Latest & greatest articles for pain

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Top results for pain

3281. Transcutaneous electrical nerve stimulation and acupuncture-like transcutaneous electrical nerve stimulation for chronic low back pain. (Abstract)

Transcutaneous electrical nerve stimulation and acupuncture-like transcutaneous electrical nerve stimulation for chronic low back pain. Transcutaneous electrical nerve stimulation (TENS), originally based on the gate-control theory of pain, is widely used for the treatment of chronic low back pain. Despite its wide use and theoretical rationale, there appears at first glance little scientific evidence to support its use. This Cochrane review examines the available evidence on TENS (...) for the treatment of chronic back pain through an exhaustive search of the literature.Transcutaneous electrical nerve stimulation (TENS) and acupuncture-like transcutaneous electrical nerve stimulation (ALTENS) for chronic low back pain management have experienced a tremendous growth over the past 25 years. The objective of this review was to assess the effects of TENS and ALTENS for reducing pain and improving function in patients with chronic back pain.We searched MEDLINE up to November 1997, EMBASE from 1985

2000 Cochrane

3282. Interventions for shoulder pain. (Abstract)

Interventions for shoulder pain. To review the efficacy of common interventions for shoulder pain.We searched the Cochrane Musculoskeletal Group trials register, Cochrane Controlled Trials Register, Medline, Embase, Cinahl, and Science Citation Index) up to May 1998, and hand searched major textbooks, bibliographies of relevant literature, the fugitive literature, and the subject indices of relevant journals including: American College of Rheumatology;British College of Rheumatologists (...) glucocorticosteroid injection, oral glucocorticosteroid treatment, physiotherapy, manipulation under anaesthesia, hydrodilatation, or surgery); that treatment allocation was randomized; and that the outcome assessment was blinded.Methodological quality was assessed by two independent, blinded reviewers. Data relating to selection criteria, outcome measurement and treatment effect was extracted from the blinded trials. Range of motion scores were entered as degrees of restriction to movement, and all pain

2000 Cochrane

3283. Bed rest for acute low back pain and sciatica. (Abstract)

Bed rest for acute low back pain and sciatica. Low back pain is a common reason for consulting a general practitioner, and advice on daily activities constitutes an important part in the primary care management of low back pain.To assess the effects of bed rest for patients with acute low back pain or sciatica.We searched the Cochrane Musculoskeletal Group trial register, Cochrane Controlled Trials Register, MEDLINE, Embase, Sport, Scisearch, and reference lists of relevant articles. We also (...) contacted authors of relevant articles. Date of the most recent searches: December 1998.We included all randomised studies or quasi randomised studies where at least one comparison group of adult patients with acute low back pain with or without radiation of pain below the knee was advised to rest in bed for at least two days and one group was not, or where comparison groups were advised to stay in bed for different lengths of time. The main outcomes of interest were pain, functional status, recovery

2000 Cochrane

3284. Acupuncture for low back pain. (Abstract)

Acupuncture for low back pain. Although low back pain is usually a self-limiting and benign disease that tends to improve spontaneously over time, a large variety of therapeutic interventions are available for the treatment of low back pain.The objective of this review was to assess the effects of acupuncture for the treatment of non-specific low back pain.We searched the Cochrane Complementary Medicine Field trials register, the Cochrane Controlled Trials Register (1997, issue 1), Medline (...) for the treatment of back pain.

2000 Cochrane

3285. Injection therapy for subacute and chronic benign low back pain. (Abstract)

Injection therapy for subacute and chronic benign low back pain. Injection with anaesthetics and/or steroids is one of the treatment modalities used in patients with chronic low back pain which needs evaluation with respect to the effectiveness on short and long term pain relief.To evaluate the effectiveness of injection therapy in patients with low back pain lasting longer than one month. We distinguished between three injection sites: facet joint, epidural or local injections.We searched (...) the Medline and Embase databases up to 1996 and other search methods as advocated by the Back Review Group search strategy. Abstracts and unpublished studies were not included.Randomized controlled trials of injection therapy for pain relief (although additional treatments were allowed) in patients with benign low back pain lasting longer than one month and not originating from cancer.Two reviewers independently assessed the trials for methodological quality. Subgroup analyses were made between trials

