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Pain Sensation

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101. Kinesio Taping reduces pain and improves disability in low back pain patients: a randomised controlled trial. (PubMed)

) applied KT® with tension in the region of the erector spinae muscles; KT no tension group (KTNT) applied KT® with no tension in the same region; Micropore group (MP) applied Micropore® tape on the erector spinae muscles; and control group (CG) did not receive any intervention.The primary outcome was pain sensation, measured by numerical pain rating scale. Secondary outcomes were: disability (Roland Morris Disability questionnaire), trunk range of motion (inclinometry), strength (dynamometry (...) Kinesio Taping reduces pain and improves disability in low back pain patients: a randomised controlled trial. To investigate the effects of Kinesio Taping® (KT) on chronic non-specific low back pain (LBP).Randomised controlled trial with intention-to-treat analysis.University laboratory.One hundred and eight women with chronic non-specific LBP underwent an evaluation pre, 3 and 10 days after intervention.After randomisation, participants were assigned to four groups: KT with tension group (KTT

2019 Physiotherapy

102. The Role of Spirituality in Pain, Function, and Coping in Individuals with Chronic Pain. (PubMed)

psychological function and coping responses of ignoring pain sensations and coping self-statements. Spirituality as a search for meaning and sense of purpose was positively and moderately associated with the coping response of task persistence.These findings suggest the possibility that spirituality may be a useful resource for facilitating psychological adjustment, potentially promoting the use of some adaptive pain coping responses.© 2019 American Academy of Pain Medicine. All rights reserved (...) The Role of Spirituality in Pain, Function, and Coping in Individuals with Chronic Pain. Chronic pain is a multidimensional experience associated with psychosocial (e.g., pain-related beliefs and pain coping responses) and spiritual factors. Spirituality is a universal aspect of the human experience that has been hypothesized to impact pain experience via its effects on pain, physical/psychological function, resilience and pain-related beliefs, and pain coping responses. However, research

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2019 Pain Medicine

103. Phenotypic features of patients with complex regional pain syndrome compared with those with neuropathic pain. (PubMed)

touch (p=0.003), sudden pain attacks (p=0.003), pain with cold or heat (p=0.002), sensation of numbness (p=0.042), and pain with slight pressure (p=0.018).Counter to our hypothesis, the present study suggests that patients with CRPS do not have a worse clinical phenotype compared with patients not meeting CRPS criteria, with the exception of higher physical disability and more neuropathic pain symptoms. This corresponds to recent evidence that patients with CRPS are similar to other patient (...) Phenotypic features of patients with complex regional pain syndrome compared with those with neuropathic pain. We hypothesized that patients with complex regional pain syndrome (CRPS) would describe a more negative pain phenotype including higher pain severity, more neuropathic pain descriptors, more centralized pain symptoms, poorer physical function, and more affective distress when compared with patients with neuropathic pain of the extremities not meeting CRPS criteria.This

2019 Regional Anesthesia and Pain Medicine

104. Pain control in surgical abortion part 1 ? local anesthesia and minimal sedation

Pain control in surgical abortion part 1 ? local anesthesia and minimal sedation Reviewarticle SocietyofFamilyPlanningclinicalguidelinespaincontrolinsurgical abortionpart1 —localanesthesiaandminimalsedation RebeccaH.Allen a, ?,RameetSingh b a ObstetricsandGynecology,WarrenAlpertMedicalSchoolofBrownUniversity,WomenandInfantsHospital,101DudleyStreet,Providence,RI02905 b DivisionofFamilyPlanning,DepartmentofObstetricsandGynecology,UniversityofNewMexicoSchoolofMedicine,Albuquerque,NM87131 abstract (...) a dedicated emotional-support person, visual or auditory distraction, administration of local anesthesiatothecervixwithbufferedlidocaineandapreoperativenonsteroidalanti-in?ammatorydrug.Oral opioidsdonotdecreaseproceduralpain.Oralanxiolyticsdecreaseanxietybutnottheexperienceofpain.Further researchisneededonalternativeoptionstocontrolpainshortofmoderateordeepsedation. ©2018ElsevierInc.Allrightsreserved. Keywords: Surgicalabortion Pain Paracervicalblock First-trimesterinducedabortion Topicalanesthesia

