Latest & greatest articles for chronic pain

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Top results for chronic pain

81. Cost-effectiveness of Mindfulness-based Stress Reduction Versus Cognitive Behavioral Therapy or Usual Care Among Adults With Chronic Low Back Pain

Cost-effectiveness of Mindfulness-based Stress Reduction Versus Cognitive Behavioral Therapy or Usual Care Among Adults With Chronic Low Back Pain 28742756 2017 11 21 1528-1159 42 20 2017 Oct 15 Spine Spine Cost-effectiveness of Mindfulness-based Stress Reduction Versus Cognitive Behavioral Therapy or Usual Care Among Adults With Chronic Low Back Pain. 1511-1520 10.1097/BRS.0000000000002344 Economic evaluation alongside a randomized trial of cognitive-behavioral therapy (CBT) and mindfulness (...) -based stress reduction (MBSR) versus usual care alone (UC) for chronic low back pain (CLBP). To determine 1-year cost-effectiveness of CBT and MBSR compared to 33 UC. CLBP is expensive in terms of healthcare costs and lost productivity. Mind-body interventions have been found effective for back pain, but their cost-effectiveness is unexplored. A total of 342 adults in an integrated healthcare system with CLBP were randomized to receive MBSR (n = 116), CBT (n = 113), or UC (n = 113). CBT and MBSR

EvidenceUpdates2017

82. Efficacy of Vibrating Gloves for Chronic Hand Pain due to Osteoarthritis

Efficacy of Vibrating Gloves for Chronic Hand Pain due to Osteoarthritis 29025096 2017 10 12 1526-4637 2017 Sep 14 Pain medicine (Malden, Mass.) Pain Med Efficacy of Vibrating Gloves for Chronic Hand Pain due to Osteoarthritis. 10.1093/pm/pnx230 This study investigated the efficacy of vibration technology for women with hand pain due to osteoarthritis (OA) to see if mild compression and small vibrating motors were beneficial with periodic use. Sixty-nine (N = 69) women with OA hand pain were (...) randomized into two groups, one that used vibrating gloves once a day for 20 minutes (Experimental, N = 34) and one that was monitored for three months without gloves (Control, N = 35). All subjects completed baseline questionnaires, were administered mechanical quantitative sensory testing (QST), and uploaded a smartphone pain app for daily assessment. Patients were included if they had chronic pain for more than three months, reported a 4 or higher on a 0-10 pain intensity scale, and could speak

EvidenceUpdates2017

83. Interventions for the reduction of prescribed opioid use in chronic non-cancer pain.

Interventions for the reduction of prescribed opioid use in chronic non-cancer pain. BACKGROUND: This is the first update of the original Cochrane Review published in 2013. The conclusions of this review have not changed from the 2013 publication. People with chronic non-cancer pain who are prescribed and are taking opioids can have a history of long-term, high-dose opioid use without effective pain relief. In those without good pain relief, reduction of prescribed opioid dose may (...) be the desired and shared goal of both patient and clinician. Simple, unsupervised reduction of opioid use is clinically challenging, and very difficult to achieve and maintain. OBJECTIVES: To investigate the effectiveness of different methods designed to achieve reduction or cessation of prescribed opioid use for the management of chronic non-cancer pain in adults compared to controls. SEARCH METHODS: For this update we searched CENTRAL, MEDLINE, and Embase in January 2017, as well as bibliographies

Cochrane2017

84. Adverse events associated with medium- and long-term use of opioids for chronic non-cancer pain: an overview of Cochrane Reviews.

