Articles: pain-management-methods.
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Clinical rehabilitation · Dec 2011
Randomized Controlled TrialShort-term effects of local microwave hyperthermia on pain and function in patients with mild to moderate carpal tunnel syndrome: a double blind randomized sham-controlled trial.
To determine the short-term effects of local microwave hyperthermia on pain and function in patients with mild to moderate idiopathic carpal tunnel syndrome. ⋯ Hyperthermia provides short-term improvements in pain and function in patients with mild to moderate carpal tunnel syndrome.
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The evolution of interventional pain management from inception through the present is examined. Increasing demand from patients, referring physicians and third party payors for proven interventions which provide long-term functional relief of symptoms or primary correction of common spinal pain syndromes is discussed. ⋯ Practitioners are encouraged to transition from the use of spinal injections and narcotics of unproven benefit to percutaneous and endoscopic spinal intervention as primary therapy of herniated lumbar disc, discogenic spinal pain, and lumbar spinal stenosis in appropriately selected patients. SD, Expenditures and health status among adults with back and neck problems.
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Transcutaneous electrical nerve stimulation is a non-medicated therapy with no side effects, compatible with other treatments and able to be used for an unlimited time. It consists in emitting painless electrical pulses around the nerves or muscles, through electrodes placed on the skin and connected to an easy-to-use generator or stimulator.
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Pain is not only one of the most undesirable side effects of cancer but also one of its major complications. This study attempted to evaluate and describe the pain characteristics and pain control in patients with advanced cancer and to identify factors related to effective analgesic treatment. ⋯ Negative attitudes and feelings toward treatment combined with deficits in patient education/information seem to influence both pain response and therapy compliance suggesting the need for more comprehensive approach to pain management of cancer patients.
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Postoperative nausea and vomiting (PONV) and pain are two of the major concerns for patients presenting for surgery. The causes of PONV are multifactorial and can largely be categorized as patient risk factors, anaesthetic technique, and surgical procedure. Antiemetics work on several different receptor sites to prevent or treat PONV. ⋯ With the increasing understanding of the pathophysiology of acute pain, especially the occurrence of peripheral and central hypersensitization, it is unlikely that a single drug or intervention is sufficiently broad in its action to be adequately effective, especially with moderate or greater pain. Although morphine and its congeners are usually the foundation of pain management regimens, as their dose increases so does the incidence of side-effects. Thus, the approach for the management of acute postoperative pain is to use multiple drugs or modalities (e.g. regional anaesthesia) to maximize pain relief and reduce side-effects.