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Pain Sensation

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101. Gender Differences in Itch and Pain-Related Sensations Provoked by Histamine, Cowhage and Capsaicin. (Full text)

Gender Differences in Itch and Pain-Related Sensations Provoked by Histamine, Cowhage and Capsaicin. Cowhage, capsaicin and histamine, all applied via spicules, were used to induce itch and pain-related sensations in 15 male and 15 female subjects. Sensory qualities were assessed by questionnaire; intensities and time courses of the "itching" and "burning" sensation were measured alternately, but continuously on a VAS. In addition, axon reflexes were assessed. Only histamine and capsaicin (...) produced a clear axon reflex flare (histamine > capsaicin, male = female). The 3 types of spicules caused mixed burning and itching sensations with different time courses. In the beginning burning prevailed, in the following minutes histamine induced mostly itching, capsaicin predominantly burning, cowhage both sensory components equally. Female subjects experienced more pain-related sensations (questionnaire), and their ratings leaned more toward burning than those of males. These findings indicate

2014 Acta Dermato-Venereologica Controlled trial quality: uncertain PubMed abstract

102. Effect of bidirectional rotation of an acupuncture needle at LI10 on acupuncture needle sensation and experimentally-induced contact heat pain in healthy human volunteers. (Full text)

Effect of bidirectional rotation of an acupuncture needle at LI10 on acupuncture needle sensation and experimentally-induced contact heat pain in healthy human volunteers. There is insufficient evidence of a relationship between acupuncture needle sensations (de qi) and hypoalgesia. The aim of this study was to investigate the effects of bidirectional needle rotation at LI10 on acupuncture needle sensations and heat pain thresholds.Twenty-two healthy participants received one acupuncture needle (...) at LI10 with bidirectional rotation of the needle in one experimental session and one acupuncture needle at LI10 with mock rotation in a separate session, in a randomised order. Measurements of heat pain thresholds were taken before needle insertion, during needle retention and 15 min after needle removal. At each measurement time point, participants rated needle sensations using the Massachusetts Acupuncture Sensation Scale (MASS) and a visual analogue scale (VAS) of overall intensity of needle

2014 Acupuncture in medicine : journal of the British Medical Acupuncture Society Controlled trial quality: uncertain PubMed abstract

103. Successful treatment of phantom limb pain and phantom limb sensation in the traumatic amputee using scalp acupuncture (Full text)

Successful treatment of phantom limb pain and phantom limb sensation in the traumatic amputee using scalp acupuncture 24855097 2015 03 30 2018 11 13 1759-9873 32 4 2014 Aug Acupuncture in medicine : journal of the British Medical Acupuncture Society Acupunct Med Successful treatment of phantom limb pain and phantom limb sensation in the traumatic amputee using scalp acupuncture. 356-8 10.1136/acupmed-2014-010556 Tseng Chi-Chuan CC Division of Chinese Medicine, Chang Gung Memorial Hospital (...) -4 25520279 Acupuncture Points Acupuncture Therapy Aged Amputees Female Humans Phantom Limb surgery therapy Scalp Acupuncture 2014 5 24 6 0 2014 5 24 6 0 2015 3 31 6 0 ppublish 24855097 acupmed-2014-010556 10.1136/acupmed-2014-010556 PMC4145449 Neurologist. 2010 Sep;16(5):277-86 20827116 Nat Rev Neurosci. 2006 Nov;7(11):873-81 17053811 Acupunct Med. 2004 Jun;22(2):93-7 15253586 Acupunct Med. 2013 Mar;31(1):101-4 23220713 Pain. 2013 Aug;154(8):1274-80 23707312 Auton Neurosci. 2002 Sep 30;100(1-2

2014 Acupuncture In Medicine PubMed abstract

104. A 12-week rehabilitation program improves body composition, pain sensation, and internal/external torques of baseball pitchers with shoulder impingement symptom (Full text)

A 12-week rehabilitation program improves body composition, pain sensation, and internal/external torques of baseball pitchers with shoulder impingement symptom The aim of this study was to investigate the effects of a 12-week rehabilitation program on body composition, shoulder pain, and isokinetic internal/external torques of pitchers with impingement syndrome. A total of 30 pitchers were divided into 2 groups: experimental group (EG, n = 16) and control group (CG, n= 14). The rehabilitation (...) program consisted of physical therapy, warm-up, work-out, and cool-down. As results, body weight and fat mass of EG were decreased whereas muscle mass of EG was significantly increased after the experiment. The pain degrees in resting, normal daily activity, and strenuous activity on the numeric pain rating scale were significantly decreased in the EG. The internal and external peak torques (PTs) of uninvolved and involved sides of EG were increased in EG after 12 weeks. Such results provide a deficit

