journal
https://read.qxmd.com/read/38190074/deep-learning-algorithm-trained-on-oblique-cervical-radiographs-to-predict-outcomes-of-transforaminal-epidural-steroid-injection-for-pain-from-cervical-foraminal-stenosis
#21
JOURNAL ARTICLE
Ming Xing Wang, Jeoung Kun Kim, Chung Reen Kim, Min Cheol Chang
INTRODUCTION: We developed a convolutional neural network (CNN) model to predict treatment outcomes of transforaminal epidural steroid injection (TFESI) for controlling cervical radicular pain due to cervical foraminal stenosis. METHODS: We retrospectively recruited 293 patients with cervical TFESI due to cervical radicular pain caused by cervical foraminal stenosis. We obtained a single oblique cervical radiograph from each patient. We cut each oblique cervical radiograph image into a square shape, including the foramen that was targeted for TFESI, the intervertebral disc, the facet joint of the corresponding level with the targeted foramen, and the pedicles of the vertebral bodies just above and below the targeted foramen...
February 2024: Pain and Therapy
https://read.qxmd.com/read/38175492/neuromodulation-techniques-in-chronic-refractory-coccydynia-a-narrative-review
#22
REVIEW
Sarvenaz Rahimibarghani, Richard Morgan, Jose Juan Diaz
Refractory coccydynia is a condition characterized by severe coccygeal pain and poses a challenging management dilemma for clinicians. Advancements in neuromodulation (NM) technology have provided benefits to people experiencing chronic pain that is resistant to standard treatments. This review aims to summarize the spectrum of current NM techniques employed in the treatment of refractory coccydynia along with their effectiveness. A review of studies in the scientific literature from 2012 to 2023 was conducted, revealing a limited number of case reports...
February 2024: Pain and Therapy
https://read.qxmd.com/read/38087070/gut-microbiota-modulation-and-its-implications-on-neuropathic-pain-a-comprehensive-literature-review
#23
REVIEW
Alberto Corriero, Mariateresa Giglio, Francesco Inchingolo, Antonio Moschetta, Giustino Varrassi, Filomena Puntillo
Neuropathic pain (NP) is a chronic pain disorder arising from somatosensory nervous system impairment. Extensive evidence supports the notion that the gut microbiota (GM) is crucial in maintaining human health by performing vital tasks. At the same time, its disruption has been linked to the emergence and advancement of an expanding range of disorders, including NP, in which GM could play a role in its pathophysiology. The crosstalk between the nervous system and GM happens through immune mediators, metabolites, and nervous structures and involves both central and peripheral nervous systems...
December 12, 2023: Pain and Therapy
https://read.qxmd.com/read/38079091/letter-to-the-editor-regarding-early-diagnosis-of-herpes-zoster-neuralgia-a-narrative-review
#24
LETTER
Josef Finsterer
No abstract text is available yet for this article.
December 9, 2023: Pain and Therapy
https://read.qxmd.com/read/38060146/effect-of-ct-guided-repeated-pulsed-radiofrequency-on-controlling-acute-subacute-zoster-associated-pain-a-retrospective-cohort-study
#25
JOURNAL ARTICLE
Min Rui, Zixin Han, Longsheng Xu, Ming Yao
INTRODUCTION: Zoster-associated pain (ZAP) treatment and management is still inadequate. Repeated intervention protocol is often applied to manage ZAP. This study aimed to retrospectively investigate the effect of repeated applications of pulsed radiofrequency therapy on controlling acute/subacute ZAP. METHODS: From March 2019 to December 2021, 150 patients with acute/subacute ZAP who underwent repeated application of pulsed radiofrequency treatment (R-PRF) and pulsed radiofrequency combined paravertebral block interventions (PRF + PVB) in the Pain Department of the affiliated Hospital of Jiaxing University were enrolled...
