Latest & greatest articles for chronic pain

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Top results for chronic pain

121. Intradiscal Glucocorticoid Injection for Patients With Chronic Low Back Pain Associated With Active Discopathy: A Randomized Trial.

Intradiscal Glucocorticoid Injection for Patients With Chronic Low Back Pain Associated With Active Discopathy: A Randomized Trial. Background: Active discopathy is associated with a specific phenotype of chronic low back pain (LBP). Local inflammation has a role in active discopathy-associated symptoms. Objective: To assess the efficacy of a single glucocorticoid intradiscal injection (GC IDI) in patients with chronic LBP with active discopathy. Design: Prospective, parallel-group, double (...) -blind, randomized, controlled study. (ClinicalTrials.gov: NCT00804531 ). Setting: 3 tertiary care centers in France. Patients: 135 patients with chronic LBP with active discopathy on magnetic resonance imaging (MRI). Intervention: A single GC IDI (25 mg prednisolone acetate) during discography (n = 67) or discography alone (n = 68). Measurements: The primary outcome was the percentage of patients with LBP intensity less than 40 on an 11-point numerical rating scale (0 [no pain] to 100 [maximum pain

Annals of Internal Medicine2017

122. Additional Effect of Static Ultrasound and Diadynamic Currents on Myofascial Trigger Points in a Manual Therapy Program for Patients With Chronic Neck Pain: A Randomized Clinical Trial.

Additional Effect of Static Ultrasound and Diadynamic Currents on Myofascial Trigger Points in a Manual Therapy Program for Patients With Chronic Neck Pain: A Randomized Clinical Trial. 28301865 2017 03 16 2017 03 16 1537-7385 96 4 2017 Apr American journal of physical medicine & rehabilitation Am J Phys Med Rehabil Additional Effect of Static Ultrasound and Diadynamic Currents on Myofascial Trigger Points in a Manual Therapy Program for Patients With Chronic Neck Pain (...) : A Randomized Clinical Trial. 243-252 10.1097/PHM.0000000000000595 To assess the additional effect of static ultrasound and diadynamic currents on myofascial trigger points in a manual therapy program to treat individuals with chronic neck pain. A single-blind randomized trial was conducted. Both men and women, between ages 18 and 45, with chronic neck pain and active myofascial trigger points in the upper trapezius were included in the study. Subjects were assigned to 3 different groups: group 1 (n = 20) was treated

American journal of physical medicine & rehabilitation2017

123. Do steroid injections improve pain symptoms in adults with chronic plantar fasciitis?

Do steroid injections improve pain symptoms in adults with chronic plantar fasciitis? Do steroid injections improve pain symptoms in adults with chronic plantar fasciitis? Toggle navigation Shared more. Cited more. Safe forever. Toggle navigation View Item JavaScript is disabled for your browser. Some features of this site may not work without it. Search MOspace This Collection Browse Statistics Do steroid injections improve pain symptoms in adults with chronic plantar fasciitis? View/ Open (...) Date 2016-08 Format Metadata Abstract Do steroid injections improve pain symptoms in adults with chronic plantar fasciitis? Evidence-Based Answer: Steroid injections provide initial symptom relief compared with placebo; however, this difference does not persist beyond 4 weeks. Ultrasound-guided injection is associated with a lower recurrence of pain at 1 year. Steroid injections are no better than physiotherapy and not as effective as botulinum toxin A (BTX-A) or platelet-rich plasma injections

