Latest & greatest articles for chronic pain

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Top results for chronic pain

141. Percutaneous Rhizotomy for Chronic Back or Neck Pain: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Percutaneous Rhizotomy for Chronic Back or Neck Pain: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Percutaneous Rhizotomy for Chronic Back or Neck Pain: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Percutaneous Rhizotomy for Chronic Back or Neck Pain: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Percutaneous Rhizotomy for Chronic Back or Neck Pain: A Review of Clinical (...) Effectiveness, Cost-Effectiveness, and Guidelines Last updated: March 6, 2018 Project Number: RC0971-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of percutaneous rhizotomy for adult patients with chronic back or neck pain? What is the cost-effectiveness of percutaneous rhizotomy for adult patients with chronic back or neck pain? What are evidence-based guidelines informing the use

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

142. Nabilone for Chronic Pain Management: A Review of Clinical Effectiveness and Guidelines – An Update

Nabilone for Chronic Pain Management: A Review of Clinical Effectiveness and Guidelines – An Update Nabilone for Chronic Pain Management: A Review of Clinical Effectiveness and Guidelines – An Update | CADTH.ca Find the information you need Nabilone for Chronic Pain Management: A Review of Clinical Effectiveness and Guidelines – An Update Nabilone for Chronic Pain Management: A Review of Clinical Effectiveness and Guidelines – An Update Last updated: November 8, 2018 Project Number: RC1040-000 (...) Product Line: Research Type: Drug Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of nabilone for the treatment of chronic pain due to any disease in adults? What are the evidence-based guidelines regarding the use of nabilone for the treatment of chronic pain due to any disease in adults? Key Message Based on two systematic reviews (SRs) that included an evaluation of nabilone for management of chronic pain, there was limited evidence

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

143. Treating and Assessing Chronic Pain Patients who have Suffered Physical Trauma: Clinical Evidence and Guidelines

Treating and Assessing Chronic Pain Patients who have Suffered Physical Trauma: Clinical Evidence and Guidelines Treating and Assessing Chronic Pain Patients who have Suffered Physical Trauma: Clinical Evidence and Guidelines | CADTH.ca Find the information you need Treating and Assessing Chronic Pain Patients who have Suffered Physical Trauma: Clinical Evidence and Guidelines Treating and Assessing Chronic Pain Patients who have Suffered Physical Trauma: Clinical Evidence and Guidelines Last (...) updated: August 23, 2018 Project Number: RB1247-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical evidence regarding the usefulness of taking medical history for trauma when treating and assessing chronic pain patients who have suffered physical trauma? What are the evidence-based guidelines regarding treating and assessing chronic pain patients who have suffered physical trauma? Key Message One systematic review

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

144. Access to and Availability of Non-Pharmacological Treatments for Chronic Non-Cancer Pain in Canada: An Environmental Scan

Access to and Availability of Non-Pharmacological Treatments for Chronic Non-Cancer Pain in Canada: An Environmental Scan Access to and Availability of Non-Pharmacological Treatments for Chronic Non-Cancer Pain in Canada: An Environmental Scan | CADTH.ca Find the information you need Access to and Availability of Non-Pharmacological Treatments for Chronic Non-Cancer Pain in Canada: An Environmental Scan Access to and Availability of Non-Pharmacological Treatments for Chronic Non-Cancer Pain (...) in Canada: An Environmental Scan Last updated: November 21, 2018 Project Number: ES0313-000 Product Line: Result type: Report CADTH conducted an Environmental Scan to understand the current context around access to and the availability of non-pharmacological treatment for patients with chronic non-cancer pain across Canada. The opioid crisis has resulted in a pressing need for alternative therapies and complementary multi-modal care. Current guidelines recommend the use of non-opioid treatments

2018 Canadian Agency for Drugs and Technologies in Health - Environmental Scanning

145. Hyperbaric Oxygen Therapy for the Treatment of Chronic Pain: A Review of Clinical Effectiveness and Cost-Effectiveness

