Articles: pain-management.
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Since the senior author's (J. E. A.) first report in 1972 of the use of deep brain stimulation (DBS) to control chronic pain, electrodes for DBS have been implanted in 141 patients. ⋯ After the mean follow-up period of 80 months, 42 patients (31%) continued to obtain significant pain relief with DBS. Some pain states, particularly anesthesia dolorosa and paraplegia pain, did not seem to respond to DBS. Major complications of therapy included wound infection (12%) and intracranial hemorrhage (3.5%); there was one death in the series (0.7%).(ABSTRACT TRUNCATED AT 250 WORDS)
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The wide variety of techniques and rapidly developing complex technologies currently available for managing pain, as well as the multidimensional nature of cancer pain, require that a multidisciplinary approach to treatment be used in virtually all health care settings. Members of each health care discipline have unique and very important contributions to make to the care of patients with cancer pain. This critical fact has only recently been recognized and incorporated into the management of persons with pain in inpatient, outpatient, and home settings. The development and refinement of multidisciplinary teams, coupled with the use of the most current and effective therapeutic interventions available, should result in better care of and quality of life for patients with cancer pain.
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Randomized Controlled Trial Clinical Trial
Management of injection pain in children.
Researchers have come to understand a great deal about pain mechanisms, especially in the past 30 years. This understanding has spawned the development of a number of psychological pain control strategies which have been extensively assessed for use with adults. Less is known about pain control strategies in children. ⋯ Age was found to be an important determinant of the success of distraction. Furthermore, age was found to be related to amount of pain reported by children regardless of type of treatment. The results of this study support the use of music distraction in the reduction of injection pain in children.
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Chronic pelvic pain remains a difficult management problem that is often refractory to traditional medical or surgical therapy. The pain management center approach used successfully for the treatment of cancer pain and headache can be adapted to the treatment of chronic pelvic pain. The results of this pilot study suggest that the multidisciplinary techniques of pain management promise to be an effective modality for the treatment of chronic pelvic pain.