Latest & greatest articles for chronic pain

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Top results for chronic pain

721. Integration of Behavioral and Relaxation Approaches Into the Treatment of Chronic Pain and Insomnia

Integration of Behavioral and Relaxation Approaches Into the Treatment of Chronic Pain and Insomnia 37 Integration of Behavioral and Relaxation Approaches into the Treatment of Chronic Pain and Insomnia National Institutes of Health Technology Assessment Conference Statement October 16–18, 1995 NATIONAL INSTITUTES OF HEALTH Office of the Director 35 About the NIH Technology Assessment Program NIH Technology Assessment Conferences and Workshops are convened to evaluate available scientific (...) bibliographic reference to this technology assessment statement, it is recommended that the following format be used, with or without source abbreviations, but without authorship attribution: Integration of Behavioral and Relaxation Approaches into the Treatment of Chronic Pain and Insomnia. NIH Technol Assess Statement 1995 Oct 16–18; 1-34. Publications Ordering Information NIH Consensus Statements, NIH Technology Assessment Statements, and related materials are available by writing to the NIH Consensus

1995 NIH Consensus Statements

722. Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain. Full Text available with Trip Pro

Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain. To evaluate a progressive fitness programme for patients with chronic low back pain.Single blind randomised controlled trial. Assessments were carried out before and after treatment by an observer blinded to the study and included a battery of validated measures. All patients were followed up by postal questionnaire six months after treatment.Physiotherapy department of orthopaedic hospital (...) .81 patients with chronic low back pain referred from orthopaedic consultants for physiotherapy. The patients were randomly allocated to a fitness programme or control group.Both groups were taught specific exercises to carry out at home and referred to a back-school for education in back care. Patients allocated to the fitness class attended eight exercise classes over four weeks in addition to the home programme and backschool.Significant differences between the groups were shown in the changes

1995 BMJ Controlled trial quality: uncertain

723. Money matters: a meta-analytic review of the association between financial compensation and the experience and treatment of chronic pain

Money matters: a meta-analytic review of the association between financial compensation and the experience and treatment of chronic pain Money matters: a meta-analytic review of the association between financial compensation and the experience and treatment of chronic pain Money matters: a meta-analytic review of the association between financial compensation and the experience and treatment of chronic pain Rohling M L, Binder L M, Langhinrichsen-Rohling J Authors' objectives To review (...) , evaluate and summarise the existing data on compensation and pain using meta-analytic techniques. Searching MEDLINE and PsycINFO were searched back to 1966 using the keywords: 'accident neurosis', 'traumatic neurosis', 'compensation-neurosis', 'chronic pain', 'disability', 'compensation' and 'litigation'. In addition, the reference lists of relevant review articles and studies were examined. Only published literature was included. Study selection Study designs of evaluations included in the review

1995 DARE.

724. Spinal cord stimulation for chronic low back pain: a systematic literature synthesis

Spinal cord stimulation for chronic low back pain: a systematic literature synthesis Spinal cord stimulation for chronic low back pain: a systematic literature synthesis Spinal cord stimulation for chronic low back pain: a systematic literature synthesis Turner J A, Loeser J D, Bell K G Authors' objectives To analyse the long-term benefits and risks of spinal cord stimulation (SCS) for people with chronic back or leg pain, who have already had one or more operations for lower-back and/or leg (...) pain. Searching MEDLINE was searched from 1966 to 1994 for articles included under (1) epidural stimulation, dorsal column stimulation and SCS, and (2) chronic pain, intractable pain, lower-back pain or failed back surgery. Other studies were identified from bibliographies of articles and book chapters, personal files, and literature supplied by manufacturers and physicians. Study selection Study designs of evaluations included in the review All 39 studies were case series. Specific interventions

1995 DARE.

725. Lack of effect of intraarticular corticosteroids for chronic pain in the cervical zygapophyseal joints. (Abstract)

Lack of effect of intraarticular corticosteroids for chronic pain in the cervical zygapophyseal joints. Chronic pain in the cervical zygapophyseal joints is a common problem after a whiplash injury. Treatment with intraarticular injections of corticosteroid preparations has been advocated, but the value of this approach has not been established. We compared the efficacy of a depot injection of a corticosteroid preparation with the efficacy of an injection of a local anesthetic agent in patients (...) with painful cervical zygapophyseal joints.Sixteen men and 25 women with pain in one or more cervical zygapophyseal joints after automobile accidents (mean age, 43 years; median duration of pain, 39 months) were randomly assigned to receive an intraarticular injection of either bupivacaine (0.5 percent) or betamethasone (5.7 mg) under double-blind conditions. The patients were followed by means of regular telephone contact and clinic visits until they reported a return to a level of pain equivalent to 50

1994 NEJM Controlled trial quality: uncertain

726. Subcutaneous sterile water injections for chronic neck and shoulder pain following whiplash injuries. (Abstract)

Subcutaneous sterile water injections for chronic neck and shoulder pain following whiplash injuries. In many cases of whiplash injury symptoms persist and do not respond to treatment. There is uncontrolled evidence to suggest that intracutaneous injections of sterile water might help. Since that route may be unacceptable to patients the subcutaneous route is used in the randomised trial reported here. 40 patients with whiplash syndrome, mean age 46 years (24-73) were given subcutaneous (...) injections of 0.3-0.5 ml sterile water or saline over tender and trigger points in the neck and shoulder. A maximum of three treatments were given during the first two months of the study and the patients were followed up for 8 months. The accidents had occurred 4-6 years previously. X-ray examinations revealed no traumatic spinal lesions. Neck mobility and pain levels were evaluated by a physiotherapist immediately before and after the first treatment and after 1, 3, and 8 months. After 3 months