Hyperbaric Oxygen Therapy for the Treatment of Chronic Pain: A Review of Clinical Effectiveness and Cost-Effectiveness Hyperbaric Oxygen Therapy for the Treatment of Chronic Pain: A Review of Clinical Effectiveness and Cost-Effectiveness | CADTH.ca Find the information you need Hyperbaric Oxygen Therapy for the Treatment of Chronic Pain: A Review of Clinical Effectiveness and Cost-Effectiveness Hyperbaric Oxygen Therapy for the Treatment of Chronic Pain: A Review of Clinical Effectiveness (...) and Cost-Effectiveness Last updated: September 17, 2018 Project Number: RC1016-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of hyperbaric oxygen therapy for the treatment of chronic musculoskeletal pain in adults? What is the cost-effectiveness of hyperbaric oxygen therapy for the treatment of chronic musculoskeletal pain in adults? Key Message One randomized controlled trial

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

146. Consensus Guidelines for the Management of Chronic Pelvic Pain

Consensus Guidelines for the Management of Chronic Pelvic Pain No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 40, Issue 11, Pages e747–e787 No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain x John F. Jarrell , MD Calgary, AB x George A. Vilos , MD London, ON x Catherine Allaire , MD Vancouver, BC x Susan Burgess , MD Vancouver (...) Instructions: Please fill out this form by placing an X in the box that best describes your pain when it is the WORST, even if it occurs at different times of your cycle. If any of these functions do not apply to you, please write N/A (not applicable) in the box beside that function. Abstract Objective To improve the understanding of chronic pelvic pain (CPP) and to provide evidence-based guidelines of value to primary care health professionals, general obstetricians and gynaecologists, and those who

2018 Society of Obstetricians and Gynaecologists of Canada

147. Lumbar stabilisation exercises versus back endurance-resistance exercise training in athletes with chronic low back pain: protocol of a randomised controlled trial. Full Text available with Trip Pro

Lumbar stabilisation exercises versus back endurance-resistance exercise training in athletes with chronic low back pain: protocol of a randomised controlled trial. Chronic low back pain (CLBP) is an important disorder in athletes that may negatively affect their performance in competitions. The literature usually recommends physiotherapy based on exercises for back pain management in athletes. Recent evidence suggests that interventions based on lumbar muscle stabilisation exercises (LMSE (...) ) and back endurance-resistance exercises (BERE) may improve back pain and function performance. However, it is still unclear which type of exercise is more effective for the treatment of CLBP in athletes.To compare the efficacy of LMSE versus BERE in athletes with CLBP.The study is a 2-arm, prospectively registered, randomised controlled trial.The physical therapy clinical and biomechanics laboratory of the UNOPAR University.32 male athletes with CLBP, age between 18 and 40 years old, recruited from

2018 BMJ open sport & exercise medicine Controlled trial quality: uncertain

148. Home-based exercise therapy for treating non-specific chronic low back pain. Full Text available with Trip Pro

Home-based exercise therapy for treating non-specific chronic low back pain. To evaluate pain, functional capacity, and quality of life of patients with non-specific chronic low back pain, after home-based exercise therapy with different kinds of supervision.Thirty individuals of both gender, between 18 and 65 years old, performed the proposed exercises three times a week, for eight weeks. Group A (N = 17) performed the exercises after a single supervised session. Group B (N = 13 (...) significant improvement after 8 weeks (p <0.05). There was no difference when comparing groups A and B (p >0,05).Home-based exercise therapy, when performed in a period of eight weeks, using the booklet, was effective for improving level of pain, functional capacity, and quality of life in patients with non-specific chronic low back pain. The weekly supervision did not significantly influence the final outcome between the groups.

