Latest & greatest articles for chronic pain

The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on chronic pain or other clinical topics then use Trip today.

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

721. Surgical stabilisation of the spine compared with a programme of intensive rehabilitation for the management of patients with chronic low back pain: cost utility analysis based on a randomised controlled trial. Full Text available with Trip Pro

Surgical stabilisation of the spine compared with a programme of intensive rehabilitation for the management of patients with chronic low back pain: cost utility analysis based on a randomised controlled trial. To determine whether, from a health provider and patient perspective, surgical stabilisation of the spine is cost effective when compared with an intensive programme of rehabilitation in patients with chronic low back pain.Economic evaluation alongside a pragmatic randomised controlled (...) trial.Secondary care.349 patients randomised to surgery (n = 176) or to an intensive rehabilitation programme (n = 173) from 15 centres across the United Kingdom between June 1996 and February 2002.Costs related to back pain and incurred by the NHS and patients up to 24 months after randomisation. Return to paid employment and total hours worked. Patient utility as estimated by using the EuroQol EQ-5D questionnaire at several time points and used to calculate quality adjusted life years (QALYs). Cost

2005 BMJ Controlled trial quality: predicted high

722. Randomised controlled trial to compare surgical stabilisation of the lumbar spine with an intensive rehabilitation programme for patients with chronic low back pain: the MRC spine stabilisation trial. Full Text available with Trip Pro

Randomised controlled trial to compare surgical stabilisation of the lumbar spine with an intensive rehabilitation programme for patients with chronic low back pain: the MRC spine stabilisation trial. To assess the clinical effectiveness of surgical stabilisation (spinal fusion) compared with intensive rehabilitation for patients with chronic low back pain.Multicentre randomised controlled trial.15 secondary care orthopaedic and rehabilitation centres across the United Kingdom.349 participants (...) aged 18-55 with chronic low back pain of at least one year's duration who were considered candidates for spinal fusion.Lumbar spine fusion or an intensive rehabilitation programme based on principles of cognitive behaviour therapy.The primary outcomes were the Oswestry disability index and the shuttle walking test measured at baseline and two years after randomisation. The SF-36 instrument was used as a secondary outcome measure.176 participants were assigned to surgery and 173 to rehabilitation

2005 BMJ Controlled trial quality: predicted high

723. Surgical stabilisation of the spine compared with a programme of intensive rehabilitation for the management of patients with chronic low back pain: cost utility analysis based on a randomised controlled trial

Surgical stabilisation of the spine compared with a programme of intensive rehabilitation for the management of patients with chronic low back pain: cost utility analysis based on a randomised controlled trial Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2005 NHS Economic Evaluation Database.

724. Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain

Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain Haas M, Sharma R, Stano M 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 Two treatments for patients with acute and chronic low-back pain (LBP) were examined. Chiropractic care consisted of spinal manipulation, physical modalities, an exercise plan and self-care education. Medical care included prescription drugs, an exercise plan and self-care advice, with some patients being also referred for physical therapy. Chronic LBP was defined as an episode of at least 7 weeks

2005 NHS Economic Evaluation Database.

725. Cost-effectiveness of combined manipulation, stabilizing exercises, and physician consultation compared to physician consultation alone for chronic low back pain: a prospective randomized trial with 2-year follow-up

Cost-effectiveness of combined manipulation, stabilizing exercises, and physician consultation compared to physician consultation alone for chronic low back pain: a prospective randomized trial with 2-year follow-up Cost-effectiveness of combined manipulation, stabilizing exercises, and physician consultation compared to physician consultation alone for chronic low back pain: a prospective randomized trial with 2-year follow-up Cost-effectiveness of combined manipulation, stabilizing exercises (...) , and physician consultation compared to physician consultation alone for chronic low back pain: a prospective randomized trial with 2-year follow-up Niemisto L, Rissanen P, Sarna S, Lahtinen Suopanki T, Lindgren K A, Hurri H 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

2005 NHS Economic Evaluation Database.

726. Role of adhesiolysis in the management of chronic spinal pain: a systematic review of effectiveness and complications

