Articles: chronic-pain.
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Clinical rehabilitation · Apr 2012
Randomized Controlled TrialEfficacy of perceptive rehabilitation in the treatment of chronic nonspecific low back pain through a new tool: a randomized clinical study.
To evaluate the efficacy of a perceptive rehabilitative approach, based on a new device, with regard to pain and disability in patients with chronic nonspecific low back pain. ⋯ Perceptive rehabilitation has immediate positive effects on pain. Back School reduces disabilities at follow-up.
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Review
Current considerations for the treatment of severe chronic pain: the potential for tapentadol.
Studies suggest that around 20% of adults in Europe experience chronic pain, which not only has a considerable impact on their quality of life but also imposes a substantial economic burden on society. More than one-third of these people feel that their pain is inadequately managed. A range of analgesic drugs is currently available, but recent guidelines recommend that NSAIDs and COX-2 inhibitors should be prescribed cautiously. ⋯ In clinical trials in patients with chronic pain, the efficacy of tapentadol was similar to that of oxycodone, but it produced significantly fewer gastrointestinal side-effects and treatment discontinuations. Pain relief remained stable throughout a 1-year safety study. Thus, tapentadol could possibly overcome some of the limitations of currently available analgesics for the treatment of chronic pain.
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Comparative Study
Exploration of the relationship between disability perception, preference for death over disability, and suicidality in patients with acute and chronic pain.
Passive, active, and historical suicidality are associated with preference for death over disability. ⋯ Preference for death over disability is associated with passive and active suicide ideation and historical suicidality in patients with chronic pain.
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Randomized Controlled Trial Comparative Study
[Long-term effects of interventional treatment on chronic pain of the musculoskeletal system. Retrospective outcome study of repeated in-patient treatment].
Interventional procedures are frequently used for treatment of musculoskeletal pain syndromes but current scientific evidence does not show successful outcome in chronic cases. In this study the effect of repeated interventional treatment on the long-term outcome of patients with chronic musculoskeletal pain was examined. ⋯ Repeated treatment cycles of interventional pain therapy did not lead to an improvement in the treated pain syndromes and in the long term the pain syndromes deteriorated further. It seems likely that the interventional approach promoted this adverse development but the data of this study are not sufficient to conclusively prove this thesis.
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Ann Phys Rehabil Med · Apr 2012
Comparative StudyDisabling chronic low back pain with Modic type 1 MRI signal: acute reduction in pain with intradiscal corticotherapy.
The objective of the current study was to compare short- and long-term effect on chronic low back pain of intradiscal injection of methylprednisolone with or without presence of Modic type 1 MRI changes. ⋯ We suggest that patients with disabling chronic low back pain and Modic type 1 MRI changes have specific acute response to intradiscal injection of methylprednisolone. Clinical studies are however necessary to further investigate the effectiveness and safety of such injections.