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Chronic pain

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13 papers 1000+ followers
By Faye Kehler Family Physician and GP Anesthetist since 1987 interested in all aspects of Medicine
https://www.readbyqxmd.com/read/27408698/mechanisms-of-low-back-pain-a-guide-for-diagnosis-and-therapy
#1
REVIEW
Massimo Allegri, Silvana Montella, Fabiana Salici, Adriana Valente, Maurizio Marchesini, Christian Compagnone, Marco Baciarello, Maria Elena Manferdini, Guido Fanelli
Chronic low back pain (CLBP) is a chronic pain syndrome in the lower back region, lasting for at least 3 months. CLBP represents the second leading cause of disability worldwide being a major welfare and economic problem. The prevalence of CLBP in adults has increased more than 100% in the last decade and continues to increase dramatically in the aging population, affecting both men and women in all ethnic groups, with a significant impact on functional capacity and occupational activities. It can also be influenced by psychological factors, such as stress, depression and/or anxiety...
2016: F1000Research
https://www.readbyqxmd.com/read/27028915/opioid-abuse-in-chronic-pain-misconceptions-and-mitigation-strategies
#2
REVIEW
Nora D Volkow, A Thomas McLellan
No abstract text is available yet for this article.
March 31, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/26834359/the-effects-of-gluteus-muscle-strengthening-exercise-and-lumbar-stabilization-exercise-on-lumbar-muscle-strength-and-balance-in-chronic-low-back-pain-patients
#3
Ui-Cheol Jeong, Jae-Heon Sim, Cheol-Yong Kim, Gak Hwang-Bo, Chan-Woo Nam
[Purpose] The aim of this study was to examine the effects of exercise to strengthen the muscles of the hip together with lumbar segmental stabilization exercise on the lumbar disability index, lumbar muscle strength, and balance. [Subjects and Methods] This study randomly and equally assigned 40 participants who provided written consent to participate in this study to a lumbar segmental stabilization exercise plus exercise to strengthen the muscles of the gluteus group (SMG + LES group) and a lumbar segmental stabilization exercise group...
December 2015: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/17342295/comparison-of-two-doses-of-corticosteroid-in-epidural-steroid-injection-for-lumbar-radicular-pain
#4
RANDOMIZED CONTROLLED TRIAL
M B Owlia, A Salimzadeh, Gh Alishiri, A Haghighi
INTRODUCTION: Low back pain and lumbar radicular pain are the leading causes of job loss worldwide. Therapeutic approaches to lumbar radicular pain, including sciatica and spinal canal stenosis, are diverse. Many clinicians use 80 mg long-acting glucocorticoids in epidural steroid injections (ESI). The aim of this study is to compare the clinical response of 80 mg versus 40 mg methylprednisolone in ESI. METHODS: 84 patients with newly exacerbated lumbar radicular pain were randomly al located into two groups...
March 2007: Singapore Medical Journal
https://www.readbyqxmd.com/read/26000680/low-back-pain-guidelines-for-the-clinical-classification-of-predominant-neuropathic-nociceptive-or-central-sensitization-pain
#5
REVIEW
Jo Nijs, Adri Apeldoorn, Hank Hallegraeff, Jacqui Clark, Rob Smeets, Annaleen Malfliet, Enrique L Girbes, Margot De Kooning, Kelly Ickmans
BACKGROUND: Low back pain (LBP) is a heterogeneous disorder including patients with dominant nociceptive (e.g., myofascial low back pain), neuropathic (e.g., lumbar radiculopathy), and central sensitization pain. In order to select an effective and preferably also efficient treatment in daily clinical practice, LBP patients should be classified clinically as either predominantly nociceptive, neuropathic, or central sensitization pain. OBJECTIVE: To explain how clinicians can differentiate between nociceptive, neuropathic, and central sensitization pain in patients with LBP...
May 2015: Pain Physician
https://www.readbyqxmd.com/read/25376753/effects-of-mindfulness-meditation-on-chronic-pain-a-randomized-controlled-trial
#6
RANDOMIZED CONTROLLED TRIAL
Peter la Cour, Marian Petersen
OBJECTIVE: This randomized controlled clinical trial investigated the effects of mindfulness meditation on chronic pain. DESIGN: A total of 109 patients with nonspecific chronic pain were randomized to either a standardized mindfulness meditation program (mindfulness-based stress reduction [MBSR]) or to a wait list control. METHODS: Pain, physical function, mental function, pain acceptance, and health-related quality of life were measured...
April 2015: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/25351967/encouraging-couples-to-change-a-motivational-assessment-to-promote-well-being-in-people-with-chronic-pain-and-their-partners
#7
Lisa Renee Miller-Matero, Annmarie Cano
OBJECTIVE: Motivating people with chronic pain to engage in therapy can be difficult, especially when individuals have not experienced adequate pain management. Therefore, it may be useful for clinicians to use a motivational assessment as a part of treatment to help patients achieve immediate benefits. Additionally, because the social context impacts chronic illness, the significant other should be included in the assessment. This article describes a motivational assessment that was developed for people with chronic pain and their partners...
