260,233 results match your criteria pain control


Microvascular Decompression for Trigeminal Neuralgia: A Prospective, Multicenter Study.

Neurosurgery 2021 Jul 29. Epub 2021 Jul 29.

Seikei-kai Chiba Medical Center, Chiba, Japan.

Background: Microvascular decompression (MVD) is the most effective procedure for the long-term management of trigeminal neuralgia (TGN). However, retrospective and single-center studies are inherently biased, and there are currently no prospective, multicenter studies.

Objective: To evaluate the short- and long-term outcomes and complications in patients with TGN who underwent MVD at specialized Japanese institutions. Read More

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From emergency department to operating room: interventional analgesia techniques for hip fractures.

Curr Opin Anaesthesiol 2021 Jul 27. Epub 2021 Jul 27.

Critical Care Department, Ziekenhuis Oost-Limburg, Genk, Belgium UHasselt, Faculty of Medicine and Life Sciences & Limburg Clinical Research Center, Diepenbeek, Belgium.

Purpose Of Review: To provide an update on pain management options with regional anesthesia for patients with hip fractures at the emergency department (ED).

Recent Findings: Patients who sustain a hip fracture are typically admitted and diagnosed in the ED before being transferred to the operating room for surgery. Studies have clearly demonstrated the ability of the fascia iliaca compartment blocks (FICBs) and femoral nerve blocks (FNBs) to reduce pain and the risk of an acute confusional state. Read More

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Interrater and intrarater reliability of the single arm military press (SAMP) test for upper limb function in patients with non-specific neck pain.

Musculoskelet Sci Pract 2021 Jul 20;55:102428. Epub 2021 Jul 20.

Centre for Health and Social Care Research, Sheffield Hallam University, Sheffield, UK. Electronic address:

Background: Performance measures that assess the upper limb disability (ULD) in patients with neck pain can provide useful information for making clinical decisions regarding the optimal management of those patients. The Single Arm Military Press (SAMP) test is a performance based ULD measure developed specifically for populations with neck pain. In this test, patients are asked to lift a 1 kg weight repetitively overhead for 30 s with repetitions counting as the score. Read More

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Spontaneous uterine rupture during the first trimester of a partial molar pregnancy in a scar uterus: A rare case report.

Int J Surg Case Rep 2021 Jul 22;85:106229. Epub 2021 Jul 22.

Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Casablanca 20100, Morocco; Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Introduction: Spontaneous uterine rupture in the first trimester is a redoubtable obstetric emergency that carries a high risk for both mother and fetus.

Cases Presentation: We present the case of a spontaneous uterine rupture in a patient with a scarred uterus at 9 weeks' gestation treated by laparotomy in emergency obstetrical department of Ibn Rochd University Hospital of Casablanca; whose histological examination of the removed material found a partial mole.

Clinical Discussion: Spontaneous uterine rupture in the first trimester is rare and usually occurs in a scarred or malformed uterus. Read More

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An attentional perspective on differential fear conditioning in chronic pain: The informational value of safety cues.

Behav Res Ther 2021 Jun 29;144:103917. Epub 2021 Jun 29.

Department of Psychology, Universität Koblenz-Landau, Germany.

Differences in fear conditioning between individuals suffering from chronic pain and healthy controls may indicate a learning bias that contributes to the acquisition and persistence of chronic pain. However, evidence from lab-controlled conditioning studies is sparse and previous experiments have produced inconsistent findings. Twenty-five participants suffering from chronic back pain and twenty-five controls not reporting chronic pain took part in a differential fear conditioning experiment measuring attention (eye tracking) and autonomic arousal (pupil dilation and skin conductance) elicited by visual cues predicting the presence or absence of electric shock. Read More

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The effect of erector spinae plane block on postoperative analgesia and respiratory function in patients undergoing laparoscopic cholecystectomy: A double-blind randomized controlled trial.

J Clin Anesth 2021 Jul 26;74:110403. Epub 2021 Jul 26.

University of Health Science, Konya City Hospital, Department of Anesthesiology and Reanimation, Konya, Turkey.