Adverse events associated with medium- and long-term use of opioids for chronic non-cancer pain: an overview of Cochrane Reviews. BACKGROUND: Chronic pain is common and can be challenging to manage. Despite increased utilisation of opioids, the safety and efficacy of long-term use of these compounds for chronic non-cancer pain (CNCP) remains controversial. This overview of Cochrane Reviews complements the overview entitled 'High-dose opioids for chronic non-cancer pain: an overview of Cochrane

Cochrane2017

85. High-dose opioids for chronic non-cancer pain: an overview of Cochrane Reviews.

High-dose opioids for chronic non-cancer pain: an overview of Cochrane Reviews. BACKGROUND: Chronic pain is typically described as pain on most days for at least three months. Chronic non-cancer pain (CNCP) is any chronic pain that is not due to a malignancy. Chronic non-cancer pain in adults is a common and complex clinical issue where opioids are routinely used for pain management. There are concerns that the use of high doses of opioids for chronic non-cancer pain lacks evidence (...) of effectiveness and may increase the risk of adverse events. OBJECTIVES: To describe the evidence from Cochrane Reviews and Overviews regarding the efficacy and safety of high-dose opioids (here defined as 200 mg morphine equivalent or more per day) for chronic non-cancer pain. METHODS: We identified Cochrane Reviews and Overviews through a search of the Cochrane Database of Systematic Reviews (The Cochrane Library). The date of the last search was 18 April 2017. Two review authors independently assessed

Cochrane2017

86. Chronic Pain

Chronic Pain Chronic Pain | ONS Search the ONS website Pain Chronic Pain PEP Topics Chronic Pain Chronic pain persists three months or more. The most frequent cause of is bone metastasis. Chronic pain may also be a result of cancer treatment, including surgery, chemotherapy, and radiation therapy. Click for instructions on navigating the ONS PEP webpages. Have a question about how to apply this PEP topic to your practice? Ask a nurse on ONS staff at . This topic was updated on January 11, 2017

Oncology Nursing Society Putting Evidence into Practice (PEP)2017

87. Measures for Patients with Chronic Musculoskeletal Pain

Measures for Patients with Chronic Musculoskeletal Pain Management Briefs Search the HSR&D website Button to search HSRD ® Inside VA Budget and Performance Inside the News Room National Observances Special Events » » » » » Management Briefs Health Services Research & Development Management Brief no. 131 » Issue 131 October 2017 The report is a product of the VA/HSR&D Quality Enhancement Research Initiative (QUERI) Evidence-Based Synthesis Program. Rapid Evidence Review: Measures for Patients (...) with Chronic Musculoskeletal Pain Chronic musculoskeletal pain is a major source of disability and morbidity for Veterans in the U.S., affecting approximately 60% of Veterans with chronic health conditions in VA primary care. Management of chronic musculoskeletal pain remains challenging. Groups ranging from pain expert coalitions to the and the Institute of Medicine have recently called for more focused and strategic pain therapy research. As these organizations note, successful development and testing

Veterans Affairs - R&D2017

88. Cognitive and Mind-Body Therapies for Chronic Low Back and Neck Pain: Effectiveness and Value

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 (...) A. Ollendorf, PhD Chief Scientific Officer, Institute for Clinical and Economic Review Steven D. Pearson, MD, MSc President, Institute for Clinical and Economic Review DATE OF PUBLICATION: October 4, 2017 We would also like to thank Patty Synnott, Geri Cramer, Foluso Agboola, Molly Morgan, and Aqsa Mugal for their contributions to this report.©Institute for Clinical and Economic Review, 2017 Page ii Chronic Low Back and Neck Pain – Evidence Report About ICER The Institute for Clinical and Economic Review

California Technology Assessment Forum2017

89. Total disc replacement versus multidisciplinary rehabilitation in patients with chronic low back pain and degenerative discs: 8-year follow-up of a randomized controlled multicenter trial

Total disc replacement versus multidisciplinary rehabilitation in patients with chronic low back pain and degenerative discs: 8-year follow-up of a randomized controlled multicenter trial 28583869 2017 06 06 2017 09 26 1878-1632 17 10 2017 Oct The spine journal : official journal of the North American Spine Society Spine J Total disc replacement versus multidisciplinary rehabilitation in patients with chronic low back pain and degenerative discs: 8-year follow-up of a randomized controlled (...) multicenter trial. 1480-1488 S1529-9430(17)30203-6 10.1016/j.spinee.2017.05.011 Lumbar total disc replacement (TDR) is a treatment option for selected patients with chronic low back pain (LBP) that is non-responsive to conservative treatment. The long-term results of disc replacement compared with multidisciplinary rehabilitation (MDR) have not been reported previously. We aimed to assess the long-term relative efficacy of lumbar TDR compared with MDR. We undertook a multicenter randomized controlled

