Journal of pain and symptom management
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J Pain Symptom Manage · Mar 1989
Case ReportsThoracic epidural morphine in the palliation of chest wall pain secondary to relapsing polychondritis.
Relapsing polychondritis is a rare disease of unknown etiology characterized pathologically by degeneration of the chondrocyte and replacement with fibrous connective tissue. The following case report presents the pain management of a 34-yr-old man suffering from intractable pain secondary to relapsing polychondritis. ⋯ Factors in the selection of an implantable narcotic delivery system as well as practical considerations including tolerance and potential side effects of intraspinal narcotics are discussed. Ethical issues surrounding the chronic use of intraspinal narcotics in the setting of chronic benign pain are also discussed.
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J Pain Symptom Manage · Mar 1989
Management of craniofacial pain with transcutaneous electrical nerve stimulation: a clinical protocol.
The use of TENS can be of great value in the management of both chronic and acute craniofacial pain, but established protocols for this application are sparse. This paper discusses a simple protocol for the use of TENS that is based on the author's clinical experience with these types of craniofacial pain.