Pain physician
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Review Meta Analysis
Comparative Effectiveness of Suprascapular Nerve Block in the Relief of Acute Post-Operative Shoulder Pain: A Systematic Review and Meta-analysis.
The suprascapular nerve accounts for 70% of shoulder sensory innervations, and suprascapular nerve block (SSNB) has been shown to be effective in the relief of chronic shoulder pain including rotator cuff tendinitis, subdeltoid impingement syndrome, and adhesive capsulitis. However, this remains inconclusive for patients undergoing surgery. The present meta-analysis aimed to explore the effectiveness of SSNB for relieving acute post-operative shoulder pain. ⋯ Suprascapular nerve, shoulder surgery, thoracotomy, laparoscopic surgery.
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Review Meta Analysis
Effect of Vitamin D Supplementation on Pain: A Systematic Review and Meta-analysis.
There is conflicting evidence from previous qualitative reviews on the effect of vitamin D supplementation on pain. ⋯ Meta-analysis, pain, randomized controlled trials, vitamin D supplementation.
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Neuropathic pain (NP) is a major public health problem worldwide. Because of the unclear mechanism of NP, its treatment is one of the most difficult medical problems. As a targeted, noninvasive, safe therapy, pulsed radiofrequency (PRF) provides a new method for the treatment of NP; however, its effect on this treatment still lacks support from evidence-based medicine. ⋯ Neuropathic pain, pulsed radiofrequency, analgesia, meta-analysis.
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Lumbar muscle dysfunction due to pain might be related to altered lumbar muscle structure. Macroscopically, muscle degeneration in low back pain (LBP) is characterized by a decrease in cross-sectional area and an increase in fat infiltration in the lumbar paraspinal muscles. In addition microscopic changes, such as changes in fiber distribution, might occur. Inconsistencies in results from different studies make it difficult to draw firm conclusions on which structural changes are present in the different types of non-specific LBP. Insights regarding structural muscle alterations in LBP are, however, important for prevention and treatment of non-specific LBP. ⋯ Low back pain, non-specific, chronic, recurrent, acute, muscle structure, fat infiltration, cross-sectional area, fiber type, review.
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Occipital neuromodulation is a promising treatment modality for refractory headache, but lead migration remains a frequent surgical complication. ⋯ Occipital neuromodulation, occipital nerve stimulation, surgical technique, lead migration, tension-relief loop.