Study Objective: Laparoscopic cholecystectomy (LC) causes moderate-to-severe postoperative pain. Postoperative pain is one of the leading contributors to respiratory dysfunction following surgery. This study investigated the effect of erector spinae plane (ESP) block on postoperative analgesia and respiratory function in patients undergoing LC. Read More

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Tendinopathy and tendon material response to load: What we can learn from small Animal studies.

Acta Biomater 2021 Jul 26. Epub 2021 Jul 26.

Musculoskeletal Translational Innovation Initiative, Carl J. Shapiro Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA; Carl J. Shapiro Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA; Department of Orthopaedic Surgery, Yerevan State Medical University, Yerevan, Armenia. Electronic address:

Tendinopathy is a debilitating disease that causes as much as 30% of all musculoskeletal consultations. Existing treatments for tendinopathy have variable efficacy, possibly due to incomplete characterization of the underlying pathophysiology. Mechanical load can have both beneficial and detrimental effects on tendon, as the overall tendon response depends on the degree, frequency, timing, and magnitude of the load. Read More

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Management of Eosinophilic Esophagitis During Oral Immunotherapy.

J Allergy Clin Immunol Pract 2021 Jul 26. Epub 2021 Jul 26.

Emory University School of Medicine and Children's Healthcare of Atlanta. Electronic address:

Food allergies are antigen-driven diseases that can lead to IgE-mediated reactions of immediate hypersensitivity (eg. anaphylaxis triggered by a single food), or non-IgE reactions of delayed hypersensitivity such as eosinophilic esophagitis (EoE; eg. inability to eat multiple foods manifesting as abdominal pain, choking, dysphagia, vomiting, reflux, food impaction). Read More

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Does mobile payment change consumers' perception during payment process? -an ERP study.

Neurosci Lett 2021 Jul 26:136138. Epub 2021 Jul 26.

School of Business Administration, Guizhou University of Finance and Economics, Guiyang, P.R. China.

Innovative payment methods have been getting worldwide attention. Exploring the mechanisms behind consumers' purchase behaviors modulated by different payment methods was critical but challenging. In this paper, we proposed a 2 (payment methods: cash payment vs mobile payment) × 2 (price levels of products: high vs low) Event-Related Potentials (ERPs) experiment to study the difference of cash payment and mobile payment on consumers' purchase intention of products in different price level from a neuroscience perspective. Read More

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Comparison of the suprainguinal fascia iliaca compartment block with continuous epidural analgesia in patients undergoing hip surgeries: a retrospective study.

Braz J Anesthesiol 2021 Jul 26. Epub 2021 Jul 26.

Mersin Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Mersin, Turkey.

Background And Objective: Pain control is one of the major concerns after major hip surgeries. Suprainguinal fascia iliaca compartment block (S-FICB) is an alternative analgesic technique that can be considered as an effective and less invasive method than epidural analgesia (EA). In this retrospective study, we compared postoperative analgesic efficacy of single shot ultrasound guided S-FICB and EA after major hip surgery. Read More

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Predicting Clinical Improvement for Patients with Low Back Pain: Keeping it Simple for Patients Seeking Physical Therapy Care.

Phys Ther 2021 Jul 28. Epub 2021 Jul 28.

Rehabilitation Services, Intermountain Healthcare, Salt Lake City, Utah.

Objective: Develop and validate an original prediction formula that estimated the probability of success for patients with LBP to achieve a minimal clinical important difference (MCID) on the Modified Low Back Disability Questionnaire (MDQ).

Methods: Patients were 10 to 90 years old in this retrospective cohort study. Data was extracted from Intermountain Healthcare's registry, Rehabilitation Outcomes Management System (ROMS): 62,858 patients admitted to physical therapy from 2002 to 2013 formed the training dataset and 15,128, patients admitted 2015 to 2016 formed the verification dataset. Read More

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A narrative review of biopsychosocial factors which impact overweight and obesity for individuals with acquired brain injury.

Brain Inj 2021 Jul 29:1-11. Epub 2021 Jul 29.

Physical Medicine and Rehabilitation, Baylor Scott and White Institute for Rehabilitation, Dallas, Texas, United States of America.

