Neural Mechanisms of Manual Therapies for Chronic Pain

In this blog post, Dr. Merav Sabri, of NCCIH’s Division of Extramural Research, discusses the scientific basis for manual therapies and their use in treating chronic pain conditions, and also addresses an NCCIH-sponsored symposium about this at ICIMH on May 11, 2018.
Source: NCCAM Featured Content - Category: Complementary Medicine Authors: Source Type: news

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Two public health crises, the epidemics of chronic pain and of opioid misuse, are creating challenges for cancer pain management.
Source: CancerNetwork - Category: Cancer & Oncology Authors: Source Type: news
The big picture of U.S. - China trade tensions can be difficult to sort out. How problematic are China ’s trade practices, as compared to those of other countries? What is the appropriate U.S. government response? These are not easy questions to answer (although we do havesome views).Sometimes it can be helpful to focus on particular sectors instead. One such sector is beef, which U.S. farmers would like to export more of to China. At a recent Senate hearing, U.S. Trade Representative Robert Lighthizer wasasked about this (starts around 20:00):Sen. Jerry Moran: Let me get another question in before my time is fu...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
CONCLUSION: This study provides evidence of the positive effects of MF radio waves diathermy in the treatment of CLBP. PMID: 30103299 [PubMed - as supplied by publisher]
Source: Journal of Back and Musculoskeletal Rehabilitation - Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research
Condition:   Pain, Postoperative Interventions:   Drug: Dexmedetomidine;   Drug: Bupivacaine Sponsor:   Assiut University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Low Back Pain;   Depression;   Anxiety;   Osteoarthritis Intervention:   Sponsor:   University of Washington Active, not recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Background: Chronic pain occurs in up to 85% of persons living with HIV and is commonly treated with long-term opioid therapy (LTOT). We investigated the impact of chronic pain and LTOT on HIV outcomes. Methods: This was prospective cohort study conducted between July 2015 and July 2016 in 5 HIV primary care clinics. Chronic pain was defined as ≥moderate pain for ≥3 months on the Brief Chronic Pain Questionnaire. Chronic pain and LTOT were assessed at an index visit. Suboptimal retention, defined as at least one “no-show” to primary care, and virologic failure were measured over the subsequent year. ...
Source: JAIDS Journal of Acquired Immune Deficiency Syndromes - Category: Infectious Diseases Tags: Clinical Science Source Type: research
Objective To evaluate the treatment response of lutetium-177 tin colloid radiosynovectomy (177Lu-RSV) in patients with inflammatory knee joint conditions refractory to conventional treatment. Patients and methods Overall, 29 knee joints in 29 patients with chronic synovitis caused by various inflammatory knee joint diseases refractory to conventional therapy were included in this prospective study. All patients were assessed clinically for pain, tenderness, joint swelling, mobility, analgesic intake, and blood pool activity on bone scan. Different scores were assigned to all these parameters. RSV of knee joint was don...
Source: Nuclear Medicine Communications - Category: Nuclear Medicine Tags: Original Articles Source Type: research
This article reviews data on pain modulation, focusing on the mechanisms and translational aspects of pain modulation from conditioned pain modulation (CPM) to placebo and nocebo effects in experimental and clinical pain. The specific roles of expectations, learning, neural and neurophysiological mechanisms of the central nervous system are briefly reviewed herein. The interaction between CPM and placebo systems in pain inhibitory pathways is highly relevant in the clinic and in randomized controlled trials yet remains to be clarified. Examples of clinical implications of CPM and its relationship to placebo and nocebo effe...
Source: International Review of Neurobiology - Category: Neuroscience Source Type: research
Chronic pain is associated with psychological distress, most commonly manifested as anxiety and/or depression.
Source: The Knee - Category: Orthopaedics Authors: Source Type: research
Conclusions: The findings of this study suggest a very small favorable average effect on relevant health outcomes of additional serious gaming during multidisciplinary rehabilitation. The indication that serious gaming could be a relatively time-efficient component warrants further research into if, when, how, and for which patients serious gaming could be cost-effective in treatment and why. Trial Registration: Netherlands Trial Registry NTR6020; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=6020 (Archived by WebCite at http://www.webcitation.org/71IIoTXkj)
Source: Journal of Medical Internet Research - Category: General Medicine Authors: Source Type: research
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