Latest & greatest articles for chronic pain

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Top results for chronic pain

621. Analgesic effect of the synthetic cannabinoid CT-3 on chronic neuropathic pain: a randomized controlled trial.

Analgesic effect of the synthetic cannabinoid CT-3 on chronic neuropathic pain: a randomized controlled trial. 14519710 2003 10 01 2003 10 07 2016 10 17 1538-3598 290 13 2003 Oct 01 JAMA JAMA Analgesic effect of the synthetic cannabinoid CT-3 on chronic neuropathic pain: a randomized controlled trial. 1757-62 1',1'dimethylheptyl-Delta8-tetrahydrocannabinol-11-oic acid (CT-3), a potent analog of THC-11-oic acid, produces marked antiallodynic and analgesic effects in animals without evoking (...) the typical effects described in models of cannabinoids. Therefore, CT-3 may be an effective analgesic for poorly controlled resistant neuropathic pain. To examine the analgesic efficacy and safety of CT-3 in chronic neuropathic pain in humans. Randomized, placebo-controlled, double-blind crossover trial conducted in Germany from May-September 2002. Twenty-one patients (8 women and 13 men) aged 29 to 65 years (mean, 51 years) who had a clinical presentation and examination consistent with chronic

JAMA2003

622. Effect of firmness of mattress on chronic non-specific low-back pain: randomised, double-blind, controlled, multicentre trial.

Effect of firmness of mattress on chronic non-specific low-back pain: randomised, double-blind, controlled, multicentre trial. 14630439 2003 11 21 2004 02 04 2015 06 16 1474-547X 362 9396 2003 Nov 15 Lancet (London, England) Lancet Effect of firmness of mattress on chronic non-specific low-back pain: randomised, double-blind, controlled, multicentre trial. 1599-604 A firm mattress is commonly believed to be beneficial for low-back pain, although evidence supporting this recommendation (...) is lacking. We assessed the effect of different firmnesses of mattresses on the clinical course of patients with chronic non-specific low-back pain. In a randomised, double-blind, controlled, multicentre trial, we assessed 313 adults who had chronic non-specific low-back pain, but no referred pain, who complained of backache while lying in bed and on rising. Mattress firmness is rated on a scale developed by the European Committee for Standardisation. The H(s) scale starts at 1.0 (firmest) and stops

Lancet2003

623. Exercise therapy for the treatment of chronic low back pain

Exercise therapy for the treatment of chronic low back pain Exercise therapy for the treatment of chronic low back pain Exercise therapy for the treatment of chronic low back pain Jackson N Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Jackson N. Exercise therapy for the treatment of chronic low back pain. Clayton, Victoria: Centre for Clinical Effectiveness (...) (CCE) 2002: 22 Authors' objectives This aim of this critical appraisal was to assess whether there is any evidence to support a particular exercise or exercise regime for the treatment of chronic low back pain patients. Project page URL Indexing Status Subject indexing assigned by CRD MeSH Exercise Therapy; Low Back Pain; Pain Language Published English Country of organisation Australia Address for correspondence Monash Institute of Health Services Research, Block E, Monash Medical Centre, Locked

Health Technology Assessment (HTA) Database.2002

624. Prevalence of chronic pain: an overview

Prevalence of chronic pain: an overview Prevalence of chronic pain: an overview Prevalence of chronic pain: an overview Ospina M, Harstall C Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Ospina M, Harstall C. Prevalence of chronic pain: an overview. Edmonton: Alberta Heritage Foundation for Medical Research (AHFMR). AHFMR Report - HTA (...) 29. 2002 Authors' objectives The aim of this report was to analyze and critically appraise the published evidence on the prevalence of chronic pain (CP) (not related to cancer) in the general population and primary care setting. A secondary objective was to summarize information on the characteristics of pain (ie level of severity and functional limitations) and the use of health services in the population of CP sufferers. Authors' conclusions Chronic pain (CP) is an unpleasant sensory

Health Technology Assessment (HTA) Database.2002

625. Intradiscal electrothermal anuloplasty. A treatment for patients with chronic low back pain due to anular disruption of contained herniated discs

Intradiscal electrothermal anuloplasty. A treatment for patients with chronic low back pain due to anular disruption of contained herniated discs Intradiscal electrothermal anuloplasty. A treatment for patients with chronic low back pain due to anular disruption of contained herniated discs Intradiscal electrothermal anuloplasty. A treatment for patients with chronic low back pain due to anular disruption of contained herniated discs Medical Services Advisory Committee Record Status (...) This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Medical Services Advisory Committee. Intradiscal electrothermal anuloplasty. A treatment for patients with chronic low back pain due to anular disruption of contained herniated discs. Canberra: Medical Services Advisory Committee (MSAC) 2002: 92 Authors' objectives This report summarises the assessment of current evidence

