Latest & greatest articles for chronic pain

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Top results for chronic pain

121. Effectiveness of Models Used to Deliver Multimodal Care for Chronic Musculoskeletal Pain: a Rapid Evidence Review Full Text available with Trip Pro

Effectiveness of Models Used to Deliver Multimodal Care for Chronic Musculoskeletal Pain: a Rapid Evidence Review Primary care providers (PCPs) face many system- and patient-level challenges in providing multimodal care for patients with complex chronic pain as recommended in some pain management guidelines. Several models have been developed to improve the delivery of multimodal chronic pain care. These models vary in their key components, and work is needed to identify which have (...) the strongest evidence of clinically-important improvements in pain and function. Our objective was to determine which primary care-based multimodal chronic pain care models provide clinically relevant benefits, define key elements of these models, and identify patients who are most likely to benefit.To identify studies, we searched MEDLINE® (1996 to October 2016), CINAHL, reference lists, and numerous other sources and consulted with experts. We used predefined criteria for study selection, data

2018 EvidenceUpdates

122. Fluoroscopic Guided Radiofrequency of Genicular Nerves for Pain Alleviation in Chronic Knee Osteoarthritis: A Single-Blind Randomized Controlled Trial (Abstract)

Fluoroscopic Guided Radiofrequency of Genicular Nerves for Pain Alleviation in Chronic Knee Osteoarthritis: A Single-Blind Randomized Controlled Trial Nowadays, pain and disability due to chronic knee arthritis is a very common problem in middle aged people. A lot of modalities for management are available, including conservative analgesics and up to surgical interventions. Radiofrequency ablation of genicular nerves is assumed to be an effective less invasive and safe pain alleviation (...) modality.To evaluate the efficacy of fluoroscopic guided radiofrequency neurotomy of the genicular nerves for alleviation of chronic pain and improvement of function in patients with knee osteoarthritis.A single-blind randomized controlled trial.Pain management unit, and Rheumatology and Rehabilitation clinics of Assiut University hospitals, Assiut, Egypt.This study involved 60 patients with chronic knee osteoarthritis. Radiofrequency neurotomy of the genicular nerves was done for 30 patients (Group

2018 EvidenceUpdates

123. The views and experiences of Malaysian primary care doctors in managing patients with chronic low back pain: a qualitative study Full Text available with Trip Pro

The views and experiences of Malaysian primary care doctors in managing patients with chronic low back pain: a qualitative study Chronic low back pain (CLBP) is a common and often difficult to treat condition in the primary care setting. Research involving in-depth exploration on the views and experiences faced by primary care doctors in managing patients with CLBP in Malaysia is limited.To explore the primary care practitioners' views and experiences in managing patients with CLBP.A

2018 Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia

124. Randomized Controlled Trial of Telephone-delivered Cognitive Behavioral Therapy Versus Supportive Care for Chronic Back Pain Full Text available with Trip Pro

Randomized Controlled Trial of Telephone-delivered Cognitive Behavioral Therapy Versus Supportive Care for Chronic Back Pain The objective of this study was to evaluate the efficacy of a telephone-delivered, home-based cognitive-behavioral intervention for chronic low back pain in comparison to a matched supportive care (SC) treatment.Participants (N=66) were patients with chronic back pain that were randomized to either an 8-week Cognitive-Behavioral Therapy (CBT) or a SC condition matched (...) for contact frequency, format, and time. Participants completed validated measures of improvement in back pain disability, pain severity, and overall improvement.Intent-to-treat analyses at posttreatment showed that the treatment groups not show significantly different improvements in back pain disability (mean changes, -2.4 and -2.6 for CBT and SC, respectively; Cohen d, 0.49 and 0.55, respectively) or reductions in pain severity (mean changes, -0.9 and -1.4 for CBT and SC respectively; Cohen d, 0.50

2018 EvidenceUpdates

125. Effects and underlying mechanisms of unstable shoes on chronic low back pain: a randomized controlled trial Full Text available with Trip Pro

Effects and underlying mechanisms of unstable shoes on chronic low back pain: a randomized controlled trial To investigate the effects that wearing unstable shoes has on disability, trunk muscle activity, and lumbar spine range of motion (ROM) in patients with chronic lower back pain (CLBP).Randomized controlled trial.Orthopedic Surgery Service.We randomized 40 adults with nonspecific CLBP either to an unstable shoes group ( n = 20) or to the control group ( n = 20).The participants

