Latest & greatest articles for pain

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Top results for pain

1. Individualized Care Plans for Acute Sickle Cell Pain Crises

Individualized Care Plans for Acute Sickle Cell Pain Crises Individualized Care Plans for Acute Sickle Cell Pain Crises | Emergency Medicine | Washington University in St. Louis Open Menu Back Close Menu Search for: Loading... Welcome Our Team Sections Education Alumni Research ECRC Journal Club Events Jermyn Lectures Open Search If you would like to view the videos from this event, please click the links below. Vignette Mr. J. is a 22 year old male presenting to your urban emergency department (...) complaining of his typical sickle cell pain in his knees, back, and shoulders for the last 2-days. he reports no recent viral of febrile illness, blunt trauma, travel history, or sock contacts. His home pain medications have been ineffective and he notes not recent change in his doses. He denies recent alcohol use or any history of intravenous or illicit substance abuse – and his screen is low risk for substance use disorder. He has been to your ED about 4-times per year over the last few years and always

2020 Washington University Emergency Medicine Journal Club

2. Painful endometriosis: initial treatment options

Painful endometriosis: initial treatment options Prescrire IN ENGLISH - Spotlight ''Painful endometriosis: initial treatment options'', 1 March 2020 {1} {1} {1} | | > > > Painful endometriosis: initial treatment options Spotlight Every month, the subjects in Prescrire’s Spotlight. 100 most recent :  |   |   |   |   |   |   |   |   |  Spotlight Painful endometriosis: initial treatment options In the absence of urinary (...) or intestinal symptoms, and if the patient is not planning to become pregnant any time soon, first try analgesics such as NSAIDs or paracetamol. Hormonal contraception or a levonorgestrel intrauterine device are other options. Endometriosis, i.e. the abnormal presence of clumps of uterine mucous membrane cells outside the uterus, is a frequent cause of pelvic pain during menstruation. In some women, endometriosis is very painful and debilitating. Endometriosis does not appear to get worse over time

2020 Prescrire

3. Effectiveness of physical therapy treatment in addition to usual podiatry management of plantar heel pain: a randomized clinical trial Full Text available with Trip Pro

Effectiveness of physical therapy treatment in addition to usual podiatry management of plantar heel pain: a randomized clinical trial Effectiveness of Physical Therapy Treatment in Addition to Usual Podiatry Management of Plantar Heel Pain: A Randomized Clinical Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy PubMed go to . Clipboard, Search History, and several other advanced (...) characters Choose a collection: Unable to load your collection due to an error Add Cancel Add to My Bibliography My Bibliography Unable to load your delegates due to an error Add Cancel Actions Cite Share Permalink Copy Page navigation BMC Musculoskelet Disord Actions , 20 (1), 630 2019 Dec 28 Effectiveness of Physical Therapy Treatment in Addition to Usual Podiatry Management of Plantar Heel Pain: A Randomized Clinical Trial , , , Affiliations Expand Affiliations 1 Doctor of Physical Therapy Program

2020 EvidenceUpdates

4. Effect of bilateral scalp nerve blocks on postoperative pain and discharge times in patients undergoing supratentorial craniotomy and general anesthesia: a randomized-controlled trial (Abstract)

Effect of bilateral scalp nerve blocks on postoperative pain and discharge times in patients undergoing supratentorial craniotomy and general anesthesia: a randomized-controlled trial Post-craniotomy pain is a common clinical issue and its optimal management remains incompletely studied. Utilization of a regional scalp block has the potential advantage of reducing perioperative pain and opioid consumption, thereby facilitating optimal postoperative neurologic assessment. The purpose (...) of this study was to assess the efficacy of regional scalp block on post-craniotomy pain and opioid consumption.We performed a prospective randomized-controlled trial in adults scheduled to undergo elective supratentorial craniotomy under general anesthesia to assess the efficacy of postoperative bilateral scalp block with 0.5% bupivacaine with 1:200,000 epinephrine compared with placebo on postoperative pain and opioid consumption. The primary outcome was the visual analogue scale (VAS) for pain at 24 hr