December 7, 2023: Pain and Therapy
https://read.qxmd.com/read/38057548/potential-role-of-focal-microvibration-equistasi-%C3%A2-in-the-management-of-chronic-pain-a-pilot-study
#26
JOURNAL ARTICLE
Pasquale Buonanno, Carmine Iacovazzo, Annachiara Marra, Andrea Uriel de Siena, Tatiana Josu, Maddalena Zampi, Davide Sedda, Giuseppe Servillo, Maria Vargas
INTRODUCTION: Chronic pain is one of the leading causes of medical consultation with a dramatic psychophysical and socioeconomic impact. Focal microvibration (Equistasi® ) is a revolutionary technology that converts the thermal energy of the skin into vibration. Equistasi® was shown to be effective in the treatment of gait and balance dysfunction in many pathological conditions such as Parkinson's disease and multiple sclerosis. Our aim was to explore the efficacy of focal microvibration in the management of chronic pain...
December 6, 2023: Pain and Therapy
https://read.qxmd.com/read/37864060/combined-efficacy-of-systemically-acting-diclofenac-sodium-patch-and-alpha-2-delta-calcium-channel-ligand-in-chronic-low-back-pain-subanalysis-of-a-phase-iii-study
#27
JOURNAL ARTICLE
Shigeki Yamaguchi, Takaaki Terahara, Koji Okawa, Hiroshi Inakura
INTRODUCTION: Chronic low back pain often comprises mixed pain types and involves multiple factors. Therefore, we hypothesized that the systemic transdermal formulation of diclofenac sodium (DF systemic patch), which is effective for nociceptive pain, and an α2δ Ca2+ channel ligand, which is effective for neuropathic pain, would have additive effects in the treatment of chronic low back pain. METHODS: From among participants in a randomized, double-blind, placebo-controlled study of DF systemic patch (75 or 150 mg) applied once daily for 2 weeks in patients with chronic low back pain, we performed a subpopulation analysis of those who were concomitantly treated with an α2δ Ca2+ channel ligand during the study period...
December 2023: Pain and Therapy
https://read.qxmd.com/read/37751060/do-electrical-stimulation-devices-reduce-pain-and-improve-function-a-comparative-review
#28
REVIEW
Christian B Allen, Tyler K Williamson, Stephen M Norwood, Ashim Gupta
BACKGROUND: Multiple forms of electrical stimulation (ES) potentially offer widely varying clinical benefits. Diminished function commonly associated with acute and chronic pain lessens productivity and increases medical costs. This review aims to compare the relative effects of various forms of ES on functional and pain outcomes. METHODS: A comprehensive literature search focused on studies of commonly marketed forms of ES used for treatment of pain and improvement of function...
December 2023: Pain and Therapy
https://read.qxmd.com/read/37733173/arts-therapy-and-its-implications-in-chronic-pain-management-a-narrative-review
#29
REVIEW
Jaroslava Raudenská, Veronika Šteinerová, Šárka Vodičková, Martin Raudenský, Marie Fulková, Ivan Urits, Omar Viswanath, Giustino Varrassi, Alena Javůrková
Chronic nonmalignant pain is recognized as a complex, dynamic, phenomenological interplay between biological, psychological, and social factors that are individual to the person suffering from it. Therefore, its management and treatment ought to entail the individual's biopsychosocial aspects that are often addressed by collaborative, inter/multidisciplinary multimodal care, as there is no biologic treatment. In an effort to enhance inter/multidisciplinary multimodal care, a narrative review of arts therapy as a mind-body intervention and its efficacy in chronic pain populations has been conducted...
December 2023: Pain and Therapy
https://read.qxmd.com/read/38032471/ct-guided-radiofrequency-ablation-targeting-the-herniation-edge-of-the-cervical-disc-for-the-treatment-of-neck-pain-a-retrospective-study
#30
JOURNAL ARTICLE
Nannan Zhang, Jiaqi Hu, Wenjun Cai, Wenlong Liu, Shun Li, Bin Ru
INTRODUCTION: Sinuvertebral nerve overactivation is one of the mechanisms of neck pain caused by cervical disc herniation. Radiofrequency ablation (RFA) of sinuvertebral nerves has shown efficacy for the treatment of discogenic low back pain. However, relatively few studies evaluated the efficacy of RFA of sinuvertebral nerves for the treatment of chronic neck pain caused by cervical disc herniation. METHODS: Clinical data were retrospectively collected from 168 patients diagnosed with cervical disc herniated neck pain from January 1, 2019, to September 1, 2022, who were treated with computed tomography (CT)-guided cervical disc RFA of at the Pain Medicine Center of Zhejiang Provincial People's Hospital...
