Latest & greatest articles for chronic pain

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This page lists the very latest high quality evidence on chronic pain and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

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Top results for chronic pain

701. Injection therapy for subacute and chronic benign low back pain. (Abstract)

Injection therapy for subacute and chronic benign low back pain. Injection with anaesthetics and/or steroids is one of the treatment modalities used in patients with chronic low back pain which needs evaluation with respect to the effectiveness on short and long term pain relief.To evaluate the effectiveness of injection therapy in patients with low back pain lasting longer than one month. We distinguished between three injection sites: facet joint, epidural or local injections.We searched (...) the Medline and Embase databases up to 1996 and other search methods as advocated by the Back Review Group search strategy. Abstracts and unpublished studies were not included.Randomized controlled trials of injection therapy for pain relief (although additional treatments were allowed) in patients with benign low back pain lasting longer than one month and not originating from cancer.Two reviewers independently assessed the trials for methodological quality. Subgroup analyses were made between trials

2000 Cochrane

702. Behavioural treatment for chronic low back pain. (Abstract)

Behavioural treatment for chronic low back pain. The treatment of chronic low back pain is not primarily focused on removing an underlying organic pathology, but at the reduction of disability through the modification of environmental contingencies and cognitive processes. Behavioural interventions are commonly used in the treatment of chronic (disabling) low back pain.The objective of this systematic review was to determine if behavioural therapy is more effective than reference treatments (...) for chronic non-specific low back pain, and which type of behavioural treatment is most effective.We searched the Medline, PsycLit databases, and the Cochrane Controlled Trials Register up to April 1999, Embase up to September 1999. We also screened references of identified randomised trials and relevant systematic reviews.Only randomised trials on any type of behavioural treatment for non-specific chronic low back pain were included.Methodological quality assessment and data extraction was done by two

2000 Cochrane

703. Acute and chronic low back pain

Acute and chronic low back pain Acute and chronic low back pain Acute and chronic low back pain NHS Centre for Reviews and Dissemination 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 NHS Centre for Reviews and Dissemination. Acute and chronic low back pain. University of York. Effective Health Care 6(5). 2000 Authors' objectives (...) This bulletin aims to summarise the available evidence on the treatment of acute and chronic low back pain. Authors' conclusions Low back pain is very common in developed countries, especially in adults of working age. For acute low back pain, advice to continue ordinary activity can give equivalent or faster symptomatic recovery from the acute attack and lead to less chronic disability and less time off work. Bed rest should not be recommended as a treatment for acute low back pain. Non-steroidal anti

2000 Health Technology Assessment (HTA) Database.

704. Intrathecal pumps for giving opioids in chronic pain: a systematic review

Intrathecal pumps for giving opioids in chronic pain: a systematic review Intrathecal pumps for giving opioids in chronic pain: a systematic review Intrathecal pumps for giving opioids in chronic pain: a systematic review Williams J E, Louw G, Towlerton G 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 Williams J E, Louw G, Towlerton G (...) . Intrathecal pumps for giving opioids in chronic pain: a systematic review. Health Technology Assessment 2000; 4(32): 1-65 Authors' objectives This review aims to answer the following questions about intrathecal pump systems, based on an analysis of the published literature. - Which drugs and dosages are commonly used in clinical practice? - How effective is this therapy compared with other treatments? - What are the risks? - What types of patients are suitable? - How costly is this type of treatment

2000 Health Technology Assessment (HTA) Database.

705. Acupuncture for chronic osteoarthritis pain, headache and low back pain

Acupuncture for chronic osteoarthritis pain, headache and low back pain Acupuncture for chronic osteoarthritis pain, headache and low back pain Acupuncture for chronic osteoarthritis pain, headache and low back pain Institute for Clinical Systems Improvement 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 Institute for Clinical Systems Improvement. Acupuncture (...) for chronic osteoarthritis pain, headache and low back pain. Bloomington MN: Institute for Clinical Systems Improvement (ICSI) 2000 Authors' objectives This review aims to assess the effectiveness of acupuncture for chronic osteoarthritis pain, headache and low back pain. Authors' conclusions Based on a review of evidence available to date, the ICSI Technology Assessment Committee finds the following: The quality of the literature continues to be a concern. As noted in the original report

