Latest & greatest articles for pain

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Top results for pain

4201. Patellar taping for patellofemoral pain syndrome in adults. Full Text available with Trip Pro

Patellar taping for patellofemoral pain syndrome in adults. Patellofemoral pain syndrome refers to the clinical presentation of knee pain related to changes in the patellofemoral joint. Patellofemoral pain syndrome usually has a gradual onset of pain with none of the features associated with other knee diseases or trauma. It is often treated by physiotherapists, who use a variety of techniques including patellar taping. This involves the application of adhesive sports medical tape applied (...) directly to the skin over the patella on the front of the knee. Patients often report an instantaneous improvement in pain and function after the tape is applied, but its longer term effects are uncertain.The objective was to assess the effects, primarily on pain and function, of patellar taping for treating patellofemoral pain syndrome in adults.We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, CINAHL, EMBASE

2012 Cochrane

4202. Can Supervised Group Exercises Including Ergonomic Advice Reduce the Prevalence and Severity of Low Back Pain and Pelvic Girdle Pain in Pregnancy? A Randomized Controlled Trial Full Text available with Trip Pro

Can Supervised Group Exercises Including Ergonomic Advice Reduce the Prevalence and Severity of Low Back Pain and Pelvic Girdle Pain in Pregnancy? A Randomized Controlled Trial Many women have low back pain (LBP) or pelvic girdle pain (PGP) during pregnancy, but there is limited evidence of effective primary and secondary preventive strategies.The purpose of this study was to investigate whether a group-based exercise program can reduce the prevalence and severity of LBP and PGP in pregnant (...) measures were self-reported LBP and self-reported PGP. Secondary outcome measures were pain intensity in the morning and evening, disability, and 8-Item Short-Form Health Survey (SF-8) Physical Component Summary (PCS) and Mental Component Summary (MCS) scores. Follow-up measurements were performed at gestation weeks 24, 28, 32, and 36.Overall, there was no effect of the program on the prevalence of PGP (odds ratio = 1.03, 95% confidence interval [CI] = 0.66 to 1.59) or LBP (odds ratio = 0.77, 95% CI

2012 EvidenceUpdates Controlled trial quality: predicted high

4203. Efficacy of Directional Preference Management for Low Back Pain: A Systematic Review Full Text available with Trip Pro

Efficacy of Directional Preference Management for Low Back Pain: A Systematic Review Providing specific treatment based on symptom response for people with low back pain (LBP) and a directional preference (DP) is a widely used treatment approach. The efficacy of treatment using the principles of directional preference management (DPM) for LBP is unclear.The purpose of this study was to determine the efficacy of treatment using the principles of DPM for people with LBP and a DP.Computer (...) databases were searched for randomized controlled trials (RCTs) published in English up to January 2010. Only RCTs investigating DPM for people with LBP and a DP were included. Outcomes for pain, back specific function, and work participation were extracted.Six RCTs were included in this review. Five were considered high quality. Clinical heterogeneity of the included trials prevented meta-analysis. GRADE quality assessment revealed mixed results; however, moderate evidence was identified that DPM

2012 EvidenceUpdates

4204. Pain Management by Periarticular Multimodal Drug Injection After Anterior Cruciate Ligament Reconstruction: A Randomized, Controlled Study (Abstract)

Pain Management by Periarticular Multimodal Drug Injection After Anterior Cruciate Ligament Reconstruction: A Randomized, Controlled Study We aimed to determine the efficacy of periarticular (PA) multimodal drug cocktail (MDC) infiltration for pain control after anterior cruciate ligament reconstruction with an autogenous bone-patellar tendon-bone graft.We randomly assigned 100 patients to five study groups (20 per group): control group, no injection; intra-articular (IA) ropivacaine group, IA (...) injection of ropivacaine alone; IA MDC group, IA injection of MDC; PA MDC group, PA injection of MDC; and IA + PA MDC group, IA and PA injections of MDC. The MDC consisted of ropivacaine, morphine, ketorolac, epinephrine, and cefuroxime. The five groups were compared in terms of pain levels during the first night after surgery and on postoperative days 1, 2, and 14; patient satisfaction was assessed on postoperative day 14.The PA MDC and IA + PA MDC groups had less pain during the first night than

2012 EvidenceUpdates Controlled trial quality: uncertain

4205. The CONECSI trial: results of a randomized controlled trial of a multidisciplinary cognitive behavioral program for coping with chronic neuropathic pain after spinal cord injury (Abstract)