2020 EvidenceUpdates

5. Craniosacral therapy for chronic pain: a systematic review and meta-analysis of randomized controlled trials Full Text available with Trip Pro

Craniosacral therapy for chronic pain: a systematic review and meta-analysis of randomized controlled trials To systematically assess the evidence of Craniosacral Therapy (CST) for the treatment of chronic pain.PubMed, Central, Scopus, PsycInfo and Cinahl were searched up to August 2018. Randomized controlled trials (RCTs) assessing the effects of CST in chronic pain patients were eligible. Standardized mean differences (SMD) and 95% confidence intervals (CI) were calculated for pain intensity (...) and functional disability (primary outcomes) using Hedges' correction for small samples. Secondary outcomes included physical/mental quality of life, global improvement, and safety. Risk of bias was assessed using the Cochrane tool.Ten RCTs of 681 patients with neck and back pain, migraine, headache, fibromyalgia, epicondylitis, and pelvic girdle pain were included. CST showed greater post intervention effects on: pain intensity (SMD = -0.32, 95%CI = [- 0.61,-0.02]) and disability (SMD = -0.58, 95%CI

2020 EvidenceUpdates

6. Comparison of Intraoperative Sedation With Dexmedetomidine Versus Propofol on Acute Postoperative Pain in Total Knee Arthroplasty Under Spinal Anesthesia: A Randomized Trial (Abstract)

Comparison of Intraoperative Sedation With Dexmedetomidine Versus Propofol on Acute Postoperative Pain in Total Knee Arthroplasty Under Spinal Anesthesia: A Randomized Trial In patients undergoing total knee arthroplasty under spinal anesthesia, we compared the postoperative analgesic effect of intraoperative sedation with dexmedetomidine versus propofol. We hypothesized that sedation with dexmedetomidine would result in lower postoperative opioid analgesic consumption than with propofol.Forty (...) observer's assessment of alertness/sedation score of 3 or 4. The cumulative amounts of fentanyl administered via intravenous patient-controlled analgesia were recorded at 24 and 48 hours postoperatively (primary outcome). The postoperative numerical rating scale for pain was assessed at 6, 12, 24, and 48 hours (secondary outcome). The postoperative use of additional rescue analgesic (ketoprofen) and antiemetic drugs was also compared between the 2 groups at 24 and 48 hours.Dexmedetomidine significantly

2020 EvidenceUpdates

7. 10-kHz High-Frequency Spinal Cord Stimulation for Adults With Chronic Noncancer Pain

10-kHz High-Frequency Spinal Cord Stimulation for Adults With Chronic Noncancer Pain Published March 2020 Volume 20, Number 6 ONTARIO HEALTH TECHNOLOGY ASSESSMENT SERIES 10-kHz High-Frequency Spinal Cord Stimulation for Adults With Chronic Noncancer Pain: A Health Technology Assessment KEY MESSAGES What Is This Health Technology Assessment About? Chronic pain is pain that lasts for a long time, usually more than 3 months. People may develop chronic pain because of an injury, an infection (...) , a disease, or a surgery—or there may be no obvious reason for the pain. Chronic pain has a negative effect on people’s physical, emotional, social, and mental health. People may try a range of treatment options to manage their chronic pain, including physiotherapy, mindfulness practices, and medications. Spinal cord stimulation is typically recommended if these options do not work to relieve a person's pain. It delivers low-voltage electricity to the nerves in the spine to suppress pain signals

2020 Health Quality Ontario

8. Long-term safety and efficacy of closed-loop spinal cord stimulation to treat chronic back and leg pain (Evoke): a double-blind, randomised, controlled trial (Abstract)

Long-term safety and efficacy of closed-loop spinal cord stimulation to treat chronic back and leg pain (Evoke): a double-blind, randomised, controlled trial Spinal cord stimulation has been an established treatment for chronic back and leg pain for more than 50 years; however, outcomes are variable and unpredictable, and objective evidence of the mechanism of action is needed. A novel spinal cord stimulation system provides the first in vivo, real-time, continuous objective measure of spinal (...) cord activation in response to therapy via recorded evoked compound action potentials (ECAPs) in patients during daily use. These ECAPs are also used to optimise programming and deliver closed-loop spinal cord stimulation by adjusting the stimulation current to maintain activation within patients' therapeutic window. We aimed to examine pain relief and the extent of spinal cord activation with ECAP-controlled closed-loop versus fixed-output, open-loop spinal cord stimulation for the treatment