2000 Health Technology Assessment (HTA) Database.

706. Bipolar permanent magnets for the treatment of chronic low back pain: a pilot study. (Abstract)

Bipolar permanent magnets for the treatment of chronic low back pain: a pilot study. Chronic low back pain is one of the most prevalent and costly medical conditions in the United States. Permanent magnets have become a popular treatment for various musculoskeletal conditions, including low back pain, despite little scientific support for therapeutic benefit.To compare the effectiveness of 1 type of therapeutic magnet, a bipolar permanent magnet, with a matching placebo device for patients (...) with chronic low back pain.Randomized, double-blind, placebo-controlled, crossover pilot study conducted from February 1998 to May 1999.An ambulatory care physical medicine and rehabilitation clinic at a Veterans Affairs hospital.Nineteen men and 1 woman with stable low back pain of a mean of 19 years' duration, with no past use of magnet therapy for low back pain. Twenty patients were determined to provide 80% power in the study at P<.05 to detect a difference of 2 points (the difference believed

2000 JAMA Controlled trial quality: predicted high

707. Is acupuncture effective for the treatment of chronic pain: a systematic review

Is acupuncture effective for the treatment of chronic pain: a systematic review Is acupuncture effective for the treatment of chronic pain: a systematic review Is acupuncture effective for the treatment of chronic pain: a systematic review Ezzo J, Berman B, Hadhazy V A, Jadad A R, Lao L, Singh B B Authors' objectives To assess the effectiveness of acupuncture as a treatment for chronic pain within the context of the methodological quality of the studies. Searching MEDLINE (1996 to 1999) and two (...) control groups. Logistic regression was selected as the multivariate model to simultaneously control for trials quality while identifying aspects of the acupuncture treatment associated with positive outcome. Results of the review Fifty-one RCTs representing 2423 chronic pain patients. The median sample size per group was 18 and the mode was 15. Substantial clinical heterogeneity from different conditions, control groups, outcomes and types of acupuncture, precluded statistical pooling. Results were

2000 DARE.

708. Teasing apart quality and validity in systematic reviews: an example from acupuncture trials in chronic neck and back pain

Teasing apart quality and validity in systematic reviews: an example from acupuncture trials in chronic neck and back pain Teasing apart quality and validity in systematic reviews: an example from acupuncture trials in chronic neck and back pain Teasing apart quality and validity in systematic reviews: an example from acupuncture trials in chronic neck and back pain Smith L A, Oldman A D, McQuay H J, Moore R A Authors' objectives To assess the analgesic efficacy and the adverse effects (...) with chronic lower-back pain, cervical spine pain syndrome, acute sciatica, chronic back pain due to injury, chronic tendomyotic cervical or lumbar syndromes, lower-back pain persisting after 4 to 12 weeks of conservative treatment, radicular and psuedoradicular cervical and lumbar pain due to stenosis and/or herniated discs, chronic cervical osteoarthritis and/or of thoracic spine, and chronic neck pain. Outcomes assessed in the review Studies assessing pain outcomes were eligible. Pre-hoc desirable

2000 DARE.

709. An evidence-based medicine approach to the treatment of endometriosis-associated chronic pelvic pain: placebo-controlled studies

An evidence-based medicine approach to the treatment of endometriosis-associated chronic pelvic pain: placebo-controlled studies An evidence-based medicine approach to the treatment of endometriosis-associated chronic pelvic pain: placebo-controlled studies An evidence-based medicine approach to the treatment of endometriosis-associated chronic pelvic pain: placebo-controlled studies Howard F M Authors' objectives To assess the efficacy of treatment of endometriosis-associated chronic pelvic (...) by 6 months' treatment with danazol (600 mg/day), medroxyprogesterone acetate (100 mg/day) or placebo; surgical debulking at laparotomy followed by 3 months' treatment with nafarelin (400 microg/day) or placebo nasal spray; and reductive laparoscopic surgery by laser or electrosurgery, followed by 180 days' treatment with nafarelin (200 microg, twice daily) or placebo nasal spray (twice daily). Participants included in the review Women with endometriosis-associated chronic pelvic pain were eligible

