The Clinical journal of pain
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To determine the part played by drag on the pectoral girdle muscles of women in the production of pain in these muscles from breast weight being carried at the shoulders through the brassiere straps. ⋯ Presence or absence of muscle pain after the trial period. Long-term outcome was presence or absence of muscle pain and tenderness. Seventy-nine percent of patients decided to remove breast weight from the shoulder permanently because it rendered them symptom free.
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The objective of this study was to evaluate Mikail et al.'s hypothesis that adult attachment styles are associated with important pain-related variables such as pain and disability levels. ⋯ The attachment theory holds promise for understanding reactions to pain conditions, and Mikail et al.'s model warrants further investigation.
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Acute mechanical, thermal, and chemically induced pains in the skin are signalled by a set of specific nociceptive afferents, which encode the magnitude of the perceived pain by their discharge intensity. After tissue injury or inflammation, a number of changes in the properties of the primary afferent occur parallel to profound changes in the central nervous system. ⋯ Collectively, these changes are the basis for the many forms of hyperalgesia that can present clinically as incident pain. Knowledge of the various types of hyperalgesia and their underlying mechanisms is required for better treatment of this challenging aspect of chronic pain.
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Clinical Trial
Topical lidocaine patch relieves a variety of neuropathic pain conditions: an open-label study.
Our goal was to perform a pilot study to assess the effectiveness and tolerability of a topical lidocaine patch (Lidoderm) for the treatment of peripheral neuropathic pain conditions other than postherpetic neuralgia. ⋯ The Lidoderm patch provided clinically meaningful pain relief in most of these refractory neuropathic pain patients without side effects. Controlled trials need to be performed to confirm these preliminary findings.
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The goal of this study was to assess physician consultation and use of medication in Dutch children and adolescents (0-18 years old) having chronic pain in relation to sociodemographic factors and pain characteristics. ⋯ Chronic pain is a common complaint in children and adolescents, frequently resulting in consultation of a physician and medication use. Regarding physician consultation, children and adolescents with a lower educational level seem to be a group at risk.