Italian Orthopaedic and Traumatology Society (SIOT) position statement on the non-surgical management of knee osteoarthritis
ConclusionsFor non-surgical management of knee OA, the recommended first step is to bring about lifestyle changes, particularly management of body weight combined with physical exercise and/or hydrotherapy. For acute symptoms, non-steroidal anti-inflammatory drugs (NSAIDs), topic or oral, can be used. Opioids can only be used as third-line pharmacological treatment. Glucosamine and chondroitin are also suggested as chronic pharmacological treatment. Regarding intra-articular infiltrative therapy, the use of hyaluronic acid is recommended in cases of chronic knee OA [platelet-rich plasma (PRP) as second line), in the absenc...
Source: Journal of Orthopaedics and Traumatology - September 7, 2023 Category: Orthopaedics Source Type: research
Comparative analysis of photobiomodulation therapy and transcutaneous electrical nerve stimulation for burning mouth: a randomized clinical trial
ConclusionTENS and PBM were effective in reducing the symptoms of burning mouth during and after treatment. The PBM group showed a better response during follow-up.Trial registrationThis clinical trial was registered athttp://clinicaltrials.gov (Number: NCT05816200).Clinical relevanceTENS was found to be a safe and effective therapy for burning mouth. Trial registration number (TRN) and date of registration: This clinical trial was registered athttp://clinicaltrials.gov (Number: NCT05816200; date: May 08, 2023). (Source: Clinical Oral Investigations)
Source: Clinical Oral Investigations - September 1, 2023 Category: Dentistry Source Type: research
A Systematic Review of the Interventions for Management of Pain in Patients After Spinal Cord Injury
In conclusion, several pharmaceutical and non-pharmaceutical methods exist, which can reduce pain in patients after SCI. The type of intervention can be considered by the physician depending on the patients' preference, age, medical history, type of pain, and associated symptoms. However, more studies with greater samples and with better methodological quality should be conducted.PMID:37644939 | PMC:PMC10461890 | DOI:10.7759/cureus.42657 (Source: Pain Physician)
Source: Pain Physician - August 30, 2023 Category: Anesthesiology Authors: Ioannis Koukoulithras Abdulaziz Alkhazi Athanasios Gkampenis Alexandra Stamouli Minas Plexousakis Gianna Drousia Eleana Xanthi Charis Roussos Spyridon Kolokotsios Source Type: research
A Systematic Review of the Interventions for Management of Pain in Patients After Spinal Cord Injury
In conclusion, several pharmaceutical and non-pharmaceutical methods exist, which can reduce pain in patients after SCI. The type of intervention can be considered by the physician depending on the patients' preference, age, medical history, type of pain, and associated symptoms. However, more studies with greater samples and with better methodological quality should be conducted.PMID:37644939 | PMC:PMC10461890 | DOI:10.7759/cureus.42657 (Source: Pain Physician)
Source: Pain Physician - August 30, 2023 Category: Anesthesiology Authors: Ioannis Koukoulithras Abdulaziz Alkhazi Athanasios Gkampenis Alexandra Stamouli Minas Plexousakis Gianna Drousia Eleana Xanthi Charis Roussos Spyridon Kolokotsios Source Type: research
Current Evidence-based Approaches to Multimodal Pain Control and Opioid Minimization After Arthroscopic and Knee Preservation Surgery
J Am Acad Orthop Surg. 2023 Aug 21. doi: 10.5435/JAAOS-D-23-00342. Online ahead of print.ABSTRACTNonarthroplasty knee procedures are common and may cause a wide spectrum of postoperative pain, ranging from minimal to severe, depending on the patient, pathology, and procedure. Procedures include ligament repair and reconstruction, especially anterior cruciate ligament reconstruction, meniscal débridement, repair and transplant, periarticular osteotomy, and cartilage restoration. Multimodal analgesia regimens have been implemented successfully, but notable variation characterizes current protocols. Increased public and phys...