February 2015: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/25218599/sympathetic-blockade-for-complex-regional-pain-syndrome
#8
EDITORIAL
Peter D Drummond, Philip M Finch
No abstract text is available yet for this article.
November 2014: Pain
https://www.readbyqxmd.com/read/25181605/further-development-in-the-assessment-of-psychological-flexibility-a-shortened-committed-action-questionnaire-caq-8
#9
L M McCracken, J Chilcot, S Norton
BACKGROUND: Committed action is a relatively understudied facet of the psychological flexibility model but a potentially important process of overt behaviour in relation to chronic pain. In this study, we take a previously developed measure of committed action, the Committed Action Questionnaire (CAQ), and validate a shorter version. METHODS: A total of 664 adults seeking treatment for chronic pain participated in this study. They provided responses to the CAQ and also completed measures of acceptance and health-related daily functioning...
May 2015: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/25159085/short-term-effects-of-bright-light-therapy-in-adults-with-chronic-nonspecific-back-pain-a-randomized-controlled-trial
#10
RANDOMIZED CONTROLLED TRIAL
Veronika Leichtfried, Raffaella Matteucci Gothe, Wilhelm Kantner-Rumplmair, Maria Mair-Raggautz, Christian Bartenbach, Helmut Guggenbichler, Dieter Gehmacher, Leonore Jonas, Martin Aigner, Dietmar Winkler, Wolfgang Schobersberger
OBJECTIVE: The present trial evaluated incorporation of bright light therapy in the treatment of chronic nonspecific back pain (CNBP). DESIGN: A prospective, randomized, controlled, multicenter, open design with three parallel trial arms was used. SETTING: Subjects received a novel therapeutic, an expected therapeutic ineffective low dose, or no light exposure at three different medical centers. PATIENTS: A total of 125 CNBP patients reporting pain intensity of ≥3 points on item 5 of the Brief Pain Inventory (BPI) were included...
December 2014: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/25088289/a-systematic-review-of-therapeutic-interventions-to-reduce-acute-and-chronic-post-surgical-pain-after-amputation-thoracotomy-or-mastectomy
#11
REVIEW
S R Humble, A J Dalton, L Li
BACKGROUND: Perioperative neuropathic pain is under-recognized and often undertreated. Chronic pain may develop after any routine surgery, but it can have a far greater incidence after amputation, thoracotomy or mastectomy. The peak noxious barrage due to the neural trauma associated with these operations may be reduced in the perioperative period with the potential to reduce the risk of chronic pain. DATABASES AND DATA TREATMENT: A systematic review of the evidence for perioperative interventions reducing acute and chronic pain associated with amputation, mastectomy or thoracotomy...
April 2015: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/24217469/opioid-prescribing-a-systematic-review-and-critical-appraisal-of-guidelines-for-chronic-pain
#12
REVIEW
Teryl K Nuckols, Laura Anderson, Ioana Popescu, Allison L Diamant, Brian Doyle, Paul Di Capua, Roger Chou
BACKGROUND: Deaths due to prescription opioid overdoses have increased dramatically. High-quality guidelines could help clinicians mitigate risks associated with opioid therapy. PURPOSE: To evaluate the quality and content of guidelines on the use of opioids for chronic pain. DATA SOURCES: MEDLINE, National Guideline Clearinghouse, specialty society Web sites, and international guideline clearinghouses (searched in July 2013). STUDY SELECTION: Guidelines published between January 2007 and July 2013 addressing the use of opioids for chronic pain in adults were selected...
January 7, 2014: Annals of Internal Medicine
https://www.readbyqxmd.com/read/23756457/effectiveness-of-dry-needling-for-upper-quarter-myofascial-pain-a-systematic-review-and-meta-analysis
#13
REVIEW
David M Kietrys, Kerstin M Palombaro, Erica Azzaretto, Richard Hubler, Bret Schaller, J Mathew Schlussel, Mary Tucker
STUDY DESIGN: Systematic review and meta-analysis. BACKGROUND: Myofascial pain syndrome (MPS) is associated with hyperalgesic zones in muscle called myofascial trigger points. When palpated, active myofascial trigger points cause local or referred symptoms, including pain. Dry needling involves inserting an acupuncture-like needle into a myofascial trigger point, with the goal of reducing pain and restoring range of motion. OBJECTIVE: To explore the evidence regarding the effectiveness of dry needling to reduce pain in patients with MPS of the upper quarter...
September 2013: Journal of Orthopaedic and Sports Physical Therapy
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