EvidenceUpdates2017

90. Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial

Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial 28465224 2017 05 03 2017 09 21 2017 09 21 1532-821X 98 9 2017 Sep Archives of physical medicine and rehabilitation Arch Phys Med Rehabil Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial. 1752-1762 S0003-9993(17)30262-9 10.1016/j.apmr.2017.03.028 To investigate the efficacy of shoe orthotics with and without chiropractic treatment for chronic low back pain compared (...) , National University of Health Sciences, Lombard, IL. Freels Sally S School of Public Health, Division of Epidemiology and Biostatistics, University of Illinois, Chicago, IL. eng Journal Article Randomized Controlled Trial 2017 04 30 United States Arch Phys Med Rehabil 2985158R 0003-9993 AIM IM Adult Aged Chronic Pain physiopathology therapy Combined Modality Therapy Female Foot Orthoses Humans Low Back Pain physiopathology therapy Male Manipulation, Chiropractic methods Middle Aged Treatment Outcome

EvidenceUpdates2017 Full Text: Link to full Text with Trip Pro

91. Radiofrequency ablation for sacroiliac joint denervation for chronic low back pain

Radiofrequency ablation for sacroiliac joint denervation for chronic low back pain Radiofrequency ablation for sacroiliac joint denervation for chronic low back pain Radiofrequency ablation for sacroiliac joint denervation for chronic low back 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. Radiofrequency ablation for sacroiliac joint (...) denervation for chronic low back pain. Lansdale: HAYES, Inc. Directory Publication. 2017 Authors' conclusions Radiofrequency ablation (RFA) is a percutaneous treatment for chronic low back pain (LBP), including pain originating in the sacroiliac joint (SIJ), using radiowave-induced heat to create a lesion in a spinal sensory nerve. Following a diagnostic blockade to target the affected nerve(s), radiofrequency (RF) current is applied for several minutes via a needle electrode to denervate the targeted

Health Technology Assessment (HTA) Database.2017

92. HIV and Chronic Pain, Part 2: Addressing the Opioid Public Health Crisis

HIV and Chronic Pain, Part 2: Addressing the Opioid Public Health Crisis 29662723 2018 11 14 2168-3808 35 4 2017 Oct Rehabilitation oncology (American Physical Therapy Association. Oncology Section) Rehabil Oncol HIV and Chronic Pain, Part 2: Addressing the Opioid Public Health Crisis. 197-198 Pullen Sara D SD Emory University School of Medicine, Department of Rehabilitation Medicine, Atlanta, GA 30322. eng P30 AI050409 AI NIAID NIH HHS United States Journal Article United States Rehabil Oncol (...) 101249474 2381-2427 Ann Intern Med. 2017 Sep 5;167(5):293-301 28761945 Pain Med. 2008 Oct;9(7):803-12 18346058 J Assoc Nurses AIDS Care. 2002 Jul-Aug;13(4):78-83 12149887 J Acquir Immune Defic Syndr. 2012 Oct 1;61(2):187-93 22820804 Korean J Pain. 2010 Jun;23(2):99-108 20556211 Pain Med. 2015 Oct;16(10 ):1870-81 26119642 Am J Hosp Palliat Care. 2014 Mar;31(2):194-201 23503562 J Pain. 2010 Nov;11(11):1230-9 20797916 2018 4 18 6 0 2018 4 18 6 0 2018 4 18 6 1 ppublish 29662723 PMC5898925 NIHMS901549

Rehabilitation oncology (American Physical Therapy Association. Oncology Section)2017 Full Text: Link to full Text with Trip Pro

93. Biopsychosocial factors associated with chronic low back pain disability in rural Nigeria: a population-based cross-sectional study