2018 EvidenceUpdates

126. Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial. Full Text available with Trip Pro

Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial. Limited evidence is available regarding long-term outcomes of opioids compared with nonopioid medications for chronic pain.To compare opioid vs nonopioid medications over 12 months on pain-related function, pain intensity, and adverse effects.Pragmatic, 12-month, randomized trial with masked outcome assessment. Patients (...) were recruited from Veterans Affairs primary care clinics from June 2013 through December 2015; follow-up was completed December 2016. Eligible patients had moderate to severe chronic back pain or hip or knee osteoarthritis pain despite analgesic use. Of 265 patients enrolled, 25 withdrew prior to randomization and 240 were randomized.Both interventions (opioid and nonopioid medication therapy) followed a treat-to-target strategy aiming for improved pain and function. Each intervention had its own

2018 JAMA Controlled trial quality: predicted high

127. Web-Based Cognitive Behavior Therapy for Chronic Pain Patients with Aberrant Drug-Related Behavior: Outcomes from a Randomized Controlled Trial Full Text available with Trip Pro

Web-Based Cognitive Behavior Therapy for Chronic Pain Patients with Aberrant Drug-Related Behavior: Outcomes from a Randomized Controlled Trial There is high unmet need for effective behavioral treatments for chronic pain patients at risk for or with demonstrated histories of opioid misuse. Despite growing evidence supporting technology-based delivery of self-management interventions for chronic pain, very few such programs target co-occurring chronic pain and aberrant drug-related behavior (...) . This randomized controlled trial evaluated the effectiveness of a novel, web-based self-management intervention, grounded in cognitive behavior therapy, for chronic pain patients with aberrant drug-related behavior.Opioid-treated chronic pain patients at a specialty pain practice who screened positive for aberrant drug-related behavior (N = 110) were randomized to receive treatment as usual plus the web-based program or treatment as usual alone. The primary outcomes of pain severity, pain interference

2018 EvidenceUpdates

128. Pain Neurophysiology Education and Therapeutic Exercise for Patients With Chronic Low Back Pain: A Single-Blind Randomized Controlled Trial (Abstract)

Pain Neurophysiology Education and Therapeutic Exercise for Patients With Chronic Low Back Pain: A Single-Blind Randomized Controlled Trial To assess the effect of a pain neurophysiology education (PNE) program plus therapeutic exercise (TE) for patients with chronic low back pain (CLBP).Single-blind randomized controlled trial.Private clinic and university.Patients with CLBP for ≥6 months (N=56).Participants were randomized to receive either a TE program consisting of motor control, stretching (...) , and aerobic exercises (n=28) or the same TE program in addition to a PNE program (n=28), conducted in two 30- to 50-minute sessions in groups of 4 to 6 participants.The primary outcome was pain intensity rated on the numerical pain rating scale which was completed immediately after treatment and at 1- and 3-month follow-up. Secondary outcome measures were pressure pain threshold, finger-to-floor distance, Roland-Morris Disability Questionnaire, Pain Catastrophizing Scale, Tampa Scale for Kinesiophobia

2018 EvidenceUpdates

129. Conventional Radiofrequency Thermocoagulation vs Pulsed Radiofrequency Neuromodulation of Ganglion Impar in Chronic Perineal Pain of Nononcological Origin (Abstract)

Conventional Radiofrequency Thermocoagulation vs Pulsed Radiofrequency Neuromodulation of Ganglion Impar in Chronic Perineal Pain of Nononcological Origin Chronic nononcological perineal pain has been effectively managed by ganglion Impar block. Chemical neurolysis, cryoablation, and radiofrequency ablation have been the accepted methods of blockade. Recently, pulsed radiofrequency, a novel variant of conventional radiofrequency, has been used for this purpose.This was a prospective, randomized (...) provided a significantly better quality of pain relief with no major side effects in patients with chronic nononcological perineal pain as compared with pulsed radiofrequency.The short-term follow-up period of only six weeks was a major drawback associated with this study.

