Pain medicine : the official journal of the American Academy of Pain Medicine
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Comparative Study
Interlaminar versus transforaminal epidural steroid injections for the treatment of symptomatic lumbar spinal stenosis.
Lumbar spinal stenosis is a common condition that causes axial low back pain, radicular pain, and neurogenic claudication. Epidural steroid injections are commonly used for the treatment of radicular symptoms and neurogenic claudication associated with symptomatic lumbar spinal stenosis. No prior study has evaluated whether transforaminal or interlaminar epidural steroid injections produce better clinical outcomes. ⋯ In the current study, neither transforaminal nor interlaminar steroid injections resulted in superior short term pain improvement or fewer long term surgical interventions or repeat injections when compared with each other.
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The primary aim of this study was to investigate the associations between standardized values of thermal sensory perception and standardized scores of clinical pain among a heterogeneous cohort of adults with chronic pain that included individuals receiving chronic opioid therapy. ⋯ The use of standardized values of HP perception and clinical pain may be key methodological approaches for investigating the clinical correlates of HP perception among heterogeneous populations of adults with chronic pain.
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The objective of this review was to identify measuring instruments that might be suitable for assessment of satisfaction and experience of exercise programs designed to help people with persistent, recurrent low back pain. ⋯ Important information that would inform researchers and clinicians regarding the components of successful exercise programs may be gained from the development of an instrument that assesses experience of exercise program participation. Research into the experience of people who have participated in exercise programs may be a key to understanding their motivation, engagement, compliance or noncompliance and success or failure.