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Latest & greatest articles for chronic pain
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Lumbar stabilisation exercises versus back endurance-resistance exercise training in athletes with chronic low back pain: protocol of a randomised controlled trial. Chronic low back pain (CLBP) is an important disorder in athletes that may negatively affect their performance in competitions. The literature usually recommends physiotherapy based on exercises for back pain management in athletes. Recent evidence suggests that interventions based on lumbar muscle stabilisation exercises (LMSE (...) ) and back endurance-resistance exercises (BERE) may improve back pain and function performance. However, it is still unclear which type of exercise is more effective for the treatment of CLBP in athletes.To compare the efficacy of LMSE versus BERE in athletes with CLBP.The study is a 2-arm, prospectively registered, randomised controlled trial.The physical therapy clinical and biomechanics laboratory of the UNOPAR University.32 male athletes with CLBP, age between 18 and 40 years old, recruited from
Home-based exercise therapy for treating non-specific chronic low back pain. To evaluate pain, functional capacity, and quality of life of patients with non-specific chronic low back pain, after home-based exercise therapy with different kinds of supervision.Thirty individuals of both gender, between 18 and 65 years old, performed the proposed exercises three times a week, for eight weeks. Group A (N = 17) performed the exercises after a single supervised session. Group B (N = 13 (...) significant improvement after 8 weeks (p <0.05). There was no difference when comparing groups A and B (p >0,05).Home-based exercise therapy, when performed in a period of eight weeks, using the booklet, was effective for improving level of pain, functional capacity, and quality of life in patients with non-specific chronic low back pain. The weekly supervision did not significantly influence the final outcome between the groups.
Assessment of chronic abdominal pain Assessment of chronic abdominal pain - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search Assessment of chronic abdominal pain Last reviewed: February 2019 Last updated: June 2018 Summary Chronic abdominal pain is defined as continuous or intermittent abdominal discomfort lasting for at least 6 months. Pain may arise from any system, including the genitourinary, gastrointestinal (...) , and gynaecological tracts. The aetiology of chronic abdominal pain is so wide that only the more common causes can be covered here. A clear relationship with an anatomical structure or underlying process may not always be present. Classification Chronic abdominal pain is divided into organic and functional aetiologies. Organic aetiologies have a clear anatomical, physiological, or metabolic cause. Chronic abdominal pain without clear source, in spite of a thorough diagnostic evaluation, is usually termed
Chronic pelvic pain in women Chronic pelvic pain in women - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search Chronic pelvic pain in women Last reviewed: February 2019 Last updated: March 2018 Summary Chronic pelvic pain is a syndrome of pain arising from one or more pelvic organs, and can include any one or all pelvic viscera or muscles. A methodical, complete, criteria-based history is required to determine how many (...) ultrasound, cystoscopy with hydrodistension, and diagnostic laparoscopy. Because chronicpain is sometimes a disorder of pain perception, minimal if any pathological change may be found. Treatment is targeted at each organ system involved in pain production. Global pain in all organs or refusal of non-narcotic management may represent drug-seeking behaviour. Complications are inherent to all treatments, which frequently include surgery. Definition Chronic pelvic pain is inconsistently defined
Chronicpain syndromes Chronicpain syndromes - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search Chronicpain syndromes Last reviewed: February 2019 Last updated: July 2018 Summary Chronicpain is one of the most common reasons for seeing a primary care physician. Classification of chronicpain may be based on major pain features or by body region: myofascial, musculoskeletal (mechanical), neuropathic, fibromyalgia (...) , and chronic headache syndromes. One in 3 patients over the age of 65 years is affected by chronicpain, often due to arthritis, osteoporosis with fractures and/or lumbar spinal stenosis. These conditions are treatable and should not be considered part of the normal ageing process. Untreated chronicpain in geriatric patients can result in depression, poor quality of life, and loss of independence. Some treatments, such as stretching exercises, relaxation techniques, antidepressants, and antiepileptic
Movement System Impairment-Based Classification Treatment Versus General Exercises for Chronic Low Back Pain: Randomized Controlled Trial 29077963 2019 04 19 2019 04 19 1538-6724 98 1 2018 01 01 Physical therapy Phys Ther Movement System Impairment-Based Classification Treatment Versus General Exercises for Chronic Low Back Pain: Randomized Controlled Trial. 28-39 10.1093/ptj/pzx094 Azevedo Daniel Camara DC Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (...) JVL Physical Therapy Department-Pontifícia Universidade Católica de Minas Gerais, Belo Horizonte. Costa Leonardo Oliveira Pena LOP Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno 448/475, Tatuapé, Sao Paulo, SP, Brazil. eng ClinicalTrials.gov NCT02221609 Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't United States Phys Ther 0022623 0031-9023 AIM IM Adult Brazil ChronicPain classification therapy Disability
Access to and Availability of the Non-Pharmacological Treatment of Chronic Non-Cancer Pain in Canada Access to and Availability of Non-Pharmacological Treatments for Chronic Non-Cancer Pain in Canada: An Environmental Scan | CADTH.ca Find the information you need Access to and Availability of Non-Pharmacological Treatments for Chronic Non-Cancer Pain in Canada: An Environmental Scan Access to and Availability of Non-Pharmacological Treatments for Chronic Non-Cancer Pain in Canada (...) : An Environmental Scan Published on: November 21, 2018 Project Number: ES0313-000 Product Line: Result type: Report CADTH conducted an Environmental Scan to understand the current context around access to and the availability of non-pharmacological treatment for patients with chronic non-cancer pain across Canada. The opioid crisis has resulted in a pressing need for alternative therapies and complementary multi-modal care. Current guidelines recommend the use of non-opioid treatments, including non
