Latest & greatest articles for pain

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Top results for pain

41. Breast Pain

Breast Pain Revised 2018 ACR Appropriateness Criteria ® 1 Breast Pain American College of Radiology ACR Appropriateness Criteria ® Breast Pain Variant 1: Woman with clinically insignificant breast pain (nonfocal [greater than one quadrant], diffuse, or cyclical) without other suspicious clinical finding. Any age. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Digital breast tomosynthesis diagnostic Usually Not Appropriate ?? Mammography diagnostic Usually (...) Not Appropriate ?? MRI breast without and with IV contrast Usually Not Appropriate O MRI breast without IV contrast Usually Not Appropriate O Tc-99m sestamibi MBI Usually Not Appropriate ??? US breast Usually Not Appropriate O Variant 2: Woman with clinically significant breast pain (focal and noncyclical). Age less than 30. Initial imaging. Procedure Appropriateness Category Relative Radiation Level US breast Usually Appropriate O Digital breast tomosynthesis diagnostic Usually Not Appropriate ?? Mammography

American College of Radiology2018

42. Corticosteroids Provide Better Postoperative Endodontic Pain Relief Compared to Placebo (CAT#3350)

Corticosteroids Provide Better Postoperative Endodontic Pain Relief Compared to Placebo (CAT#3350) UTCAT3350, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Corticosteroids Provide Better Postoperative Endodontic Pain Relief Compared to Placebo Clinical Question In patients receiving non-surgical endodontic therapy, do corticosteroids provide better postoperative endodontic pain relief compared to placebo? Clinical (...) Bottom Line Corticosteroids provide better postoperative endodontic pain relief compared to placebo. Different types and dosages of corticosteroids have different levels of analgesic efficacy. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Shamszadeh/2018 1088 patients in 18 Randomized clinical trials Systematic Review and Meta-Analysis Key results Patients who received corticosteroids had greater

UTHSCSA Dental School CAT Library2018

43. Apical patency technique does not increase post endodontic pain (CAT#3358)

Apical patency technique does not increase post endodontic pain (CAT#3358) UTCAT3358, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Apical patency technique does not increase post endodontic pain Clinical Question In patients undergoing root canal treatment, does use of apical patency(AP) technique, as compared to treatment with no apical patency(NAP), have an effect on post treatment pain? Clinical Bottom Line (...) In patients undergoing non-surgical root canal treatment, use of apical patency technique does not increase post treatment pain. In addition, it might even lead to further reduction in pain after 5 days when compared to non-patency technique. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Abdulrab/ 2018 4 randomized clinical trials with 781 patients Meta-Analysis Key results In this meta-analysis, data from

UTHSCSA Dental School CAT Library2018

44. Brain and spinal stimulation therapies for phantom limb pain: a systematic review

Brain and spinal stimulation therapies for phantom limb pain: a systematic review Brain and spinal stimulation therapies for phantom limb pain: a systematic review 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)"> 1)"> {{metadata.Title}} {{metadata.Headline}} Studies of neurostimulation treatments did not provide robust results; therefore, there is much uncertainty about which treatments are best for chronic phantom limb pain. {{author}} {{($index , , , , , , & . Mark Corbett 1, * , Emily South 1 , Melissa Harden 1 , Sam Eldabe 2 , Erlick Pereira 3 , Imad Sedki 4 , Neil Hall 2 , Nerys Woolacott 1 1 Centre for Reviews and Dissemination (CRD), University of York, York, UK 2 James Cook University

NIHR HTA programme2018

45. Does Lidocaine Gel Decrease Procedural Pain for Pediatric Urethral Catheterization? (SRS therapy)

Does Lidocaine Gel Decrease Procedural Pain for Pediatric Urethral Catheterization? (SRS therapy) Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Copyright © 2018 Inc. All rights reserved. | | | | | | The content on this site is intended for health professionals. We use cookies to help provide and enhance our service and tailor content and ads. By continuing you agree to the . Advertisements on this site do not constitute