2014 Journal of exercise rehabilitation Controlled trial quality: uncertain PubMed abstract

105. AIM Clinical Appropriateness Guidelines for Interventional Pain Management

into the epidural space. Low voltage electrical signals are delivered to the dorsal column of the spinal cord in order to override or mask sensations of pain. The patient’s pain distribution pattern determines the level at which the stimulation lead is placed. The lead may incorporate four (4) to eight (8) electrodes, with 8 electrodes typically used for complex pain patterns, such as bilateral pain or pain extending from the limbs to the trunk. Implantation is typically a 2-step process. Initially (...) AIM Clinical Appropriateness Guidelines for Interventional Pain Management Appropriate.Safe.Affordable © 2017 AIM Specialty Health 2062-0617 v.1 Interventional Pain Management Guidelines Musculoskeletal Program Interventional Pain Management EFFECTIVE NOVEMBER 1, 2017 LAST REVIEWED JUNE 13, 2017 Copyright © 2017. AIM Specialty Health. All Rights Reserved. Interventional Pain Management 2 Table of Contents Description and Application of the Guidelines 3 Epidural Injection Procedures

2017 AIM Specialty Health

106. Complex regional pain syndrome/reflex sympathetic dystrophy medical treatment guideline.

including home exercise. The provider should be especially careful to make sure the patient understands the amount of post-operative therapy required and the length of partial- and full-disability expected post-operatively. Neurostimulation Spinal cord stimulation (SCS) is the delivery of low-voltage electrical stimulation to the spinal cord or peripheral nerves to inhibit or block the sensation of pain. The system uses implanted electrical leads and a battery powered implanted pulse generator. Refer (...) Complex regional pain syndrome/reflex sympathetic dystrophy medical treatment guideline. Complex regional pain syndrome/reflex sympathetic dystrophy medical treatment guideline. | National Guideline Clearinghouse success fail May JUN Jul 09 2017 2018 2019 08 Jun 2018 - 09 Jun 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused with the archive.org Archive-It Team) is a rogue archivist collective dedicated to saving copies of rapidly dying or deleted websites

2017 National Guideline Clearinghouse (partial archive)

107. Complex regional pain syndrome in adults. UK guidelines for diagnosis, referral and management in primary and secondary care 2018 (2nd edition)

Complex regional pain syndrome in adults. UK guidelines for diagnosis, referral and management in primary and secondary care 2018 (2nd edition) Complex regional pain syndrome in adults UK guidelines for diagnosis, referral and management in primary and secondary care 2018 2nd edition 2nd editionComplex regional pain syndrome in adults These guidelines were developed by a panel of experts with support from, representation and endorsement by the Royal College of General Practitioners, the Royal (...) College of Physicians, the Faculty of Pain Medicine of the Royal College of Anaesthetists, the Royal College of Occupational Therapists, the British Orthopaedic Association, the British Pain Society, the British Psychological Society, the British Society of Rehabilitation Medicine, the Chartered Society of Physiotherapy, the Directorate of Defence Rehabilitation, the Physiotherapy Pain Association, the Society of British Neurological Surgeons, the Royal College of Emergency Medicine, the British

2018 British Society of Rehabilitation Medicine

108. Management of Opioid Therapy (OT) for Chronic Pain

that details the process by which VA/DoD guidelines will be developed, including the use of the GRADE methodology.[1] As required by Congress in CARA, the Work Group reviewed and considered the CDC guideline and its inclusion in the VA/DoD OT CPG.[34] D. Taxonomy Pain is defined as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage…Pain is always subjective…It is unquestionably a sensation in a part or parts of the body (...) Management of Opioid Therapy (OT) for Chronic Pain VA/DoD CLINICAL PRACTICE GUIDELINE FOR OPIOID THERAPY FOR CHRONIC PAIN Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard of care and should not be construed

2017 VA/DoD Clinical Practice Guidelines

109. Diagnosis and Treatment of Low Back Pain

Diagnosis and Treatment of Low Back Pain VA/DoD CLINICAL PRACTICE GUIDELINE FOR DIAGNOSIS AND TREATMENT OF LOW BACK PAIN Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard of care and should not be construed (...) and/or therapeutic interventions within these guidelines does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found at www.tricare.mil or by contacting your regional TRICARE Managed Care Support Contractor. Version 2.0 – 2017VA/DoD Clinical Practice Guideline for Diagnosis and Treatment of Low Back Pain September 2017 Page 2 of 110 Prepared by: The Diagnosis and Treatment of Low Back Pain Work Group With support from: The Office of Quality, Safety