Health Technology Assessment (HTA) Database.2002

626. The effect of antidepressant treatment on chronic back pain: a meta-analysis

The effect of antidepressant treatment on chronic back pain: a meta-analysis The effect of antidepressant treatment on chronic back pain: a meta-analysis The effect of antidepressant treatment on chronic back pain: a meta-analysis Salerno S M, Browning R, Jackson J L Authors' objectives To assess the efficacy of antidepressants in treating chronic back pain in adults. Searching MEDLINE (from 1966 to August 2000), PsycLIT (from 1987 to August 2000), CINAHL (from 1982 to 2000), EMBASE (from 1974 (...) discomfort for at least 2 months. All of the studies included patients with chronic back pain; one study also included patients with acute back pain, while another included patients with cervical spine pain. Some studies included only patients with and/or without mood disorders. Outcomes assessed in the review Studies were included if they assessed measurable outcomes. The primary outcomes assessed in the included studies were pain severity and activities of daily living (ADL). How were decisions

DARE.2002

627. Does spinal manipulative therapy help people with chronic low back pain?

Does spinal manipulative therapy help people with chronic low back pain? Does spinal manipulative therapy help people with chronic low back pain? Does spinal manipulative therapy help people with chronic low back pain? Ferreira M L, Ferreira P H, Latimer J, Herbert R, Maher C G Authors' objectives To assess the effect of spinal manipulative therapy on clinically relevant outcomes in patients with chronic lower back pain. Searching EMBASE, CINAHL, MEDLINE, and PEDro were searched from inception (...) ) on a 100-point disability scale (n=157). Authors' conclusions For patients with chronic lower back pain, spinal manipulation does not produce clinically worthwhile decreases in pain compared with sham treatment, or clinically worthwhile decreases in disability compared with NSAIDs. There was insufficient evidence to determine whether spinal manipulation is more effective than NSAIDS in reducing pain in these patients. CRD commentary The review question and the inclusion criteria were clearly stated

DARE.2002

628. Acupuncture: evidence for its use in chronic low back pain

Acupuncture: evidence for its use in chronic low back pain Acupuncture: evidence for its use in chronic low back pain Acupuncture: evidence for its use in chronic low back pain Henderson H Authors' objectives To assess the efficacy of acupuncture for chronic low back pain. Searching MEDLINE, CINAHL, the Cochrane Library, OMNI, DARE and the University of Maryland's CAMPAIN database were searched; some of the search terms were reported. The search dates were not reported. Experts were consulted (...) , lidocaine, lidocaine with steroid, sham acupuncture and standard clinic therapy. Participants included in the review Studies in people with low back pain conditions were eligible for inclusion. Apparently, only chronic pain was included; chronic was not defined. All of the included studies were conducted in adults. It was mentioned that one study was of an elderly population (aged 60 years or more). Outcomes assessed in the review The outcome of interest was not explicit. It appeared to be pain

DARE.2002

629. Evidence for the optimal management of acute and chronic phantom pain: a systematic review

Evidence for the optimal management of acute and chronic phantom pain: a systematic review Evidence for the optimal management of acute and chronic phantom pain: a systematic review Evidence for the optimal management of acute and chronic phantom pain: a systematic review Halbert J, Crotty M, Cameron I D Authors' objectives To determine the optimal management of phantom limb pain (PLP) in the pre- and post-operative phases of amputation. Searching MEDLINE was searched from 1966 to 1999 (...) in the review Studies that examined any intervention for PLP were eligible, including treatments before and during amputation and chronic pain treatments. The interventions in the review were conducted in the pre-operative, intra-operative, early post-operative (less than 2 weeks) and late post-operative (greater than 2 weeks) periods. The active interventions in the pre-operative, intra-operative and early post-operative periods included epidural anaesthesia (starting 18 to 72 hours before surgery

DARE.2002

630. Treatment of chronic pain by using intrathecal drug therapy compared with conventional pain therapies: a cost-effectiveness analysis

