Articles: pain.
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Ugeskrift for laeger · Jun 1980
Randomized Controlled Trial Clinical Trial[Myofascial pain treated with injections. A controlled double-blind trial].
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The relationship between persistent pain in spinal cord injury and medical-descriptive, demographic, psychological and familial-social data was studied. Multiple linear regression and discriminant analysis were used to predict (1) presence or absence of pain; (2) severity of pain; (3) time post-injury onset of pain; (4) whether or not pain interfered with activities of daily living. The best combinations of predictor variables accounted for only 15 and 19% of the dependent measures pain vs. no-pain and onset of pain, respectively. ⋯ Higher levels of subjective pain were associated with greater age, higher verbal intelligence, higher levels of anxiety and a more negative psycho-social situation. Persons who reported pain interfering with activities of daily living were more likely to be older, of higher intelligence, more depressed, clinically rated as experiencing greater levels of distress and immersed in a more negative psycho-social environment. The importance of psycho-social variables in the understanding of persistent spinal cord injury pain and the need for prospective studies along these lines are demonstrated.
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Acute peritendinitis calcarea, adhesive capsulitis, and anterior acromion impingement syndrome are common problems of the shoulder. Needle and drug therapy are indicated to relieve pain in the treatment of acute cases, with a regular home program of exercise essential for successful results in all cases. Surgery is recommended only if the nonoperative approach is unsuccessful.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of i.m. lysine acetylsalicylate and oxycodone in the treatment of pain after operation.
Lysine acetylsalicylate (LAS) is a soluble salt of acetylsalicylic acid and can be given parenterally. LAS 12.5 mg kg-1 and 25 mg kg-1 were compared with oxycodone 0.15 mg kg-1 in the treatment of pain after operation in 60 patients undergoing varicose vein surgery. ⋯ No significant differences were found between the smaller and larger doses of LAS, suggesting a plateau effect. Further clinical experiments with LAS using i.v. mode of administration and other pain models are warranted.