Latest & greatest articles for pain

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Top results for pain

3241. A systematic review of physical interventions for patellofemoral pain syndrome

A systematic review of physical interventions for patellofemoral pain syndrome A systematic review of physical interventions for patellofemoral pain syndrome A systematic review of physical interventions for patellofemoral pain syndrome Crossley K, Bennell K, Green S, McConnell J Authors' objectives To examine the efficacy of non-pharmacological and non-surgical physical interventions for patellofemoral pain syndrome (PFPS). Searching MEDLINE, CINAHL and Current Contents were searched from (...) ; chiropractic joint manipulation; progressive resistance brace; and soft corrective foot orthoses. Participants included in the review The studies had to include participants with PFPS. Where reported, the mean age in the included studies varied from 14 to 37 years, with the majority having a mean of 20 to 30 years. Most of the studies required a history of peripatellar or retropatellar pain. One study required arthroscopic evidence of chondromalacia. Studies often excluded participants with previous

2001 DARE.

3242. Preventive interventions for back and neck pain problems: what is the evidence?

Preventive interventions for back and neck pain problems: what is the evidence? Preventive interventions for back and neck pain problems: what is the evidence? Preventive interventions for back and neck pain problems: what is the evidence? Linton S J, van Tulder M W Authors' objectives To determine which interventions are used to prevent back and neck problems, and to assess the evidence of their utility. Searching The following databases were searched: MEDLINE from 1985 to 1998; PsycINFO from (...) individually designed programmes; physiotherapy; the McKenzie method; nonmedical back pain pamphlets; dynamic endurance; group gymnastics; advice to exercise; free membership to a health club; short-wave heat as placebo; usual care; and no intervention or waiting-list control. Participants included in the review People who were not seeking treatment were eligible for inclusion. The participants were enrolled in a variety of workplace settings. The exclusion criteria varied between the studies and included

2001 DARE.

3243. Pain after transrectal ultrasonography-guided prostate biopsy: the advantages of periprostatic local anaesthesia

Pain after transrectal ultrasonography-guided prostate biopsy: the advantages of periprostatic local anaesthesia Pain after transrectal ultrasonography-guided prostate biopsy: the advantages of periprostatic local anaesthesia Pain after transrectal ultrasonography-guided prostate biopsy: the advantages of periprostatic local anaesthesia Seymour H, Perry M J, Lee-Elliot C, Dundas D, Patel U Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion (...) completers only as only those patients who returned the questionnaire were evaluated. The health outcomes estimated in the analysis were pain severity; general practitioner (GP) visits after biopsy; episodes such as fever, pain, bleeding, or other adverse effects; use of analgesics; and number of days with haematuria, haematochezia, or haematospermia. Pain severity was assessed using a questionnaire based on a four-point scale (1 = no pain; 2 = mild pain; 3 = moderate pain; and 4 = severe pain

2001 NHS Economic Evaluation Database.

3244. Gabapentin for neuropathic pain: systematic review of controlled and uncontrolled literature

Gabapentin for neuropathic pain: systematic review of controlled and uncontrolled literature Gabapentin for neuropathic pain: systematic review of controlled and uncontrolled literature Gabapentin for neuropathic pain: systematic review of controlled and uncontrolled literature Mellegers M A, Furlan A D, Mailis A Authors' objectives To assess the efficacy, effectiveness and side-effects of gabapentin for the treatment of neuropathic pain. Searching MEDLINE (from 1966 to March 2001), EMBASE (...) (from 1980 to March 2001), the Science Citation Index (from 1993 to September 1999), and the Cochrane Controlled Trials Register (Issue 1, 2001) were searched. The authors also searched the reference lists in retrieved articles, reviews and book chapters, and contacted content experts for other relevant studies. The terms used in the search were 'pain', 'nociceptors', 'analgesia', 'neuropathy', 'neuropathic', 'allodynia', 'hyperalgesia', 'gabapentin', 'Neurontin' and registry number '60142-96-3