The CONECSI trial: results of a randomized controlled trial of a multidisciplinary cognitive behavioral program for coping with chronic neuropathic pain after spinal cord injury Many people with spinal cord injury (SCI) rate chronic neuropathic pain as one of the most difficult problems to manage. The aim of the CONECSI (COping with NEuropathiC Spinal cord Injury pain) trial was to evaluate a multidisciplinary cognitive behavioral treatment program for persons with chronic neuropathic pain (...) after SCI. The intervention consisted of educational, cognitive, and behavioral elements. A total of 61 people were randomized to either the intervention group or the waiting list control group in 4 Dutch rehabilitation centers. Primary outcomes were pain intensity and pain-related disability (Chronic Pain Grade questionnaire), and secondary outcomes were mood (Hospital Anxiety and Depression Scale), participation in activities (Utrecht Activities List), and life satisfaction (Life Satisfaction

2012 EvidenceUpdates Controlled trial quality: uncertain

4206. Economic evaluation of OROS hydromorphone for chronic pain: a pan-European perspective

Economic evaluation of OROS hydromorphone for chronic pain: a pan-European perspective Economic evaluation of OROS hydromorphone for chronic pain: a pan-European perspective Economic evaluation of OROS hydromorphone for chronic pain: a pan-European perspective Hauber AB, Fleischmann J, Lothgren M, Wilson M, Lam A, Dubois D, Sabatowski 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. CRD summary The objective was to assess the cost-effectiveness of once daily, osmotic-controlled release oral delivery system (OROS) hydromorphone relative to other strong oral opioids for the treatment of chronic pain. The authors concluded that OROS hydromorphone was cost-effective, for chronic severe malignant or non-malignant pain, in all five countries

2012 NHS Economic Evaluation Database.

4207. Treatment of TMD Pain With Occlusal Splint vs. Physical Therapies

Treatment of TMD Pain With Occlusal Splint vs. Physical Therapies UTCAT2252, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Treatment of TMD Pain With Occlusal Splint vs. Physical Therapies Clinical Question For a patient with TMD pain, does an occlusal splint reduce pain in a higher percentage of patients than does physical therapy and/or stress exercises? Clinical Bottom Line Both methods of treatment reduce pain (...) in patients with TMD, but there is inconclusive evidence as to which treatment is definitively better for all patients. 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) Madani/ 2011 60 patients with acute pain and dysfunction RCT Key results Occlusal splints and physical therapy are both effective methods of TMD treatment, but occlusal splints is the best treatment for reduction of pain and joint sounds. #2

2012 UTHSCSA Dental School CAT Library

4208. TMD Education And Self-Management Instruction Is The First Choice For Patients With Myofascial Pain

TMD Education And Self-Management Instruction Is The First Choice For Patients With Myofascial Pain UTCAT2199, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title TMD Education And Self-Management Instruction Is The First Choice For Patients With Myofascial Pain Clinical Question Would TMD education and self-management instructions or an occlusal splint be more effective in reducing the spontaneous muscle pain for my TMD (...) patient with a primary diagnosis of myofascial pain? Clinical Bottom Line For patients with myofascial pain, TMD education and self-management instructions are equal or more effective than the occlusal splint in reducing the spontaneous muscle pain based on 3 randomized clinical trials. Such conservative strategies are likely to be accepted by the average patient and should be the first treatment for the myofascial pain. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed

2012 UTHSCSA Dental School CAT Library

4209. Smoking Tobacco Does Not Increase Incidence or Severity of TMJ Pain

Smoking Tobacco Does Not Increase Incidence or Severity of TMJ Pain UTCAT2176, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Smoking Tobacco Does Not Increase Incidence or Severity of TMJ Pain Clinical Question In adult patients, do tobacco smokers experience greater TMJ pain than nonsmokers? Clinical Bottom Line If a smoking patient reports with TMD, having them discontinue their smoking habit should not be the only (...) treatment given to them. Smoking alone can’t be considered the only factor that causes TMD patients to experience more pain when compared to nonsmokers. (See Comments on the CAT below) 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) Wanman/2005 Tobacco smokers and nonsmokers with TMJ pain Cohort Study Key results In this study 244 smokers were matched with nonsmokers based on age, gender, number of teeth

2012 UTHSCSA Dental School CAT Library

4210. Ping On, An Herbal Ointment, May Be More Effective Than Placebo For Reducing Pain And Severity Of TMD Pain In Adult Patients

Ping On, An Herbal Ointment, May Be More Effective Than Placebo For Reducing Pain And Severity Of TMD Pain In Adult Patients UTCAT2273, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Ping On, An Herbal Ointment, May Be More Effective Than Placebo For Reducing Pain And Severity Of TMD Pain In Adult Patients Clinical Question In an adult patient with TMD, are herbal remedies more effective than placebo in reducing (...) the severity or duration of pain? Clinical Bottom Line Ping On, an herbal ointment, may be more effective than placebo for reducing pain and severity of TMD pain in adult patients. Other herbal treatment would need additional investigation. 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) Li/2009 Patients with TMJ and/ or masticatory pain Double Blind Randomized Control Trial Key results Ping On ointment