Evidence Based Practice 2017

124. Evidence Brief: Effectiveness of Models Used to Deliver Multimodal Care for Chronic Musculoskeletal Pain

Evidence Brief: Effectiveness of Models Used to Deliver Multimodal Care for Chronic Musculoskeletal Pain 4 Department of Veterans Affairs Health Services Research & Development Service Evidence-based Synthesis Program Evidence Brief: Effectiveness of Models Used to Deliver Multimodal Care for Chronic Musculoskeletal Pain January 2017 Prepared for: Department of Veterans Affairs Veterans Health Administration Quality Enhancement Research Initiative Health Services Research & Development Service (...) Washington, DC 20420 Prepared by: Evidence-based Synthesis Program (ESP) Coordinating Center Portland VA Health Care System Portland, OR Mark Helfand, MD, MPH, MS, Director Investigators: Kim Peterson, MS Johanna Anderson, MPH Donald Bourne, BS Katherine Mackey, MD Mark Helfand, MD, MS, MPH Evidence Brief: Models of Multimodal Chronic Pain Care Evidence-based Synthesis Program i PREFACE The VA Evidence-based Synthesis Program (ESP) was established in 2007 to provide timely and accurate syntheses

Veterans Affairs Evidence-based Synthesis Program Reports2017

125. Effectiveness of an Internet-Delivered Exercise and Pain-Coping Skills Training Intervention for Persons With Chronic Knee Pain: A Randomized Trial.

Effectiveness of an Internet-Delivered Exercise and Pain-Coping Skills Training Intervention for Persons With Chronic Knee Pain: A Randomized Trial. Background: Effective, accessible biopsychosocial treatments are needed to manage chronic knee pain on a population level. Objective: To evaluate the effectiveness of Internet-delivered, physiotherapist-prescribed home exercise and pain-coping skills training (PCST). Design: Pragmatic parallel-group randomized, controlled trial. (Australian New (...) Zealand Clinical Trials Registry: ACTRN12614000243617). Setting: Community (Australia). Patients: 148 persons aged 50 years or older with chronic knee pain. Intervention: The intervention was delivered via the Internet and included educational material, 7 videoconferencing (Skype [Microsoft]) sessions with a physiotherapist for home exercise, and a PCST program over 3 months. The control was Internet-based educational material. Measurements: Primary outcomes were pain during walking (11-point

Annals of Internal Medicine2017

126. A technology ecosystem for chronic pain: promises, challenges, and future research

A technology ecosystem for chronic pain: promises, challenges, and future research 28300227 2018 11 13 2306-9740 3 2017 mHealth Mhealth A technology ecosystem for chronic pain: promises, challenges, and future research. 6 10.21037/mhealth.2017.02.03 Marceglia Sara S Department of Engineering and Architecture, University of Trieste, Trieste, Italy;; Clinical Center for Neurostimulation, Neurotechnology, and Movement Disorders, Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico Hospital (...) 27724911 Hemoglobin. 2015;39(3):162-8 25831427 JMIR Res Protoc. 2014 Dec 12;3(4):e76 25500281 Stud Health Technol Inform. 2016;226:225-8 27350511 Pain Res Manag. 2014 Sep-Oct;19(5):257-65 25000507 J Pain. 2014 Oct;15(10):1001-7 24854065 J R Soc Med. 2012 Jun;105(6):233-41 22722967 J Med Internet Res. 2013 Dec 30;15(12):e277 24449711 Clin J Pain. 2016 Nov 24;:null 27898460 J Telemed Telecare. 2016 Nov 9;:null 27831496 J Med Internet Res. 2013 Apr 24;15(4):e89 23615332 Br J Pain. 2016 Aug;10(3):135-40

mHealth2017 Full Text: Link to full Text with Trip Pro

127. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians.

Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Description: The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on noninvasive treatment of low back pain. Methods: Using the ACP grading system, the committee based these recommendations on a systematic review of randomized, controlled trials and systematic reviews published (...) Audience and Patient Population: The target audience for this guideline includes all clinicians, and the target patient population includes adults with acute, subacute, or chronic low back pain. Recommendation 1: Given that most patients with acute or subacute low back pain improve over time regardless of treatment, clinicians and patients should select nonpharmacologic treatment with superficial heat (moderate-quality evidence), massage, acupuncture, or spinal manipulation (low-quality evidence

