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Total 2915 results found since Jan 2013.

Pulsed radiofrequency of the composite nerve supply to the knee joint as a new technique for relieving osteoarthritic pain: a preliminary report.
We report a new technique for pulsed radiofrequency (PRF) of the entire nerve supply of the knee as an option in treating osteoarthritis (OA) of knee. We targeted both sensory and motor nerves supplying all the structures around the knee: joint, muscles, and skin to address the entire nociception and stiffness leading to peripheral and central sensitization in osteoarthritis. Ten patients with pain, stiffness, and loss of function in both knees were treated with ultrasonography (USG) guided PRF of saphenous, tibial, and common peroneal nerves along with subsartorial, peripatellar, and popliteal plexuses. USG guided PRF of ...
Source: Pain Physician - November 25, 2014 Category: Anesthesiology Authors: Vas L, Pai R, Khandagale N, Pattnaik M Tags: Pain Physician Source Type: research

Effect of Deep Slow Breathing on Pain-Related Variables in Osteoarthritis.
This study evaluated the effect of a six-week deep slow breathing (DSB) program on pain, physical function, and heart rate variability (HRV) in subjects with lower extremity joint pain. Twenty subjects were assigned into training (n = 10) and control (n = 10) groups. The training group participated in a six-week DSB program consisting of weekly training sessions and at-home breathing exercises. DSB exercises focused on prolonging the exhalation and the pause following exhalation. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to assess pain and physical function, and HRV data we...
Source: Pain Research and Management - July 11, 2019 Category: Anesthesiology Authors: Larsen KL, Brilla LR, McLaughlin WL, Li Y Tags: Pain Res Manag Source Type: research

Efficacy and Safety of Ultrasound-Guided Radiofrequency Treatment for Chronic Pain in Patients with Knee Osteoarthritis: A Systematic Review and Meta-Analysis.
Conclusions: Ultrasonography is an effective, safe, nonradiative, and easily applicable guidance method for RF in pain relief and functional improvement in KOA patients. PMID: 33014212 [PubMed - in process]
Source: Pain Research and Management - October 6, 2020 Category: Anesthesiology Authors: Huang Y, Deng Q, Yang L, Ma J, Wang Z, Huang D, Luo L, Zhou H Tags: Pain Res Manag Source Type: research

Pain, Physical Function, Radiographic Features, and Quality of Life in Knee Osteoarthritis Agricultural Workers Living in Rural Population.
Conclusion: The severity of clinical manifestations and radiographic area changes may affect functional ability and the quality of life in knee OA patients living in rural areas, which requires adequate treatment and physical therapy. PMID: 31662813 [PubMed - in process]
Source: Pain Research and Management - October 31, 2019 Category: Anesthesiology Authors: Nikolic G, Nedeljkovic B, Trajkovic G, Rasic D, Mirkovic Z, Pajovic S, Grbic R, Sipetic S, Vujcic I Tags: Pain Res Manag Source Type: research

Prevalence of Low Back Pain among Undergraduate Physiotherapy Students in Nigeria.
Conclusions. Although the prevalence of LBP was comparatively low, its association with educational activities emphasizes the need to incorporate effective LBP preventive strategies in the training of physiotherapy students. PMID: 26955486 [PubMed]
Source: Pain Research and Treatment - March 11, 2016 Category: Anesthesiology Tags: Pain Res Treat Source Type: research

Osteoarthritis patients with pain improvement are highly likely to also have improved quality of life and functioning. A post hoc analysis of a clinical trial
Conclusions Pain is an efficient outcome measure for predicting broader patient response in osteoarthritis. Patients who do not achieve timely, acceptable pain states over 4 weeks were less likely to experience functional or quality of life improvements. Implications Good pain improvements in osteoarthritis with a valid pain instrument are a proxy for good improvements in both function and quality of life. Therefore proper osteoarthritis pain assessment can lead to efficient evaluations in the clinic.
Source: Scandinavian Journal of Pain - August 9, 2016 Category: Anesthesiology Source Type: research

Pain and Opioid Use in Cancer Survivors: A Practical Guide to Account for Perceived Injustice
CONCLUSIONS: In light of its potential relevance for opioid abuse and potential impact on conservative management strategies, clinicians are advised to screen for perceived injustice in patients with pain following cancer treatment. Therapeutic targeting of perceived injustice can be done through an approach comprising of modified pain neuroscience education, motivational interviewing, and acceptance-based interventions.PMID:34323432
Source: Pain Physician - July 29, 2021 Category: Anesthesiology Authors: Jo Nijs Eva Roose Astrid Lahousse Kenza Mostaqim Iris Reynebeau Marijke De Couck David Beckwee Eva Huysmans Rinske Bults Paul van Wilgen Laurence Leysen Source Type: research