Annals of Emergency Medicine Systematic Review Snapshots2018

46. How Effective Is a Regional Nerve Block for Treating Pain Associated With Hip Fractures?

How Effective Is a Regional Nerve Block for Treating Pain Associated With Hip Fractures? Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Copyright © 2018 Inc. All rights reserved. | | | | | | The content on this site is intended for health professionals. We use cookies to help provide and enhance our service and tailor content and ads. By continuing you agree to the . Advertisements on this site do not constitute a guarantee

Annals of Emergency Medicine Systematic Review Snapshots2018

47. What Is the Utility of Coronary Computed Tomography Angiography Compared With Standard of Care for the Evaluation of Acute Chest Pain? (SRS diagnosis)

What Is the Utility of Coronary Computed Tomography Angiography Compared With Standard of Care for the Evaluation of Acute Chest Pain? (SRS diagnosis) Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Copyright © 2018 Inc. All rights reserved. | | | | | | The content on this site is intended for health professionals. We use cookies to help provide and enhance our service and tailor content and ads. By continuing you agree

Annals of Emergency Medicine Systematic Review Snapshots2018

48. Postmenopausal Subacute or Chronic Pelvic Pain

Postmenopausal Subacute or Chronic Pelvic Pain New 2018 ACR Appropriateness Criteria ® 1 Postmenopausal Subacute or Chronic Pelvic Pain American College of Radiology ACR Appropriateness Criteria ® Postmenopausal Subacute or Chronic Pelvic Pain Variant 1: Postmenopausal subacute or chronic pelvic pain, localized to the deep pelvis. Initial imaging. Procedure Appropriateness Category Relative Radiation Level US pelvis transvaginal Usually Appropriate O US duplex Doppler pelvis Usually Appropriate (...) Not Appropriate ???? CT pelvis without IV contrast Usually Not Appropriate ??? Radiography abdomen and pelvis Usually Not Appropriate ??? Variant 2: Postmenopausal subacute or chronic pelvic pain, clinically suspected pathologies in perineum, vulva, or vagina. Initial imaging. Procedure Appropriateness Category Relative Radiation Level US duplex Doppler pelvis Usually Appropriate O US pelvis transabdominal Usually Appropriate O US pelvis transvaginal Usually Appropriate O MRI pelvis without and with IV

American College of Radiology2018

49. Early gain in pain reduction and hip function, but more complications following the direct anterior minimally invasive approach for total hip arthroplasty: a randomized trial of 100 patients with 5 years of follow up

Early gain in pain reduction and hip function, but more complications following the direct anterior minimally invasive approach for total hip arthroplasty: a randomized trial of 100 patients with 5 years of follow up 30350758 2018 11 14 1745-3682 89 5 2018 Oct Acta orthopaedica Acta Orthop Early gain in pain reduction and hip function, but more complications following the direct anterior minimally invasive approach for total hip arthroplasty: a randomized trial of 100 patients with 5 years (...) of follow up. 484-489 10.1080/17453674.2018.1504505 Background and purpose - The minimally invasive direct anterior (DA) approach for total hip arthroplasty (THA) is supposed to reduce surgical tissue trauma. We hypothesized that patients operated with the DA technique would have less postoperative pain and better hip function compared with a group operated with a conventional direct lateral (DL) approach. Patients and methods - 100 patients with hip osteoarthritis scheduled for THA were equally

EvidenceUpdates2018 Full Text: Link to full Text with Trip Pro

50. Adductor Canal Block or Local Infiltrate Analgesia for Pain Control After Total Knee Arthroplasty? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Adductor Canal Block or Local Infiltrate Analgesia for Pain Control After Total Knee Arthroplasty? A Systematic Review and Meta-Analysis of Randomized Controlled Trials 30360981 2018 10 26 1532-8406 2018 Sep 28 The Journal of arthroplasty J Arthroplasty Adductor Canal Block or Local Infiltrate Analgesia for Pain Control After Total Knee Arthroplasty? A Systematic Review and Meta-Analysis of Randomized Controlled Trials. S0883-5403(18)30866-0 10.1016/j.arth.2018.09.083 Total knee arthroplasty is (...) a treatment option for debilitating arthritis. In the postoperative period, patients experience moderate to severe pain affecting the rehabilitation, hospital stay, and patient satisfaction. This study aims at utilizing current best evidence to determine whether adductor canal block (ACB) or periarticular injection (PAI) is a better modality for managing short-term postoperative pain and opioid consumption. Embase, MEDLINE, HealthStar, Emcare, and PubMed were searched for randomized controlled trials from