Biopsychosocial factors associated with chronic low back pain disability in rural Nigeria: a population-based cross-sectional study 29225944 2018 11 13 2059-7908 2 3 2017 BMJ global health BMJ Glob Health Biopsychosocial factors associated with chronic low back pain disability in rural Nigeria: a population-based cross-sectional study. e000284 10.1136/bmjgh-2017-000284 Many people in Nigeria are living with disability due to chronic low back pain (CLBP), with the greatest burden accounted (...) . 2003 Nov;41(11):1295-310 14527529 Psychol Health. 2015;30(11):1361-85 26181764 Prev Med. 2007 Oct;45(4):247-51 17950122 Pain. 2000 Apr;85(3):317-32 10781906 Spine J. 2014 Nov 1;14(11):2658-78 24614254 Eur J Pain. 2006 Jan;10(1):1-11 16291293 Chronic Illn. 2005 Jun;1(2):121-9 17136918 Disabil Rehabil. 2017 Apr;39(8):779-790 27111492 J Pain. 2007 Jun;8(6):476-82 17368110 BMC Musculoskelet Disord. 2007 Nov 01;8:105 17976240 Eur J Pain. 2013 Jul;17(6):916-28 23208945 Occup Environ Med. 2006 Jan;63(1

BMJ global health2017 Full Text: Link to full Text with Trip Pro

94. Nabilone for Chronic Pain Management: A Review of Clinical Effectiveness and Guidelines

Nabilone for Chronic Pain Management: A Review of Clinical Effectiveness and Guidelines Nabilone for Chronic Pain Management: A Review of Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Nabilone for Chronic Pain Management: A Review of Clinical Effectiveness and Guidelines Nabilone for Chronic Pain Management: A Review of Clinical Effectiveness and Guidelines Published on: August 9, 2017 Project Number: RC0906-000 Product Line: Research Type: Drug Report Type (...) : Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of nabilone for the treatment of chronic pain due to any disease in adults? What are the evidence-based guidelines associated with the treatment of chronic pain due to any disease in adults? Key Message One systematic review and two primary studies, all conducted in Canada, were identified. While there was evidence of some positive benefits and limited harms of nabilone, compared to placebo or known

Canadian Agency for Drugs and Technologies in Health - Rapid Review2017

95. Antidepressants for chronic non-cancer pain in children and adolescents.

Antidepressants for chronic non-cancer pain in children and adolescents. BACKGROUND: Pain is a common feature of childhood and adolescence around the world, and for many young people, that pain is chronic. The World Health Organization guidelines for pharmacological treatments for children's persisting pain acknowledge that pain in children is a major public health concern of high significance in most parts of the world. While in the past pain was largely dismissed and was frequently left (...) untreated, views on children's pain have changed over time and relief of pain is now seen as important.We designed a suite of seven reviews on chronic non-cancer pain and cancer pain (looking at antidepressants, antiepileptic drugs, non-steroidal anti-inflammatory drugs, opioids, and paracetamol) in order to review the evidence for children's pain utilising pharmacological interventions.As the leading cause of morbidity in the world today, chronic disease (and its associated pain) is a major health

Cochrane2017

96. Antiepileptic drugs for chronic non-cancer pain in children and adolescents.

Antiepileptic drugs for chronic non-cancer pain in children and adolescents. BACKGROUND: Pain is a common feature of childhood and adolescence around the world, and for many young people, that pain is chronic. The World Health Organization (WHO) guidelines for pharmacological treatments for children's persisting pain acknowledge that pain in children is a major public health concern of high significance in most parts of the world. While in the past, pain was largely dismissed and was frequently (...) left untreated, views on children's pain have changed over time, and relief of pain is now seen as importantWe designed a suite of seven reviews on chronic non-cancer pain and cancer pain (looking at antidepressants, antiepileptic drugs, non-steroidal anti-inflammatory drugs, opioids, and paracetamol) in order to review the evidence for children's pain utilising pharmacological interventions in children and adolescents.As the leading cause of morbidity in the world today, chronic disease (and its