1993 Lancet Controlled trial quality: uncertain

727. Morphine responsiveness of chronic pain: double-blind randomised crossover study with patient-controlled analgesia. (Abstract)

Morphine responsiveness of chronic pain: double-blind randomised crossover study with patient-controlled analgesia. There is controversy about whether the lack of response of some chronic pain to opioid treatment is absolute or relative. It is widely believed that nociceptive pain is responsive to opioids whereas neuropathic pain tends not to be. We have used a method of patient-controlled analgesia (PCA) with simultaneous nurse-observer measurement of analgesia, mood, and adverse effects (...) to address these issues. Ten patients with chronic pain were given morphine at two concentrations (10 and 30 mg/ml) by PCA in two separate sessions in a double-blind randomised crossover study. Before the study a clinical judgment was made as to whether each pain was nociceptive or neuropathic. Seven patients showed good analgesic responses (more than 70 mm pain relief on a visual-analogue scale) of pain at rest, two patients poor responses (less than 30 mm pain relief), and one a moderate response

1992 Lancet Controlled trial quality: uncertain

728. A controlled trial of corticosteroid injections into facet joints for chronic low back pain. (Abstract)

A controlled trial of corticosteroid injections into facet joints for chronic low back pain. Chronic low back pain is a common problem with many treatments, few of which have been rigorously evaluated. This randomized, placebo-controlled trial was designed to evaluate the efficacy of injections of corticosteroid into facet joints to treat chronic low back pain.Patients with chronic low back pain who reported immediate relief of their pain after injections of local anesthetic into the facet (...) in the treatment of patients with chronic low back pain.

1991 NEJM Controlled trial quality: predicted high

729. A controlled trial of transcutaneous electrical nerve stimulation (TENS) and exercise for chronic low back pain. (Abstract)

A controlled trial of transcutaneous electrical nerve stimulation (TENS) and exercise for chronic low back pain. A number of treatments are widely prescribed for chronic back pain, but few have been rigorously evaluated. We examined the effectiveness of transcutaneous electrical nerve stimulation (TENS), a program of stretching exercises, or a combination of both for low back pain. Patients with chronic low back pain (median duration, 4.1 years) were randomly assigned to receive daily treatment (...) , however, most patients had discontinued the exercises, and the initial improvements were gone. We conclude that for patients with chronic low back pain, treatment with TENS is no more effective than treatment with a placebo, and TENS adds no apparent benefit to that of exercise alone.

1990 NEJM Controlled trial quality: predicted high

730. Clinical trial of intensive muscle training for chronic low back pain. (Abstract)

Clinical trial of intensive muscle training for chronic low back pain. 105 patients who had chronic low back pain without clinical signs of lumbar nerve root compression or radiological evidence of spondylolysis or osteomalacia were randomised to three treatments: 30 sessions of intensive dynamic back extensor exercises over three months; a similar programme at one-fifth the exercise intensity; or one month of thermotherapy, massage, and mild exercises. The results consistently favoured

1989 Lancet Controlled trial quality: uncertain

731. Mexiletine for treatment of chronic painful diabetic neuropathy. (Abstract)

Mexiletine for treatment of chronic painful diabetic neuropathy. Sixteen of nineteen patients completed a randomised double-blind crossover trial to assess the effect of oral mexiletine (10 mg/kg bodyweight daily) on the symptoms and signs of chronic painful diabetic neuropathy. The median age of the sixteen patients was 50 years (range 30-64). Assessment with a five-item clinical symptom scale showed significant improvement during the mexiletine phase compared with the placebo phase. Pain

1988 Lancet Controlled trial quality: uncertain

732. A new approach to the treatment of chronic low back pain. (Abstract)

A new approach to the treatment of chronic low back pain. 81 patients with chronic low back pain (average duration 10 years) were randomised to two treatment groups. 40 received an empirically devised regimen of forceful spinal manipulation and injections of a dextrose-glycerine-phenol ("proliferant") solution into soft-tissue structures, as part of a programme to decrease pain and disability. The other 41 patients received parallel treatment in which the main differences were less extensive (...) and the numbers free from disability were 15 and 4, respectively (p less than 0.003). Visual analogue pain scores and pain diagrams likewise showed significant advantages for the experimental regimen.

1987 Lancet Controlled trial quality: uncertain

733. Auriculotherapy fails to relieve chronic pain. A controlled crossover study. (Abstract)

Auriculotherapy fails to relieve chronic pain. A controlled crossover study. Enthusiastic reports of the effectiveness of electrical stimulation of the outer ear for the relief of pain ("auriculotherapy") have led to increasing use of the procedure. In the present study, auriculotherapy was evaluated in 36 patients suffering from chronic pain, using a controlled crossover design. The first experiment compared the effects of stimulation of designated auriculotherapy points, and of control points (...) unrelated to the painful area. A second experiment compared stimulation of designated points with a no-stimulation placebo control. Pain-relief scores obtained with the McGill Pain Questionnaire failed to show any differences in either experiment. It is concluded that auriculotherapy is not an effective therapeutic procedure for chronic pain.

1984 JAMA Controlled trial quality: uncertain