines, revealing extensive cattle pastoralism in the region for at least about 7 millennia. While caprines too were significant in the subsistence strategy of local humans, there was not any sign of raising pigs. Significant numbers of wild species including carnivores, aquatic mammals, and rodents, as well as resident and migratory birds, were also hunted by Alaybeyi people. Additionally, horse burials, horse cult, dog burials, and a rich number of dog bones present animals as versatile actors in various ritual and symbolic practices at the site.