2012 UTHSCSA Dental School CAT Library

4211. Low Level Laser Therapy (LLLT) is not an effective treatment for Temporomandibular Disorder pain

Low Level Laser Therapy (LLLT) is not an effective treatment for Temporomandibular Disorder pain UTCAT2219, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Low Level Laser Therapy (LLLT) Is Not An Effective Treatment For Temporomandibular Disorder Pain Clinical Question For a patient with temporomandibular disorder, will the application of low level laser therapy be beneficial in reducing TMD pain compared (...) to not receiving laser therapy? Clinical Bottom Line There is not sufficient evidence to support the effectiveness of low level laser therapy in reducing temporomandibular disorder pain. 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) Petrucci/2011 Patients with TMD Systematic Review with Meta-analysis Key results Six randomized controlled studies were selected for this analysis. All six trials provided data

2012 UTHSCSA Dental School CAT Library

4212. Combination of Dexamethasone and Tropisetron Before Thyroidectomy to Alleviate Postoperative Nausea, Vomiting, and Pain: Randomized Controlled Trial (Abstract)

Combination of Dexamethasone and Tropisetron Before Thyroidectomy to Alleviate Postoperative Nausea, Vomiting, and Pain: Randomized Controlled Trial Nausea, vomiting, and pain frequently occur after thyoidectomy. Little evidence exists regarding the effects of administrating a combination of dexamethasone and tropisetron to patients undergoing thyroidectomy. We aimed to evaluate the effects of dexamethasone and tropisetron on thyroidectomy outcomes.A total of 150 patients undergoing (...) thyroidectomy were included in this prospective randomized, controlled, three-arm study (group D: 8 mg dexamethasone; group T: 5 mg tropisetron; group D+T: 8 mg dexamethasone and 5 mg tropisetron). There were 50 patients in each group. Nausea, vomiting, pain, and the amount of antiemetic and analgesic agents required were recorded 2, 4, 8, 16, 24, 36, and 48 h postoperatively.The complete response rate of nausea and vomiting was significantly higher in group D+T (78%, 39/50), compared with that in group D

2012 EvidenceUpdates Controlled trial quality: uncertain

4213. Integration of subclassification strategies in randomised controlled clinical trials evaluating manual therapy treatment and exercise therapy for non-specific chronic low back pain: a systematic review

Integration of subclassification strategies in randomised controlled clinical trials evaluating manual therapy treatment and exercise therapy for non-specific chronic low back 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.

2012 DARE.

4214. Antibiotics Are An Ineffective Treatment For Preoperative Pain Relief

Antibiotics Are An Ineffective Treatment For Preoperative Pain Relief UTCAT2244, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Antibiotics Are An Ineffective Treatment For Preoperative Pain Relief Clinical Question In patients experiencing spontaneous moderate to severe pain from irreversible pulpitis, does the administration of penicillin reduce patient discomfort pre-operatively compared to no penicillin (...) administration? Clinical Bottom Line Penicillin is not an effective treatment for preoperative pain relief. In a randomized control trial, 40 patients were separated into two groups of twenty. One received penicillin and the other received a placebo. Pain measures were recorded across seven days and no significant difference was found between the two groups. 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) Nagle

2012 UTHSCSA Dental School CAT Library

4215. Prior psychiatric hospitalization is associated with excess mortality in patients hospitalized with non-cardiac chest pain: a data linkage study based on the full Scottish population (1991-2006) Full Text available with Trip Pro

Prior psychiatric hospitalization is associated with excess mortality in patients hospitalized with non-cardiac chest pain: a data linkage study based on the full Scottish population (1991-2006) Non-cardiac chest pain (NCCP) is considered a benign condition. We investigate case-fatality following an incident hospitalization for NCCP and determine whether previous psychiatric hospitalization is associated with short-term mortality.This was a population-based retrospective cohort study of 159 888 (...) hospitalization than without, with effect modification according to age group.Non-cardiac chest pain is not an entirely benign condition. Individuals with a hospital discharge diagnosis of NCCP who have a previous psychiatric hospitalization have a greater risk of death, all-cause, and CVD-specific, at 1 year, than those without. A NCCP hospitalization is an opportunity to engage, and where appropriate, intervene to modify cardiovascular risk in this difficult-to-reach and high-risk group.