2018 Society of Family Planning

105. Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain

Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain Consensus Guidelines on the Use of Intravenous Ketamine Infu... : Regional Anesthesia and Pain Medicine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me on this computer Register for a free account Registered (...) Articles & Issues Collections For Authors Journal Info > > Consensus Guidelines on the Use of Intravenous Ketamine Infu... Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Regional Anesthesia and Pain Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request

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2018 American Society of Regional Anesthesia and Pain Medicine

106. CRACKCast E194 – Pain Management

– receptor that is sensitive and responsible for transmitting joint stimuli Noxious stimulus – stimulus that is damaging or potentially damaging and results in sensation of pain Opiate – naturally occurring derivative of opium alkaloid that binds opiate receptors and produces effects similar to those of endogenous endorphins Opioid – naturally occurring or semisynthetic derivative of opium alkaloid (includes all opiates) that binds opiate receptors and produces effects similar to those of endogenous (...) CRACKCast E194 – Pain Management CRACKCast E194 – Pain Management - CanadiEM CRACKCast E194 – Pain Management In , by Owen Scheirer October 1, 2018 This episode of CRACKCast covers Chapter 3 in Rosen’s Emergency Medicine (9th Ed.) – Pain Management. This is an essential skill to master and applies to any field of medicine. This podcast will give you a solid approach to the basics pain management to use on your next shift! Shownotes – Rosen’s in Perspective Pain is something we deal

2018 CandiEM

107. Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU

) are significant predictors of higher self-reported pain intensity ( ). The amount of analgesic administered after cardiac and abdominal surgery in the ICU is a significant predictor of later pain intensity, pain affect (i.e., emotional experience), and pain sensation (i.e., quality of pain related to the sensory dimension of the pain experience) ( ). Among 301 mechanically ventilated patients, younger age and prior surgery both predicted greater pain at rest ( ). After cardiac surgery, patients (...) Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU Clinical Practice Guidelines for the Prevention and Manageme... : Critical Care Medicine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me

2018 Society of Critical Care Medicine

108. Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients

Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients LABORATORY MEDICINE PRACTICE GUIDELINES EDITED BY LORALIE J. LANGMAN AND PAUL J. JANNETTO Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients Co-Sponsored byLABORATORY MEDICINE PRACTICE GUIDELINES Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients Loralie J. Langman Committee Chair Department of Laboratory Medicine and Pathology Mayo Clinic (...) Rochester, MN Paul J. Jannetto Committee Vice Chair Department of Laboratory Medicine and Pathology Mayo Clinic Rochester, MN Nancy Bratanow Midwest Comprehensive Pain Care Wauwatosa, WI COMMITTEE MEMBERS EDITED BY LORALIE J. LANGMAN AND PAUL J. JANNETTO William A. Clark Department of Pathology Johns Hopkins University School of Medicine Baltimore, MD Robin J. Hamill-Ruth Department of Anesthesiology University of Virginia Health System Charlottesville, VA Catherine A. Hammett-Stabler Department

2018 American Academy of Pain Medicine

109. Low Back Pain, Adult Acute and Subacute

, and include test and measures that assess neurologic, musculoskeletal and biomechanical dysfunction. The following are components of the low back pain exam: • Neurologic evaluation, including reflex sensation, and neural tension and strength - straight leg raising - ability to walk on heels and toes - symmetrical great toe extensor strength • Palpation of related structures • Assessment of posture • Evaluation of lumbar spine range of motion (quantity and quality, asymmetry/inconsistency) • Evaluation (...) Low Back Pain, Adult Acute and Subacute Health Care Guideline: Adult Acute and Subacute Low Back Pain www.icsi.org Copyright © 2017 by Institute for Clinical Systems Improvement 1 Diagnosis Algorithm Text in blue in this algorithm indicates a linked corresponding annotation. Adult patient present with acute or subacute low back pain History and exam: • Pain characteristics • Sensory and strength changes • Prior treatment and response yes Complete assessment tools for pain and function