EvidenceUpdates2018

51. The Effect of Combination Pharmacotherapy on Low Back Pain: A Meta-analysis

The Effect of Combination Pharmacotherapy on Low Back Pain: A Meta-analysis 29727303 2018 10 04 1536-5409 34 11 2018 Nov The Clinical journal of pain Clin J Pain The Effect of Combination Pharmacotherapy on Low Back Pain: A Meta-analysis. 1039-1046 10.1097/AJP.0000000000000622 To evaluate the difference between combination pharmacotherapy and monotherapy on low back pain (LBP). We searched PubMed, Embase, and Cochrane Central Register of Controlled Trials databases up to March 14, 2017. Two (...) authors independently extracted the data and assessed the validity of included trials. Twelve randomized controlled trials comparing the effect of LBP combination pharmacotherapy to monotherapy or placebo were included. In chronic LBP, combination pharmacotherapy was more effective than placebo in pain relief (P<0.001; standardized mean difference [SMD], -0.50; 95% confidence interval [CI], -0.70 to -0.29; I²=0%) and function improvement (P<0.001; SMD, -0.27; 95% CI, -0.41 to -0.13; I²=0%) and showed

EvidenceUpdates2018

52. Motion style acupuncture therapy for shoulder pain: a randomized controlled trial

Motion style acupuncture therapy for shoulder pain: a randomized controlled trial 30310308 2018 11 14 1178-7090 11 2018 Journal of pain research J Pain Res Motion style acupuncture therapy for shoulder pain: a randomized controlled trial. 2039-2050 10.2147/JPR.S161951 Strategies for preventing the persistence of pain and disability beyond the acute phase in shoulder pain patients are critically needed. Conventional acupuncture therapy (CAT) or motion style acupuncture therapy (MSAT) alone (...) results in relative improvements in painful conditions in shoulder pain patients; combined interventions may have more global effects. The aim of this study is to evaluate the efficacy and safety of MSAT vs CAT for shoulder pain. A randomized controlled trial using a factorial design was conducted from January 2014 to December 2015. Patients with a primary complaint of one-sided shoulder pain participated at three study sites. Eligible individuals were randomly assigned to receive MSAT plus minimal

EvidenceUpdates2018 Full Text: Link to full Text with Trip Pro

53. Does Distal Clavicle Resection Decrease Pain or Improve Shoulder Function in Patients With Acromioclavicular Joint Arthritis and Rotator Cuff Tears? A Meta-analysis

Does Distal Clavicle Resection Decrease Pain or Improve Shoulder Function in Patients With Acromioclavicular Joint Arthritis and Rotator Cuff Tears? A Meta-analysis 30334833 2018 11 14 1528-1132 476 12 2018 Dec Clinical orthopaedics and related research Clin. Orthop. Relat. Res. Does Distal Clavicle Resection Decrease Pain or Improve Shoulder Function in Patients With Acromioclavicular Joint Arthritis and Rotator Cuff Tears? A Meta-analysis. 2402-2414 10.1097/CORR.0000000000000424 (...) Acromioclavicular joint arthritis is a common, painful, and often missed diagnosis, and it often accompanies other shoulder conditions such as rotator cuff disease. Whether distal clavicle resection is important to perform in patients undergoing surgery for rotator cuff tears and concomitant acromioclavicular joint arthritis is controversial. The purpose of this study was to perform a systematic review and meta-analysis of randomized controlled trials (RCTs) to evaluate the effect of distal clavicle resection