Cost-effectiveness of Mindfulness-based Stress Reduction Versus Cognitive Behavioral Therapy or Usual Care Among Adults With Chronic Low Back Pain 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 were offered in 8-weekly 2-hour group sessions. Cost-effectiveness from the societal perspective was calculated as the incremental sum of healthcare costs and productivity losses over change in quality-adjusted life-years (QALYs). The payer perspective only
Efficacy of Vibrating Gloves for Chronic Hand Pain due to Osteoarthritis 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 chronicpain for more than three months, reported a 4 or higher on a 0-10 pain intensity scale, and could speak and understand English.In general, compared with the control subjects, those in the experimental condition demonstrated reduced pain intensity (P < 0.05) after using
Interventions for the reduction of prescribed opioid use in chronic non-cancer pain. 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.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.For this update we searched CENTRAL, MEDLINE, and Embase in January 2017, as well as bibliographies and citation searches of included studies. We also
High-dose opioids for chronic non-cancer pain: an overview of Cochrane Reviews. Chronicpain is typically described as pain on most days for at least three months. Chronic non-cancer pain (CNCP) is any chronicpain 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 (...) data on any opioid agent used at high dose for two weeks or more for the treatment of chronic non-cancer pain in adults.We did not identify any reviews or overviews meeting the inclusion criteria. The excluded reviews largely reflected low doses or titrated doses where all doses were analysed as a single group; no data for high dose only could be extracted.There is a critical lack of high-quality evidence regarding how well high-dose opioids work for the management of chronic non-cancer pain
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 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 trial at five university hospitals in Norway.The sample consisted of 173 patients aged 25-55 years with chronic LBP and localized degenerative changes in the lumbar intervertebral discs.The primary outcome was self-reported physical function (Oswestry Disability Index [ODI]) at 8-year follow-up in the intention-to-treat population. Secondary outcomes included self-reported LBP (visual
Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial To investigate the efficacy of shoe orthotics with and without chiropractic treatment for chronic low back pain compared with no treatment.Randomized controlled trial.Integrative medicine teaching clinic at a university.Adult subjects (N=225) with symptomatic low back pain of ≥3 months were recruited from a volunteer sample.Subjects were randomized into 1 of 3 treatment groups (shoe orthotic, plus (...) , and waitlist groups). The shoe orthotic group received custom-made shoe orthotics. The plus group received custom-made orthotics plus chiropractic manipulation, hot or cold packs, and manual soft tissue massage. The waitlist group received no care.The primary outcome measures were change in perceived back pain (numerical pain rating scale) and functional health status (Oswestry Disability Index) after 6 weeks of study participation. Outcomes were also assessed after 12 weeks and then after an additional 3
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
Measures for Patients with Chronic Musculoskeletal Pain Management Briefs eBrief-no131 -- Enter search terms Button to search HSRD ® Inside VA Budget and Performance Inside the News Room National Observances Special Events » » » » » Management Briefs eBrief-no131 -- Health Services Research & Development Management eBrief no. 131 » Issue 131 October 2017 The report is a product of the VA/HSR&D Evidence Synthesis Program. Rapid Evidence Review: Measures for Patients with Chronic Musculoskeletal (...) PainChronic 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 of interventions
HIV and ChronicPain, 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 ChronicPain, 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 2018 4 18 6 0 2018 4 18 6 0 2018 4 18 6 1 ppublish 29662723 PMC5898925 NIHMS901549 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
Biopsychosocial factors associated with chronic low back pain disability in rural Nigeria: a population-based cross-sectional study Many people in Nigeria are living with disability due to chronic low back pain (CLBP), with the greatest burden accounted for by people living in rural Nigeria. However, factors associated with disability in rural Nigeria have not yet been established. We investigated the biomechanical and psychosocial predictors of CLBP disability in a rural Nigerian population.A (...) cross-sectional study of adults with non-specific CLBP recruited from rural communities in Enugu State, South-eastern Nigeria. Measures of self-reported and performance-based disability, pain intensity, anxiety and depression, coping strategies, social support, occupational biomechanical factors, illness perceptions and fear avoidance beliefs were collected by trained community health workers. We used univariate and multivariate analyses.200 individuals were recruited. Psychosocial factors were
Nabilone for ChronicPain Management: A Review of Clinical Effectiveness and Guidelines Nabilone for ChronicPain Management: A Review of Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Nabilone for ChronicPain Management: A Review of Clinical Effectiveness and Guidelines Nabilone for ChronicPain 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 chronicpain due to any disease in adults? What are the evidence-based guidelines associated with the treatment of chronicpain 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
Antidepressants for chronic non-cancer pain in children and adolescents. 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 concern. Chronicpain