Treatment of chronic pain by using intrathecal drug therapy compared with conventional pain therapies: a cost-effectiveness analysis Treatment of chronic pain by using intrathecal drug therapy compared with conventional pain therapies: a cost-effectiveness analysis Treatment of chronic pain by using intrathecal drug therapy compared with conventional pain therapies: a cost-effectiveness analysis Kumar K, Hunter G, Demeria D D Record Status This is a critical abstract of an economic evaluation (...) was morphine. CPT comprised interventions such as oral medication, physiotherapy, chiropractic therapy, acupuncture, muscle relaxation techniques and behaviour modification. Type of intervention Palliative care. Economic study type Cost-effectiveness analysis. Study population The study population comprised patients who had suffered from chronic pain due to failed back syndrome and who had visited a multidisciplinary pain clinic where treatment with CPTs had failed to provide adequate pain relief. Setting

NHS Economic Evaluation Database.2002

631. Percutaneous intradiscal radiofrequency thermocoagulation for chronic discogenic low back pain

Percutaneous intradiscal radiofrequency thermocoagulation for chronic discogenic low back pain Percutaneous intradiscal radiofrequency thermocoagulation for chronic discogenic low back pain Percutaneous intradiscal radiofrequency thermocoagulation for chronic discogenic low back pain BlueCross BlueShield Association Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database (...) . The BlueCross BlueShield Association Technology Evaluation Center website ( ) includes the most recent 3 years of TEC Assessments. To request older reports, please use the “contact us” feature on the website. Citation BlueCross BlueShield Association. Percutaneous intradiscal radiofrequency thermocoagulation for chronic discogenic low back pain. Chicago: BlueCross BlueShield Association (BCBS). TEC Assessment 17(11). 2002 Authors' objectives This Assessment will review the available evidence to determine

Health Technology Assessment (HTA) Database.2002

633. Multidisciplinary bio-psycho-social rehabilitation for chronic low back pain.

Multidisciplinary bio-psycho-social rehabilitation for chronic low back pain. BACKGROUND: Chronic low back pain is, in many countries, the main cause of long term disability in middle age. Patients with chronic low back pain are often referred for multidisciplinary treatment. Previous published systematic reviews on this topic included no randomised controlled trials and pooled together controlled and non-controlled studies. OBJECTIVES: To assess the effect of multidisciplinary bio-psycho (...) -social rehabilitation on pain, function, employment, quality of life and global assessment outcomes in subjects with chronic disabling low back pain. SEARCH STRATEGY: We searched MEDLINE, EMBASE, PsychLIT, CINAHL, Health STAR, and The Cochrane Library from the beginning of the database to June 1998 using the comprehensive search strategy recommended by the Back Review Group of the Cochrane Collaboration. INTERVENTION specific key words for this review were: patient care team, patient care management

Cochrane2002

634. Hydromorphone for acute and chronic pain.

Hydromorphone for acute and chronic pain. BACKGROUND: While morphine is the gold standard for the management of severe cancer pain, some patients either do not achieve adequate analgesia, or suffer intolerable morphine-related toxicity. For these patients alternatives such as hydromorphone are recommended. However, there appear to be gaps in our understanding of the efficacy and potency of hydromorphone. OBJECTIVES: This review explores and assesses the evidence for the efficacy (...) of hydromorphone in the management of pain. SEARCH STRATEGY: Randomised trials which included hydromorphone were sought using electronic databases and by handsearching relevant journals. Date of the most recent search: February 2000. SELECTION CRITERIA: RCTs which involved the administration of hydromorphone, for both acute and chronic pain conditions, in adults and children, were included. DATA COLLECTION AND ANALYSIS: A data extraction form was designed for the purpose of the review. The validity of each

Cochrane2002

635. Management of chronic central neuropathic pain following traumatic spinal cord injury

Management of chronic central neuropathic pain following traumatic spinal cord injury Management of chronic central neuropathic pain following traumatic spinal cord injury Management of chronic central neuropathic pain following traumatic spinal cord injury Agency for Healthcare Research and Quality Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database (...) . Citation Agency for Healthcare Research and Quality. Management of chronic central neuropathic pain following traumatic spinal cord injury. Rockville: Agency for Healthcare Research and Quality (AHRQ). Evidence Report/Technology Assessment No. 45. 2001 Authors' objectives To evaluate (a) the measurement of central neuropathic pain (CNP) after traumatic spinal cord injury (TSCI), (b) the prevalence of acute and chronic CNP, (c) predictive factors for chronic CNP, and (d) the effectiveness and safety

Health Technology Assessment (HTA) Database.2001

636. Percutaneous radio-frequency neurotomy treatment of chronic cervical pain following whiplash injury: reviewing evidence and needs