2020 EvidenceUpdates

9. A systematic review of the evidence for the efficacy of opioids for chronic non-cancer pain in community-dwelling older adults (Abstract)

A systematic review of the evidence for the efficacy of opioids for chronic non-cancer pain in community-dwelling older adults the ageing global population and concomitant increase in the use of opioid analgesia have highlighted the need to evaluate the effectiveness of opioids for chronic pain in older people.a systematic review of the evidence for the efficacy of opioids for chronic non-cancer pain in community-dwelling people aged 65 years or more was conducted using PRISMA guidelines (...) . The databases MEDLINE, EMBASE, Pubmed and PsychINFO were searched. The quality of studies was assessed. Secondary aims were to assess correlates of opioid use and the decision-making processes of prescribers.seven studies were identified of low to high quality. The majority of older people experienced ongoing pain despite continuing opioid therapy. There were mixed results regarding benefits of opioids in terms of activities of daily living and social engagement. In nursing home residents, opioid use

2020 EvidenceUpdates

10. Ibuprofen Plus Acetaminophen Versus Ibuprofen Alone for Acute Low Back Pain: An Emergency Department-based Randomized Study (Abstract)

Ibuprofen Plus Acetaminophen Versus Ibuprofen Alone for Acute Low Back Pain: An Emergency Department-based Randomized Study Patients with low back pain (LBP) are often treated with nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs are modestly effective for LBP, but many patients with LBP continue to suffer despite treatment with these medications. We compared pain and functional outcomes 1 week after emergency department (ED) discharge among patients randomized to a 1-week course (...) LBP educational session prior to discharge. The primary outcome was improvement on the RMDQ between ED discharge and 1 week later. One secondary outcome was pain intensity, as measured on a 4-point descriptive scale (severe, moderate, mild, none) at 1 week.Enrollment began in October 2018. A total of 120 patients met selection criteria and were randomized. Baseline demographic characteristics were comparable between the two groups. By 1 week after the ED visit, patients randomized to ibuprofen

2020 EvidenceUpdates

11. Benefits and Harms of Long-term Opioid Dose Reduction or Discontinuation in Patients with Chronic Pain

Benefits and Harms of Long-term Opioid Dose Reduction or Discontinuation in Patients with Chronic Pain Management Briefs eBrief-no166 -- Benefits and Harms of Long-term Opioid Dose Reduction or Discontinuation in Patients with Chronic Pain Talk to the Veterans Crisis Line now An official website of the United States government Here's how you know The .gov means it's official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're (...) eBrief-no166 -- Benefits and Harms of Long-term Opioid Dose Reduction or Discontinuation in Patients with Chronic Pain Health Services Research & Development Management eBrief no. 166 » Issue 166 January 2020 The report is a product of the VA/HSR&D Evidence Synthesis Program. Benefits and Harms of Long-term Opioid Dose Reduction or Discontinuation in Patients with Chronic Pain In response to the evolving public health crisis related to opioid use, many providers, health systems, and payers

2020 Veterans Affairs - R&D

12. Diagnosis and Treatment of Low Back Pain

Diagnosis and Treatment of Low Back Pain Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis & Treatment of Low Back Pain 7075 Veterans Blvd Burr Ridge, IL 60527 630-230-3600 www.spine.org © 2020 North American Spine Society 978-1-929988-65-5Diagnosis & Treatment of Low Back Pain | Preface Recommendations were developed based on a specific definition, inclusion/exclusion criteria, and the resulting literature which excluded conditions such as presence (...) of a neurological deficit or leg pain experienced below the knee, among others. Given the exclusion criteria, these guideline rec- ommendations address a subset of low back pain care as opposed to low back pain in its entirety. This clinical guideline is not intended to be a fixed treatment protocol; it is anticipated that there will be patients who require more or less treatment than what is outlined. This clinical guideline should not be construed as including all proper methods of care or excluding other

