Latest & greatest articles for chronic pain

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Top results for chronic pain

101. The effect of a lay-led, group-based self-management program for patients with chronic pain: a randomized controlled trial of the Danish version of the Chronic Pain Self-Management Programme

The effect of a lay-led, group-based self-management program for patients with chronic pain: a randomized controlled trial of the Danish version of the Chronic Pain Self-Management Programme 28644822 2017 06 23 2017 08 01 1872-6623 158 8 2017 Aug Pain Pain The effect of a lay-led, group-based self-management program for patients with chronic pain: a randomized controlled trial of the Danish version of the Chronic Pain Self-Management Programme. 1437-1445 10.1097/j.pain.0000000000000931 (...) The Stanford Chronic Pain Self-Management Programme (CPSMP) consists of 6 2½-hour weekly workshops focusing on how to manage pain in daily life. The workshops are facilitated by 2 workshop leaders of whom at least 1 must suffer from a long-term pain condition. The program is highly structured and manualized. Only few controlled trials testing the effect of CPSMP exist. Enrolled in the study were 424 adults from 19 Danish municipalities, (72% women; age: 25-93 years) with pain of any etiology and great

EvidenceUpdates2017 Full Text: Link to full Text with Trip Pro

102. Coronary artery disease presenting with left upper quadrant pain in a patient with chronic cervical tetraplegia

Coronary artery disease presenting with left upper quadrant pain in a patient with chronic cervical tetraplegia 28765791 2018 11 13 2058-6124 3 2017 Spinal cord series and cases Spinal Cord Ser Cases Coronary artery disease presenting with left upper quadrant pain in a patient with chronic cervical tetraplegia. 17048 10.1038/scsandc.2017.48 This single-subject case report aims to describe and discuss a case of a patient with established C5 tetraplegia with acute coronary syndrome presenting (...) with left upper quadrant pain and tenderness. A 65-year-old male with chronic C5 American Spinal Injury Association Impairment Scale (AIS) A tetraplegia presented to the emergency department with severe left upper quadrant pain radiating across the chest to the right upper limb with associated dyspnoea and diaphoresis. Prior to his emergency department admission, he had experienced progressive worsening of left upper quadrant pain and tenderness over several months. He was a non-smoker and swam

Spinal cord series and cases2017 Full Text: Link to full Text with Trip Pro

103. Opioids for chronic non-cancer pain in children and adolescents.

Opioids 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 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 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 and adolescents in the world

Cochrane2017

104. Effect of Radiofrequency Denervation on Pain Intensity Among Patients With Chronic Low Back Pain: The Mint Randomized Clinical Trials.

Effect of Radiofrequency Denervation on Pain Intensity Among Patients With Chronic Low Back Pain: The Mint Randomized Clinical Trials. Importance: Radiofrequency denervation is a commonly used treatment for chronic low back pain, but high-quality evidence for its effectiveness is lacking. Objective: To evaluate the effectiveness of radiofrequency denervation added to a standardized exercise program for patients with chronic low back pain. Design, Setting, and Participants: Three pragmatic (...) multicenter, nonblinded randomized clinical trials on the effectiveness of minimal interventional treatments for participants with chronic low back pain (Mint study) were conducted in 16 multidisciplinary pain clinics in the Netherlands. Eligible participants were included between January 1, 2013, and October 24, 2014, and had chronic low back pain, a positive diagnostic block at the facet joints (facet joint trial, 251 participants), sacroiliac joints (sacroiliac joint trial, 228 participants

JAMA2017 Full Text: Link to full Text with Trip Pro

105. [Intrathecal opioid infusion pump for chronic cancer and non-cancer pain]

[Intrathecal opioid infusion pump for chronic cancer and non-cancer pain] [Intrathecal opioid infusion pump for chronic cancer and non-cancer pain] [Intrathecal opioid infusion pump for chronic cancer and non-cancer pain] Rey-Ares L, Bardach A, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Ciapponi A, López A 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 Rey-Ares L, Bardach A, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Ciapponi A, López A. [Intrathecal opioid infusion pump for chronic cancer and non-cancer pain] Buenos Aires: Institute for Clinical Effectiveness and Health Policy (IECS). Documentos de Evaluación de Tecnologías Sanitarias, Informe de Respuesta Rapida No 514. 2017 Authors' conclusions Scarce evidence of moderate methodological quality suggests that the use of intrathecal opioids

Health Technology Assessment (HTA) Database.2017

106. The pain course: a randomised controlled trial comparing a remote-delivered chronic pain management program when provided in online and workbook formats