2012 EvidenceUpdates

4216. The Effect of a Pain Management Program on Patients With Cancer Pain Full Text available with Trip Pro

The Effect of a Pain Management Program on Patients With Cancer Pain Pain is 1 of the most common symptoms that a cancer patient would experience. A significant barrier to positive pain management is patients' misconceptions regarding analgesics and inadequate use of nonpharmacological strategies as pain relief.The purpose of this study was to investigate the effectiveness of a pain management program (PMP) on pain intensity, use of PRN drugs and nonpharmacological strategies as pain relief (...) , and barriers to managing pain in cancer patients.The study was conducted in the palliative care and hospice ward of a public hospital in Hong Kong. Patients were randomized to either an experimental group (receiving the PMP) or a control group (routine care). There were 38 hospitalized patients, with 20 (13 males and 7 females) in the experimental group and 18 (11 males and 7 females) in the control group; mean age was 61.95 years (experimental group) to 63.94 years (control group).Upon the completion

2012 EvidenceUpdates Controlled trial quality: uncertain

4217. Effects of Local Microwave Diathermy on Shoulder Pain and Function in Patients With Rotator Cuff Tendinopathy in Comparison to Subacromial Corticosteroid Injections: A Single Blind Randomized Trial Full Text available with Trip Pro

Effects of Local Microwave Diathermy on Shoulder Pain and Function in Patients With Rotator Cuff Tendinopathy in Comparison to Subacromial Corticosteroid Injections: A Single Blind Randomized Trial Single-blind randomized clinical trial, with a follow-up of 24 weeks.To determine the effects of hyperthermia via localized microwave diathermy on pain and disability in comparison to subacromial corticosteroid injections in patients with rotator cuff tendinopathy.Hyperthermia improves symptoms (...) and function in several painful musculoskeletal disorders. However, the effects of microwave diathermy in rotator cuff tendinopathy have not yet been established.Ninety-two patients with rotator cuff tendinopathy and pain lasting for at least 3 months were recruited from the outpatient clinic of the Department of Orthopaedics and Traumatology, University Hospital, Rome, Italy. Participants were randomly allocated to either local microwave diathermy or subacromial corticosteroids. The primary outcome

2012 EvidenceUpdates Controlled trial quality: predicted high

4218. Periarticular Local Anesthesia does not Improve Pain or Mobility after THA Full Text available with Trip Pro

Periarticular Local Anesthesia does not Improve Pain or Mobility after THA Periarticular infiltration of local anesthetic, NSAIDs, and adrenaline have been reported to reduce postoperative pain, improve mobility, and reduce hospital stay for patients having THAs, but available studies have not determined whether local anesthetic infiltration alone achieves similar improvements.We therefore asked whether periarticular injection of a local anesthetic during THA reduced postoperative pain (...) and opioid requirements and improved postoperative mobility.We randomized 96 patients to either treatment (n = 50) or control groups (n = 46). Before wound closure, the treatment group received local infiltration of 160 mL of levobupivacaine with adrenaline. The control group received no local infiltration. We assessed postoperative morphine consumption and pain during the 24 hours after surgery. Mobilization was assessed 24 hours postoperatively with supine-to-sit and sit-to-stand transfers, timed 10-m

2012 EvidenceUpdates Controlled trial quality: uncertain

4219. Increasing the pH of lidocaine reduces patients’ pain and discomfort on injection.

Increasing the pH of lidocaine reduces patients’ pain and discomfort on injection. Increasing the pH of lidocaine reduces patients’ pain and discomfort on injection. ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only practice content Investing in better oral health for all. Together. Take advantage of endorsed, discounted business products (...) Purchase ADA products Access oral-health information for the public and ADA Find-A-Dentist Partnerships and Commissions Learn about ADA CERP recognition, look up CERP recognized CE providers and find CE courses. Explore CODA's role and find accredited schools and programs Learn about the examinations used in licensing dentists and dental hygienists Learn about recognized dental specialties and certifying boards Evidence Education * Associated Topics Increasing the pH of lidocaine reduces patients’ pain

2012 ADA Center for Evidence-Based Dentistry

4220. Increasing the pH of lidocaine reduces patients’ pain and discomfort on injection.

Increasing the pH of lidocaine reduces patients’ pain and discomfort on injection. Increasing the pH of lidocaine reduces patients’ pain and discomfort on injection. ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only practice content Investing in better oral health for all. Together. Take advantage of endorsed, discounted business products (...) Purchase ADA products Access oral-health information for the public and ADA Find-A-Dentist Partnerships and Commissions Learn about ADA CERP recognition, look up CERP recognized CE providers and find CE courses. Explore CODA's role and find accredited schools and programs Learn about the examinations used in licensing dentists and dental hygienists Learn about recognized dental specialties and certifying boards Evidence Education * Associated Topics Increasing the pH of lidocaine reduces patients’ pain

2012 ADA Center for Evidence-Based Dentistry