2018 Revista da Associacao Medica Brasileira (1992)

149. Assessment of chronic abdominal pain

Assessment of chronic abdominal pain Assessment of chronic abdominal pain - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of chronic abdominal pain Last reviewed: February 2019 Last updated: June 2018 Summary Chronic abdominal pain is defined as continuous or intermittent abdominal discomfort lasting for at least 6 months. Pain may arise from any system, including the genitourinary, gastrointestinal (...) , and gynaecological tracts. The aetiology of chronic abdominal pain is so wide that only the more common causes can be covered here. A clear relationship with an anatomical structure or underlying process may not always be present. Classification Chronic abdominal pain is divided into organic and functional aetiologies. Organic aetiologies have a clear anatomical, physiological, or metabolic cause. Chronic abdominal pain without clear source, in spite of a thorough diagnostic evaluation, is usually termed

2018 BMJ Best Practice

150. Chronic pelvic pain in women

Chronic pelvic pain in women Chronic pelvic pain in women - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Chronic pelvic pain in women Last reviewed: February 2019 Last updated: March 2018 Summary Chronic pelvic pain is a syndrome of pain arising from one or more pelvic organs, and can include any one or all pelvic viscera or muscles. A methodical, complete, criteria-based history is required to determine how many (...) ultrasound, cystoscopy with hydrodistension, and diagnostic laparoscopy. Because chronic pain is sometimes a disorder of pain perception, minimal if any pathological change may be found. Treatment is targeted at each organ system involved in pain production. Global pain in all organs or refusal of non-narcotic management may represent drug-seeking behaviour. Complications are inherent to all treatments, which frequently include surgery. Definition Chronic pelvic pain is inconsistently defined

2018 BMJ Best Practice

151. Chronic pain syndromes

Chronic pain syndromes Chronic pain syndromes - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Chronic pain syndromes Last reviewed: February 2019 Last updated: July 2018 Summary Chronic pain is one of the most common reasons for seeing a primary care physician. Classification of chronic pain may be based on major pain features or by body region: myofascial, musculoskeletal (mechanical), neuropathic, fibromyalgia (...) , and chronic headache syndromes. One in 3 patients over the age of 65 years is affected by chronic pain, often due to arthritis, osteoporosis with fractures and/or lumbar spinal stenosis. These conditions are treatable and should not be considered part of the normal ageing process. Untreated chronic pain in geriatric patients can result in depression, poor quality of life, and loss of independence. Some treatments, such as stretching exercises, relaxation techniques, antidepressants, and antiepileptic

2018 BMJ Best Practice

152. Movement System Impairment-Based Classification Treatment Versus General Exercises for Chronic Low Back Pain: Randomized Controlled Trial Full Text available with Trip Pro

Movement System Impairment-Based Classification Treatment Versus General Exercises for Chronic Low Back Pain: Randomized Controlled Trial 29077963 2019 04 19 2019 04 19 1538-6724 98 1 2018 01 01 Physical therapy Phys Ther Movement System Impairment-Based Classification Treatment Versus General Exercises for Chronic Low Back Pain: Randomized Controlled Trial. 28-39 10.1093/ptj/pzx094 Azevedo Daniel Camara DC Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (...) JVL Physical Therapy Department-Pontifícia Universidade Católica de Minas Gerais, Belo Horizonte. Costa Leonardo Oliveira Pena LOP Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno 448/475, Tatuapé, Sao Paulo, SP, Brazil. eng ClinicalTrials.gov NCT02221609 Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't United States Phys Ther 0022623 0031-9023 AIM IM Adult Brazil Chronic Pain classification therapy Disability

2018 EvidenceUpdates

153. Access to and Availability of the Non-Pharmacological Treatment of Chronic Non-Cancer Pain in Canada

Access to and Availability of the Non-Pharmacological Treatment of Chronic Non-Cancer Pain in Canada Access to and Availability of Non-Pharmacological Treatments for Chronic Non-Cancer Pain in Canada: An Environmental Scan | CADTH.ca Find the information you need Access to and Availability of Non-Pharmacological Treatments for Chronic Non-Cancer Pain in Canada: An Environmental Scan Access to and Availability of Non-Pharmacological Treatments for Chronic Non-Cancer Pain in Canada (...) : An Environmental Scan Published on: November 21, 2018 Project Number: ES0313-000 Product Line: Result type: Report CADTH conducted an Environmental Scan to understand the current context around access to and the availability of non-pharmacological treatment for patients with chronic non-cancer pain across Canada. The opioid crisis has resulted in a pressing need for alternative therapies and complementary multi-modal care. Current guidelines recommend the use of non-opioid treatments, including non