Cochrane2017

97. Occupational Therapy for Chronic Pain Management Using the Biopsychosocial Approach: A Review of the Clinical and Cost-Effectiveness and Guidelines

Occupational Therapy for Chronic Pain Management Using the Biopsychosocial Approach: A Review of the Clinical and Cost-Effectiveness and Guidelines Occupational Therapy for Chronic Pain Management Using the Biopsychosocial Approach: A Review of the Clinical and Cost-Effectiveness and Guidelines | CADTH.ca Find the information you need Occupational Therapy for Chronic Pain Management Using the Biopsychosocial Approach: A Review of the Clinical and Cost-Effectiveness and Guidelines Occupational (...) Therapy for Chronic Pain Management Using the Biopsychosocial Approach: A Review of the Clinical and Cost-Effectiveness and Guidelines Published on: August 4, 2017 Project Number: RC0902-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of occupational therapy using a biopsychosocial approach to manage chronic pain? What is the cost-effectiveness of occupational therapy using

Canadian Agency for Drugs and Technologies in Health - Rapid Review2017

98. Paracetamol (acetaminophen) for chronic non-cancer pain in children and adolescents.

Paracetamol (acetaminophen) for chronic non-cancer pain in children and adolescents. BACKGROUND: Pain is a common feature of childhood and adolescence around the world, and for many young people, that pain is chronic. The World Health Organization guidelines for pharmacological treatments for children's persisting pain acknowledge that pain in children is a major public health concern of high significance in most parts of the world. While in the past, pain was largely dismissed (...) and was frequently left untreated, views on children's pain have changed over time, and relief of pain is now seen as important.We designed a suite of seven reviews on chronic non-cancer pain and cancer pain (looking at antidepressants, antiepileptic drugs, non-steroidal anti-inflammatory drugs, opioids, and paracetamol as priority areas) in order to review the evidence for children's pain utilising pharmacological interventions in children and adolescents.As the leading cause of morbidity in children

Cochrane2017

99. Non-steroidal anti-inflammatory drugs (NSAIDs) for chronic non-cancer pain in children and adolescents.

Non-steroidal anti-inflammatory drugs (NSAIDs) for chronic non-cancer pain in children and adolescents. BACKGROUND: Pain is a common feature of childhood and adolescence around the world, and for many young people, that pain is chronic. The World Health Organization guidelines for pharmacological treatments for children's persisting pain acknowledge that pain in children is a major public health concern of high significance in most parts of the world. While in the past pain was largely (...) dismissed and was frequently left untreated, views on children's pain have changed over time, and relief of pain is now seen as important.We designed a suite of seven reviews on chronic non-cancer pain and cancer pain (looking at antidepressants, antiepileptic drugs, non-steroidal anti-inflammatory drugs, opioids, and paracetamol) in order to review the evidence for children's pain utilising pharmacological interventions.As the leading cause of morbidity in the world today, chronic disease (and its

Cochrane2017

100. Treatment Options for Failed Back Surgery Syndrome Patients With Refractory Chronic Pain: An Evidence Based Approach

Treatment Options for Failed Back Surgery Syndrome Patients With Refractory Chronic Pain: An Evidence Based Approach 28505029 2017 05 15 2017 06 27 1528-1159 42 Suppl 14 2017 Jul 15 Spine Spine Treatment Options for Failed Back Surgery Syndrome Patients With Refractory Chronic Pain: An Evidence Based Approach. S41-S52 10.1097/BRS.0000000000002217 A significant number of lumbar postsurgical patients continue to suffer persistent pain and limited function and are termed to have "Failed back (...) traditional, low-frequency SCS for treating low back and leg pain in a recent Level I RCT. Clinicians may increasingly utilize levels of evidence during their evaluation of each FBSS patient to render the best therapeutic plan, likely resulting in improved long-term pain control and reducing costs by avoiding less effective modalities. New directions in SCS show promising results for the treatment of FBSS. 1. Amirdelfan Kasra K *IPM Medical Group, Inc., Walnut Creek, CA †PRA Health Sciences, Salt Lake

EvidenceUpdates2017