Role of adhesiolysis in the management of chronic spinal pain: a systematic review of effectiveness and complications Role of adhesiolysis in the management of chronic spinal pain: a systematic review of effectiveness and complications Role of adhesiolysis in the management of chronic spinal pain: a systematic review of effectiveness and complications Chopra P, Smith H S, Deer T R, Bowman R C CRD summary This review assessed percutaneous adhesiolysis and spinal endoscopic adhesiolysis (...) for chronic low back pain and lower extremity pain. The authors concluded that there is moderate to strong evidence to support percutaneous adhesiolysis with hypertonic sodium chloride and spinal endoscopic adhesiolysis with epidural steroids. Limitations in the reporting of the results make it difficult to adequately assess the robustness of the conclusions. Authors' objectives To assess the effects and safety of percutaneous adhesiolysis and spinal endoscopic adhesiolysis in treating chronic low back

2005 DARE.

727. Therapeutic facet joint interventions in chronic spinal pain: a systematic review of effectiveness and complications

Therapeutic facet joint interventions in chronic spinal pain: a systematic review of effectiveness and complications Therapeutic facet joint interventions in chronic spinal pain: a systematic review of effectiveness and complications Therapeutic facet joint interventions in chronic spinal pain: a systematic review of effectiveness and complications Boswell M V, Colson J D, Spillane W F CRD summary This review assessed the effectiveness of facet joint injections, medial branch blocks and facet (...) joint radiofrequency neurotomy for chronic spinal pain. The authors concluded that there was negative to strong evidence for the effectiveness of facet joint interventions. Inadequate reporting of the review methods and differences between the studies make it difficult to assess the reliability of the authors' conclusions. Authors' objectives To evaluate the effectiveness of three types of facet joint intervention (facet joint injections, medial branch blocks and facet joint neurotomy

2005 DARE.

728. Spa therapy for treating chronic low back pain

Spa therapy for treating chronic low back pain Spa therapy for treating chronic low back pain Spa therapy for treating chronic low back pain Pittler M H CRD summary This review assessed the effectiveness of spa therapy in the treatment of chronic lower back pain. The author concluded that there is limited evidence to suggest that spa therapy may be effective. Despite some concerns about the review methodology, the author's cautious conclusions would appear valid. Authors' objectives To evaluate (...) the effectiveness of spa therapy for treating chronic lower back pain. Searching MEDLINE, EMBASE, the Cochrane CENTRAL Register and AMED were searched from inception to April 2005. The bibliographies of retrieved articles were handsearched to identify additional studies. No language restrictions were applied. Study selection Study designs of evaluations included in the review Randomised controlled trials (RCTs) were eligible for inclusion. Specific interventions included in the review Studies of spa therapy

2005 DARE.

729. Longer term clinical and economic benefits of offering acupuncture care to patients with chronic low back pain

Longer term clinical and economic benefits of offering acupuncture care to patients with chronic low back pain Longer term clinical and economic benefits of offering acupuncture care to patients with chronic low back pain Longer term clinical and economic benefits of offering acupuncture care to patients with chronic low back pain Thomas K J, MacPherson H, Ratcliffe J, Thorpe L, Brazier J, Campbell M, et al 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 Thomas K J, MacPherson H, Ratcliffe J, Thorpe L, Brazier J, Campbell M, et al. Longer term clinical and economic benefits of offering acupuncture care to patients with chronic low back pain. Health Technology Assessment 2005; 9(32): 1-126 Authors' objectives The aim of this report was to test whether patients with persistent non-specific low back pain, when offered access

2005 Health Technology Assessment (HTA) Database.

730. Nerve blocks for the treatment of chronic nonmalignant pain

Nerve blocks for the treatment of chronic nonmalignant pain Nerve blocks for the treatment of chronic nonmalignant pain Nerve blocks for the treatment of chronic nonmalignant pain HAYES, Inc. 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 HAYES, Inc.. Nerve blocks for the treatment of chronic nonmalignant pain. Lansdale: HAYES, Inc.. Directory Publication. 2005 (...) . The current report can be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Chronic Disease; Nerve Block; Pain /therapy Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218 Email: hayesinfo@hayesinc.com AccessionNumber 32006000939 Date bibliographic record published 20/09/2006 Date abstract record