2001 DARE.

3245. Are cannabinoids an effective and safe treatment option in the management of pain: a qualitative systematic review

Are cannabinoids an effective and safe treatment option in the management of pain: a qualitative systematic review Are cannabinoids an effective and safe treatment option in the management of pain: a qualitative systematic review Are cannabinoids an effective and safe treatment option in the management of pain: a qualitative systematic review Campbell F A, Tramer M R, Carroll D, Reynolds D J, Moore R A, McQuay H J Authors' objectives To establish whether cannabis is an effective and safe (...) treatment option in the management of pain. Searching Two authors searched the following sources independently, using different search strategies: MEDLINE from 1966 to 1999; EMBASE from 1974 to 1999; the Oxford Pain Relief Database from 1950 to 1994; and the Cochrane Library (Issue, 3, 1999). The most recent search was conducted in October 1999. The search included different combinations of the following MeSH and free-text terms: 'marijuana', 'marihuana', 'mariuana', 'cannabis', 'cannabinoids', 'THC

2001 DARE.

3246. Cyclobenzaprine and back pain: a meta-analysis

Cyclobenzaprine and back pain: a meta-analysis Cyclobenzaprine and back pain: a meta-analysis Cyclobenzaprine and back pain: a meta-analysis Browning R, Jackson J L, O'Malley P G Authors' objectives To perform a systematic review of the effectiveness of cyclobenzaprine in the treatment of back pain. Searching MEDLINE (from January 1966 to December 1999), PsycLIT (from November 1887 to December 1999), CINAHL (from 1982 to 1999), EMBASE (from January 1974 to December 1999), AIDSLINE, HealthSTAR (...) , Cancerlit and MICROMEDEX were searched. The searches were conducted using the textwords and keywords (all languages) 'cyclobenzaprine', and the MeSH terms 'dibenzocycloheptenes' and 'propylamines' combined with the following textwords: 'back pain', 'backache', 'low back pain', 'lumbago', 'acute muscle spasm' or 'muscle spasm'. Other databases searched were the Cochrane Controlled Trials Register for randomised trials, the Cochrane Database of Systematic Reviews, and Federal Research in Progress

2001 DARE.

3247. Efficacy and safety of patient-controlled opioid analgesia for acute postoperative pain: a quantitative systematic review

Efficacy and safety of patient-controlled opioid analgesia for acute postoperative pain: a quantitative systematic review Efficacy and safety of patient-controlled opioid analgesia for acute postoperative pain: a quantitative systematic review Efficacy and safety of patient-controlled opioid analgesia for acute postoperative pain: a quantitative systematic review Walder B, Schafer M, Henzi I, Tramer M R Authors' objectives To analyse the efficacy and safety data on patient-controlled devices (...) minutes); nalbuphine (bolus 2 mg, lock-out 10 minutes); and tramadol (bolus 30 mg, lock-out 5 minutes). Participants included in the review Post-operative patients. Trials were performed in a variety of surgical settings. Outcomes assessed in the review The authors did not report clear inclusion and exclusion criteria in terms of the outcomes. The outcomes of interest appeared to be: opioid consumption; pain intensity at rest; duration of hospital stay; patient satisfaction, including preference

2001 DARE.

3248. Needling therapies in the management of myofascial trigger point pain: a systematic review

Needling therapies in the management of myofascial trigger point pain: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2001 DARE.

3249. Assessment of pain control in cancer patients during the last week of life: comparison of health centre wards and a hospice

Assessment of pain control in cancer patients during the last week of life: comparison of health centre wards and a hospice Assessment of pain control in cancer patients during the last week of life: comparison of health centre wards and a hospice Assessment of pain control in cancer patients during the last week of life: comparison of health centre wards and a hospice Hinkka H, Kosunen E, Kellokumpu-Lehtinen P, Lammi U K Record Status This is a critical abstract of an economic evaluation (...) . There was no loss to follow-up. During the study, 21 health centre patients and 32 hospice patients died. Three of them were excluded from the analysis owing to insufficient information on medication. Analysis of effectiveness The basis for the analysis of the clinical study (intention to treat or treatment completers only) was not stated. The primary health outcomes were pain (on a visual analogue scale) and the use of strong opioids (SO), weak opioids (WO), non-steroidal anti-inflammatory drugs (NSAID

2001 NHS Economic Evaluation Database.

3250. Use of a decision-analytic model to support the use of a new oral US contrast agent in patients with abdominal pain

