In our patient, suffering from a rebound radiculopa- thy due to clearly demonstrable scar tissue around the L5 root, in whom re-exploration was not a feasible option, hyaluronidase applied locally succeeded in pro- ducing periods with drastic reduction of pain where regular pharmaceutical means had failed.
About this book. Mitochondrial Medicine is a relatively new area where several disciplines from basic science to clinical medicine converge. Mitochondrial medicine deals with diseases that are related to mitochondrial dysfunction due to a number of causes from free radical damage to genetic mutation. A primary feature of mitochondrial dysfunction is impaired cellular bioenergetics.
There is no specific treatment for mitochondrial myopathy. However, physical therapy can extend the range of movement of muscles and improve dexterity. Vitamins such as riboflavin, coenzyme Q, and carnitine (an amino acid) may provide some subjective improvement in fatigue and energy levels in some patients.