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More than 80 Percent of VA Medical Facilities Offer Integrative Medicine for Pain Management

A new study from the RAND Corporation shows that nearly 80 percent of military medical facilities are offering integrative medicine for pain management and psychological treatment instead of opioids when possible. RAND conducted an environmental scan of military treatment facilities (MTFs) to understand the availability of complementary and alternative medicine (CAM), the conditions for which CAM is being used, and the types and process of credentialing and privileging of CAM providers. They found that most MTFs (83 percent) offer CAM services, usually up to eight different types, with relaxation therapy, acupuncture, progressive muscle relaxation, guided imagery, and chiropractic being the most common.
Source: Explore - Category: Nursing Authors: Tags: Matters of Note Source Type: research

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This article reviews specific high-risk ECG patterns that may represent acute myocardial infarction or identify impending acute myocardial infarction that benefit from early diagnostic coronary angiography.
Source: Cardiology Clinics - Category: Cardiology Authors: Source Type: research
Authors: Yang J, Li W, Yin Y, Li Z, Ni C Abstract Osteoid osteoma of the atlas has previously been reported very rarely in the published literature. The traditional standard treatment has been a surgical resection of the nidus. Recently, computed tomography (CT)-guided radiofrequency ablation (RFA) has gained favor as a more precise alternative treatment. Here, we present a case of osteoid osteoma of the C1 lateral mass treated successfully using CT-guided RFA. A 30-year-old woman who presented with a four-month history of occipital and suboccipital pain was treated by CT-guided RFA. The visual analog scale (VAS) a...
Source: Interventional Neuroradiology - Category: Radiology Tags: Interv Neuroradiol Source Type: research
Authors: Braukhaus C, Jahnke U, Zimmermann T Abstract A Parkinson's disease is attended by high strain for the patients and an obvious loss of relationship functioning. Partners of patients (N=110) were evaluated via self-assessment in terms of own depression (PHQ-9), own fear of progression (PA-F-P-KF), relationship quality (PFB) as well as perceived deficits in everyday life and nonverbal communication. 26% of women and 11% of men showed depression scores, 51% of women and 41% of men dysfunctional fear of progression and about 60% were unsatisfied with their relationship. Gender-specific differences regarding the...
Source: PPmP Psychotherapie Psychosomatik Medizinische Psychologie - Category: Psychiatry & Psychology Tags: Psychother Psychosom Med Psychol Source Type: research
Techniques of expansive laminoplasty for degenerative cervical myelopathy and ossified posterior longitudinal ligament are described, focusing on the history of the surgical procedure. Laminectomy was the only approach for posterior decompression before Japanese orthopedic surgeons introduced laminoplasty from the 1970s to the 1980s to overcome the poor outcomes of laminectomy. Recent laminoplasty techniques offer less invasive maneuvers to the posterior cervical muscle structures to reduce axial neck pain and to obtain better functional outcome, but every operation is carried out based on the unchanged initial concept. So...
Source: Neurosurgery Clinics of North America - Category: Neurosurgery Authors: Source Type: research
CONCLUSIONS: It is important that clinicians managing gastroparesis are aware of the arrhythmogenic potential of drugs used clinically and risk factors that contribute to QT prolongation to safeguard patients at risk for drug-induced cardiac arrhythmia. PMID: 29157021 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Gastroenterology - Category: Gastroenterology Tags: Scand J Gastroenterol Source Type: research
RHEUMATOID arthritis joint pain could by eased by cutting out gluten from your diet, as patients have an increased risk of developing coeliac disease.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
Sacroiliac joint (SIJ) pain is an important cause of lower back problems. Multiple SIJ injection techniques have been proposed over the years to help in the diagnosis and treatment of this condition. However, the SIJ innervation is complex and variable, and truly intra-articular injections are sometimes difficult to obtain. Different sacroiliac joint injections have shown to provide pain relief in patients suffering this ailment. Various techniques for intraarticular injections, sacral branch blocks and radiofrequency ablation, both fluoroscopy guided and ultrasound guided are discussed in this paper. Less common technique...
Source: Physical Medicine and Rehabilitation Clinics of North America - Category: Rehabilitation Authors: Source Type: research
Facet or zygapophysial joint pain is commonly seen in the aging population. Interventional procedures, such as facet joint nerve blocks, facet intraarticular injections, and radiofrequency denervation, are used for the diagnosis and treatment of axial spinal chronic neck and low back pain. The focus of this article is to understand how radiofrequency denervation works in the cervical and lumbar spine and to be able to properly select appropriate patients who might benefit from this safe and effective procedure.
Source: Physical Medicine and Rehabilitation Clinics of North America - Category: Rehabilitation Authors: Source Type: research
This article integrates ultrasonographic diagnosis of fascial injury with examination findings taught in traditional prolotherapy technique. Thoracolumbar fascial anatomy and biotensegrity theory are used to explain patient presentation and response to treatment at these pathologic findings. Detailed case reports provide proof of concept for the 60-year history of prolotherapy in the treatment of chronic low back pain.
Source: Physical Medicine and Rehabilitation Clinics of North America - Category: Rehabilitation Authors: Source Type: research
Lumbar epidural steroid injections under fluoroscopic guidance are used very commonly for the treatment of low back and lower extremity radicular pain. These procedures have been shown to be effective for pain relief in the short term and are relatively safe. The indications, evidence, and safety considerations for 2 different techniques —namely, interlaminar and transforaminal—are discussed.
Source: Physical Medicine and Rehabilitation Clinics of North America - Category: Rehabilitation Authors: Source Type: research
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