Annals of Internal Medicine2017 Full Text: Link to full Text with Trip Pro

128. Benefits and Harms of Cannabis in Chronic Pain or PTSD

Benefits and Harms of Cannabis in Chronic Pain or PTSD 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. 122 » Issue 122 February 2017 The systematic review reported on here is a product of the VA/HSR&D Quality Enhancement Research Initiative (QUERI) Evidence-Based Synthesis Program. Benefits and Harms (...) of Cannabis in Chronic Pain or PTSD: A Systematic Review Recent studies suggest that from 45% to 80% of individuals who seek cannabis for medical purposes do so for pain management, and an estimated 6% to 39% of patients who are prescribed opioid medication for pain also use cannabis. In addition, more than one-third of patients seeking cannabis for medical purposes cite post-traumatic stress disorder (PTSD) as the primary reason for the request. Approximately 15% of Veterans who are treated in VA

Veterans Affairs - R&D2017

129. Acupuncture for chronic pain and depression in primary care: a programme of research

Acupuncture for chronic pain and depression in primary care: a programme of research Acupuncture for chronic pain and depression in primary care: a programme of research Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue (...) }} Toolkit 1)"> 0)"> {{metadata.Title}} {{metadata.Headline}} The programme of research found that acupuncture was more effective than usual care and sham acupuncture for chronic pain, that it was one of the more clinically effective physical therapies for osteoarthritis and that it showed benefits in the treatment of depression. {{author}} {{($index , , , , , , , , , , , , , & . Hugh MacPherson, 1 ,* Andrew Vickers, 2 Martin Bland, 1 David Torgerson, 1 Mark Corbett, 3 Eldon Spackman, 4 Pedro Saramago, 4

NIHR HTA programme2017

130. Sacroiliac joint injections with corticosteroids for treatment of chronic low back pain

Sacroiliac joint injections with corticosteroids for treatment of chronic low back pain Sacroiliac joint injections with corticosteroids for treatment of chronic low back pain Sacroiliac joint injections with corticosteroids for treatment of 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. Sacroiliac joint injections (...) with corticosteroids for treatment of chronic low back pain. Lansdale: HAYES, Inc. Healthcare Technology Brief Publication. 2016 Authors' objectives The sacroiliac joint (SIJ) has been implicated as the primary source of pain in 10% to 30% of patients with chronic low back pain. Description of Technology: This health technology assessment focuses on therapeutic injections of corticosteroid and local anesthetic into the SIJ to treat SIJ pain that is refractory to noninvasive therapies. These injections are usually

Health Technology Assessment (HTA) Database.2017

131. Radiofrequency ablation for facet joint denervation for chronic low back pain

Radiofrequency ablation for facet joint denervation for chronic low back pain Radiofrequency ablation for facet joint denervation for chronic low back pain Radiofrequency ablation for facet 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 facet joint denervation (...) for chronic low back pain. Lansdale: HAYES, Inc. Directory Publication. 2016 Authors' objectives Radiofrequency ablation (RFA) is a percutaneous treatment for chronic low back pain (LBP) 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 in a pulsed or continuous manner for several minutes via a needle electrode to denervate the targeted nerve(s) under image guidance. The goal

Health Technology Assessment (HTA) Database.2017

132. Distinguishing between nociceptive and neuropathic components in chronic low back pain using behavioural evaluation and sensory examination

Distinguishing between nociceptive and neuropathic components in chronic low back pain using behavioural evaluation and sensory examination 28637600 2018 10 09 2018 11 13 2468-7812 27 2017 02 Musculoskeletal science & practice Musculoskelet Sci Pract Distinguishing between nociceptive and neuropathic components in chronic low back pain using behavioural evaluation and sensory examination. 40-48 S2468-7812(16)30004-2 10.1016/j.msksp.2016.12.006 Diagnosis of chronic low back pain (CLBP (...) Dept. of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Dept. of Physiotherapy, Guy's & St Thomas' NHS Foundation Trust, London, UK; Centre of Human & Aerospace Physiological Sciences, King's College London, UK. eng Medical Research Council United Kingdom Comparative Study Journal Article Research Support, Non-U.S. Gov't 2016 12 12 Netherlands Musculoskelet Sci Pract 101692753 2468-7812 0 Analgesics IM Adult Analgesics therapeutic use Chronic Pain