2018 Institute for Clinical Systems Improvement

110. Chronic Pelvic Pain

Chronic Pelvic Pain Chronic Pelvic Pain | Uroweb › Chronic Pelvic Pain Chronic Pelvic Pain To access the pdfs & translations of individual guidelines, please as EAU member. Non-EAU members can view the web versions. To become an EAU member, click . D. Engeler (Chair), A.P. Baranowski, B. Berghmans, J. Borovicka, A.M. Cottrell, P.S. Elneil, J. Hughes, E. Messelink (Vice-chair), A.C. de C Williams Guidelines Associates: L. Pacheco-Figueiredo, B. Parsons, S. Goonewardene TABLE OF CONTENTS (...) REFERENCES 1. Fall, M., et al., EAU Guidelines on Chronic Pelvic Pain., In: EAU Guidelines on Chronic Pelvic Pain. Presented at the 18th EAU Annual Congress Madrid 2003. 2003, European Association of Urology: Arnhem. 2. Fall, M., et al. EAU guidelines on chronic pelvic pain. Eur Urol, 2004. 46: 681. 3. Fall, M., et al., EAU Guidelines on Chronic Pelvic Pain, In: EAU Guidelines on Chronic Pelvic Pain. Presented at the 18th EAU Annual Congress Barcelona 2010. 2010, EAU: Arnhem. 4. Fall, M., et al. EAU

2018 European Association of Urology

111. Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions

Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions Revision 2018 | Journal of Orthopaedic & Sports Physical Therapy ADVERTISEMENT Journal of Orthopaedic & Sports Physical Therapy | | | | | > > > Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions Revision 2018 Clinical Practice Guidelines Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions (...) ) may be used to assess knee-related quality of life. Examination — Physical Performance Measures 2018 Recommendation Clinicians may administer appropriate clinical or field tests, such as single-legged hop tests (eg, single hop for distance, cross-over hop for distance, triple hop for distance, and 6-m timed hop), that can identify a patient's baseline status relative to pain, function, and disability; detect side-to-side asymmetries; assess global knee function; determine a patient's readiness

2018 American Physical Therapy Association

112. Cervico-thoracic or lumbar sympathectomy for neuropathic pain and complex regional pain syndrome. (PubMed)

neurolysis using phenol in 20 participants with CRPS. There was no comparison of sympathectomy versus sham or placebo. No dichotomous pain outcomes were reported. Average baseline scores of 8-9/10 on several pain scales fell to about 4/10 initially (1 day) and remained at 3-5/10 over four months. There were no significant differences between groups, except for "unpleasant sensation", which was higher with radiofrequency ablation. One participant in the phenol group experienced post sympathectomy (...) Cervico-thoracic or lumbar sympathectomy for neuropathic pain and complex regional pain syndrome. This review is an update of a review first published in Issue 2, 2003, which was substantially updated in Issue 7, 2010. The concept that many neuropathic pain syndromes (traditionally this definition would include complex regional pain syndromes (CRPS)) are "sympathetically maintained pains" has historically led to treatments that interrupt the sympathetic nervous system. Chemical sympathectomies

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2013 Cochrane

113. Pain After Cancer: A New Model for Pain Psychology?

that pain is all about meaning . Pain is about perceiving threat and danger to the body . – including from the external and internal world through our senses, and from within brain centres that encode things like emotion and memory – to decide how much danger the body is in. The brain then produces an output based on all this information, the feeling of pain , to reflect that danger. Importantly, how we interpret painful sensations is an integral part of assigning meaning and making sense of those (...) our brain, can play tricks on us depending on the information we receive from the external world, through those pesky emotion and memory systems, and through our interpretation of those body sensations. I’m going to preempt what you’re thinking now: of course, the most important thing is not to miss a cancer recurrence. We should never ignore pain for so long that we miss signs that the cancer has truly returned, therefore missing an opportunity for early intervention. But this isn’t the only