2005 Health Technology Assessment (HTA) Database.

731. Intrathecal fentanyl for chronic nonmalignant pain

Intrathecal fentanyl for chronic nonmalignant pain Intrathecal fentanyl for chronic nonmalignant pain Intrathecal fentanyl for chronic nonmalignant pain WCB Evidence Based Practice Group 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 WCB Evidence Based Practice Group. Intrathecal fentanyl for chronic nonmalignant pain. Richmond, BC: WorkSafe BC 2005: 19 Authors (...) ' objectives The objective of this short review is to investigate the effectiveness of intrathecal fentanyl in treating chronic nonmalignant pain patients. The review will place an emphasis on intrathecal fentanyl use in patients with unsuccessful back surgery. Authors' conclusions Currently, the US FDA only approves morphine and baclofen for intrathecal use. However, other opioids are used for intrathecal delivery in a variety of clinical settings for pain management (acute or chronic, short or long term

2005 Health Technology Assessment (HTA) Database.

732. Presacral neurectomy for dysmenorrhea, chronic pelvic pain, and dyspareunia

Presacral neurectomy for dysmenorrhea, chronic pelvic pain, and dyspareunia Presacral neurectomy for dysmenorrhea, chronic pelvic pain, and dyspareunia Presacral neurectomy for dysmenorrhea, chronic pelvic pain, and dyspareunia HAYES, Inc. 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 HAYES, Inc.. Presacral neurectomy for dysmenorrhea, chronic pelvic pain (...) , and dyspareunia. Lansdale: HAYES, Inc.. Directory Publication. 2005 Authors' objectives Presacral neurectomy (PSN) is a surgical technique used to treat dysmenorrhea (menstrual cramps), chronic pelvic pain (CPP), and/or dyspareunia (pain with intercourse) in patients with severe, disabling symptoms that are refractory to standard therapies. The surgery is performed via laparoscopy or laparotomy as a primary procedure or in addition to resection of endometriosis lesions or pelvic adhesions. It involves

2005 Health Technology Assessment (HTA) Database.

733. COX-2 inhibitors (etoricoxib) for the treatment of non-malignant chronic low back pain

COX-2 inhibitors (etoricoxib) for the treatment of non-malignant chronic low back pain COX-2 inhibitors (etoricoxib) for the treatment of non-malignant chronic low back pain COX-2 inhibitors (etoricoxib) for the treatment of non-malignant chronic low back pain Alberta Heritage Foundation for Medical Research 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 Alberta Heritage Foundation for Medical Research. COX-2 inhibitors (etoricoxib) for the treatment of non-malignant chronic low back pain. Edmonton: Alberta Heritage Foundation for Medical Research (AHFMR). Technote TN 48. 2005 Authors' objectives

This study aims to assess the available evidence on the efficacy/effectiveness and safety of COX-2 inhibitors for the treatment of non-malignant chronic low back pain.

Authors' conclusions Evidence on the efficacy/effectiveness

2005 Health Technology Assessment (HTA) Database.

734. Trigger point injections for chronic non-malignant musculoskeletal pain

Trigger point injections for chronic non-malignant musculoskeletal pain Trigger point injections for chronic non-malignant musculoskeletal pain Trigger point injections for chronic non-malignant musculoskeletal pain Scott A, Guo B 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 Scott A, Guo B. Trigger point injections for chronic non (...) -malignant musculoskeletal pain. Edmonton: Alberta Heritage Foundation for Medical Research (AHFMR). AHFMR Report - HTA 35. 2005 Authors' objectives This report aims to assess the efficacy and safety of using trigger point injection (TPI) to treat patients with chronic non-malignant musculoskeletal pain, based on a systematic review of the current published evidence, and to determine the current status of the procedure, the feasibility of delivering it to patients in regional communities

2005 Health Technology Assessment (HTA) Database.

735. Prevalence of opioid adverse events in chronic non-malignant pain: systematic review of randomised trials of oral opioids

Prevalence of opioid adverse events in chronic non-malignant pain: systematic review of randomised trials of oral opioids Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2005 DARE.