2000 DARE.

710. Intrathecal pumps for giving opioids in chronic pain: a systematic review

Intrathecal pumps for giving opioids in chronic pain: a systematic review Intrathecal pumps for giving opioids in chronic pain: a systematic review Intrathecal pumps for giving opioids in chronic pain: a systematic review Williams J E, Louw G, Towlerton G Authors' objectives To review the evidence on the use of intrathecal pump systems for administering opioids in patients with chronic pain in order to draw conclusions regarding the effectiveness, side-effects and cost-effectiveness (...) acknowledged that the quality of the included studies was poor and that no definite conclusions should be drawn. The authors conclusions therefore appear valid. Implications of the review for practice and research Practice: The authors stated that intrathecal pump systems may be effective in treating chronic pain, but good comparative evidence of effects and side-effects is lacking. Research: The authors stated that further research in the form of randomised controlled trials of implantable intrathecal

2000 DARE.

711. Acupuncture and the treatment of chronic low-back pain: a review of the literature

Acupuncture and the treatment of chronic low-back pain: a review of the literature Acupuncture and the treatment of chronic low-back pain: a review of the literature Acupuncture and the treatment of chronic low-back pain: a review of the literature Strauss A J Authors' objectives To assess the efficacy of acupuncture treatment for chronic lower-back pain. Searching MEDLINE, CINAHL, MANTIS, AMED and AMI databases, and the Internet were searched for studies published in the English language from (...) included in the review Patients with lower-back pain were eligible. The inclusion and exclusion criteria varied among the included studies. One trial defined the inclusion criteria for the participants as patients with chronic nociceptive lower-back pain, whereas the other studies did not define chronic lower-back pain. Outcomes assessed in the review The inclusion criteria were not defined in terms of the outcomes. The most important outcomes assessed in the individual studies were pain intensity

1999 DARE.

712. Laparoscopic uterosacral nerve ablation in chronic pelvic pain: an overview

Laparoscopic uterosacral nerve ablation in chronic pelvic pain: an overview Laparoscopic uterosacral nerve ablation in chronic pelvic pain: an overview Laparoscopic uterosacral nerve ablation in chronic pelvic pain: an overview Khan K S, Khan S F, Nwosu C R, Dwarakanath L S, Chien P F Authors' objectives To assess the efficacy of laparoscopic uterine nerve ablation (LUNA) in the treatment of chronic pelvic pain, by means of a systematic overview of the published literature. Searching MEDLINE (...) ? Agreement between reviewers was analysed using the kappa statistic. Analysis of the data found in the literature was performed separately for chronic pelvic pain with or without positive pathological findings. For case series the percentage of patients with pain relief was calculated. For controlled studies Odds Ratios (OR) and 95% CIs were calculated for each study. Studies were not combined statistically. How were differences between studies investigated? Method of testing for heterogeneity not stated

1999 DARE.

713. Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache

Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding (...) headache Morley S, Eccleston C, Williams A Authors' objectives To answer two broad questions: 1. Is cognitive behavioural therapy (including behaviour therapy and biofeedback) an effective treatment for chronic pain, i.e. is it'better' than no treatment? 2. Is cognitive behavioural therapy more effective than alternative active treatments? Searching Four computer abstracting services were selected and their yields compared; MEDLINE, PsycLIT, EMBASE and the Social Science Citation Index (SSCI

1999 DARE.

714. Comparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain: a qualitative systematic review

Comparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain: a qualitative systematic review Comparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain: a qualitative systematic review Comparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain: a qualitative systematic review Tramer M R, Williams J E, Carroll (...) , and there was no attempt to find unpublished studies. Study selection Study designs of evaluations included in the review Published randomised controlled trials (RCTs) of direct comparisons of NSAIDs, given by different routes of administration, and tested in acute or chronic pain with assessment of pain outcomes, were eligible for inclusion. Comparisons of different drugs across different routes were not analysed. The included trials were those with an internal sensitivity index in the form of a placebo control

1998 DARE.

715. Relaxation for the relief of chronic pain: a systematic review

Relaxation for the relief of chronic pain: a systematic review Relaxation for the relief of chronic pain: a systematic review Relaxation for the relief of chronic pain: a systematic review Carroll D, Seers K Authors' objectives To establish the effectiveness of relaxation strategies in managing chronic pain by means of a systematic review of published randomised controlled trials (RCTs). Searching The following databases were searched: MEDLINE from 1966 to June 1996; PsycLIT from 1974 to June (...) , review articles, and evaluations of laboratory experiments were not considered for inclusion. Specific interventions included in the review Relaxation techniques used with either chronic cancer or chronic non-malignant pain conditions were included. The relaxation techniques were usually progressive muscle relaxation with tape recordings and regular home practice. Studies in which a relaxation technique was studied in combination with another pain intervention, such as cognitive behaviour therapy