Musculoskeletal science & practice2017 Full Text: Link to full Text with Trip Pro

133. Buprenorphine for Chronic Pain: A Review of the Clinical Effectiveness

Buprenorphine for Chronic Pain: A Review of the Clinical Effectiveness Buprenorphine for Chronic Pain: A Review of the Clinical Effectiveness | CADTH.ca Find the information you need Buprenorphine for Chronic Pain: A Review of the Clinical Effectiveness Buprenorphine for Chronic Pain: A Review of the Clinical Effectiveness Published on: January 6, 2017 Project Number: RC0837-000 Product Line: Research Type: Drug Report Type: Summary with Critical Appraisal Result type: Report Question What (...) is the clinical effectiveness and safety of buprenorphine for the treatment of adults with chronic pain? What is the comparative clinical effectiveness of buprenorphine doses greater than 24 mg per day compared with daily doses of 24 mg or less? What is the clinical effectiveness of buprenorphine when tapering opioid doses for adults with chronic pain? Key Message Buprenorphine results in modest reductions in pain in adults with chronic non-cancer pain, relative to placebo. There is no evidence that other

Canadian Agency for Drugs and Technologies in Health - Rapid Review2017

134. High Prevalence of Undiagnosed Axial Spondyloarthritis in Patients with Chronic Low Back Pain Consulting Non-Rheumatologist Specialists in Belgium: SUSPECT Study

High Prevalence of Undiagnosed Axial Spondyloarthritis in Patients with Chronic Low Back Pain Consulting Non-Rheumatologist Specialists in Belgium: SUSPECT Study 28063066 2018 11 13 2198-6576 4 1 2017 Jun Rheumatology and therapy Rheumatol Ther High Prevalence of Undiagnosed Axial Spondyloarthritis in Patients with Chronic Low Back Pain Consulting Non-Rheumatologist Specialists in Belgium: SUSPECT Study. 121-132 10.1007/s40744-016-0051-1 Diagnosis of axial spondyloarthritis (SpA) can be delayed (...) low back pain who consult physical medicine and rehabilitation (PMR) physicians, orthopedists, and ophthalmologists is useful in detecting axial SpA. During this non-interventional cross-sectional study, data from 161 patients with chronic back pain, consulting an orthopedist, PMR physician, or ophthalmologist were collected during a single visit. Any patient who presented with at least four out of five symptoms of inflammatory back pain (IBP) and at least one additional SpA feature were

Rheumatology and therapy2017 Full Text: Link to full Text with Trip Pro

136. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline from the American College of Physicians

Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline from the American College of Physicians Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain | Annals of Internal Medicine | American College of Physicians '); } Sign in below to access your subscription for full content INDIVIDUAL SIGN IN | You will be directed to acponline.org to register and create your Annals account INSTITUTIONAL SIGN IN | | Subscribe to Annals of Internal (...) Medicine . You will be directed to acponline.org to complete your purchase. Search Clinical Guidelines | 4 April 2017 Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians Free Amir Qaseem, MD, PhD, MHA; Timothy J. Wilt, MD, MPH; Robert M. McLean, MD; Mary Ann Forciea, MD; for the Clinical Guidelines Committee of the American College of Physicians ( ) Amir Qaseem, MD, PhD, MHA From the American College of Physicians