736. A systematic review of prolotherapy for chronic musculoskeletal pain

A systematic review of prolotherapy for chronic musculoskeletal pain A systematic review of prolotherapy for chronic musculoskeletal pain A systematic review of prolotherapy for chronic musculoskeletal pain Rabago D, Best T M, Beamsley M, Patterson J CRD summary This review assessed the effectiveness of prolotherapy for the treatment of chronic musculoskeletal pain. The authors concluded that few high-quality studies support the use of prolotherapy and that further research is required (...) . The limited and conflicting evidence from a few high-quality studies was adequately reflected in the authors' conclusions. Authors' objectives To assess the effectiveness of prolotherapy (PrT) for the treatment of chronic musculoskeletal pain and soft tissue injury. Searching MEDLINE, EMBASE, CINAHL and AMED were searched from inception to 2004, using the reported search terms, for articles published in any language. The reference lists of identified studies were screened and experts in the field were

2005 DARE.

737. Oral methadone for chronic noncancer pain: a systematic literature review of reasons for administration, prescription patterns, effectiveness, and side effects

Oral methadone for chronic noncancer pain: a systematic literature review of reasons for administration, prescription patterns, effectiveness, and side effects Oral methadone for chronic noncancer pain: a systematic literature review of reasons for administration, prescription patterns, effectiveness, and side effects Oral methadone for chronic noncancer pain: a systematic literature review of reasons for administration, prescription patterns, effectiveness, and side effects Sandoval J (...) A, Furlan A D, Mailis-Gagnon A CRD summary This review assessed the indications, prescription, effectiveness and side-effects of oral methadone for the treatment of chronic non-cancer pain. The authors concluded that the use of oral methadone is based on uncontrolled studies and further research is needed. This review was generally well conducted and its conclusions can be considered reliable, although the effectiveness results may be overrated. Authors' objectives To assess the indications

2005 DARE.

738. Both endurance training and strength training reduced disability and pain in chronic non-specific neck pain in women Full Text available with Trip Pro

Both endurance training and strength training reduced disability and pain in chronic non-specific neck pain in women Both endurance training and strength training reduced disability and pain in chronic non-specific neck pain in women | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your (...) username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Both endurance training and strength training reduced disability and pain in chronic non-specific neck pain in women Article Text Therapeutics Both

2004 Evidence-Based Medicine

739. Prolotherapy injections for chronic low-back pain. Full Text available with Trip Pro

Prolotherapy injections for chronic low-back pain. Prolotherapy is an injection-based treatment for chronic low-back pain. Proponents of prolotherapy suggest that some back pain stems from weakened or damaged ligaments. Repeatedly injecting them with irritant solutions is believed to strengthen the ligaments and reduce pain and disability. Prolotherapy protocols usually include co-interventions to enhance the effectiveness of the injections.To determine the efficacy of prolotherapy injections (...) in adults with chronic low-back pain.We searched CENTRAL (2004, issue 1), MEDLINE, EMBASE, CINAHL and Science Citation Index from their respective beginnings to January 2004, with no restrictions on language. We consulted content experts to ensure we had not missed any references.Randomised and quasi-randomised controlled trials comparing prolotherapy injections to control injections, either alone or in combination with other treatments, were included. Studies had to include measures of pain

2004 Cochrane

740. Spinal cord stimulation for chronic pain. (Abstract)

Spinal cord stimulation for chronic pain. Spinal cord stimulation (SCS) is a form of therapy used to treat certain types of chronic pain. It involves an electrical generator that delivers pulses to a targeted spinal cord area. The leads can be implanted by laminectomy or percutaneously and the source of power is supplied by an implanted battery or by an external radio-frequency transmitter. The exact mechanism of action of SCS is poorly understood.To assess the efficacy and effectiveness (...) and Complex Regional Pain Syndrome Type I, more trials are needed to confirm whether SCS is an effective treatment for certain types of chronic pain. In addition, there needs to be a debate about trial designs that will provide the best evidence for assessing this type of intervention.

2004 Cochrane