EvidenceUpdates2018

54. Addition of Infiltration Between the Popliteal Artery and the Capsule of the Posterior Knee and Adductor Canal Block to Periarticular Injection Enhances Postoperative Pain Control in Total Knee Arthroplasty: A Randomized Controlled Trial

Addition of Infiltration Between the Popliteal Artery and the Capsule of the Posterior Knee and Adductor Canal Block to Periarticular Injection Enhances Postoperative Pain Control in Total Knee Arthroplasty: A Randomized Controlled Trial 30234517 2018 09 20 1526-7598 2018 Sep 12 Anesthesia and analgesia Anesth. Analg. Addition of Infiltration Between the Popliteal Artery and the Capsule of the Posterior Knee and Adductor Canal Block to Periarticular Injection Enhances Postoperative Pain (...) Control in Total Knee Arthroplasty: A Randomized Controlled Trial. 10.1213/ANE.0000000000003794 Periarticular injections (PAIs) are becoming a staple component of multimodal joint pathways. Motor-sparing peripheral nerve blocks, such as the infiltration between the popliteal artery and capsule of the posterior knee (IPACK) and the adductor canal block (ACB), may augment PAI in multimodal analgesic pathways for knee arthroplasty, but supporting literature remains rare. We hypothesized that the addition of ACB

EvidenceUpdates2018

55. Comparing the effect of eye movement desensitization and reprocessing (EMDR) with guided imagery on pain severity in patients with rheumatoid arthritis

Comparing the effect of eye movement desensitization and reprocessing (EMDR) with guided imagery on pain severity in patients with rheumatoid arthritis 30319285 2018 11 14 1178-7090 11 2018 Journal of pain research J Pain Res Comparing the effect of eye movement desensitization and reprocessing (EMDR) with guided imagery on pain severity in patients with rheumatoid arthritis. 2107-2113 10.2147/JPR.S158981 Previous studies reported the reduction of pain following (...) eye movement desensitization and reprocessing (EMDR) and guided imagery; however, the effectiveness of these modalities was not compared. The current study aimed to compare the effects of EMDR and guided imagery on pain severity in patients with rheumatoid arthritis. In this randomized controlled trial, 75 patients were selected using non-random method, and then allocated into two intervention groups and one control group. Interventions were conducted individually in six consecutive sessions for the intervention groups. The Rheumatoid

EvidenceUpdates2018 Full Text: Link to full Text with Trip Pro

56. Does the Use of Electrotherapies Increase the Effectiveness of Neck Stabilization Exercises for Improving Pain, Disability, Mood, and Quality of Life in Chronic Neck Pain?: A Randomized, Controlled, Single-Blind Study

Does the Use of Electrotherapies Increase the Effectiveness of Neck Stabilization Exercises for Improving Pain, Disability, Mood, and Quality of Life in Chronic Neck Pain?: A Randomized, Controlled, Single-Blind Study 29652778 2018 11 14 1528-1159 43 20 2018 Oct 15 Spine Spine Does the Use of Electrotherapies Increase the Effectiveness of Neck Stabilization Exercises for Improving Pain, Disability, Mood, and Quality of Life in Chronic Neck Pain?: A Randomized, Controlled, Single-Blind Study (...) . E1174-E1183 10.1097/BRS.0000000000002663 This study was a prospective, randomized, controlled study. The aim of this study was to determine whether transcutaneous electrical nerve stimulation (TENS) or interferential current (IFC) increase the effectiveness of neck stabilization exercises (NSEs) on pain, disability, mood and quality of life for chronic neck pain (CNP). Neck pain is one of the three most frequently reported complaints of the musculoskeletal system. Electrotherapies, such as IFC

EvidenceUpdates2018

57. Efficacy Assessment of Radiofrequency Ablation as a Palliative Pain Treatment in Patients with Painful Metastatic Spinal Lesions: A Systematic Review