2017 VA/DoD Clinical Practice Guidelines

110. 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

111. 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

112. 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

113. 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

114. 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

115. 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

116. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the American (Full text)

Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the American Pelvic Girdle Pain in the Antepartum Population: Physical Th... : Journal of Women’s Health Physical Therapy ')} You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login (...) and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. Toggle navigation Articles & Issues For Authors Reviewers Journal Info News > > Pelvic Girdle Pain in the Antepartum Population: Physical Th... Email to 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 Journal of Women’s Health Physical

2017 American Physical Therapy Association PubMed abstract

117. Pain affect in the absence of pain sensation: evidence of asomaesthesia after somatosensory cortex lesions in the rat. (Abstract)

Pain affect in the absence of pain sensation: evidence of asomaesthesia after somatosensory cortex lesions in the rat. Multidimensional models of pain processing distinguish the sensory, motivational, and affective components of the pain experience. Efforts to understand underlying mechanisms have focused on isolating the roles of specific brain structures, including both limbic and non-limbic cortical areas, in the processing of nociceptive stimuli. The purpose of this study was to examine (...) the role of the somatosensory cortex in both sensory and affective aspects of pain processing. It was hypothesized that animals with lesions of the hind limb area of the somatosensory cortex would demonstrate altered sensory processing (asomaesthesia, a deficit in the ability to detect and identify somatic sensation) in the presence of an inflammatory state when compared to animals with sham lesions. The level of pain affect produced by an inflammatory pain condition was not expected to change

2012 Pain

118. The added value of bedside examination and screening QST to improve neuropathic pain identification in patients with chronic pain (Full text)

, von Frey hair], and vibration). The NASQ paradigm (pressure algometry, electrical pain thresholds, and conditioned pain modulation) was assessed in 58 patients to generate new insights.BSE revealed a low association of differences between patients with either absent or present NePC: heat, cold, and pricking sensations with a von Frey hair were statistically significantly less common in patients with present NePC. NASQ did not reveal any differences between patients with and without (...) The added value of bedside examination and screening QST to improve neuropathic pain identification in patients with chronic pain The assessment of a neuropathic pain component (NePC) to establish the neurological criteria required to comply with the clinical description is based on history taking, clinical examination, and quantitative sensory testing (QST) and includes bedside examination (BSE). The objective of this study was to assess the potential association between the clinically

2018 Journal of pain research PubMed abstract

119. Pain Relief in Patients With Chronic Low Back Pain Using HeatTens vs. Standard Care.

Rating Scale (NRS) with the endpoints no pain" (0) and "excruciating pain" (10) Secondary Outcome Measures : 5 minute walk test (5MWT) [ Time Frame: Change from Baseline 5MWT after treatment and at 4 weeks ] Subjects need to walk as far as possible in 5 minutes Pressure Pain Threshold (PPT) [ Time Frame: Change from Baseline Pressure Pain Threshold after treatment and at 4 weeks ] This measures deep tissue hyperalgesia, defined as the point at witch the pressure sensation turned into pain. Temporal (...) Pain Relief in Patients With Chronic Low Back Pain Using HeatTens vs. Standard Care. Pain Relief in Patients With Chronic Low Back Pain Using HeatTens vs. Standard Care. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before

2018 Clinical Trials

120. Changes of Pain and Functional Parameters in Back Pain Patients Over Time

Date : December 2020 Resource links provided by the National Library of Medicine related topics: Groups and Cohorts Go to Outcome Measures Go to Primary Outcome Measures : Changes from baseline pain sensation at 1, 2, 3, 4, 5 and 9 months [ Time Frame: 6 measurement time points through study completion, an average of 9 months ] Changes of pain, sensory malfunction and numbness assessed by pain drawings and the visual analog scale. The visual analog scale ranges from 0 to 10 points, where 0 (...) indicates no pain, no numbness or no impairment of sensation and 10 stands for the highest pain value, total numbness or unsustainable paresthesia. Secondary Outcome Measures : Changes from baseline neurological status at 1, 2, 3, 4, 5 and 9 months [ Time Frame: 6 measurement time points through study completion, an average of 9 months ] The neurological status will be assessed by the straight leg raise test. The hydrogoniometer serves as assessment tool and measures the range of motion in degrees

2018 Clinical Trials

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