Percutaneous radio-frequency neurotomy treatment of chronic cervical pain following whiplash injury: reviewing evidence and needs Percutaneous radio-frequency neurotomy treatment of chronic cervical pain following whiplash injury: reviewing evidence and needs Percutaneous radio-frequency neurotomy treatment of chronic cervical pain following whiplash injury: reviewing evidence and needs Bassett K, Sibley LM, Anton H, Harrison P, Kazanjian A Record Status This is a bibliographic record (...) of a published health technology assessment. The agency responsible for the publication has subsequently been disbanded. No evaluation of the quality of this assessment has been made for the HTA database. Citation Bassett K, Sibley LM, Anton H, Harrison P, Kazanjian A. Percutaneous radio-frequency neurotomy treatment of chronic cervical pain following whiplash injury: reviewing evidence and needs. Vancouver: British Columbia Office of Health Technology Assessment (BCOHTA). BCOHTA 01:5T. 2001 Authors

Health Technology Assessment (HTA) Database.2001

637. Vertebral axial decompression therapy for chronic low back pain

Vertebral axial decompression therapy for chronic low back pain Vertebral axial decompression therapy for chronic low back pain Vertebral axial decompression therapy for chronic low back pain Medical Services Advisory Committee Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Medical Services Advisory Committee. Vertebral axial (...) decompression therapy for chronic low back pain. Canberra: Medical Services Advisory Committee (MSAC) 2001: 29 Authors' objectives This report aims to assess the effectiveness of vertebral axial decompression therapy for chronic low back pain. Authors' conclusions Since there is currently insufficient evidence pertaining to the effectiveness of vertebral axial decompression (VAX-D) therapy, MSAC recommended that public funding should not be supported at this time for this procedure. Project page URL INAHTA

Health Technology Assessment (HTA) Database.2001

638. The use of magnets in the alleviation of chronic muscular pain

The use of magnets in the alleviation of chronic muscular pain The use of magnets in the alleviation of chronic muscular pain The use of magnets in the alleviation of chronic muscular pain Wasiak J Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Wasiak J. The use of magnets in the alleviation of chronic muscular pain. Clayton, Victoria: Centre for Clinical (...) Effectiveness (CCE) 2001: 7 Authors' objectives This aim of this critical appraisal was to assess whether the use of therapeutic magnets alleviates and reduces chronic muscular pain. Project page URL Indexing Status Subject indexing assigned by CRD MeSH Pain /therapy; Transcranial Magnetic Stimulation Language Published English Country of organisation Australia Address for correspondence Monash Institute of Health Services Research, Block E, Monash Medical Centre, Locked Bag 29, Clayton, Victoria 3168

Health Technology Assessment (HTA) Database.2001

639. Intradiscal electrothermal therapy for chronic discogenic back pain - horizon scanning review

Intradiscal electrothermal therapy for chronic discogenic back pain - horizon scanning review Intradiscal electrothermal therapy for chronic discogenic back pain - horizon scanning review Intradiscal electrothermal therapy for chronic discogenic back pain - horizon scanning review NHSC Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation NHSC (...) . Intradiscal electrothermal therapy for chronic discogenic back pain - horizon scanning review. Birmingham: National Horizon Scanning Centre (NHSC). New and Emerging Technology Briefing. 2001 Authors' objectives To summarise the current research evidence on intradiscal electrothermal therapy (IDET) for chronic discogenic back pain. Authors' conclusions - Clinical impact: IDET represents a new minimally invasive alternative to other surgical techniques for persistent low back pain. There is an estimated maximum patient population

Health Technology Assessment (HTA) Database.2001

640. Spinal cord stimulation for chronic pain

Spinal cord stimulation for chronic pain Spinal cord stimulation for chronic pain Spinal cord stimulation for chronic pain Stocks R A, Williams C T Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Stocks R A, Williams C T. Spinal cord stimulation for chronic pain. Bazian Ltd, Wessex Institute for Health Research and Development (WIHRD). STEER: Succint and Timely (...) Evaluated Evidence Reviews 1(5). 2001 Authors' objectives This study aims to assess the effects of spinal cord stimulation in people with chronic pain. Authors' conclusions Chronic back pain and non-ischaemic leg pain: One high quality systematic review has found insufficient evidence on the effects of spinal cord stimulation for failed back surgery syndrome. We found insufficient evidence on the effects in people with other chronic back pain or non-ischaemic leg pain. Treatment awaits evaluation

Health Technology Assessment (HTA) Database.2001