Effects of hand-press pellet on pain and daily life of elders with chronic lower back pain: randomized controlled trial
For elderly people with chronic lower back pain who need long-term management, there is a need for a nursing intervention study that is effective, is easy to perform, and applies complementary and alternative ... (Source: BMC Complementary and Alternative Medicine)
Source: BMC Complementary and Alternative Medicine - May 3, 2024 Category: Complementary Medicine Authors: Hyojung Park and Hyejin Lee Tags: Research Source Type: research
Modified botulinum toxin type A injections improve symptoms associated with interstitial cystitis/bladder pain syndrome in women: a retrospective cohort study
To investigate the efficacy and safety of modified botulinum toxin type A (BoNT-A) injections (with additional periurethral injection [PUI] of BoNT-A) for the treatment of interstitial cystitis/bladder pain syndrome (IC/BPS). (Source: Urology)
Source: Urology - May 3, 2024 Category: Urology & Nephrology Authors: Yang Wang, Jianyi Zheng, Zeyu Li, Yuanhong Jiang, Jiazheng Yu, Shijie Li, Xiaonan Chen Source Type: research
Chronic pain enhances excitability of corticotropin-releasing factor-expressing neurons in the oval part of the bed nucleus of the stria terminalis
We previously reported that enhanced corticotropin-releasing factor (CRF) signaling in the bed nucleus of the stria terminalis (BNST) caused the aversive responses during acute pain and suppressed the brain re... (Source: Molecular Brain)
Source: Molecular Brain - May 3, 2024 Category: Neuroscience Authors: Ryoko Uchida, Yasutaka Mukai, Taiju Amano, Kenji Sakimura, Keiichi Itoi, Akihiro Yamanaka and Masabumi Minami Tags: Micro report Source Type: research
Decision Making of the In-season Athlete with Anterior Shoulder Instability
In-season management of anterior shoulder instability in athletes is a complex problem. Athletes often wish to play through their current season, though recurrent instability rates are high, particularly in contact sports. Athletes are generally considered safe to return to play when they are relatively pain-free, and their strength and range of motion match the uninjured extremity. If an athlete is unable to progress toward recovering strength and range of motion, surgical management is an option, though this is often a season-ending decision. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - May 3, 2024 Category: Sports Medicine Authors: Garrett V. Christensen, Olivia C. O ’Reilly, Brian R. Wolf Source Type: research
Complete Cam Resection Results in Best Outcomes After Hip Arthroscopy for Femoroacetabular Impingement
An aspherical hip can mechanically damage the joint and lead to chondrolabral injury, functional pain, and potentially arthritis. Hip arthroscopy to address femoroacetabular impingement (FAI) and make the hip spherical, with treatment of concomitant labral pathology, can result in excellent outcomes in patients with this pathology. The goal is complete cam resection. Cam pathology comes in many shapes, locations, and sizes — from smaller, anterolaterally located lesions to larger, pistol group lesions that extend more superiorly and lateral. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 3, 2024 Category: Surgery Authors: Stephen K. Aoki, Ameen Z. Khalil Tags: Editorial Commentary Source Type: research
Hip Arthroscopy in Patients with Spine Pain: Outcomes Vary Compared to Patients with Isolated Hip Pathology, but Many Hip-Spine Patients Do Just as Well
Low back pain present concurrently with hip impingement or labral pathology is frustrating for both patient and surgeon. It is difficult to distinguish true hip pathology from secondary low back symptoms, even with the use of diagnostic injections, cross-sectional imaging, electromyography, and/or nerve conduction studies. In addition, even properly indicated hip arthroscopy can exacerbate sciatic nerve dysfunction, a known complication from traction, and altered gait in the early postoperative period can aggravate sacroiliac and lumbar pathology. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 3, 2024 Category: Surgery Authors: Elizabeth J. Scott Tags: Editorial Commentary Source Type: research
Do plasma-rich protein injections have a role in orthopaedics? A systematic review and meta-analysis of the randomized control trials
We evaluated the effectiveness of plasma-rich protein injections (PRP) in terms of pain, patient-reported outcomes and function in degenerative joint disease and tendinopathy. The search strategies were ran in Ovid Medline and Ovid Embase in October 2023 by a clinical librarian. Results were limited to the last 10 years. The search terms used were ‘platelet rich plasma’ and ‘orthopaedics’. After screening and the eligibility process this resulted in 18 randomized control trials (RCTs). We analysed 18 level 1 RCTs in regard to gluteal tendinopathy, hip osteoarthritis, patella tendinopathy, knee osteoarthritis, Achi...