2017 Journal of Medical Ethics blog

114. Cognitive and Mind-Body Therapies for Chronic Low Back and Neck Pain: Effectiveness and Value

of morphine equivalent dose) =3 months; ability to feel thermal sensations in both hands. Prior experience with MM training or practice; inability to consent or reliably participate; diagnosis of borderline personality, bipolar, delusional disorders; current pregnancy. ©Institute for Clinical and Economic Review, 2017 Page 88 Chronic Low Back and Neck Pain – Evidence Report Return to Table of Contents Reference Study Type Intervention Comparator N Follow- Up (Months) Inclusion Exclusion as coping (...) Cognitive and Mind-Body Therapies for Chronic Low Back and Neck Pain: Effectiveness and Value ©Institute for Clinical and Economic Review, 2017 Cognitive and Mind-Body Therapies for Chronic Low Back and Neck Pain: Effectiveness and Value Evidence Report October 4, 2017 Prepared for ©Institute for Clinical and Economic Review, 2017 Page i Chronic Low Back and Neck Pain – Evidence Report AUTHORS: Jeffrey A. Tice, MD Professor of Medicine University of California, San Francisco Varun Kumar, MBBS

2017 California Technology Assessment Forum

115. CRACKCast E022 – Red and Painful Eye

CRACKCast E022 – Red and Painful Eye CRACKCast E022 - Red and Painful Eye - CanadiEM CRACKCast E022 – Red and Painful Eye In , by Adam Thomas January 12, 2017 This episode of CRACKCast cover’s Rosen’s Chapter 22, Red and Painful Eye 1 . The red and painful eye can be a vision-threatening medical emergency and should be treated urgently to avoid long-term sequelae. Shownotes – Rosen’s in Perspective: Review your eye anatomy in Rosen’s Eye anatomy review. From Rosen’s. Recap the key components (...) to perceive light V: Visual field testing Confrontational field testing (not accurate for small field cuts) But this rarely changes the ED management E: External examination Of both external eyes and surrounding structures (facial bone fracture, etc.) Globe position: exop/enophthalmos (proptosis) Conjugate gaze Periorbital soft tissues, bones, sensation i. Examination of upper a lower eyelids, including eversion*** Ensure no foreign body ii. Assess adjacent structures E: Extraocular muscle movement Assess

2017 CandiEM

116. Neuropathic Pain

pain. This should be confirmed by clinical examination or detailed imaging. Sensory descriptors associated with neuropathic pain include burning, tingling, pins and needles, shooting and numbness. They are not diagnostic however. Confirm altered sensation in the area of pain by comparing responses with the non-painful contralateral or adjacent area of the body: allodynia – painful response to light touch, eg stroking the skin with a finger or cotton wool hypoaesthesia – an area of reduced sensation (...) Neuropathic Pain Scottish Palliative Care Guidelines - Neuropathic Pain Scottish Palliative Care Guidelines search / / / Neuropathic Pain Neuropathic Pain Introduction Neuropathic pain is pain due to a lesion, disease or pathological change in the somatosensory (nervous) system. Chronic neuropathic pain is common and may be related to: the underlying disease for which patients are referred to palliative care (eg cancer or multiple sclerosis) treatment (eg post-operative neuropathic pain

