Icymi: in case you missed it
No abstract available
ConclusionOverall, the number of complaints was significantly reduced. Only in the case of persisting adenomyosis patients suffered from ongoing postoperative complaints, as in reproductive aged women keeping the uterus was highly required. Although this pilot study about systematic posterior peritonectomy showed improved recurrence rate and fertility rate, the main question remains: does this surgical technique appropriate better results and outcomes in the future. This question has to be addressed in a prospective randomized study.
CONCLUSION: Patients with IBS in Germany are likely not receiving sufficient diag- nostic evaluation in conformity with the relevant guidelines. The high prevalence of comorbid mental disorders and other pain syndromes implies that the complaints of patients with IBS need to be more comprehensively evaluated and treated. PMID: 31431234 [PubMed - in process]
When they started practicing medicine, most surgeons say, there was little or no information about just how many pain pills patients needed after specific procedures. As a result, patients often were sent home with the equivalent of handfuls of powerful and addictive medications. Then the opioid crisis hit, along with studies showing one possible side effect of […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
ConclusionA multimodal oral analgesia protocol provides sufficient pain relief to allow closed reduction of upper-limb fractures in children at the emergency department. This management strategy provided high satisfaction rates in both the patients and their parents.Level of evidenceII, prospective observational study.
The unique biomechanical properties of the sacroiliac joint (SIJ) presents formidable challenges in spinal reconstructive surgery. Controversy exists as to effective surgical management of this joint. Abnormal motion across the joint is believed to lead to pain, dysfunction and instrumentation complications, but few data are available on the kinematic response. This investigation was performed to quantify and compare the sacroiliac kinematics of lumbosacral fixation and unilateral and bilateral iliac screw configurations.
This study is a biomechanical investigation to understand the effect of pelvic vs sacroiliac joint fixation on the sacroiliac joint in lumbosacral fusion.
Over the past decade, opioid use in the United States has increased rapidly. However, patient satisfaction with pain management has not improved. Instead, with growing number of overdose deaths, over- and misuse of opioids has been declared a public health crisis. Patients presenting for lumbar spine surgery frequently present with pain related to their spine condition, are frequently consuming opioids to treat this pain and, following surgery, this is exacerbated due to disruption of skin, muscle tissue, vertebrae, intervertebral discs, and facet joints.
Accurate assessment of pain and function are crucial to the effective management of patients with spinal disorders. The most frequently-utilized measure of function is the Oswestry Disability Index (ODI), a self-report measure designed for low back pain patients, which assesses potential deficiencies in 10 different domains. The ODI has several limitations. Due to its subjective nature, ODI is inherently limited by factors such as recall error, social desirability, misinterpretation of terminology, and failure to quantify the totality of physical activity dimensions and contexts.
Opioid therapy is effective in alleviating acute postoperative pain. However, benefits of chronic opioid therapy (COT) is a contentious issue corollary to concerns relating to long-term drug dependence, tolerance and misuse. Patients with adult spinal deformities (ASD) undergoing complex, multilevel fusions often require optimized pain management strategies tailored upon disease progression and the extent of deformity correction. In alignment with a national focus on regulating lenient prescription practices, investigating epidemiological trends and risk factors associated with postoperative consumption in patients with AS...
Back pain is a pervasive public health problem with two-thirds of the population experiencing it at some point in their lives and associated with significant costs for both treatment and associated loss of productivity. When pain is persistent, traditional single service approaches to treating back pain may be insufficient, as they do not address the psychosocial factors which frequently impact an individual's pain experience.