The pain course: a randomised controlled trial comparing a remote-delivered chronic pain management program when provided in online and workbook formats 28394850 2017 04 10 2017 06 16 1872-6623 158 7 2017 Jul Pain Pain The pain course: a randomised controlled trial comparing a remote-delivered chronic pain management program when provided in online and workbook formats. 1289-1301 10.1097/j.pain.0000000000000916 This study compared a remote-delivered pain management program, the Pain Course (...) improvements were observed in disability levels to 3-month follow-up, and improvements across the other primary outcomes were maintained until 12-month follow-up. High treatment completion rates and levels of satisfaction were reported in both groups, and both groups required a similarly small amount of clinician contact per participant (M = 74.85 minutes; SD = 41.03). These results highlight the public health potential of remote-delivered pain management programs, delivered in either workbook or online

EvidenceUpdates2017

107. Multidisciplinary Treatment Programs for Patients with Chronic Non-Malignant Pain: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Multidisciplinary Treatment Programs for Patients with Chronic Non-Malignant Pain: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Multidisciplinary Treatment Programs for Patients with Chronic Non-Malignant Pain: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Multidisciplinary Treatment Programs for Patients with Chronic Non-Malignant Pain: A Review of Clinical Effectiveness, Cost-Effectiveness (...) , and Guidelines Multidisciplinary Treatment Programs for Patients with Chronic Non-Malignant Pain: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Published on: June 22, 2017 Project Number: RC0894-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of multidisciplinary treatment programs for patients with chronic, non-malignant pain in outpatient settings? What is the cost

Canadian Agency for Drugs and Technologies in Health - Rapid Review2017

108. Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial.

Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial. Background: Yoga is effective for mild to moderate chronic low back pain (cLBP), but its comparative effectiveness with physical therapy (PT) is unknown. Moreover, little is known about yoga's effectiveness in underserved patients with more severe functional disability and pain. Objective: To determine whether yoga is noninferior to PT for cLBP. Design: 12-week, single-blind, 3-group randomized (...) . Measurements: Primary outcomes were back-related function, measured by the Roland Morris Disability Questionnaire (RMDQ), and pain, measured by an 11-point scale, at 12 weeks. Prespecified noninferiority margins were 1.5 (RMDQ) and 1.0 (pain). Secondary outcomes included pain medication use, global improvement, satisfaction with intervention, and health-related quality of life. Results: One-sided 95% lower confidence limits were 0.83 (RMDQ) and 0.97 (pain), demonstrating noninferiority of yoga to PT

Annals of Internal Medicine2017

109. NSAIDs for Chronic Low Back Pain.

NSAIDs for Chronic Low Back Pain. Clinical Question: Are nonsteroidal anti-inflammatory drugs (NSAIDs) associated with greater pain relief than placebo, other drugs, and nondrug treatments for patients with chronic low back pain? Bottom Line: Compared with placebo, NSAIDs are associated with a small but significant improvement in pain and disability in patients with chronic low back pain, although this difference became nonsignificant when studies with high risk for bias were excluded

JAMA2017

110. Low-Dose Naltrexone for Chronic Non-Cancer Pain: Clinical Effectiveness

Low-Dose Naltrexone for Chronic Non-Cancer Pain: Clinical Effectiveness Low-Dose Naltrexone for Chronic Non-Cancer Pain: Clinical Effectiveness | CADTH.ca Find the information you need Low-Dose Naltrexone for Chronic Non-Cancer Pain: Clinical Effectiveness Low-Dose Naltrexone for Chronic Non-Cancer Pain: Clinical Effectiveness Published on: June 7, 2017 Project Number: RB1102-000 Product Line: Research Type: Drug Report Type: Summary of Abstracts Result type: Report Question What (...) is the clinical effectiveness of low-dose naltrexone for the treatment of adults with chronic non-cancer pain? Key Message One randomized controlled trial and one non-randomized study were identified regarding low-dose naltrexone for chronic, non-cancer pain. Tags anesthesia, pain, pain management, Chronic pain, inflammation, fibromyalgia, Vivitrol, Vivitrex, Revia, Ache, aches, noncancer, Arthritis Files Rapid Response Summary of Abstracts Published : June 7, 2017 Follow us: © 2017 Canadian Agency for Drugs

