Pain medicine : the official journal of the American Academy of Pain Medicine
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Use of low-dose ketamine infusions in the emergency department (ED) has not previously been described, despite routine use in perioperative and other settings. Our hypothesis was that a low-dose ketamine bolus followed by continuous infusion would 1) provide clinically significant and sustained pain relief; 2) be well tolerated; and 3) be feasible in the ED. ⋯ A low-dose ketamine infusion protocol provided significant pain relief with mostly mild side effects and no severe adverse events.
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Letter Case Reports
Large Buttocks Hematoma Caused by Deep Tissue Massage Therapy.
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Migraine is a chronic condition of recurring moderate-to-severe headaches that affects an estimated 6% of men and 18% of women. The highest prevalence is in those 18-49 years of age, generally when women menstruate. It is divided into episodic and chronic migraine depending on the total number of headache days per month being 14 or less or 15 or more, respectively. Migraine has been associated with menorrhagia, dysmenorrhea, and endometriosis, the latter particularly in chronic migraine. ⋯ We conclude that chronic migraine is possibly more often than episodic migraine associated with menstrual-cycle disorders in general and dysmenorrhea, without impact on menstruation sensitivity of the headaches.
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To present an algorithm of sequential treatment options for managing myofascial pain (MP) in older adults, along with a representative clinical case. ⋯ The algorithm presented gives a structured approach to guide primary care providers in planning treatment for patients with MP as a contributor to CLBP.