2017 Canadian Agency for Drugs and Technologies in Health - Environmental Scanning

154. Cost-effectiveness of Mindfulness-based Stress Reduction Versus Cognitive Behavioral Therapy or Usual Care Among Adults With Chronic Low Back Pain Full Text available with Trip Pro

Cost-effectiveness of Mindfulness-based Stress Reduction Versus Cognitive Behavioral Therapy or Usual Care Among Adults With Chronic Low Back Pain Economic evaluation alongside a randomized trial of cognitive-behavioral therapy (CBT) and mindfulness-based stress reduction (MBSR) versus usual care alone (UC) for chronic low back pain (CLBP).To determine 1-year cost-effectiveness of CBT and MBSR compared to 33 UC.CLBP is expensive in terms of healthcare costs and lost productivity. Mind-body (...) interventions have been found effective for back pain, but their cost-effectiveness is unexplored.A total of 342 adults in an integrated healthcare system with CLBP were randomized to receive MBSR (n = 116), CBT (n = 113), or UC (n = 113). CBT and MBSR were offered in 8-weekly 2-hour group sessions. Cost-effectiveness from the societal perspective was calculated as the incremental sum of healthcare costs and productivity losses over change in quality-adjusted life-years (QALYs). The payer perspective only

2017 EvidenceUpdates

155. Efficacy of Vibrating Gloves for Chronic Hand Pain due to Osteoarthritis Full Text available with Trip Pro

Efficacy of Vibrating Gloves for Chronic Hand Pain due to Osteoarthritis This study investigated the efficacy of vibration technology for women with hand pain due to osteoarthritis (OA) to see if mild compression and small vibrating motors were beneficial with periodic use.Sixty-nine (N = 69) women with OA hand pain were randomized into two groups, one that used vibrating gloves once a day for 20 minutes (Experimental, N = 34) and one that was monitored for three months without gloves (Control (...) , N = 35). All subjects completed baseline questionnaires, were administered mechanical quantitative sensory testing (QST), and uploaded a smartphone pain app for daily assessment. Patients were included if they had chronic pain for more than three months, reported a 4 or higher on a 0-10 pain intensity scale, and could speak and understand English.In general, compared with the control subjects, those in the experimental condition demonstrated reduced pain intensity (P < 0.05) after using

2017 EvidenceUpdates

156. Interventions for the reduction of prescribed opioid use in chronic non-cancer pain. Full Text available with Trip Pro

Interventions for the reduction of prescribed opioid use in chronic non-cancer pain. This is the first update of the original Cochrane Review published in 2013. The conclusions of this review have not changed from the 2013 publication. People with chronic non-cancer pain who are prescribed and are taking opioids can have a history of long-term, high-dose opioid use without effective pain relief. In those without good pain relief, reduction of prescribed opioid dose may be the desired and shared (...) goal of both patient and clinician. Simple, unsupervised reduction of opioid use is clinically challenging, and very difficult to achieve and maintain.To investigate the effectiveness of different methods designed to achieve reduction or cessation of prescribed opioid use for the management of chronic non-cancer pain in adults compared to controls.For this update we searched CENTRAL, MEDLINE, and Embase in January 2017, as well as bibliographies and citation searches of included studies. We also