Use of a decision-analytic model to support the use of a new oral US contrast agent in patients with abdominal pain Use of a decision-analytic model to support the use of a new oral US contrast agent in patients with abdominal pain Use of a decision-analytic model to support the use of a new oral US contrast agent in patients with abdominal pain Bree R L, Arnold R J, Pettit K G, Kaniecki D J, O'Haeri C, LaFrance N D, Toaff A L Record Status This is a critical abstract of an economic evaluation (...) that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study compared ultrasound (US) with and without oral contrast material (SonoRx enhanced ultrasound; Bracco Diagnostics) in the evaluation of patients with abdominal pain who were suspected of having pancreatic disease. Type of intervention Diagnosis

2001 NHS Economic Evaluation Database.

3251. Finding cancer in primary care outpatients with low back pain: a comparison of diagnostic strategies

Finding cancer in primary care outpatients with low back pain: a comparison of diagnostic strategies Finding cancer in primary care outpatients with low back pain: a comparison of diagnostic strategies Finding cancer in primary care outpatients with low back pain: a comparison of diagnostic strategies Joines J D, McNutt R A, Carey T S, Deyo T A, Rouhani R Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains (...) a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Strategies for diagnosing cancer in primary care patients with low back pain. The strategies, and their relevant technologies, were as follows: B = MRI (image) if erythrocyte sedimentation rate positive(ESR+) and x-ray positive; C = image everyone; D = image if ESR positive; E = image if x-ray positive; F = image if ESR

2001 NHS Economic Evaluation Database.

3252. Economic evaluation of the fentanyl transdermal system for the treatment of chronic moderate to severe pain

Economic evaluation of the fentanyl transdermal system for the treatment of chronic moderate to severe pain Economic evaluation of the fentanyl transdermal system for the treatment of chronic moderate to severe pain Economic evaluation of the fentanyl transdermal system for the treatment of chronic moderate to severe pain Neighbors D M, Bell T J, Wilson J, Dodd S L Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract (...) contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The health intervention examined in the study was fentanyl transdermal system, an opioid analgesic used for the management of chronic moderate to severe pain. The transdermal system provides a continuous dosing of fentanyl for up to 72 hours. Type of intervention Analgesic treatment. Economic study type Cost-utility

2001 NHS Economic Evaluation Database.

3253. Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for low back pain

Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for low back pain Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for low back pain Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for low back pain Philadelphia Panel Authors' objectives To improve appropriate use of rehabilitation interventions for lower- back pain (LBP) through (...) ) biofeedback, transcutaneous electrical nerve stimulation (TENS), therapeutic ultrasound, therapeutic exercises, and combinations of these rehabilitation interventions. Studies whose control groups received 'active' treatments were included. Concurrent treatments were allowed if they were given in the same way to both the experimental and control groups. Participants included in the review Adults with non-specific LBP. Non-specific LBP was defined as pain between the gluteal fold and the uppermost lumbar

2001 DARE.

3254. Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for knee pain

Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for knee pain Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for knee pain Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for knee pain Philadelphia Panel Authors' objectives To improve appropriate use of rehabilitation interventions for knee pain through the development (...) to articles published in full in English, French or Spanish. Study selection Study designs of evaluations included in the review Randomised controlled trials (RCTs), non-randomised controlled clinical trials, case-control and cohort studies were eligible. Specific interventions included in the review Rehabilitation interventions for knee pain. The interventions included massage, thermal therapy (hot or cold packs), electrical stimulation, electromyographic feedback, transcutaneous electrical nerve

2001 DARE.

3255. Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for neck pain

Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for neck pain Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for neck pain Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for neck pain Philadelphia Panel Authors' objectives To describe the development of the Philadelphia Panel evidence-based clinical practice guidelines (EBCPGs (...) ) of rehabilitation interventions for non-specific neck pain, with the purpose of improving appropriate use of rehabilitation interventions for neck pain by clinical practitioners. The authors' realised objective was also to find evidence for the effectiveness of different rehabilitative interventions for neck pain. Searching MEDLINE, EMBASE, Current Contents, CINAHL, and the Cochrane Controlled Trials Register were searched up to July 2000. In addition to these, the registries of the Cochrane Rehabilitation

