Joint, bone, spine : revue du rhumatisme
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Drug addicts often seek medical help for pain. Numerous fears and beliefs may hinder the recognition, evaluation, and management of pain in addicts. Nevertheless, the same fundamental principles apply to these patients as to other patients in terms of pain evaluation, analgesic selection, and dosage adjustment. ⋯ The use of strong opioids should be kept to a minimum (although this important rule may be difficult to follow, for instance in surgical emergencies). The best route of administration and galenic formulation vary with each individual situation but, in general, intravenous administration of strong opioids is highly undesirable. A treatment contract established with the patient is crucial and must indicate the nature of the drug or replacement agent used and the treatments given for pain control.
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Case Reports
Analgesic effect of sacroplasty in osteoporotic sacral fractures: a study of six cases.
To evaluate the short-term analgesic effect of sacroplasty in patients with osteoporotic sacral fractures. ⋯ Sacroplasty is effective in relieving pain due to sacral insufficiency fractures.