November 30, 2023: Pain and Therapy
https://read.qxmd.com/read/38015366/whole-body-electrostatic-pain-treatment-in-adults-with-chronic-pain-a-prospective-multicentric-observational-clinical-trial
#31
JOURNAL ARTICLE
Stephan Steinhauser, Michael Thomas Ganter, Vincent Stadelmann, Christoph Karl Hofer
INTRODUCTION: In the treatment of patients with chronic pain, whole-body electrostatic therapy using the Elosan Cabin C1 has been proposed as an adjunctive therapy. So far, data on the use of this cabin are limited. Promising results with a significant reduction in pain scores have been obtained in a small group of patients. However, treatment with Elosan Cabin C1 has not been the subject of evaluation in a larger patient population. The aim of this study was to investigate the efficacy and adverse effects of electrostatic treatment in such a population...
November 28, 2023: Pain and Therapy
https://read.qxmd.com/read/37962817/progress-in-radiofrequency-therapy-for-zoster-associated-pain-about-parameters-modes-targets-and-combined-therapy-a-narrative-review
#32
REVIEW
Min Rui, Huadong Ni, Keyue Xie, Longsheng Xu, Ming Yao
Zoster-associated pain (ZAP) is a painful condition that significantly impacts a patient's quality of life, often leading to postherpetic neuralgia (PHN). Over 30% of patients with herpes probably experience PHN. However, the understanding and treatment of ZAP remain inadequate. Common interventional treatments include radiofrequency therapy, nerve blocks, epidural block, and spinal cord electrical stimulation. Among these, radiofrequency therapy is widely used for pain control in ZAP, but the standard pulsed radiofrequency technique can still be improved...
November 14, 2023: Pain and Therapy
https://read.qxmd.com/read/37917298/glycosaminoglycan-replacement-therapy-with-intravesical-instillations-of-combined-hyaluronic-acid-and-chondroitin-sulfate-in-patients-with-recurrent-cystitis-post-radiation-cystitis-and-bladder-pain-syndrome-a-narrative-review
#33
REVIEW
Sławomir Poletajew, Magdalena M Brzózka, Wojciech Krajewski, Hubert Kamecki, Łukasz Nyk, Piotr Kryst
Defects in the glycosaminoglycan layer (GAG) of the bladder mucosa have been identified as a significant contributor to the pathogenesis and clinical progression of chronic inflammatory diseases of the bladder, such as post-radiation cystitis, bladder pain syndrome and recurrent urinary tract infections. This narrative review aims to explore the contemporary evidence on the role of GAG reconstitution with intravesical installations of hyaluronic acid and chondroitin sulfate in the management of those patients, with a goal to provide valuable insights for clinical practice...
November 2, 2023: Pain and Therapy
https://read.qxmd.com/read/37517030/proposal-of-a-route-map-for-cervical-spinal-ultrasonography-a-simple-and-clear-learning-tool-for-beginners
#34
JOURNAL ARTICLE
Si Chen, Jiao Zhang, Yuda Fei, Xulei Cui, Le Shen, Yuguang Huang
Spinal ultrasonography has increasingly been used to image axial structures from the cervical to sacral region in recent years. In this work, we propose a comprehensive, systematic cervical scanning protocol that we refined as a route map, especially for beginners, to facilitate teaching, learning, diagnosis, and treatment in clinical pain practice. As a simple and clear tool to demonstrate the scanning protocol, the route map is delineated with rectangles, lines, and arrows. The rectangles represent the positions of the transducer, the arrows indicate route directions, and the lines show the routes of transducer movement...
