Articles: pain-management.
-
There is an increasing focus on the recognition, assessment, and management of pain in children. Children undergo many painful procedures in different clinical environments and are frequently undertreated for their pain. The pediatrician should be familiar with general concepts about the perception of pain in children. ⋯ There has been an increase in the development of topical anesthetics as well as modifying injectable local anesthetic to decrease the pain of local infiltration. Nonpharmacologic methods of pain management are being tested, developed, and used alone or as adjuncts to pharmacologic therapy for children undergoing painful procedures. It is imperative that clinicians keep themselves informed about new advances pertaining to pain treatment and incorporate them into their practices.
-
J Orthop Sports Phys Ther · Oct 1996
ReviewTranscutaneous electrical nerve stimulation for the control of pain in musculoskeletal disorders.
The literature on the use of transcutaneous electrical nerve stimulation (TENS) for pain control in several common musculoskeletal disorders is reviewed. The need for this review stems from apparently contradictory results of numerous studies designed to address the efficacy of electrical stimulation procedures for pain control. ⋯ Other areas discussed include TENS use in arthritic conditions, soft tissue inflammatory disorders, and in postoperative pain following orthopaedic surgical procedures. Methodological strengths and weaknesses of TENS studies are emphasized in order to assist the reader in understanding the relative value of TENS studies which either support or refute the efficacy of electrical stimulation procedures for pain control.
-
Regional anesthesia · Sep 1996
Case ReportsPeripheral nerve catheterization in the management of terminal cancer pain.
Peripheral nerve catheterization techniques were used in two patients with severe pain associated with the terminal stages of metastatic cancer. The first patient had severe upper limb pain and lymphedema secondary to breast carcinoma, and the second patient had an acutely ischemic leg secondary to pelvic obstruction from an ovarian tumor. The goal of treatment was to relieve the pain, which was resistant to opioid drugs, and to optimize the quality of life that remained, estimated to be only a few weeks. ⋯ Peripheral nerve catheterization proved beneficial in two patients who presented with difficult pain management problems and should be more widely considered for the relief of severe cancer-related pain in both the upper and lower limbs.