2000 Cochrane

3286. Multidisciplinary rehabilitation for fibromyalgia and musculoskeletal pain in working age adults. (Abstract)

Multidisciplinary rehabilitation for fibromyalgia and musculoskeletal pain in working age adults. Non-malignant musculoskeletal pain is an increasing problem in western countries. Fibromyalgia syndrome is an increasing recognised chronic musculoskeletal disorder.The objective of this systematic review was to determine the effectiveness of multidisciplinary rehabilitation for fibromyalgia and widespread musculoskeletal pain among working age adults.An electronic search was conducted and included (...) search, we selected all randomized controlled trials (RCTs) and clinical controlled trials (CCTs). Trials had to assess the effectiveness of multidisciplinary rehabilitation for patients suffering from fibromyalgia and widespread musculoskeletal pain among working age adults. The rehabilitation program was required to be multidisciplinary; that is, it had to consist of a physician's consultation, plus a psychological, social or vocational intervention, or a combination of both.Four reviewers

2000 Cochrane

3287. Behavioural treatment for chronic low back pain. (Abstract)

Behavioural treatment for chronic low back pain. The treatment of chronic low back pain is not primarily focused on removing an underlying organic pathology, but at the reduction of disability through the modification of environmental contingencies and cognitive processes. Behavioural interventions are commonly used in the treatment of chronic (disabling) low back pain.The objective of this systematic review was to determine if behavioural therapy is more effective than reference treatments (...) for chronic non-specific low back pain, and which type of behavioural treatment is most effective.We searched the Medline, PsycLit databases, and the Cochrane Controlled Trials Register up to April 1999, Embase up to September 1999. We also screened references of identified randomised trials and relevant systematic reviews.Only randomised trials on any type of behavioural treatment for non-specific chronic low back pain were included.Methodological quality assessment and data extraction was done by two

2000 Cochrane

3288. Back schools for non-specific low back pain. (Abstract)

Back schools for non-specific low back pain. Since the introduction of the Swedish back school in 1980, the content of back schools has changed and appears to vary widely today. Back schools are frequently used in the treatment of low back pain patients.The objective of this systematic review was to assess the effects of back schools for patients with non-specific low back pain.We searched the Medline and Embase databases up to December 1997 and the Cochrane Controlled Trials Register up (...) to December 1998 if reported in English, Dutch, French or German. We also screened references given in relevant reviews and identified randomised trials.Only randomised trials that reported on any type of back school for non-specific low back pain were included.Two reviewers blinded with respect to authors, institution and journal independently extracted the data and assessed trial quality. Our preset "high quality" level was 6 or more out of 11 internal validity criteria with positive scores. As data

2000 Cochrane

3289. Persistent pain and faecal urgency after stapled haemorrhoidectomy. (Abstract)

Persistent pain and faecal urgency after stapled haemorrhoidectomy. Haemorrhoidectomy usually cures haemorrhoids. Day surgery is feasible, and is associated with high patients' satisfaction and few complications, but patients take an average of 2 weeks off work after surgery. Stapled haemorrhoidectomy has the potential to decrease postoperative pain and time off work. However, data on long-term efficacy and function are lacking.22 patients underwent stapled haemorrhoidectomy: seven in a pilot (...) study, and 15 in a randomised controlled trial to compare the new stapled operation with diathermy haemorrhoidectomy in a day-case setting. All operations were done by one consultant surgeon.16 patients were followed up for longer than 6 months, five of whom (31% [95% CI 8.5-54.0%]) developed symptoms of pain and faecal urgency which persisted for up to 15 months postoperatively. The randomised trial was suspended, and patients were investigated with endoanal ultrasonography, anorectal physiology

2000 Lancet Controlled trial quality: uncertain

3290. Cost effectiveness analysis of intravenous ketorolac and morphine for treating pain after limb injury: double blind randomised controlled trial. Full Text available with Trip Pro

Cost effectiveness analysis of intravenous ketorolac and morphine for treating pain after limb injury: double blind randomised controlled trial. To investigate the cost effectiveness of intravenous ketorolac compared with intravenous morphine in relieving pain after blunt limb injury in an accident and emergency department.Double blind, randomised, controlled study and cost consequences analysis.Emergency department of a university hospital in the New Territories of Hong Kong.148 adult patients (...) with painful isolated limb injuries (limb injuries without other injuries).Primary outcome measure was a cost consequences analysis comparing the use of ketorolac with morphine; secondary outcome measures were pain relief at rest and with limb movement, adverse events, patients' satisfaction, and time spent in the emergency department.No difference was found in the median time taken to achieve pain relief at rest between the group receiving ketorolac and the group receiving morphine, but with movement