The effect of duloxetine on mechanistic pain profiles, cognitive factors and clinical pain in patients with painful knee osteoarthritis —A randomized, double‐blind, placebo‐controlled, crossover study
ConclusionA combination of pretreatment QST, cognitive factors and clinical pain was able to predict the analgesic response of duloxetine. However, in this relatively small study, duloxetine did not selectively modulate QST, cognitive factors or clinical pain intensity when compared with placebo.SignificanceDuloxetine is proposed as a treatment for chronic pain. Pre-clinical trials suggest that duloxetine provides analgesia through modulation of descending pain inhibitory pathways or through improvements in cognitive factors. The current study demonstrates that pretreatment mechanistic pain profiling, cognitive factors and...
Source: European Journal of Pain - June 13, 2022 Category: Anesthesiology Authors: Kristian Kj ær‐Staal Petersen, Asbjørn Mohr Drewes, Anne Estrup Olesen, Nadia Ammitzbøll, Davide Bertoli, Christina Brock, Lars Arendt‐Nielsen Tags: ORIGINAL ARTICLE Source Type: research

Differences in Clinical Pain and Experimental Pain Sensitivity Between Asian Americans and Whites With Knee Osteoarthritis
Discussion: These findings add to the growing literature regarding ethnic and racial differences in clinical pain intensity and experimental pain sensitivity. Asian Americans in particular may be at risk for clinical pain and heightened experimental pain sensitivity. Further investigation is needed to identify the mechanisms underlying ethnic group differences in pain between Asian Americans and NHWs, and to ensure that ethnic group disparities in pain are ameliorated.
Source: The Clinical Journal of Pain - January 7, 2017 Category: Anesthesiology Tags: Original Articles Source Type: research

Staircase-evoked Pain May be More Sensitive Than Traditional Pain Assessments in Discriminating Analgesic Effects: A Randomized, Placebo-controlled Trial of Naproxen in Patients With Osteoarthritis of the Knee
Discussion: Study results support our hypothesis that evoked pain using the StEPP may demonstrate greater responsiveness to treatment effects compared with traditional pain-related outcome measures. Accordingly, these results may facilitate development and validation of other chronic pain-related evoked pain models, which could contribute to future research and development of new analgesics.
Source: The Clinical Journal of Pain - December 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

5 ways to ease pain using the mind-body connection
I smashed my elbow a few weeks ago. There was no bone break — just a bad bruise after slipping in the kitchen and landing on my arm — but at times the pain has been excruciating. So I’ve been following doctor’s orders: babying my elbow, icing it, and taking an occasional over-the-counter painkiller. (PS: I wear sneakers in the kitchen now.) Something else has helped, too: mind-body therapies. These approaches aim to change our awareness of pain and retrain the way we respond to it. The therapies can help us control pain — such as long-lasting back pain — or live with it better. While these techniques won’t er...
Source: Harvard Health Blog - August 24, 2020 Category: Consumer Health News Authors: Heidi Godman Tags: Back Pain Complementary and alternative medicine Health Pain Management Source Type: blogs

The Effect of Duloxetine on Mechanistic Pain Profiles, Cognitive Factors, and Clinical Pain in Patients with Painful Knee Osteoarthritis – A Randomized, Double‐Blind, Placebo‐Controlled, Crossover Study
ConclusionA combination of pre-treatment QST, cognitive factors, and clinical pain was able to predict the analgesic response of duloxetine. However, in this relatively small study, duloxetine did not selectively modulate QST, cognitive factors, or clinical pain intensity when compared with placebo.
Source: European Journal of Pain - May 31, 2022 Category: Anesthesiology Authors: Kristian Kj ær‐Staal Petersen, Asbjørn Mohr Drewes, Anne Estrup Olesen, Nadia Ammitzbøll, Davide Bertoli, Christina Brock, Lars Arendt‐Nielsen Tags: ORIGINAL ARTICLE Source Type: research

Experimental pain sensitivity differs as a function of clinical pain severity in symptomatic knee osteoarthritis
Conclusions: These findings suggest that altered central processing of pain is particularly characteristic of individuals with moderate to severe symptomatic knee OA.
Source: Osteoarthritis and Cartilage - August 28, 2013 Category: Rheumatology Authors: C.D. King, K.T. Sibille, B.R. Goodin, Y. Cruz-Almeida, T.L. Glover, E. Bartley, J.L. Riley, M.S. Herbert, A. Sotolongo, J. Schmidt, B.J. Fessler, D.T. Redden, R. Staud, L.A. Bradley, R.B. Fillingim Tags: Mechanisms of Pain Response in Osteoarthritis: Humans Source Type: research