To discuss the biopsychosocial factors that affect being overweight or obese after acquired brain injury (ABI) Narrative review Based on the biopsychosocial model, we discuss the unique injury-specific factors that can affect bring overweight or obese among individuals with ABI including: (1) biological, (2) psychological and (3) social/ecological factors. Injury-specific factors that impact being overweight or obese following ABI include endocrine dysfunction, pain, bowel and bladder incontinence, balance problems and motor impairment, medications, sleep quality and fatigue, alcohol and tobacco use, psychological disorders and symptoms, cognitive changes, social support, isolation, participation, transportation, independence, and knowledge. These factors may also compound general factors impacting weight management, making it difficult for individuals with ABI to maintain a healthy lifestyle. Read More

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Kinesin Nanomotors Mediated Trafficking of NMDA-Loaded Cargo as A Novel Target in Chronic Pain.

ACS Chem Neurosci 2021 Jul 29. Epub 2021 Jul 29.

Neuroscience and Pain Research Laboratory, Department of Pharmaceutical Engineering and Technology, Indian Institute of Technology B.H.U., Varanasi 221005, India.

Chronic pain is among the most prevalent burdensome disorders worldwide. The -methyl-d-aspartate (NMDA) receptor system plays a critical role in central sensitization, a primary feature of chronic pain. Despite the proven efficacy of exogenous ligands to this receptor system in preclinical studies, evidence for the clinical efficacy of NMDA antagonists for the treatment of chronic pain is weak. Read More

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[Pain management during pregnancy : An expert-based interdisciplinary consensus recommendation].

Schmerz 2021 Jul 29. Epub 2021 Jul 29.

Abteilung für Anästhesie und Operative Intensivmedizin, Wiener Gesundheitsverbund, Klinik Landstraße, Wien, Österreich.

Background: Pregnancy and pain of different origins is an unfavorable combination that presents all practitioners with special challenges. Pain negatively affects the homeostasis of humans. Patient compliance and in-depth knowledge of the fetotoxicity and teratogenicity of the substances are necessary to maintain a balance between therapy for the mother and safety of the unborn child. Read More

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[Central neurological complication of an interscalene plexus catheter].

Anaesthesist 2021 Jul 29. Epub 2021 Jul 29.

Klinik für Anästhesie, Intensiv- und Notfallmedizin, ViDia Christliche Kliniken Karlsruhe, Standort St. Vincentius-Kliniken, Steinhäuserstraße 18, 76135, Karlsruhe, Deutschland.

A 78-year-old patient received an interscalene plexus catheter for perioperative pain therapy during implantation of an inverse shoulder prothesis. After stimulation-assisted puncture under sonographic control, 25 ml of local anesthetic (LA) were first administered and then the catheter was placed using the through the needle technique. Immediately after the administration of another 5 ml of local anesthetic via the inserted catheter, the patient showed symptoms of total spinal anesthesia, so that she had to be intubated and ventilated. Read More

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Predictive value of sagittal craniocervical roentgenographic parameters for HRQOL after craniocervical fusion.

Eur J Orthop Surg Traumatol 2021 Jul 29. Epub 2021 Jul 29.

Orthopedic Department, General Hospital "Agios Andreas", Patras, Greece.

Purpose: Loss of "physiological" sagittal alignment following craniocervical fusion (CCF) for degenerative disease may be associated with loss of horizontal gaze, dysphagia and poor HRQOL. This study reports on sagittal craniocervical roentgenographic predictors of HRQOL (SF-36) in patients following uncomplicated CCF for fresh upper cervical traumatic (UCT) injuries.

Methods: Twenty-two consecutive adult patients (group P) aged 50 ± 16 years, who had undergone CCF for fresh unstable C and CAO/type UCT injuries, were evaluated 39 ± 12 months postoperatively with upright lateral cervical roentgenograms and SF-36as HRQOL measure. Read More

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Patient Preference and Risk Assessment in Opioid Prescribing Disparities: A Secondary Analysis of a Randomized Clinical Trial.

JAMA Netw Open 2021 Jul 1;4(7):e2118801. Epub 2021 Jul 1.

Center for Emergency Care Policy and Research, University of Pennsylvania, Philadelphia.

Importance: Although racial disparities in acute pain control are well established, the role of patient analgesic preference and the factors associated with these disparities remain unclear.

Objective: To characterize racial disparities in opioid prescribing for acute pain after accounting for patient preference and to test the hypothesis that racial disparities may be mitigated by giving clinicians additional information about their patients' treatment preferences and risk of opioid misuse.