2018 EvidenceUpdates

130. Literacy-Adapted Cognitive Behavioral Therapy Versus Education for Chronic Pain at Low-Income Clinics: A Randomized Controlled Trial. (Abstract)

Literacy-Adapted Cognitive Behavioral Therapy Versus Education for Chronic Pain at Low-Income Clinics: A Randomized Controlled Trial. Chronic pain is common and challenging to treat. Although cognitive behavioral therapy (CBT) is efficacious, its benefit in disadvantaged populations is largely unknown.To evaluate the efficacy of literacy-adapted and simplified group CBT versus group pain education (EDU) versus usual care.Randomized controlled trial. (ClinicalTrials.gov: NCT01967342).Community (...) health centers serving low-income patients in Alabama.Adults (aged 19 to 71 years) with mixed chronic pain.CBT and EDU delivered in 10 weekly 90-minute group sessions.Self-reported, postintervention pain intensity (primary outcome) and physical function and depression (secondary outcomes).290 participants were enrolled (70.7% of whom were women, 66.9% minority group members, 72.4% at or below the poverty level, and 35.8% reading below the fifth grade level); 241 (83.1%) participated in posttreatment

2018 Annals of Internal Medicine Controlled trial quality: predicted high

131. Gabapentin for Chronic Neuropathic Pain. (Abstract)

Gabapentin for Chronic Neuropathic Pain. Is gabapentin associated with pain relief in people with chronic neuropathic pain?Oral gabapentin (1200-3600 mg/d for 4-12 weeks) for patients with moderate or severe neuropathic pain from postherpetic neuralgia (PHN) or painful diabetic neuropathy (PDN) is associated with pain reduction of at least 50% in 14% to 17% more patients than placebo.

2018 JAMA

132. The Effect of Intraoperative Nefopam Administration on Acute Postoperative Pain and Chronic Discomfort After Robotic or Endoscopic Assisted Thyroidectomy: A Randomized Clinical Trial (Abstract)

The Effect of Intraoperative Nefopam Administration on Acute Postoperative Pain and Chronic Discomfort After Robotic or Endoscopic Assisted Thyroidectomy: A Randomized Clinical Trial Acute postoperative pain and chronic discomfort are reported after robotic or endoscopic thyroidectomy. The purpose of this prospective, randomized, and double-blinded clinical trial was to investigate whether intraoperative infusion of nefopam decreases acute postoperative pain and chronic discomfort following (...) either a robotic or endoscopic thyroidectomy via the bilateral axillo-breast approach (BABA).Patients were randomized into two groups: The control group (n = 29) or the nefopam group (n = 29). Patients in each group were infused with the same volume of saline or nefopam (0.2 mg/kg bolus, 120 μg/kg/h continuous infusion) during surgery. Acute postoperative pain, the need for rescue analgesics, and other postoperative adverse effects were assessed at 1, 6, 24, and 48 h postoperatively. Chronic pain

2018 EvidenceUpdates

133. Brief Psychological Screening Questions Can be Useful for Ruling Out Psychological Conditions in Patients With Chronic Pain Full Text available with Trip Pro

Brief Psychological Screening Questions Can be Useful for Ruling Out Psychological Conditions in Patients With Chronic Pain Psychological symptoms are highly prevalent in chronic pain patients. Timely and accurate identification may enable individualized treatment and improve outcomes. The aims of this study were to (1) investigate the concurrent validity of brief psychological screening questions assessing anxiety, fear of movement, stress, pain catastrophization, and depression in chronic (...) pain patients, and (2) to determine screening question cut-points at which the likely probability of having these psychological states was <10%.Responses to 1-item or 2-item screening questions within each of these 5 psychological constructs were compared with those of validated full-length questionnaires in 894 patients with diverse chronic pain conditions.Compared with scores from full-length questionnaires, brief screening question scores had correlations between 0.54 and 0.66, and area under

2018 EvidenceUpdates

134. Patient-reported rates of chronic pain and recurrence after groin hernia repair (Abstract)

Patient-reported rates of chronic pain and recurrence after groin hernia repair The effectiveness of different procedures in routine surgical practice for hernia repair with respect to chronic postoperative pain and reoperation rates is not clear.This was prospective cohort study based on a unique combination of patient-reported outcomes and national registry data. Virtually all patients with a groin hernia repair in Sweden between September 2012 and April 2015 were sent a questionnaire 1 year (...) after surgery. Persistent pain, defined as at least 'pain present, cannot be ignored, and interferes with concentration on everyday activities' in the past week was the primary outcome. Reoperation for recurrence recorded in the register was the secondary outcome.In total, 22 917 patients (response rate 75·5 per cent) who had an elective unilateral groin hernia repair were analysed. Persistent pain present 1 year after hernia repair was reported by 15·2 per cent of patients. The risk was least