2001 DARE.

3256. Educational interventions to improve cancer pain control: a systematic review

Educational interventions to improve cancer pain control: a systematic review Educational interventions to improve cancer pain control: a systematic review Educational interventions to improve cancer pain control: a systematic review Allard P, Maunsell E, Labbe J, Dorval M Authors' objectives To review studies on educational interventions aimed at improving pain control in patients with advanced cancer. Searching MEDLINE (from January 1962), PsycLIT (from 1974) and CINAHL (from 1982 to 1999 (...) ) were searched for articles published in the English language. The following groups of keywords were used both separately and in combination: 'pain'; 'cancer', 'neoplasms'; 'intervention' or 'program'; 'education', 'document', 'measure', 'information', or 'assessment' and alternative terms. Study selection Study designs of evaluations included in the review The included studies were not restricted to randomised controlled trials (RCTs). The primary studies included RCTs, quasi-experimental studies

2001 DARE.

3257. The role of radiography in primary care patients with low back pain of at least 6 weeks duration: a randomised (unblinded) controlled trial Full Text available with Trip Pro

The role of radiography in primary care patients with low back pain of at least 6 weeks duration: a randomised (unblinded) controlled trial The role of radiography in primary care patients with low back pain of at least 6 weeks duration: a randomised (unblinded) controlled trial Journals Library An error has occurred in processing the XML document An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could

2001 NIHR HTA programme

3258. Interventions for treating chronic pelvic pain in women. Full Text available with Trip Pro

Interventions for treating chronic pelvic pain in women. Chronic pelvic pain is common in women in the reproductive age group and it causes disability and distress and results in significant costs to health services. The pathogenesis of chronic pelvic pain is poorly understood. Often, investigation by laparoscopy reveals no obvious cause for pain. There are several possible explanations for chronic pelvic pain including undetected irritable bowel syndrome, the vascular hypothesis where pain (...) is thought to arise from dilated pelvic veins in which blood flow is markedly reduced and altered spinal cord and brain processing of stimuli in women with chronic pelvic pain. As the pathophysiology of chronic pelvic pain is not well understood, its treatment is often unsatisfactory and limited to symptom relief. Currently, the main approaches to treatment include counselling or psychotherapy, attempting to provide reassurance using laparoscopy to exclude serious pathology, progestogen therapy

2000 Cochrane

3259. Modern combined oral contraceptives for pain associated with endometriosis. (Abstract)

Modern combined oral contraceptives for pain associated with endometriosis. Endometriosis is a major women's health-care problem. It causes pain and/or infertility, and affects millions of women worldwide. Endometriosis is defined according to histological criteria by the presence of tissue resembling endometrium in sites outside the uterus, most commonly the ovaries and peritoneum. The aim of treatment has been to remove the deposits of ectopic endometrium that are thought to be responsible (...) treatments that it can be taken indefinitely.The aim of this review was to establish the role of modern oral contraceptives in the management of painful symptoms ascribed to endometriosis.The search strategy of the Menstrual Disorders Group was utilised to identify all randomised trials of the use of oral contraceptives in the treatment of symptomatic endometriosis. In addition a search of the Cochrane Controlled Trials Register was undertaken together with approaches to pharmaceutical companies.All

2000 Cochrane

3260. Anticonvulsant drugs for acute and chronic pain. (Abstract)

Anticonvulsant drugs for acute and chronic pain. Anticonvulsant drugs have been used in the management of pain since the 1960s. The clinical impression is that they are useful for neuropathic pain, especially when the pain is lancinating or burning.To evaluate the analgesic effectiveness of anticonvulsant drugs compared to either placebo or other drugs in order to provide evidence-based recommendations for pain management in clinical practice and to identify a clinical research agenda. Adverse (...) effects are also considered.Randomised trials of anticonvulsants in acute, chronic or cancer pain were identified by Medline (Silver Platter 3.0, 3.1 and 3.11) from 1966 to February 1994. In addition, 40 medical journals were hand searched (published between 1950 and 1990). Additional reports were identified from the reference list of the retrieved papers, and contacting investigators. Date of the most recent searches: 1994.Randomised trials reporting the analgesic effects of anticonvulsant drugs

2000 Cochrane