2020 North American Spine Society

13. Antibiotic Use for the Urgent Management of Dental Pain and Intra-oral Swelling Clinical Practice Guideline Full Text available with Trip Pro

Antibiotic Use for the Urgent Management of Dental Pain and Intra-oral Swelling Clinical Practice Guideline Evidence-based clinical practice guideline on antibiotic use for the urgent management of pulpal- and periapical-related dental pain and intraoral swelling - The Journal of the American Dental Association Email/Username: Password: Remember me Search Terms Search within Search Access provided by Volume 150, Issue 11, Pages 906–921.e12 Evidence-based clinical practice guideline (...) on antibiotic use for the urgent management of pulpal- and periapical-related dental pain and intraoral swelling A report from the American Dental Association x Peter B. Lockhart , DDS , x Malavika P. Tampi Correspondence Address correspondence to Ms. Tampi at Center for Evidence-Based Dentistry, Science Institute, American Dental Association, 211 East Chicago Ave., Chicago, IL 60611 , MPH ∗ , x Malavika P. Tampi Correspondence Address correspondence to Ms. Tampi at Center for Evidence-Based Dentistry

2020 American Dental Association Guidelines

14. Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and Treatment of Low Back Pain

Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and Treatment of Low Back Pain Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis & Treatment of Low Back Pain 7075 Veterans Blvd Burr Ridge, IL 60527 630-230-3600 www.spine.org © 2020 North American Spine Society 978-1-929988-65-5Diagnosis & Treatment of Low Back Pain | Preface Recommendations were developed based on a specific definition, inclusion/exclusion criteria, and the resulting (...) literature which excluded conditions such as presence of a neurological deficit or leg pain experienced below the knee, among others. Given the exclusion criteria, these guideline rec- ommendations address a subset of low back pain care as opposed to low back pain in its entirety. This clinical guideline is not intended to be a fixed treatment protocol; it is anticipated that there will be patients who require more or less treatment than what is outlined. This clinical guideline should not be construed

2020 American Society of Regional Anesthesia and Pain Medicine

15. Position Statement on the medicinal use of Cannabinoids in Pain Medicine

Position Statement on the medicinal use of Cannabinoids in Pain Medicine Faculty Position Statement on the medicinal use of Cannabinoids in Pain Medicine Update following the publication of NICE Guidance NG144 (11 November 2019) This statement is focused on the issues relating to cannabis derived medicinal products in relation to Pain Medicine. It does not comment on other areas of medical practice or recreational use, which lie outside our remit. The issue of cannabis, its extracts (...) , formulations and synthetics has very much been on the radar of Pain Medicine for many years. The Faculty supports the guidance and conclusions of the NICE guidance NG144. 1 In respect of Pain Medicine, the Faculty is in agreement that whilst these substances have potential for therapeutic use, their safety and efficacy have not yet been established and a strong evidence base is needed as for any properly licenced medicine. We strongly support and look forward to its development. The development of evidence

2020 Faculty of Pain Medicine

16. Nerve Blocks for Management of Pain Following Hip Fracture

Nerve Blocks for Management of Pain Following Hip Fracture Nerve Blocks for Management of Pain Following Hip Fracture | Emergency Medicine | Washington University in St. Louis Open Menu Back Close Menu Search for: Loading... Welcome Our Team Sections Education Alumni Research ECRC Journal Club Events Jermyn Lectures Open Search Vignette You’re moonlighting in an austere emergency department, and the night has been relatively benign except for your poor 79-year-old severely demented patient who (...) suffered an isolated mid-shaft femur fracture from a mechanical fall earlier today. Unfortunately, the patient is also morbidly obese and has OSA requiring CPAP at night when sleeping. The patient is miserable and is now making your staff miserable, howling out in pain with every breath. Opioids aren’t touching the searing pain, and now you’re worried about potential respiratory complications from too much of a good thing. Your off-going partner in crime mentions doing a “ ” and everyone lets out