2018 EvidenceUpdates

135. Comparative effectiveness review of paravertebral block for prevention of chronic pain after breast surgery

Comparative effectiveness review of paravertebral block for prevention of chronic pain after breast surgery Comparative effectiveness review of paravertebral block for prevention of chronic pain after breast surgery Comparative effectiveness review of paravertebral block for prevention of chronic pain after breast surgery HAYES, Inc 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 HAYES, Inc. Comparative effectiveness review of paravertebral block for prevention of chronic pain after breast surgery. Lansdale: HAYES, Inc. Directory Publication. 2017 Authors' conclusions Patients undergoing breast surgery have a notable risk of developing persistent pain lasting for more than 3 months following the procedure. Paravertebral blocks (PVBs) may be used in breast surgery as part of anesthetic care, and have been linked to reduced acute

2018 Health Technology Assessment (HTA) Database.

136. Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain Management Full Text available with Trip Pro

Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain Management Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists | Regional Anesthesia & Pain Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via (...) Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists Article Text Chronic and Interventional Pain: Special Article Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American

2018 American Academy of Pain Medicine

137. Rational Urine Drug Monitoring in Patients Receiving Opioids for Chronic Pain: Consensus Recommendations Full Text available with Trip Pro

Rational Urine Drug Monitoring in Patients Receiving Opioids for Chronic Pain: Consensus Recommendations Rational Urine Drug Monitoring in Patients Receiving Opioids for Chronic Pain: Consensus Recommendations | Pain Medicine | Oxford Academic ') We use cookies to enhance your experience on our website.By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie settings at any time. Search Account Menu Menu Navbar Search Filter Mobile Microsite Search (...) Term Close search filter search input Article Navigation Close mobile search navigation Article Navigation January 2018 Article Contents Article Navigation Rational Urine Drug Monitoring in Patients Receiving Opioids for Chronic Pain: Consensus Recommendations Charles E Argoff, MD Department of Neurology, Albany Medical Center, Albany, New York Search for other works by this author on: Daniel P Alford, MD, MPH Department of Medicine, Boston University School of Medicine and Boston Medical Center

2018 American Academy of Pain Medicine

138. In adults with chronic low back pain, are core stability exercises more effective in improving function and decreasing pain compared to a general exercise programme?

In adults with chronic low back pain, are core stability exercises more effective in improving function and decreasing pain compared to a general exercise programme? Getting Evidence into Clinical Practice: Musculoskeletal Research Facilitation Group (CAT Group) Date: 9/1/2018 CAT Lead: Lucy Thomas Date CAT completed: 9/1/2018 Email: lucy.thomas@sath.nhs.uk Date CAT to be reviewed: January 2021 Review CAT Clinical bottom line In adults with chronic low back pain core stability exercises (...) ? Search timeframe 2010-2017 Inclusion Criteria Description Search terms Population and Setting Adults with chronic low back pain Non-specific low back pain Intervention or Exposure Core stability exercises Stabilisation exercises Comparison, if any General exercise Strengthening exercise, aerobic exercise, mobilization exercise Outcomes of interest Function pain Quality of life, recovery of function, pain reduction Types of studies RCT’s, Meta analysis, Systematic review Specific Question: In Adults

2018 Public Health England

139. Engaging use of social media as a research tool to capture the daily life experiences of young people with chronic pain

Engaging use of social media as a research tool to capture the daily life experiences of young people with chronic pain Engaging use of social media as a research tool to capture the daily life experiences of young people with chronic pain | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your (...) username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Engaging use of social media as a research tool to capture the daily life experiences of young people with chronic pain Article Text EBN Opinion Engaging

2018 Evidence-Based Nursing

140. Intravenous Lidocaine for Chronic Pain: A Review of the Clinical Effectiveness and Guidelines

Intravenous Lidocaine for Chronic Pain: A Review of the Clinical Effectiveness and Guidelines Intravenous Lidocaine for Chronic Pain: A Review of the Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Intravenous Lidocaine for Chronic Pain: A Review of the Clinical Effectiveness and Guidelines Intravenous Lidocaine for Chronic Pain: A Review of the Clinical Effectiveness and Guidelines Last updated: January 26, 2018 Project Number: RC0957-000 Product Line: Research (...) Type: Drug Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of intravenous lidocaine for chronic pain? What are the evidence-based guidelines on the use of intravenous lidocaine for chronic pain? Key Message Evidence from two systematic reviews was limited in quality and quantity and addressed a wide range of causes of chronic pain. The findings were inconsistent and limited the ability to draw firm conclusions about the effectiveness

2018 Canadian Agency for Drugs and Technologies in Health - Rapid Review