2016 Scottish Palliative Care Guidelines

117. There is Significant Difference in Pain Perception Between Inferior Alveolar Nerve Block Technique Compared with Vazirani-Akinosi Technique

posterior teeth, will the perception of pain be elevated during penetration with conventional inferior alveolar block technique as compared to a Vazirani-Akinosi injection technique? Clinical Bottom Line There is significant difference in pain perception between patients receiving local anesthesia with inferior alveolar nerve block technique compared with Vazirani-Akinosi technique. This is supported by the Gonzalez/2003 study in which pain sensation during puncture was greater using the conventional (...) technique, with a mild to moderate degree of pain in 73% of the cases, while about 65% reported mild discomfort when anesthetized with Akinosi technique. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Martinez Gonzalez/2003 56 patients having lower molar extractions Parallel-Group Trial Key results Pain sensation during injection "was greater in the group of patients subjected to the conventional technique

2017 UTHSCSA Dental School CAT Library

118. Research indicates Reduction of Pain upon Inferior Alveolar and Infraorbatial injection Using Vibrating Intraoral Local Anesthetic Devices

anesthetic injections. Vibrating intraoral local anesthetic devices are believed to decrease pain sensation via the gate-control theory. The theory proposes that tactile stimulation, vibration, or touch activate A-beta non-nociceptive fibers, which override pain signals. According to the research, vibrating devices can reduce pain in certain injections but, In the end, the individual clinician needs to decide if the reduction in pain merits the expense of purchasing the device. Specialty/Discipline (...) Research indicates Reduction of Pain upon Inferior Alveolar and Infraorbatial injection Using Vibrating Intraoral Local Anesthetic Devices UTCAT3207, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Research indicates Reduction of Pain upon Inferior Alveolar and Infraorbatial injection Using Vibrating Intraoral Local Anesthetic Devices Clinical Question In patients with fear of dental injections, do vibrating intraoral

2017 UTHSCSA Dental School CAT Library

119. Low-level Laser Therapy (LLLT) Is Superior to Clonazepam at Reducing the Perception of Pain in Adults Suffering From Burning Mouth Syndrome

Randomized Controlled Trial Key results To assess the sensation of pain, the Visual Analogue Scale (VAS), McGill Pain Questionnaire, Present Pain Intensity (PPI), and the Oral Health Impact Profile (OHIP-49) were used. Change in pain between baseline and 12 weeks for the traditional clonazepam treatment varied according to the assessment tool: VAS (P=0.33), McGill Pain Questionnaire (P=0.005), PPI (P=0.013), and OHIP-49 (P=0.25). On the other hand, the LLLT-treated group showed a significant decrease (...) in pain sensation on all assessment tools: VAS (P=0.004), McGill Pain Questionnaire (P=0.002), PPI (P=0.002), and OHIP-49 (P=0.010). Comparing the two groups, “LLLT appeared to be superior in improving pain perception, but statistically only in VAS and PPT score at T3 [8 weeks] (P = 0.026 and P = 0.0379, respectively), if compared with medical therapy.” Evidence Search burning[Title] AND mouth[Title] AND syndrome[Title] AND low[Title] AND level[Title] AND laser[Title] AND therapy[Title] AND clonazepam

2017 UTHSCSA Dental School CAT Library

120. CRACKCast E035 – Back Pain

CRACKCast E035 – Back Pain CRACKCast E035 - Back Pain - CanadiEM CRACKCast E035 – Back Pain In , by Adam Thomas April 13, 2017 This episode of CRACKCast covers Rosen’s Chapter 35, Back Pain. This chapter covers a diagnostic approach to a common ED complaint, with emphasis on the red flags you cannot miss, as well as an approach to treatment. Shownotes – 1) List 10 historical red flags for back pain Red flags on History and Physical Exam History Fracture risks: Trauma history Prolonged steroid (...) use Frail, old, osteoporotic, over 70 years with or without MINOR trauma Smoking guns (historical) Syncope Children Acute onset with flank, testicular, or abdominal/back pain Diaphoresis Neurological deficits Cancer risks: Cancer history, weight loss, constitutional symptoms Worse at night or at REST Infection risks Immunocompromised, IVDU FEVER Physical exam Vitals Hypo or hypertension, tachycardia, fever Unequal blood pressures in extremities Stethoscope Aortic insufficiency murmur – diastolic

2017 CandiEM

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