Efficacy Assessment of Radiofrequency Ablation as a Palliative Pain Treatment in Patients with Painful Metastatic Spinal Lesions: A Systematic Review 30282388 2018 10 04 2150-1149 21 5 2018 Sep Pain physician Pain Physician Efficacy Assessment of Radiofrequency Ablation as a Palliative Pain Treatment in Patients with Painful Metastatic Spinal Lesions: A Systematic Review. E467-E476 Metastatic spinal lesions are difficult-to-treat entities that are most commonly associated with pain and severely (...) reduced health-related quality of life (HRQoL). Within the last 5 to 10 years, radiofrequency ablation (RFA) has emerged as an option in the palliative treatment of vertebral metastases. Our review aims to evaluate the clinical effectiveness and safety of RFA, mostly in combination with vertebroplasty, in patients with painful vertebral metastases. The design of this study is a systematic review. We conducted a systematic literature search and a manual search of 5 databases in December 2016

EvidenceUpdates2018

58. Intraoperative use of methadone improves control of postoperative pain in morbidly obese patients: a randomized controlled study

Intraoperative use of methadone improves control of postoperative pain in morbidly obese patients: a randomized controlled study 30323647 2018 11 14 1178-7090 11 2018 Journal of pain research J Pain Res Intraoperative use of methadone improves control of postoperative pain in morbidly obese patients: a randomized controlled study. 2123-2129 10.2147/JPR.S172235 Surgical patients still commonly experience postoperative pain. With the increasing prevalence of obesity, there is a growing demand (...) for surgical procedures by this population. Intraoperative use of methadone has not been well assessed in this population. Patients with a body mass index of 35 kg/m 2 or more undergoing bariatric surgery were randomly assigned to receive either fentanyl (group F) or methadone (group M) in anesthesia induction and maintenance. The primary outcome was morphine consumption during the first 24 hours after surgery through a patient-controlled analgesia device. Secondary outcomes were pain scores at rest

EvidenceUpdates2018 Full Text: Link to full Text with Trip Pro

59. Comparison of Two Lidocaine Administration Techniques on Perceived Pain From Bedside Procedures: A Randomized Clinical Trial

Comparison of Two Lidocaine Administration Techniques on Perceived Pain From Bedside Procedures: A Randomized Clinical Trial 29698720 2018 11 14 1931-3543 154 4 2018 Oct Chest Chest Comparison of Two Lidocaine Administration Techniques on Perceived Pain From Bedside Procedures: A Randomized Clinical Trial. 773-780 S0012-3692(18)30630-5 10.1016/j.chest.2018.04.018 Lidocaine is used to alleviate procedural pain but paradoxically increases pain during injection. Pain perception can be modulated (...) by non-noxious stimuli such as temperature or touch according to the gate control theory of pain. We postulated that lidocaine dripped onto the skin prior to injection would cool or add the sensation of touch at the skin surface to reduce pain perception from the procedure. A randomized clinical trial of patients referred to the procedure service from February 2011 through March 2015 was conducted. All patients received 1% subcutaneous lidocaine injection. Patients randomized to the intervention

EvidenceUpdates2018

60. Interactive Versus Passive Distraction and Parent Psychoeducation as Pain Management Techniques During Pediatric Venepuncture: A Randomized Controlled Trial

Interactive Versus Passive Distraction and Parent Psychoeducation as Pain Management Techniques During Pediatric Venepuncture: A Randomized Controlled Trial 29750665 2018 10 04 1536-5409 34 11 2018 Nov The Clinical journal of pain Clin J Pain Interactive Versus Passive Distraction and Parent Psychoeducation as Pain Management Techniques During Pediatric Venepuncture: A Randomized Controlled Trial. 1008-1016 10.1097/AJP.0000000000000628 The aim of the current research was to compare the relative (...) efficacy of interactive and passive distraction, with or without parental psychoeducation, on child pain and distress during a venepuncture. We also compared the effect of parental psychoeducation on parental distress, knowledge of distraction strategies, and engagement in distraction. This cross-sectional study included 213 children scheduled for a venepuncture, and one of their parents, who were randomly allocated to 1 of 4 conditions; interactive distraction, passive distraction, interactive

EvidenceUpdates2018