2017 Cochrane

157. High-dose opioids for chronic non-cancer pain: an overview of Cochrane Reviews. Full Text available with Trip Pro

High-dose opioids for chronic non-cancer pain: an overview of Cochrane Reviews. Chronic pain is typically described as pain on most days for at least three months. Chronic non-cancer pain (CNCP) is any chronic pain that is not due to a malignancy. Chronic non-cancer pain in adults is a common and complex clinical issue where opioids are routinely used for pain management. There are concerns that the use of high doses of opioids for chronic non-cancer pain lacks evidence of effectiveness and may (...) data on any opioid agent used at high dose for two weeks or more for the treatment of chronic non-cancer pain in adults.We did not identify any reviews or overviews meeting the inclusion criteria. The excluded reviews largely reflected low doses or titrated doses where all doses were analysed as a single group; no data for high dose only could be extracted.There is a critical lack of high-quality evidence regarding how well high-dose opioids work for the management of chronic non-cancer pain

2017 Cochrane

158. Cognitive and Mind-Body Therapies for Chronic Low Back and Neck Pain: Effectiveness and Value

Cognitive and Mind-Body Therapies for Chronic Low Back and Neck Pain: Effectiveness and Value ©Institute for Clinical and Economic Review, 2017 Cognitive and Mind-Body Therapies for Chronic Low Back and Neck Pain: Effectiveness and Value Evidence Report October 4, 2017 Prepared for ©Institute for Clinical and Economic Review, 2017 Page i Chronic Low Back and Neck Pain – Evidence Report AUTHORS: Jeffrey A. Tice, MD Professor of Medicine University of California, San Francisco Varun Kumar, MBBS (...) A. Ollendorf, PhD Chief Scientific Officer, Institute for Clinical and Economic Review Steven D. Pearson, MD, MSc President, Institute for Clinical and Economic Review DATE OF PUBLICATION: October 4, 2017 We would also like to thank Patty Synnott, Geri Cramer, Foluso Agboola, Molly Morgan, and Aqsa Mugal for their contributions to this report.©Institute for Clinical and Economic Review, 2017 Page ii Chronic Low Back and Neck Pain – Evidence Report About ICER The Institute for Clinical and Economic Review

2017 California Technology Assessment Forum

159. Total disc replacement versus multidisciplinary rehabilitation in patients with chronic low back pain and degenerative discs: 8-year follow-up of a randomized controlled multicenter trial Full Text available with Trip Pro

Total disc replacement versus multidisciplinary rehabilitation in patients with chronic low back pain and degenerative discs: 8-year follow-up of a randomized controlled multicenter trial Lumbar total disc replacement (TDR) is a treatment option for selected patients with chronic low back pain (LBP) that is non-responsive to conservative treatment. The long-term results of disc replacement compared with multidisciplinary rehabilitation (MDR) have not been reported previously.We aimed to assess (...) the long-term relative efficacy of lumbar TDR compared with MDR.We undertook a multicenter randomized controlled trial at five university hospitals in Norway.The sample consisted of 173 patients aged 25-55 years with chronic LBP and localized degenerative changes in the lumbar intervertebral discs.The primary outcome was self-reported physical function (Oswestry Disability Index [ODI]) at 8-year follow-up in the intention-to-treat population. Secondary outcomes included self-reported LBP (visual

2017 EvidenceUpdates

160. Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial Full Text available with Trip Pro

Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial To investigate the efficacy of shoe orthotics with and without chiropractic treatment for chronic low back pain compared with no treatment.Randomized controlled trial.Integrative medicine teaching clinic at a university.Adult subjects (N=225) with symptomatic low back pain of ≥3 months were recruited from a volunteer sample.Subjects were randomized into 1 of 3 treatment groups (shoe orthotic, plus (...) , and waitlist groups). The shoe orthotic group received custom-made shoe orthotics. The plus group received custom-made orthotics plus chiropractic manipulation, hot or cold packs, and manual soft tissue massage. The waitlist group received no care.The primary outcome measures were change in perceived back pain (numerical pain rating scale) and functional health status (Oswestry Disability Index) after 6 weeks of study participation. Outcomes were also assessed after 12 weeks and then after an additional 3

2017 EvidenceUpdates