Source: Orthopaedics and Trauma - May 3, 2024 Category: Orthopaedics Authors: Marjan Raad, Priya Sekhon, Alastair Robertson Tags: Principles of orthopaedics Source Type: research
Factors Associated With Pain Catastrophizing in Patients With Chronic Neuropathic Pain: A Cross-Sectional Study
Chronic neuropathic pain caused by lesions or diseases of the somatosensory nervous system, which lasts for more than 3 months continuously or intermittently (Tao et al., 2021), is the most prevalent pain disorder group. It includes symptoms such as hyperalgesia, spontaneous pain, and paresthesia. Chronic neuropathic pain is characterized by its persistence, severity, and lack of controllability (Tao et al., 2021). Although drug therapy is the first-line treatment, its level of efficacy is far from optimal, and adverse drug reactions are common (Noori et al., 2019). (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 3, 2024 Category: Nursing Authors: Ruirui Qiu, Xiaoliang Bai, Yuli Li, Xinhua Shi, Dongyu Song, Yanyan Zhang Tags: Original Research Source Type: research
Trauma exposure across the lifespan among individuals engaged in treatment with medication for opioid use disorder: differences by gender, PTSD status, and chronic pain
There is little study of lifetime trauma exposure among individuals engaged in medication treatment for opioid use disorder (MOUD). A multisite study provided the opportunity to examine the prevalence of lifet... (Source: Substance Abuse Treatment, Prevention, and Policy)
Source: Substance Abuse Treatment, Prevention, and Policy - May 3, 2024 Category: Addiction Authors: Monique N. Rodr íguez, Dana D. Colgan, Sarah Leyde, Kenneth Pike, Joseph O. Merrill and Cynthia J. Price Tags: Research Source Type: research
The effects of neck exercise in comparison to passive or no intervention on quantitative sensory testing measurements in adults with chronic neck pain: A systematic review
by Daniel Osborne, Ferozkhan Jadhakhan, Deborah Falla
BackgroundPrevious systematic reviews have identified the benefits of exercise for chronic neck pain on subjective reports of pain, but not with objective measures such as quantitative sensory testing (QST). A systematic review was conducted to identify the effects of neck specific exercise on QST measures in adults with chronic neck pain to synthesise existing literature and provide clinical recommendations. MethodsThe study protocol was registered prospectively with PROSPERO (PROSPERO CRD42021297383). For both randomised and non-randomised trials, the following databa...
Source: PLoS One - May 3, 2024 Category: Biomedical Science Authors: Daniel Osborne Source Type: research
Comparison of the efficacy and complications of tolterodine and α-adrenergic receptor blockers in improving ureteral stent-related symptoms: A systematic review and meta-analysis
ConclusionThis meta-analysis suggests that tolterodine is superior to α-adrenergic receptor blockers in improving physical pain symptoms after ureteral stent placement, while α-adrenergic receptor blockers are more effective than tolterodine in enhancing work performance. Additionally, the incidence of dry mouth is higher with the use of tolterodine compared to α-a drenergic receptor blockers. However, higher-quality randomized controlled trials are needed to further investigate this issue. (Source: PLoS One)
Source: PLoS One - May 3, 2024 Category: Biomedical Science Authors: Ming Liu Source Type: research
Spontaneous Abdominal Wall Endometriosis: Minimally Invasive Surgery for Excision and Repair
A 35 year-old gravida 2 para 1 female with a pacemaker in situ due to congenital cardiac heart disease and biopsy-proven stage IV endometriosis presented with chronic pain and a “bulge” in the right lower quadrant. Per the operative report of her initial surgery, an adherent, firm nodule was palpable in the right lower anterior abdominal wall and left in situ because etiology and extent of the disease was unclear. Physical exam revealed a palpable 4cm abdominal wall mas s. Her pacemaker was MRI-incompatible, so abdominal ultrasound and CT abdomen/pelvis were obtained but revealed inconclusive findings. (Source: The Jou...
Source: The Journal of Minimally Invasive Gynecology - May 3, 2024 Category: OBGYN Authors: Pooja S Vyas, Prashanth Sreeramoju, Chuonyong Lu, Kari Plewniak Tags: Images in Gynecologic Surgery Source Type: research
Meta-Analysis: Touch Tied to Improved Mental, Physical Health
People who received touch interventions, such as massage or gentle stroking for adults and skin-to-skin contact for infants, experienced moderate reductions in pain, depression, and anxiety, according to a meta-analysis of more than 130 studies that involved about 13 000 participants. The results suggest that “touch interventions can be systematically employed across the population to preserve and improve our health,” the researchers wrote in Nature Human Behavior. (Source: JAMA - Journal of the American Medical Association)
Source: JAMA - Journal of the American Medical Association - May 3, 2024 Category: General Medicine Source Type: research
Cancer Pain Management in Patients with Opioid Use Disorder
AbstractPurpose of reviewUpdated cancer pain management recommendations considering the rise of opioid use disorder (OUD) and opioid overdose deaths. Few studies examine cancer pain management specific to patients with OUD. This narrative review aims to review recent literature on the topic, synthesize current recommendations, and formulate practical guidance.Recent findingsWe explored Google Scholar, PubMed, and institutional databases using keywords: cancer pain, pain management, and OUD for key literature. Themes found were multimodal cancer pain management, opioid selection, opioid and OUD stigma, and barriers to medic...
Source: Current Addiction Reports - May 3, 2024 Category: Addiction Source Type: research
American Society of Pain and Neuroscience Best Practice (ASPN) Guideline for the Treatment of Sacroiliac Disorders
(Source: Journal of Pain Research)
Source: Journal of Pain Research - May 2, 2024 Category: Anesthesiology Tags: Journal of Pain Research Source Type: research