Design, Setting, And Participants: This study is a secondary analysis of data collected from Life STORRIED (Life Stories for Opioid Risk Reduction in the ED), a multicenter randomized clinical trial conducted between June 2017 and August 2019 in the emergency departments (EDs) of 4 academic medical centers. Read More

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Efficacy of a Web App-Based Music Intervention During Cataract Surgery: A Randomized Clinical Trial.

JAMA Ophthalmol 2021 Jul 29. Epub 2021 Jul 29.

Department of Anesthesia and Intensive Care, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Paris, France.

Importance: Hypertensive events during cataract surgery may induce complications. Information and communication technologies applied to health are popular, but clinical evidence of its usefulness is rare and limited to treating anxiety without specific analysis. Recent publications have described the potential effects of personalized music choices as mobile-based intervention on pain but not on anxiety. Read More

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Implementing "chest pain pathway" using smartphone messaging application "WhatsApp" as a corrective action plan to improve ischemia time in "ST-Elevation myocardial Infarction" in primary PCI capable center "WhatsApp-STEMI Trial".

Authors:
Wesam A AlHejily

Crit Pathw Cardiol 2021 Jul 27. Epub 2021 Jul 27.

Department of Medicine (Division of Cardiology) Faculty of Medicine, King Abdelaziz University Hospital, Jeddah, Saudi Arabia Department of Cardiology division at Dr Sulaiman Alhabib medical group.

Background: ST-elevation myocardial infarction (STEMI) is a life-threatening medical emergency that requires immediate medical attention, each hospital should implement a clinical pathway with a main objective to reduce ischemia time from diagnosis to revascularization, as this has shown to save myocardial tissues and subsequently patients' lives, utilizing the most evidence-based approach and the most up to date management protocol. In this study we aimed to assess the utility of structuring chest pain pathway with instantaneous case by case feedback protocol using WhatsApp as a smartphones' messaging application and its impact on improving two major KPIs, the impact on initial ER door to ECG time, and door to balloon time, in a predefined 6-month corrective action period.

Methods: Prospective, quality improvement plan was set to reduce door to first ECG and door to balloon times to less than 10 and 90 minutes, respectively in all ACS cases including STEMI, from August 2020 to April 30th, 2021. Read More

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Primary Care Shared Medical Appointment for Pain Management: A Pilot Program.

J Pain Palliat Care Pharmacother 2021 Jul 29:1-5. Epub 2021 Jul 29.

Effective strategies that are evidence-based and non-addictive are needed to manage chronic pain and combat the opioid crisis. One potential strategy is to utilize a shared medical appointment (SMA), which is a model of providing clinical care in a group setting with multiple healthcare team members for comprehensive pain management. The purpose of this retrospective chart review is to evaluate the impact of a pain management SMA at the William S. Read More

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Comments on "Treatment and Management of Twelfth Rib Syndrome: A Best Practices Comprehensive Review".

Pain Physician 2021 Aug;24(5):E682

Pain Clinic, Department of Anaesthesia, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Uttar Pradesh, India.

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Transforaminal Epidural Steroid Injection for Zoster-Related Pain: The Golden Period for the Best Outcome.

Pain Physician 2021 Aug;24(5):E669-E676

Seoul National University, Bundang Hospital, Seongnam, Korea.

Background: Zoster-related pain (ZRP) has many negative effects on a patient's quality of life. The transforaminal steroid injection (TFESI), which reduces neural inflammation and pain, has been advocated by pain physicians. Many reports demonstrated that early administration of TFESI showed better efficacy; however, the golden period during which TFESI is most effective remains unclear. Read More

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Verification of Sphenopalatine Ganglion Block Success Using Transcranial Doppler in Management of Patients with Postdural.

Pain Physician 2021 Aug;24(5):E661-E668

Anesthesia and Surgical Intensive Care department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Background: Sphenopalatine ganglion block (SPGB) is traditionally advised in the management of head and neck pain. Since SPGB is a minimally invasive, repeatable, and simple technique, SPGB should be tried first in the management of postdural puncture headaches (PDPH). Verification of the block's success in diagnostic, prognostic, and therapeutic nerve blocks, is of paramount importance in pain management. Read More

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Treatment of Thoracolumbar Type A3 Fractures Using a Percutaneous Intravertebral Expandable Titanium Implant: Long-term Follow-up Results of a Pilot Single Center Study.