American College of Physicians2017

137. Management of Opioid Therapy (OT) for Chronic Pain

Management of Opioid Therapy (OT) for Chronic Pain VA/DoD CLINICAL PRACTICE GUIDELINE FOR OPIOID THERAPY FOR CHRONIC PAIN Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard of care and should not be construed (...) within these guidelines does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found at www.tricare.mil or by contacting your regional TRICARE Managed Care Support Contractor. Version 3.0 – 201 7V A / D o D Cli ni cal P r a cti ce G ui d el i n e f o r O p ioid T h e r a p y for Ch r on ic Pa in February 2017 Page 2 of 198 Prepared by: The Opioid Therapy for Chronic Pain Work Group With support from: The Office of Quality, Safety and Value, VA

VA/DoD Clinical Practice Guidelines2017

138. Chronic Wrist Pain

Chronic Wrist Pain Revised 2017 ACR Appropriateness Criteria ® 1 Chronic Wrist Pain American College of Radiology ACR Appropriateness Criteria ® Chronic Wrist Pain Variant 1: Chronic wrist pain. With or without prior injury. Best initial study. Procedure Appropriateness Category Relative Radiation Level X-ray wrist Usually Appropriate ? MRI wrist without IV contrast Usually Not Appropriate O MRI wrist without and with IV contrast Usually Not Appropriate O MR arthrography wrist Usually (...) Not Appropriate O US wrist Usually Not Appropriate O CT wrist without IV contrast Usually Not Appropriate ? CT wrist with IV contrast Usually Not Appropriate ? CT wrist without and with IV contrast Usually Not Appropriate ? CT arthrography wrist Usually Not Appropriate ? X-ray arthrography wrist Usually Not Appropriate ? Tc-99m bone scan wrist Usually Not Appropriate ??? Variant 2: Chronic wrist pain. Routine radiographs normal or nonspecific. Persistent symptoms. Next study. Procedure Appropriateness

American College of Radiology2017

139. HIVMA of IDSA Clinical Practice Guideline for the Management of Chronic Pain in Patients Living With HIV

HIVMA of IDSA Clinical Practice Guideline for the Management of Chronic Pain in Patients Living With HIV IDSA : HIV Chronic Pain Management | | | | | > > ShareThis 2017 HIVMA of IDSA Clinical Practice Guideline for the Management of Chronic Pain in Patients Living With HIV Published: Clinical Infectious Diseases ; 2017 ; 65 : e1 -e37 Abstract Pain has always been an important part of human immunodeficiency virus (HIV) disease and its experience for patients. In this guideline, we review (...) the types of chronic pain commonly seen among persons living with HIV (PLWH) and review the limited evidence base for treatment of chronic noncancer pain in this population. We also review the management of chronic pain in special populations of PLWH, including persons with substance use and mental health disorders. Finally, a general review of possible pharmacokinetic interactions is included to assist the HIV clinician in the treatment of chronic pain in this population. *Every 12 to 18 months

Infectious Diseases Society of America2017

140. Chronic Ankle Pain

Chronic Ankle Pain Revised 2017 ACR Appropriateness Criteria ® 1 Chronic AnklePain American College of Radiology ACR Appropriateness Criteria ® Chronic Ankle Pain Variant 1: Chronic ankle pain. Initial imaging. Procedure Appropriateness Category Relative Radiation Level X-ray ankle Usually Appropriate ? Tc-99m bone scan ankle Usually Not Appropriate ??? US ankle Usually Not Appropriate O CT ankle without IV contrast Usually Not Appropriate ? CT ankle with IV contrast Usually Not Appropriate (...) ? CT ankle without and with IV contrast Usually Not Appropriate ? MRI ankle without IV contrast Usually Not Appropriate O MRI ankle without and with IV contrast Usually Not Appropriate O Variant 2: Chronic ankle pain. Multiple sites of degenerative joint disease in the hindfoot detected by ankle radiographs. Next study. Procedure Appropriateness Category Relative Radiation Level Image-guided anesthetic injection ankle and hindfoot May Be Appropriate Varies MRI ankle and hindfoot without IV contrast

American College of Radiology2017