Pain medicine : the official journal of the American Academy of Pain Medicine
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To determine the patterns of referred pain in patients with proven cervical zygapophysial joint pain. ⋯ Pain maps based on areas in which patients are relieved of pain by controlled blocks provide a more representative guide to the recognition of the segmental origin of cervical zygapophysial joint pain than do maps derived from normal volunteers.
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Our study was designed to document fiscal data for emergency department admissions for acute exacerbation of chronic back pain. ⋯ Emergency department care may be a costly venue for the management of chronic back pain. Because most patients obtain only short-term relief, they are likely to continue seeking urgent care intermittently until effective long-term pain management is widely available and reimbursable on an outpatient basis.
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Review Meta Analysis
Mind-body interventions for chronic pain in older adults: a structured review.
We conducted a structured review of eight mind-body interventions for older adults with chronic nonmalignant pain. ⋯ The eight mind-body interventions reviewed are feasible in an older population. They are likely safe, but many of the therapies included modifications tailored for older adults. There is not yet sufficient evidence to conclude that these eight mind-body interventions reduce chronic nonmalignant pain in older adults. Further research should focus on larger, clinical trials of mind-body interventions to answer this question.
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Randomized Controlled Trial Comparative Study
Effectiveness of transcutaneous electrical nerve stimulation and interferential current in primary dysmenorrhea.
To compare the effectiveness of transcutaneous electrical nerve stimulation and interferential current in primary dysmenorrhea. ⋯ Both transcutaneous electrical nerve stimulation and interferential current appear to be effective in primary dysmenorrhea. As they are free from the potentially adverse effects of analgesics, and no adverse effects are reported in the literature nor observed in this study, a clinical trial of their effectiveness in comparison with untreated and placebo-treated control groups is warranted.
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Smokers may report more pain and may be at greater risk for psychiatric comorbidity. Smoking may be a major problem in chronic pain patients (CPPs). The goal of this study was to determine if pain and psychiatric comorbidity are associated with smoking status in CPPs. ⋯ Smoking status in CPPs is associated with some variables that are similar for smoking in the general and psychiatric populations (education, race, alcoholism). However, a number of variables expected to be relevant (e.g., mood disorders) were not associated with smoking status in CPPs. These results may not be generalizable to all CPPs as they are derived from CPPs who are return-to-work candidates.