Der Schmerz
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Specialized pain management centres have been shown to achieve significant clinical efficacy and a relevant reduction of direct and indirect costs. Furthermore, only patients are admitted after conventional therapies failed. The results of specialized pain management might be even more impressive if patients were treated earlier. Parameters of cost efficacy in pain treatment include pain reduction, reduction of drug intake, increase of physical activity, improvement of quality of life, reduction of inability to work, avoidance of early retirement.
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This prospective, non-controlled pilot-study examines the potential benefit of acupuncture in patients with low back pain and radicular symptoms. ⋯ Acupuncture as a noninvasive treatment with very few complications is a promising therapeutical option of low back pain, especially when associated with radicular symptoms.
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Randomized Controlled Trial Comparative Study Clinical Trial
[Postoperative analgesic effect after intra-articular morphine or ropivacaine following knee arthroscopy - a prospective randomized, doubleblinded study].
Recent studies for postoperative pain relief after arthroscopy by intraarticular morphine or bupivacaine showed controversial results. The aim of the study was to evaluate the analgesic effect of intraarticular morphine and ropivacaine. ⋯ Intraarticular ropivacaine following elective knee-arthroscopy reduces postoperative analgetic consumption significantly and improves patient comfort.