Barriers to good pain rehabilitation

This is a long…… readooops, sorry, not. Low back pain is, we know, the greatest contributor to days lived with disability (Rice, Smith &Blyth, 2016). And no-one anywhere in the world has found a good mix of services to reduce the number of days lived with disability as a result of this problem. And yet billions of dollars are used to fund research into the many contributors to a shift from acute low back pain to ongoing disability associated with low back pain. At the same time, treatments that directly target disability, rather than pain (a target considered the most important outcome by Sullivan and Ballantyne, 2016) are difficult to access, by comparison with surgical solutions (or pharmaceutical or procedural). Overuse of unhelpful treatments is thought to occur when treatments are offered that are ineffective, pose high risks of harm, or where the balance between harms and benefits varies considerably (Brownlee, Chalkidou, Doust, Elshaug, Glasziou, Heath et al, 2017). Non-pharmcological, non-surgical, and non-procedural treatments fall into the large amorphous group of treatments often delivered by allied health clinicians. When asked, clinicians (aka doctors, in this instance) were found in one study, to fall into three groups: Multimodel/Aggressive = 14%; Psychosocial/Nonopioid = 48%; and Low action = 38% (Phelan, van Ryn, Wall &Burgess, 2009). On the face of it, this looks reasonably good except when we have a look at what the numbers me...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Chronic pain Low back pain Pain conditions Research Science in practice health funding health systems models of care Source Type: blogs

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Publication date: Available online 20 July 2019Source: British Journal of Oral and Maxillofacial SurgeryAuthor(s): Z. Yang, Q. Liang, K. Ouyang, Z. Piao
Source: British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research
Publication date: Available online 20 July 2019Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Mark R. Jones, Matthew B. Novitch, Sudipta Sen, Nadia Hernandez, Johanna Blair De Haan, Rebecca A. Budish, Christopher Bailey, Joseph Ragusa, Pankaj Thakur, Vwaire Orhurhu, Ivan Urits, Elyse M. Cornett, Alan David KayeAbstractSurgeries and chronic pain states of the upper extremity are quite common and pose unique challenges for the clinical anesthesiology and pain specialists. Most innervation of the upper extremity involves the brachial plexus. The four most common brachial plexus blocks performed in clin...
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research
ConclusionOver 60% of Medicare patients with asthma continued and were adherent to omalizumab over 12-month follow-up. Patient age, LIS status, and the numbers of evaluation and management physician visits were among factors associated with treatment adherence and discontinuation.
Source: The Journal of Allergy and Clinical Immunology: In Practice - Category: Allergy & Immunology Source Type: research
Conclusions and implicationsThe predictive patterns of phonological awareness on reading fluency are complex and depend on many factors, while vocabulary knowledge is an important and consistent predictor for both deaf and hearing children.
Source: Research in Developmental Disabilities - Category: Disability Source Type: research
Authors: PMID: 31322038 [PubMed - in process]
Source: Disability and Rehabilitation. Assistive Technology. - Category: Rehabilitation Tags: Disabil Rehabil Assist Technol Source Type: research
Stefano accompanied me to my fractured shoulder checkup at the hospital on Friday. I had two X-rays of my left shoulder, and then we went to see the orthopedist. Well, the news is much (MUCH!) better than expected: the fracture is actually no longer visible on the X-rays, yep, no kidding!, and my humerus is back in its place. I am going to need more physiotherapy, since my range of motion is still not perfect, even though I can now put both arms above my head, and you can’t tell the difference between the two. But I still can’t make certain movements, such as reaching behind my back enough to hook my bra. So, ...
Source: Margaret's Corner - Category: Cancer & Oncology Authors: Tags: Blogroll fractured humerus Source Type: blogs
This study investigated the prevalence of depression and explored fatigue, QOL, and pain that is associated with depression in patients on first admission to a hematologic oncology unit. METHODS: This descriptive study measured depression, QOL, and fatigue with the Patient Health Questionnaire-9, the Functional Assessment of Cancer Therapy (FACT)-General, and the FACT-Anemia scale, respectively. Pain levels were examined with a numeric rating scale. FINDINGS: 58 patients participated; 17 reported moderate to severe depression, which highly correlated with fatigue, QOL, and pain. Among all factors, multivariate an...
Source: Clinical Journal of Oncology Nursing - Category: Nursing Authors: Tags: Clin J Oncol Nurs Source Type: research
Abstract Aboriginal and Torres Strait Islander people are the Indigenous inhabitants of Australia who face many inequities regarding cancer care and outcomes. They are more likely to be diagnosed with cancer than non-Indigenous Australians and have not experienced the improvement in survival that non-Indigenous Australians have. PMID: 31322614 [PubMed - in process]
Source: Clinical Journal of Oncology Nursing - Category: Nursing Authors: Tags: Clin J Oncol Nurs Source Type: research
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Source: Preventive Veterinary Medicine - Category: Veterinary Research Source Type: research
Publication date: Available online 6 July 2019Source: Journal of Molecular BiologyAuthor(s): Jacob Gordon, Monica C. Pillon, Robin E. StanleyAbstractThe ribosome plays a universal role in translating the cellular proteome. Defects in the ribosome assembly factor Las1L are associated with congenital lethal motor neuron disease and X-linked intellectual disability disorders, yet its role in processing precursor ribosomal RNA (pre-rRNA) is largely unclear. The Las1L endoribonuclease associates with the Nol9 polynucleotide kinase to form the internal transcribed spacer 2 (ITS2) pre-rRNA endonuclease–kinase machinery. Tog...
Source: Journal of Molecular Biology - Category: Molecular Biology Source Type: research
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