1998 DARE.

716. Effect of exercise in the treatment of chronic low back pain: a systematic review, emphasising type and dose of exercise

Effect of exercise in the treatment of chronic low back pain: a systematic review, emphasising type and dose of exercise Effect of exercise in the treatment of chronic low back pain: a systematic review, emphasising type and dose of exercise Effect of exercise in the treatment of chronic low back pain: a systematic review, emphasising type and dose of exercise Hilde G, Bo K Authors' objectives To evaluate the efficacy of exercise in the treatment of low back pain (LBP), with emphasis on dose (...) exercise and encouragement for home exercise, soft tissue treatment with manual traction, co-ordination exercises, ergonomic counselling, and hot packs. Participants included in the review Participants had chronic or subchronic low back pain, with or without referred or radicular pain. Chronic LBP was defined as pain lasting greater than or equal to 3 months; subchronic LBP was defined as pain lasting greater than 4 weeks, together with at least three recurrent back pain episodes during the last 6

1998 DARE.

717. Health economic assessment of behavioural rehabilitation in chronic low back pain: a randomised clinical trial

Health economic assessment of behavioural rehabilitation in chronic low back pain: a randomised clinical trial Health economic assessment of behavioural rehabilitation in chronic low back pain: a randomised clinical trial Health economic assessment of behavioural rehabilitation in chronic low back pain: a randomised clinical trial Goossens M E, Rutten-van Molken M P, Kole-Snijders A M, Vlaeyen J W, Van Breukelen G, Leidl R Record Status This is a critical abstract of an economic evaluation (...) that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Behavioural rehabilitation programmes of chronic low back pain: OPCON (operant programme with cognitive programme/relaxation), OPDIM (operant programme with a group discussion treatment) and USUAL (operant rehabilitation as usual). Type of intervention

1998 NHS Economic Evaluation Database.

718. Systematic review of outpatient services for chronic pain control

Systematic review of outpatient services for chronic pain control Systematic review of outpatient services for chronic pain control Systematic review of outpatient services for chronic pain control McQuay HJ, Moore RA, Eccleston C, Morley S, de C Williams AC 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 McQuay HJ, Moore RA, Eccleston C (...) , Morley S, de C Williams AC. Systematic review of outpatient services for chronic pain control. Health Technology Assessment 1997; 1(6): 1-137 Authors' objectives This report reviews the evidence about the effectiveness of treatments for chronic pain. While treatment of chronic pain is usually seen as an integrated service, this report concentrates on the individual interventions that constitute the service. Authors' conclusions The findings show that there is excellent evidence of effectiveness

1997 Health Technology Assessment (HTA) Database.

719. Does pancreatic enzyme supplementation reduce pain in patients with chronic pancreatitis: a meta-analysis

Does pancreatic enzyme supplementation reduce pain in patients with chronic pancreatitis: a meta-analysis Does pancreatic enzyme supplementation reduce pain in patients with chronic pancreatitis: a meta-analysis Does pancreatic enzyme supplementation reduce pain in patients with chronic pancreatitis: a meta-analysis Brown A, Hughes M, Tenner S, Banks P A Authors' objectives To determine whether pancreatic enzyme supplements significantly decrease abdominal pain in patients with chronic (...) pancreatitis. Searching MEDLINE was searched for English language studies using the keywords 'pancreatic enzyme supplements', 'pain', and a combination of these terms. Study selection Study designs of evaluations included in the review Prospective, randomised double-blind placebo-controlled trials (RCTs), which evaluated the usage of pancreatic enzymes for the relief of pain in patients with chronic pancreatitis, were included. The duration of the studies ranged from 2 weeks to 8 months. Specific

1997 DARE.

720. Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions

Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions van Tulder M W, Koes B W (...) , Bouter L M Authors' objectives To assess the effectiveness of the most common conservative types of treatment for patients with acute and chronic nonspecific lower-back pain (LBP). Searching MEDLINE was searched from 1966 to September 1995, EMBASE from 1980 to September 1995, and PsycLIT from 1984 to September 1995; the search terms were provided. The bibliographies of identified studies were examined. Only English language publications were selected. Study selection Study designs of evaluations

1997 DARE.