Chronic pain sufferers should take exercise, not analgesics, says Nice

Medicines watchdog recommends physical and psychological therapies when treating pain with no known causePeople suffering from chronic pain that has no known cause should not be prescribed painkillers, the medicines watchdog has announced, recommending such patients be offered exercise, talking therapies and acupuncture instead.In a major change of pain treatment policy, the National Institute for health and Care Excellence (Nice) say that in future, doctors should advise sufferers to use physical and psychological therapies rather than analgesics to manage their pain.Continue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: National Institute for Health and Care Excellence GPs Medical research Society Science UK news Source Type: news

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Conclusion: This proposed systematic review will provide up-to-date evidence to assess the effect of fire needle for patients with PHN. Registration: INPLASY202080029.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Systematic Review Source Type: research
Conclusion: EA can regulate the P2X3 receptor protein and mRNA expression levels in the colon and related DRG of IBS rats with visceral pain and then regulate the excitatory properties of DRG neurons. PMID: 33014041 [PubMed]
Source: Gastroenterology Research and Practice - Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research
(University of Illinois at Chicago) Researchers at the University of Illinois Chicago will lead a $7.1 million, five-year national study to determine the effectiveness of acupuncture and guided relaxation for people with chronic pain from sickle cell disease. The National Institutes of Health grant is part of its Helping to End Addiction Long-term Initiative. The initiative aims to improve prevention and treatment strategies for opioid misuse and addiction and to enhance pain management.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
AbstractAcupuncture is a form of traditional Chinese medicine that is performed by placing needles or pressure in specific locations on a patient ’s skin to achieve a therapeutic effect. Although used to treat a variety of disorders, one of the most common applications of acupuncture is to treat chronic pain, especially headache and migraine pain. Migraines are difficult to treat, and pharmacotherapies are often the first line of treatment, although these options have many unwanted side effects, such as exacerbation of headache pain in those with chronic migraine. Many complimentary and integrative therapies are avai...
Source: Neurology and Therapy - Category: Neurology Source Type: research
We examined 16 review articles and 11 randomized controlled trials published in the last 5  years on the clinical efficacy of acupuncture in adults with CMP conditions. The available evidence suggests that acupuncture does have short-term pain relief benefits for patients with symptomatic knee osteoarthritis and chronic low back pain and is a safe and reasonable referral option. Acupunct ure may also have a beneficial role for fibromyalgia. However, the available evidence does not support the use of acupuncture for treating hip osteoarthritis and rheumatoid arthritis.SummaryThe majority of studies concluded the superi...
Source: Current Rheumatology Reports - Category: Rheumatology Source Type: research
Condition:   Chronic Pelvic Pain Interventions:   Device: Acupuncture;   Device: Sham acupuncture Sponsor:   Guang'anmen Hospital of China Academy of Chinese Medical Sciences Not yet recruiting
Source: - Category: Research Source Type: clinical trials
ConclusionsFuture RCTs should be conducted to shed more light in the use of non-pharmacological approaches in patients with PNP.
Source: Advances in Therapy - Category: Drugs & Pharmacology Source Type: research
Alert: rant ahead. Early in my career working in persistent pain management, it was thought that “chronic pain is chronic pain is chronic pain” and pretty much anything that helped one person would help the next. Over time we’ve learned a lot more about persistent pain: the mechanisms differ a lot between neuropathic mechanisms and nociplastic mechanisms. Even within these groups, the mechanisms are very different. We’ve also learned a lot more about the psychosocial variables that are associated with prolonged disability and distress when pain persists. Some of the earliest work by Turk and coll...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Chronic pain Groupwork Interdisciplinary teams Pain conditions Research Science in practice Source Type: blogs
Most are aware that neurons send neurotransmitter signals to each other in circuits within the brain. My new book, The Secret Language of Cells, shows that similar conversations occur among all the cells in the body and these wide ranging conversations determine all physiological functions. While there are numerous examples of this cellular communication in the book — such as capillary cells sending directional signals for white blood cells to find an infection and capillaries instructing stem cells how to produce particular cells for the brain, this article will focus on a few ways that cellular conversations among ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Books Brain and Behavior Cognitive Neuroscience Source Type: blogs
This article reports our first-year FRP results at William Beaumont Army Medical Center IPMC. MATERIALS AND METHODS: The FRP is designed to improve the participants' functionality and quality of life, both personally and professionally. Service members with chronic pain were evaluated for psychological and physical clearance before enrollment in an intense and structured FRP for 8 hours a day over 3 weeks. The program focused on physical and occupational exercises, yoga, acupuncture, and educational classes regarding pain medications, nutrition, and coping skills. The resulting data were analyzed using paired two-taile...
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
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