The Clinical journal of pain
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Opioids are indicated for the management of procedural pain in neonates. There are limited data describing factors influencing patterns of use. ⋯ Neonatologists frequently report using opioids to manage procedural pain, however, spontaneously breathing infants are less likely to receive them, and their use varies according to infant and procedure characteristics. These data point to the need to further investigate, in a more controlled design, the pharmacologic effects of opioids in this population to better guide clinicians about their optimal use.
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Randomized Controlled Trial Comparative Study Clinical Trial
Intra-articular corticosteroid injections versus pulsed radiofrequency in painful shoulder: a prospective, randomized, single-blinded study.
Chronic shoulder pain treatment is known to be a difficult and long process. The objective of this study is to compare the efficacy of intra-articular corticosteroid injection and pulse radiofrequency (PRF) applied to the suprascapular nerve in patients with shoulder pain. ⋯ Intra-articular injection of corticosteroid and PRF applied to the suprascapular nerve are effective in the treatment of painful shoulder. When 2 treatments are compared, it may be concluded that intra-articular steroid injection was more effective especially in the first weeks regarding pain than the PRF. Further studies are needed to confirm these results in the prospective treatment guidelines.
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Randomized Controlled Trial
Transcutaneous pulsed radiofrequency treatment in patients with painful knee awaiting total knee joint replacement.
Our study was designed to determine if transcutaneous-pulsed radiofrequency treatment (TCPRFT) was able to reduce the pain experienced by patients awaiting total knee joint replacement (TKJR). We conducted a randomized, double-blinded, placebo controlled trial of TCPRFT in patients referred for TKJR to our hospital's Orthopedic Outpatient Clinic. ⋯ We believe this to be the first report of a controlled study of TCPRFT. This pilot study shows a benefit of the technique that justifies future research.
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In current medical literature, most of the reported complications of spinal cord stimulation concern technical problems, such as lead malfunction, migration, breakage, or internal pulse generator dysfunction, whereas reports about the side effects on internal organ function caused by spinal cord stimulation are rare. ⋯ This case report highlights the incomplete knowledge about the mechanism of action of spinal cord stimulation and its influence on the interactions between the autonomic nervous system and voluntary control of urinary function. The complete recovery of bladder function after the interruption of stimulation suggests that electrical stimulation caused the adverse effects in this clinical case.
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Prevention of occupational low back pain (LBP) in nurses is a research priority. Recent research suggests intervening before commencing nursing employment is ideal; however, identification of modifiable risk factors is required. The objective of this study was to investigate modifiable personal characteristics that predicted new-onset LBP in nursing students. ⋯ Modifiable personal characteristics across multiple domains are associated with new-onset LBP in female nursing students. These findings may have implications for the development of prevention and management interventions for LBP in nurses.