Canadian Agency for Drugs and Technologies in Health - Rapid Review2017

111. Topical analgesics for acute and chronic pain in adults - an overview of Cochrane Reviews.

Topical analgesics for acute and chronic pain in adults - an overview of Cochrane Reviews. BACKGROUND: Topical analgesic drugs are used for a variety of painful conditions. Some are acute, typically strains or sprains, tendinopathy, or muscle aches. Others are chronic, typically osteoarthritis of hand or knee, or neuropathic pain. OBJECTIVES: To provide an overview of the analgesic efficacy and associated adverse events of topical analgesics (primarily nonsteroidal anti-inflammatory drugs (...) (NSAIDs), salicylate rubefacients, capsaicin, and lidocaine) applied to intact skin for the treatment of acute and chronic pain in adults. METHODS: We identified systematic reviews in acute and chronic pain published to February 2017 in the Cochrane Database of Systematic Reviews (the Cochrane Library). The primary outcome was at least 50% pain relief (participant-reported) at an appropriate duration. We extracted the number needed to treat for one additional beneficial outcome (NNT) for efficacy

Cochrane2017

112. Virtual Reality as an Adjunct Home Therapy in Chronic Pain Management: An Exploratory Study

Virtual Reality as an Adjunct Home Therapy in Chronic Pain Management: An Exploratory Study 28495661 2018 11 13 2291-9694 5 2 2017 May 11 JMIR medical informatics JMIR Med Inform Virtual Reality as an Adjunct Home Therapy in Chronic Pain Management: An Exploratory Study. e11 10.2196/medinform.7271 Virtual reality (VR) therapy has been successfully used as an adjunct therapy for the management of acute pain in adults and children, and evidence of potential efficacy in other health applications (...) is growing. However, minimal research exists on the value of VR as an intervention for chronic pain. This case series examined the value of VR to be used as an adjunctive therapy for chronic pain patients in their own homes. An exploratory approach using a case series and personal interviews was used. Ten chronic pain patients received VR therapy for 30 min on alternate days for 1 month. Pre- and postexposure (immediately afterwards, 3 h, and at 24 h) pain assessment was recorded using the Numerical

JMIR medical informatics2017 Full Text: Link to full Text with Trip Pro

113. 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

114. Effectiveness of Models Used to Deliver Multimodal Care for Chronic Musculoskeletal Pain

Effectiveness of Models Used to Deliver Multimodal Care for 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. 125 » Issue 125 April 2017 The systematic review reported on here is a product of the VA/HSR&D Quality Enhancement Research Initiative (QUERI) Evidence (...) -Based Synthesis Program. Effectiveness of Models Used to Deliver Multimodal Care for Chronic Musculoskeletal Pain Chronic musculoskeletal pain is a growing burden on today's Veteran population. Studies of Veterans who served in Iraq and Afghanistan show that musculoskeletal system diseases are the most frequent diagnoses in inpatient and outpatient encounters, even surpassing mental health conditions. Pain is a complex condition involving dynamic interactions between biological, psychological, and social

Veterans Affairs - R&D2017

115. Management of chronic pain using complementary and integrative medicine.

Management of chronic pain using complementary and integrative medicine. Complementary and integrative medicine (CIM) encompasses both Western-style medicine and complementary health approaches as a new combined approach to treat a variety of clinical conditions. Chronic pain is the leading indication for use of CIM, and about 33% of adults and 12% of children in the US have used it in this context. Although advances have been made in treatments for chronic pain, it remains inadequately (...) controlled for many people. Adverse effects and complications of analgesic drugs, such as addiction, kidney failure, and gastrointestinal bleeding, also limit their use. CIM offers a multimodality treatment approach that can tackle the multidimensional nature of pain with fewer or no serious adverse effects. This review focuses on the use of CIM in three conditions with a high incidence of chronic pain: back pain, neck pain, and rheumatoid arthritis. It summarizes research on the mechanisms of action

BMJ2017

116. Magnesium as an Alternative or Adjunct to Opioids for Chronic Pain: A Review of the Clinical Effectiveness and Guidelines

Magnesium as an Alternative or Adjunct to Opioids for Chronic Pain: A Review of the Clinical Effectiveness and Guidelines Magnesium as an Alternative or Adjunct to Opioids for Chronic Pain: A Review of the Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Magnesium as an Alternative or Adjunct to Opioids for Chronic Pain: A Review of the Clinical Effectiveness and Guidelines Magnesium as an Alternative or Adjunct to Opioids for Chronic Pain: A Review of the Clinical (...) Effectiveness and Guidelines Published on: April 20, 2017 Project Number: RC0873-000 Product Line: Research Type: Drugs Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of magnesium as an analgesic for the treatment of adult patients with migraine or chronic pain? What are the evidence-based guidelines regarding the use of magnesium as an analgesic in adult patients with migraine or chronic pain? Key Message Definitive conclusions