2000 BMJ Controlled trial quality: predicted high

3291. Contribution of central sensitisation to the development of non-cardiac chest pain. (Abstract)

Contribution of central sensitisation to the development of non-cardiac chest pain. Non-cardiac chest pain mimics angina pectoris but generally originates from the oesophagus. Visceral hypersensitivity may contribute, but its neurophysiological basis is unclear. We investigated whether central sensitisation, an activity-dependent amplification of sensory transfer in the central nervous system, underlies visceral pain hypersensitivity and non-cardiac chest pain.We studied 19 healthy volunteers (...) and seven patients with non-cardiac chest pain. Acid was infused into the lower oesophagus. Sensory responses to electrical stimulation were monitored within the acid-exposed lower oesophagus, the non-exposed upper oesophagus, and the cutaneous area of pain referral, before and after the infusion.In healthy volunteers, acid infusion into the lower oesophagus lowered the pain threshold in the upper oesophagus (mean decrease 18.2% [95% CI 10.4 to 26.0]; p=0.01) and on the chest wall (24.5% [10.2 to 38.7

2000 Lancet Controlled trial quality: uncertain

3292. Acute and chronic low back pain

Acute and chronic low back pain Acute and chronic low back pain Acute and chronic low back pain NHS Centre for Reviews and Dissemination Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation NHS Centre for Reviews and Dissemination. Acute and chronic low back pain. University of York. Effective Health Care 6(5). 2000 Authors' objectives (...) This bulletin aims to summarise the available evidence on the treatment of acute and chronic low back pain. Authors' conclusions Low back pain is very common in developed countries, especially in adults of working age. For acute low back pain, advice to continue ordinary activity can give equivalent or faster symptomatic recovery from the acute attack and lead to less chronic disability and less time off work. Bed rest should not be recommended as a treatment for acute low back pain. Non-steroidal anti

2000 Health Technology Assessment (HTA) Database.

3293. Intrathecal pumps for giving opioids in chronic pain: a systematic review

Intrathecal pumps for giving opioids in chronic pain: a systematic review Intrathecal pumps for giving opioids in chronic pain: a systematic review Intrathecal pumps for giving opioids in chronic pain: a systematic review Williams J E, Louw G, Towlerton G Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Williams J E, Louw G, Towlerton G (...) . Intrathecal pumps for giving opioids in chronic pain: a systematic review. Health Technology Assessment 2000; 4(32): 1-65 Authors' objectives This review aims to answer the following questions about intrathecal pump systems, based on an analysis of the published literature. - Which drugs and dosages are commonly used in clinical practice? - How effective is this therapy compared with other treatments? - What are the risks? - What types of patients are suitable? - How costly is this type of treatment

2000 Health Technology Assessment (HTA) Database.

3294. Back and neck pain

Back and neck pain Back and neck pain Back and neck pain Nachemson A, Carlsson C-A, Englund L, Goossens M et al Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Nachemson A, Carlsson C-A, Englund L, Goossens M et al. Back and neck pain. Stockholm: Swedish Council on Technology Assessment in Health Care (SBU) 2000: 417 (vol I), 389 (vol II (...) ) Authors' objectives This report examines the epidemiology, diagnosis, and treatment of back and neck pain. Also covered are the economic, social, and psychosocial aspects of back pain. Authors' conclusions Back and neck pain is common. Healing is promoted by staying active, returning to work, and exercising at an appropriate intensity. A thorough anamnesis and physical examination is important for relieving anxiety about the consequences of pain and sufficient for identifying those who should

2000 Health Technology Assessment (HTA) Database.

3295. Does antibiotic and/or steroid therapy reduce pain and secondary haemorrhaging after tonsillectomy?

Does antibiotic and/or steroid therapy reduce pain and secondary haemorrhaging after tonsillectomy? Does antibiotic and/or steroid therapy reduce pain and secondary haemorrhaging after tonsillectomy? Does antibiotic and/or steroid therapy reduce pain and secondary haemorrhaging after tonsillectomy? Clavisi O 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 (...) Clavisi O. Does antibiotic and/or steroid therapy reduce pain and secondary haemorrhaging after tonsillectomy? Clayton, Victoria: Centre for Clinical Effectiveness (CCE) 2000: 21 Authors' objectives This aim of this report was to assess whether antibiotic and/or steroid therapy reduces pain and secondary haemorrhaging after tonsillectomy. Authors' conclusions - Eleven studies were retrieved that met inclusion and exclusion criteria - Studies differed with regards to the type of antibiotic and steroid

