Complementary Health Approaches for Chronic Pain

This issue of the digest summarizes current scientific evidence about the complementary health approaches most often used by people for chronic pain, including fibromyalgia, headache, irritable bowel syndrome, low-back pain, neck pain, osteoarthritis, and rheumatoid arthritis.
Source: NCCAM Featured Content - Category: Complementary Medicine Authors: Source Type: news

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Unfortunately I manage and fill about 30 IT pumps in my current gig. I feel like I have a good system down to make extra sure I am always through the port and in the pump before I ever inject any medicine. I accessed a patient's Medtronic pump earlier today, took out the old medicine without any problems. Needle stays firmly in pump, never moves. I go to inject the new medicine (40ml pump so difficult to inject as per usual tactile feedback) and after about 3-4 cc's the patient says that she... Weird Pump Reaction
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Conclusions: Sufficient deltoid tensioning is vital to the stability of a reverse prosthesis as well as patient range of motion and outcomes; however, increased deltoid lengthening during reverse total shoulder arthroplasty increases the risk of postoperative tension-related complications. These data suggest that lengthening more than 26 mm is a risk factor for deltoid-related complications after reverse total shoulder arthroplasty. Level of Evidence: Level III.
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research
Conclusions: Nonarticulating antibiotic spacers offer a viable treatment option to stabilize a knee with significant soft-tissue injury and bone loss from explant procedures for infection. Level of Evidence: Level IV.
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research
This study aimed to elucidate any connection between central sensitization and ongoing pain after knee replacement surgery and other associated factors. Methods: The population was composed of 182 patients who had undergone TKR, and in follow-up visits from 1 mo to 2 yr after the operation, they were evaluated using the Pressure Pain Threshold (PPTs), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Central Sensitization Inventory (CSI), the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS), the Beck Depression Inventory (BDI), and the painDETECT test. Results: Th...
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research
Background: Total hip arthroplasty (THA) is an effective treatment for symptomatic osteoarthritis after failed nonsurgical therapies. Minimizing perioperative complications is critical for faster recovery and shorter hospital stay. The primary aim of this study was to identify predictors of perioperative major complications (MC) and mortality after THA, and to use these predictors to develop a risk scoring system. Methods: The 2006-2016 National Surgical Quality Improvement Program (NSQIP) database was queried for adult patients who underwent primary elective THA performed under general or neuraxial anesthesia. Univar...
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research
Conclusions: For one-level ACDF, the anchored cage with screws has some advantage compared to the stand-alone PEEK cage in avoiding dysphagia and restoring disc space height and cervical lordosis. We suggest the anchored spacer may be a good substitute for the stand-alone cage in one-level ACDF. Level of Evidence: Level II
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research
We report a case of a 48-year-old Caucasian woman who was treated at the University General Hospital of Alicante. She consulted because of progressive abdominal pain over the last seven months, with the initial diagnosis of renal-ureteral colic. Ultrasound and computed tomography of the abdomen and pelvis revealed a 25x15 cm, well-defined cystic lesion with papillary projections, centrally located in the abdomen. The radiology report suggested a primary ovarian tumor versus peritoneal implant as the first option. The patient underwent an exploratory laparotomy showing a large cystic mass located in the urinary bladder peri...
Source: Gynecologic Oncology Reports - Category: OBGYN Source Type: research
Editor's note: From its first issue in 1900 through to the present day, AJN has unparalleled archives detailing nurses' work and lives over more than a century. These articles not only chronicle nursing's growth as a profession within the context of the events of the day, but they also reveal prevailing societal attitudes about women, health care, and human rights. Today's nursing school curricula rarely include nursing's history, but it's a history worth knowing. To this end, From the AJN Archives highlights articles selected to fit today's topics and times. In this month's article, from the May 1925 issue, nurse Ellen G...
Source: AJN - Category: Nursing Tags: From the AJN Archives: PDF Only Source Type: research
According to this study: Mind–body therapies that prioritized the use in pain relief of mental techniques—such as meditation, hypnosis, guided imagery, relaxation, therapeutic suggestion, and cognitive behavioral therapy—are associated with reductions in pain and opioid dose.These therapies may also have therapeutic benefits for opioid-related problems, such as cravings and misuse.
Source: AJN - Category: Nursing Tags: Journal Watch Source Type: research
Two drugs, voxelotor (Oxbryta) and crizanlizumab-tmca (Adakveo), have been approved to treat sickle cell disease.The most common adverse effects of voxelotor are diarrhea, headache, abdominal pain, nausea, fatigue, rash, and fever. Hypersensitivity reactions are also possible.The most common adverse effects of crizanlizumab-tmca are back pain, nausea, fever, and arthralgia. Serious adverse effects include infusion-related reactions and interference with automated platelet counts.
Source: AJN - Category: Nursing Tags: Drug Watch Source Type: research
More News: Arthritis | Back Pain | Chronic Pain | Complementary Medicine | Fibromyalgia | Headache | Health | Irritable Bowel Syndrome | Low Back Pain | Migraine | Osteoarthritis | Pain | Rheumatology