October 2023: Pain and Therapy
https://read.qxmd.com/read/37314686/treatment-satisfaction-efficacy-and-tolerability-of-low-dose-diclofenac-epolamine-soft-capsules-in-acute-mild-or-moderate-musculoskeletal-pain-a-prospective-open-label-single-arm-interventional-study
#35
JOURNAL ARTICLE
Carlo L M Trevisan, Andrea Carraro, Gemma L A Baldari
INTRODUCTION: The use of oral nonsteroidal anti-inflammatory drugs (NSAIDs) for acute musculoskeletal pain should be at the lowest effective dosage and for the shortest duration to minimize potential adverse effects. This study evaluated treatment satisfaction, effectiveness, and tolerability of a low-dose diclofenac epolamine 12.5-mg soft capsule formulation (DHEP 12.5-mg capsules) using patient-reported outcome measures in a real-life setting over a short period (3 days) in subjects with mild-to-moderate acute musculoskeletal pain...
October 2023: Pain and Therapy
https://read.qxmd.com/read/37751061/letter-to-the-editor-regarding-deep-neuromuscular-block-attenuates-chronic-postsurgical-pain-and-enhances-long-term-postoperative-recovery-after-spinal-surgery-a-randomized-controlled-trial
#36
LETTER
https://read.qxmd.com/read/37751059/a-response-to-letter-to-the-editor-regarding-deep-neuromuscular-block-attenuates-chronic-postsurgical-pain-and-enhances-long-term-postoperative-recovery-after-spinal-surgery-a-randomized-controlled-trial
#37
LETTER
Yan Wu, Xihui Tang, Jie Guo, Qingsong Chen, Yuqing Xu, Xinghe Wang, Su Liu
No abstract text is available yet for this article.
September 26, 2023: Pain and Therapy
https://read.qxmd.com/read/37751058/-i-m-not-the-same-person-anymore-thematic-analysis-exploring-experiences-of-dependence-to-prescribed-analgesics-in-patients-with-chronic-pain-in-the-uk
#38
JOURNAL ARTICLE
Louise S Norton, Bridget Dibb
INTRODUCTION: The rising issue of dependence to prescribed pain medication for patients with chronic pain has been highlighted in the literature; however, there is a dearth of research exploring the patient perspective of this dependence in the United Kingdom (UK). This exploratory qualitative study aimed to investigate experiences of prescribed analgesic dependence in patients with chronic pain in the UK. METHODS: Semi-structured interviews were conducted with nine UK-based participants (eight females, one male) with a mean age of 44, who experienced chronic pain and identified as dependent to their prescribed pain medication...
September 26, 2023: Pain and Therapy
https://read.qxmd.com/read/37737951/temporary-peripheral-nerve-stimulation-as-treatment-for-chronic-pain
#39
JOURNAL ARTICLE
Alaa Abd-Elsayed, Mitchell K Keith, Nancy N Cao, Kenneth J Fiala, Joshua M Martens
INTRODUCTION: Chronic pain is a growing problem across the world, and in the midst of an opioid epidemic, it is imperative that alternative treatment measures are identified to help alleviate the pain experienced by these patients. Chronic pain greatly affects ones quality of life and many patients do not experience adequate relief with conventional treatment measures. The purpose of this retrospective analysis is to assess the efficacy of peripheral nerve stimulation (PNS) therapy in adult patients suffering from chronic pain refractory to conventional treatment measures who underwent therapy on various anatomical locations...
September 22, 2023: Pain and Therapy
https://read.qxmd.com/read/37713159/promising-subjective-and-objective-benefits-of-modified-mindfulness-based-stress-reduction-training-for-chinese-adults-with-chronic-pain-a-pilot-randomized-control-study
#40
JOURNAL ARTICLE
Shuanghong Chen, Xubin Gao, Ting Shi, Xibo Zuo, Chengjin Hong, Yaoyao Zhang, Beibei You, Fenghua Li, Todd Jackson, Ying He
INTRODUCTION: Mindfulness-based stress reduction (MBSR) has demonstrated its effectiveness in reducing pain-related stress in adults with chronic pain. However, the implementation of MBSR needs modifications across cultures. This pilot study reports the findings of a randomized controlled trial that investigated the effects of a culturally adaptive MBSR program on self-report and neuroimaging outcomes for chronic pain adults in China. METHODS: Sixty-seven participants were randomly assigned to the treatment group (n = 40) or the treatment-as-usual group (n = 27) group at a ratio of 1...
September 15, 2023: Pain and Therapy
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