2000 Health Technology Assessment (HTA) Database.

3296. Acupuncture for chronic osteoarthritis pain, headache and low back pain

Acupuncture for chronic osteoarthritis pain, headache and low back pain Acupuncture for chronic osteoarthritis pain, headache and low back pain Acupuncture for chronic osteoarthritis pain, headache and low back pain Institute for Clinical Systems Improvement 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 Institute for Clinical Systems Improvement. Acupuncture (...) for chronic osteoarthritis pain, headache and low back pain. Bloomington MN: Institute for Clinical Systems Improvement (ICSI) 2000 Authors' objectives This review aims to assess the effectiveness of acupuncture for chronic osteoarthritis pain, headache and low back pain. Authors' conclusions Based on a review of evidence available to date, the ICSI Technology Assessment Committee finds the following: The quality of the literature continues to be a concern. As noted in the original report

2000 Health Technology Assessment (HTA) Database.

3297. Routine referral for radiography of patients presenting with low back pain: is patients' outcome influenced by GPs' referral for plain radiography?

Routine referral for radiography of patients presenting with low back pain: is patients' outcome influenced by GPs' referral for plain radiography? Routine referral for radiography of patients presenting with low back pain: is patients' outcome influenced by GPs' referral for plain radiography? Routine referral for radiography of patients presenting with low back pain: is patients' outcome influenced by GPs' referral for plain radiography? Kerry S, Hilton S, Patel S, Dundas D, Rink E, Lord J (...) Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Kerry S, Hilton S, Patel S, Dundas D, Rink E, Lord J. Routine referral for radiography of patients presenting with low back pain: is patients' outcome influenced by GPs' referral for plain radiography? Health Technology Assessment 2000; 4(20): 1-119 Authors' objectives A study in general practice

2000 Health Technology Assessment (HTA) Database.

3298. Stomach pain - evidence-based methods in the diagnosis and treatment of dyspepsia

Stomach pain - evidence-based methods in the diagnosis and treatment of dyspepsia Stomach pain - evidence-based methods in the diagnosis and treatment of dyspepsia Stomach pain - evidence-based methods in the diagnosis and treatment of dyspepsia Ostman J, Agenas I, Brun J, Elwin C E, Engstrand L, Johansson S, Lindberg G, Marke L A, Norlund A et al Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality (...) of this assessment has been made for the HTA database. Citation Ostman J, Agenas I, Brun J, Elwin C E, Engstrand L, Johansson S, Lindberg G, Marke L A, Norlund A et al. Stomach pain - evidence-based methods in the diagnosis and treatment of dyspepsia. Stockholm: Swedish Council on Technology Assessment in Health Care (SBU) 2000: 291 Authors' objectives This report critically reviews the scientific evidence of treatment for dyspepsia, and the relationship between bacterial infection involving Helicobacter pylori

2000 Health Technology Assessment (HTA) Database.

3299. Treatment of Pain in the Older Patient

Treatment of Pain in the Older Patient [33] Treatment of Pain in the Older Patient | Therapeutics Initiative Independent Healthcare Evidence > > [33] Treatment of Pain in the Older Patient The assessment of gabapentin (Neurontin) included in this Letter was based on potentially misleading information, as reported by the manufacturer. U.S. litigation in 2009-2010 has revealed that Neurontin’s off-label promotion, which over a relatively short period led to blockbuster status for this drug (...) with multi-billion dollars in annual sales world-wide, was assisted by selective publication and citation of studies with favorable outcomes. Court-ordered access to unpublished studies allowed us to present a more accurate estimate of gabapentin’s clinical effects in Therapeutics Letter #75 (July-December 2009) Providing effective analgesia to a patient may seem routine, yet it is one of medicine’s most satisfying achievements. Serious pain eventually afflicts virtually everyone, and is particularly

2000 Therapeutics Letter

3300. Bipolar permanent magnets for the treatment of chronic low back pain: a pilot study. (Abstract)

Bipolar permanent magnets for the treatment of chronic low back pain: a pilot study. Chronic low back pain is one of the most prevalent and costly medical conditions in the United States. Permanent magnets have become a popular treatment for various musculoskeletal conditions, including low back pain, despite little scientific support for therapeutic benefit.To compare the effectiveness of 1 type of therapeutic magnet, a bipolar permanent magnet, with a matching placebo device for patients (...) with chronic low back pain.Randomized, double-blind, placebo-controlled, crossover pilot study conducted from February 1998 to May 1999.An ambulatory care physical medicine and rehabilitation clinic at a Veterans Affairs hospital.Nineteen men and 1 woman with stable low back pain of a mean of 19 years' duration, with no past use of magnet therapy for low back pain. Twenty patients were determined to provide 80% power in the study at P<.05 to detect a difference of 2 points (the difference believed

2000 JAMA Controlled trial quality: predicted high