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 23, 2023 Category: Orthopaedics Authors: Michael Sean Day Andrew Boryan Source Type: research
Current Evidence-based Approaches to Multimodal Pain Control and Opioid Minimization After Arthroscopic and Knee Preservation Surgery
J Am Acad Orthop Surg. 2023 Aug 21. doi: 10.5435/JAAOS-D-23-00342. Online ahead of print.ABSTRACTNonarthroplasty knee procedures are common and may cause a wide spectrum of postoperative pain, ranging from minimal to severe, depending on the patient, pathology, and procedure. Procedures include ligament repair and reconstruction, especially anterior cruciate ligament reconstruction, meniscal débridement, repair and transplant, periarticular osteotomy, and cartilage restoration. Multimodal analgesia regimens have been implemented successfully, but notable variation characterizes current protocols. Increased public and phys...
Source: Pain Physician - August 23, 2023 Category: Anesthesiology Authors: Michael Sean Day Andrew Boryan Source Type: research
Current Evidence-based Approaches to Multimodal Pain Control and Opioid Minimization After Arthroscopic and Knee Preservation Surgery
J Am Acad Orthop Surg. 2023 Aug 21. doi: 10.5435/JAAOS-D-23-00342. Online ahead of print.ABSTRACTNonarthroplasty knee procedures are common and may cause a wide spectrum of postoperative pain, ranging from minimal to severe, depending on the patient, pathology, and procedure. Procedures include ligament repair and reconstruction, especially anterior cruciate ligament reconstruction, meniscal débridement, repair and transplant, periarticular osteotomy, and cartilage restoration. Multimodal analgesia regimens have been implemented successfully, but notable variation characterizes current protocols. Increased public and phys...
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 23, 2023 Category: Orthopaedics Authors: Michael Sean Day Andrew Boryan Source Type: research
Non-Pharmacological Treatment for Chronic Migraine
AbstractPurpose of ReviewChronic migraine (CM) affects a large proportion of the population and is a significant source of disability and lost productivity. Numerous non-pharmacological approaches have been attempted during the past decades. This review discusses the most recent and evidence-based advances in acute and preventive non-pharmacological therapeutic approaches for CM, offering alternatives to drug treatment.Recent FindingsA growing number of non-pharmacological treatment options, including non-invasive or invasive neuromodulation, acupuncture, psychotherapy, and physiotherapy, have shown promising efficacy in C...
Source: Current Pain and Headache Reports - August 23, 2023 Category: Neurology Source Type: research
Neurostimulation After Stroke
This article explores its applications in upper and lower limb stroke rehabilitation. The authors review various methods to target the corticomotor system, including transcranial direct current stimulation, repetitive transcranial magnetic stimulation, and vagus nerve stimulation. In addition, the authors review the use of peripheral neuromuscular electrical stimulation for therapeutic and assistive purposes, including transcutaneous electrical nerve stimulation, neuromuscular electrical stimulation, and functional electrical stimulation. For each, the authors examine the potential benefits, limitations, safety considerati...
Source: Physical Medicine and Rehabilitation Clinics of North America - August 21, 2023 Category: Rehabilitation Authors: Hala Osman, Ricardo Siu, Nathan S. Makowski, Jayme S. Knutson, David A. Cunningham Source Type: research
The Role of Physical Therapy in the Treatment of Pediatric Bladder Dysfunction
AbstractPurpose of ReviewThe purpose of this review is to summarize current literature related to the pediatric physical therapist ’s role in the treatment of lower urinary tract dysfunction (LUTD). Common intervention strategies include standard urotherapy (SU), biofeedback (BF), transcutaneous electrical nerve stimulation (TENS), interferential (IF) electrical stimulation, group therapy/voiding school, and pelvic floor phys ical therapy (PFPT).Recent FindingsSU is considered the gold standard, first-line treatment for children with LUTD and should be initiated by the child ’s primary care provider or urologist. Pelvi...
Source: Current Bladder Dysfunction Reports - August 19, 2023 Category: Urology & Nephrology Source Type: research
