Articles: chronic-pain.
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Psychological services · May 2012
Tele-pain management: use of videoconferencing technology in the delivery of an integrated cognitive-behavioral and physical therapy group intervention.
Chronic pain has been recognized as a highly prevalent problem, and interdisciplinary treatments have been shown to be effective in the treatment of chronic pain. An integrated cognitive-behavioral and physical therapy group protocol has been developed and then implemented at remote sites using videoconferencing technology to provide pain management for veterans. The treatment model is summarized and recommendations are made for addressing challenges in implementing this type of treatment via videoconferencing.
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Diminished executive function and attentional control has been reported in chronic pain patients. However, the precise pattern of impairment in these aspects of cognition in chronic pain remains unclear. Moreover, a decline in psychomotor speed could potentially influence executive and attentional control performance in pain patients. ⋯ Executive and attention functions are not uniformly affected in chronic pain. At least part of the previously reported decline in executive function in this group may reflect psychomotor slowing. Overall, limited evidence was found that executive and attention performance is indeed lower in chronic pain. Therefore, it can be concluded that in chronic pain sustained attention performance is diminished while mental flexibility, planning and inhibition appear to be intact.
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Pain patterns associated with the facet and sacroiliac joints following lumbar total disc replacement correlate with biomechanical modeling observations, such as load transfer to the posterior spinal elements in total disc replacement with an artificial disc. When conventional treatment options are exhausted, spinal cord stimulation (SCS) offers clinically favorable outcomes to treat intractable pain. ⋯ SCS is a viable technique to control pain associated with artificial disc implant.
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Acta ortopédica mexicana · May 2012
[Incidence of Modic degenerative changes in patients with chronic lumbar pain at Monterrey Regional ISSSTE Hospital].
Several papers have studied the degenerative changes of endplates, but there are no publications referring to the Mexican population. ⋯ The prevalence of Modic changes was 22% (52 patients). Eight patients had Type II Modic changes at two levels. The most affected levels were L4-L5 and L5-S1, in 85% of cases. Patients over 50 years of age were the most affected age group; frequency increased with age. The most frequent disc degeneration pattern was degeneration of the lower lumbar levels. Risk factors need to be further studied and the correlation with the degree of pain needs to be determined to obtain more information.