Pain Physician 2021 Aug;24(5):E631-E638

Unidad de Columna, Servicio Cirugía Ortopédica, Hospital Clínico Universitario de Valladolid, Spain.

Background:   There are controversies about the optimal management of AO subtype A3 burst fractures. The most common surgical treatment consists of posterior fixation with pedicle screw and rod augmentation. Nevertheless, a loss of correction in height restoration and kyphotic reduction has been observed. Read More

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The Impact of Vitamin D Deficiency to Treatment Success of Transforaminal Epidural Steroid Injection.

Pain Physician 2021 Aug;24(5):E619-E624

Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Faculty of Medicine, Marmara University, Istanbul, Turkey.

Background: Transforaminal epidural steroid injection (TFESI) is an interventional technique used to relieve disc herniation related back and radicular pain. Although few studies have investigated the factors predicting positive outcomes after TFESI, there is no data concerning the possible relationship between pre-procedure serum 25-hydroxyvitamin D (25(OH)D) levels and the response to TFESI.

Objectives: To investigate the effect of vitamin D deficiency to treatment success of fluoroscopy-guided transforaminal epidural steroid injection. Read More

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Pancreatic Cancer Related Pain: Review of Pathophysiology and Intrathecal Drug Delivery Systems for Pain Management.

Authors:
Gabriel Carvajal

Pain Physician 2021 Aug;24(5):E583-E594

Centro Nacional de Control del Dolor y Cuidados Paliativos Interventional Pain Management Unit, San José, Costa Rica.

Background: Pancreatic cancer (PC) is one of the most lethal cancers and is the eleventh most common cancer worldwide. This disease is characterized by an often-fatal evolution and a high burden of symptoms, particularly pain. Several studies have demonstrated that pancreatic cancer patients have a high prevalence of pain, with up to 82% of patients reporting pain, often requiring systemic strong opioids as mainstay treatment. Read More

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Anti-nociceptive Effects of Dexmedetomidine Infusion Plus Modified Intercostal Nerve Block During Single-port Thoracoscopic Lobectomy: A Double-blind, Randomized Controlled Trial.

Pain Physician 2021 Aug;24(5):E565-E572

Department of Anesthesiology, First Affiliated Hospital, Anhui Medical University, Hefei, Anhui, China.

Background: Multimodal general anesthesia based on modified intercostal nerve block (MINB) has been found as a novel method to achieve an intraoperative opioid-sparing effect. However, there is little information about the effective method to inhibit visceral nociceptive stress during single-port thoracoscopic surgery.

Objective: To investigate whether a low-dose dexmedetomidine infusion followed by MINB might be an alternative method to blunt visceral stress effectively. Read More

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Quadratus Lumborum Block is an Effective Postoperative Analgesic Technique in Pediatric Patients Undergoing Lower Abdominal Surgery: A Meta-Analysis.

Pain Physician 2021 Aug;24(5):E555-E563

Department of Anesthesiology, Hangzhou Women's Hospital (Hangzhou First People's Hospital Qianjiang New City Campus, The Affiliated Women's Hospital of Hangzhou Normal University), Hangzhou, China.

Background: Quadratus lumborum (QL) block has shown promising analgesic efficacy in the adult population in previous meta-analyses. However, the response of the pediatric group to pain stimulation is stronger than that in the adult population, and the management of pediatric pain is constrained by limited available analgesia agents. All data analyzed during this study are collected from published articles. Read More

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Epidural Injections for Lumbar Radiculopathy or Sciatica: A Comparative Systematic Review and Meta-Analysis of Cochrane Review.

Pain Physician 2021 Aug;24(5):E539-E554

Massachusetts General Hospital and Harvard Medical School, Boston, MA.

Background: Epidural injections are one of the commonly performed procedures in managing low back and lower extremity pain. In the past, Pinto et al and Chou et al performed systematic reviews and meta-analyses with a recent update from Oliveira et al showing lack of effectiveness of epidural steroid injections in managing lumbar radiculopathy. In contrast, multiple other systematic reviews and meta-analyses have supported the efficacy and use of epidural injections utilizing fluoroscopic guidance. Read More

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