Canadian Agency for Drugs and Technologies in Health - Rapid Review2017

117. Depicting individual responses to physical therapist led chronic pain self-management support with pain science education and exercise in primary health care: multiple case studies

Depicting individual responses to physical therapist led chronic pain self-management support with pain science education and exercise in primary health care: multiple case studies 29340199 2018 11 13 2057-0082 7 2017 Archives of physiotherapy Arch Physiother Depicting individual responses to physical therapist led chronic pain self-management support with pain science education and exercise in primary health care: multiple case studies. 4 10.1186/s40945-017-0032-x Previous evidence suggests (...) self-management programs for people with chronic pain improve knowledge and self-efficacy, but result in small to negligible changes in function. The purpose of this multiple case studies design was to describe the unique responses of six participants to a new self-management program aimed at improving function, to detail each component of the program, and to explore potential explanations for the varied trajectories of each of the participants. Six participants who had been experiencing chronic

Archives of physiotherapy2017 Full Text: Link to full Text with Trip Pro

118. Translating Comprehensive Conservative Care for Chronic Knee Pain Into a Digital Care Pathway: 12-Week and 6-Month Outcomes for the Hinge Health Program

Translating Comprehensive Conservative Care for Chronic Knee Pain Into a Digital Care Pathway: 12-Week and 6-Month Outcomes for the Hinge Health Program 28582253 2018 11 13 2369-2529 4 1 2017 Apr 05 JMIR rehabilitation and assistive technologies JMIR Rehabil Assist Technol Translating Comprehensive Conservative Care for Chronic Knee Pain Into a Digital Care Pathway: 12-Week and 6-Month Outcomes for the Hinge Health Program. e4 10.2196/rehab.7258 Chronic knee pain (CKP) affects a large number (...) ://orcid.org/0000-0002-4184-853X Hinge Health Inc, San Francisco, CA, United States. Hunter Simon S http://orcid.org/0000-0002-3850-9414 Hinge Health Inc, San Francisco, CA, United States. Mecklenburg Gabriel G http://orcid.org/0000-0002-2658-5954 Hinge Health Inc, San Francisco, CA, United States. Perez Daniel D http://orcid.org/0000-0003-3860-5518 Hinge Health Inc, San Francisco, CA, United States. eng Journal Article 2017 04 05 Canada JMIR Rehabil Assist Technol 101703412 2369-2529 chronic pain

JMIR rehabilitation and assistive technologies2017 Full Text: Link to full Text with Trip Pro

119. Minimally invasive sacroiliac joint fusion surgery for chronic sacroiliac pain

Minimally invasive sacroiliac joint fusion surgery for chronic sacroiliac pain Minimally in Minimally invasiv vasive sacroiliac joint fusion surgery e sacroiliac joint fusion surgery for chronic sacroiliac pain for chronic sacroiliac pain Interventional procedures guidance Published: 5 April 2017 nice.org.uk/guidance/ipg578 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising (...) of minimally invasive sacroiliac (SI) joint fusion surgery for chronic SI pain is adequate to support the use of this procedure provided that standard arrangements are in place for clinical governance, consent and audit. © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 1 of 81.2 Patients having this procedure should have a confirmed diagnosis of unilateral or bilateral SI joint dysfunction due to degenerative sacroiliitis

National Institute for Health and Clinical Excellence - Interventional Procedures2017

120. Opioids Used in Conjunction With Benzodiazepines Produce Worse Outcomes in Patients Experiencing Chronic Pain Compared To Sole Opioid Use

Opioids Used in Conjunction With Benzodiazepines Produce Worse Outcomes in Patients Experiencing Chronic Pain Compared To Sole Opioid Use UTCAT3169, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Opioids Used in Conjunction With Benzodiazepines Produce Worse Outcomes in Patients Experiencing Chronic Pain Compared To Sole Opioid Use Clinical Question For a patient experiencing chronic pain, will the use (...) of benzodiazepines with opioids, compared to opioids alone, produce better outcomes? Clinical Bottom Line For patients with chronic pain, the use of opioids in conjunction with benzodiazepines produces worse outcomes than opioids alone. This is supported by a cross-sectional study where it was noted that the combination of opioids and benzodiazepines correlated with poor mood and decreased patient function. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient

UTHSCSA Dental School CAT Library2017