2020 Washington University Emergency Medicine Journal Club

17. Clinical phenotypes and classification algorithm for complex regional pain syndrome

Clinical phenotypes and classification algorithm for complex regional pain syndrome Clinical Phenotypes and Classification Algorithm for Complex Regional Pain Syndrome - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy PubMed go to . Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health U.S. National Library of Medicine (...) Bibliography My Bibliography Unable to load your delegates due to an error Add Cancel Actions Cite Share Permalink Copy Page navigation Neurology Actions , 94 (4), e357-e367 2020 Jan 28 Clinical Phenotypes and Classification Algorithm for Complex Regional Pain Syndrome , , , , , , , Affiliations Expand Affiliations 1 From the Department of Neurology (V.D., M.S.H., F.E.-L., F.B.), University Medical Center of the Johannes Gutenberg University Mainz; Departments of Anesthesiology (H.L.R.) and Neurology (C.S

2020 EvidenceUpdates

18. Electrocatheter-mediated High-voltage Pulsed Radiofrequency of the Dorsal Root Ganglion in the Treatment of Chronic Lumbosacral Neuropathic Pain: A Randomized Controlled Study Full Text available with Trip Pro

Electrocatheter-mediated High-voltage Pulsed Radiofrequency of the Dorsal Root Ganglion in the Treatment of Chronic Lumbosacral Neuropathic Pain: A Randomized Controlled Study Electrocatheter-mediated High-voltage Pulsed Radiofrequency of the Dorsal Root Ganglion in the Treatment of Chronic Lumbosacral Neuropathic Pain: A Randomized Controlled Study - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed (...) to an existing collection Name your collection: Name must be less than 100 characters Choose a collection: Unable to load your collection due to an error Add Cancel Add to My Bibliography My Bibliography Unable to load your delegates due to an error Add Cancel Actions Cite Share Permalink Copy Page navigation Clin J Pain Actions , 36 (1), 25-33 Jan 2020 Electrocatheter-mediated High-voltage Pulsed Radiofrequency of the Dorsal Root Ganglion in the Treatment of Chronic Lumbosacral Neuropathic Pain

2020 EvidenceUpdates

19. Efficacy of bilateral erector spinae plane block in the management of pain: current insights Full Text available with Trip Pro

Efficacy of bilateral erector spinae plane block in the management of pain: current insights Efficacy of Bilateral Erector Spinae Plane Block in the Management of Pain: Current Insights - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy PubMed go to . Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health U.S. National (...) Add to My Bibliography My Bibliography Unable to load your delegates due to an error Add Cancel Actions Cite Share Permalink Copy Page navigation J Pain Res Actions , 12, 2597-2613 2019 Aug 27 eCollection 2019 Efficacy of Bilateral Erector Spinae Plane Block in the Management of Pain: Current Insights , , , Affiliations Expand Affiliations 1 Department of Anesthesiology and Reanimation, Faculty of Medicine, Maltepe University, Istanbul, Turkey. 2 Department of Anaesthesiology and Reanimation

2020 EvidenceUpdates

20. Multimodal opioid-sparing postoperative pain regimen compared with the standard postoperative pain regimen in vaginal pelvic reconstructive surgery: a multicenter randomized controlled trial

Multimodal opioid-sparing postoperative pain regimen compared with the standard postoperative pain regimen in vaginal pelvic reconstructive surgery: a multicenter randomized controlled trial Multimodal Opioid-Sparing Postoperative Pain Regimen Compared With the Standard Postoperative Pain Regimen in Vaginal Pelvic Reconstructive Surgery: A Multicenter Randomized Controlled Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set (...) to Collections Create a new collection Add to an existing collection Name your collection: Name must be less than 100 characters Choose a collection: Unable to load your collection due to an error Add Cancel Add to My Bibliography My Bibliography Unable to load your delegates due to an error Add Cancel Actions Cite Share Permalink Copy Page navigation Am J Obstet Gynecol Actions , 221 (5), 511.e1-511.e10 Nov 2019 Multimodal Opioid-Sparing Postoperative Pain Regimen Compared With the Standard Postoperative

2020 EvidenceUpdates