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Keywords Chronic Pain Integrative Medic...

Chronic Pain Integrative Medicine Review

https://read.qxmd.com/read/38028431/precision-integrative-medicine-for-pain-management-in-sickle-cell-disease
#21
REVIEW
Wally R Smith, Cecelia R Valrie, Cheedy Jaja, Martha O Kenney
Sickle cell disease (SCD) is a prevalent and complex inherited pain disorder that can manifest as acute vaso-occlusive crises (VOC) and/or chronic pain. Despite their known risks, opioids are often prescribed routinely and indiscriminately in managing SCD pain, because it is so often severe and debilitating. Integrative medicine strategies, particularly non-opioid therapies, hold promise in safe and effective management of SCD pain. However, the lack of evidence-based methods for managing SCD pain hinders the widespread implementation of non-opioid therapies...
2023: Front Pain Res (Lausanne)
https://read.qxmd.com/read/38004006/cancer-pain-and-non-invasive-brain-stimulation-a-narrative-review
#22
REVIEW
Valentina-Fineta Chiriac, Daniel Ciurescu, Daniela-Viorica Moșoiu
Background and Objectives : Pain is the most prevalent symptom in cancer patients. There is a paucity of data regarding non-invasive brain stimulation (NIBS) for the treatment of chronic pain in patients with cancer. The purpose of this article is to review the techniques of NIBS and present the published experiences of the oncological population. Materials and Methods : Databases including MEDLINE, Scopus, Web of Science, and the Cochrane Library were searched for articles on cancer patients with pain that was managed with non-invasive brain stimulation techniques...
November 6, 2023: Medicina
https://read.qxmd.com/read/37939212/mind-body-practices-interoception-and-pain-a-scoping-review-of-behavioral-and-neural-correlates
#23
REVIEW
Stephanie Voss, Daniel A Boachie, Norberto Nieves, Neha P Gothe
OBJECTIVE: Chronic pain is a significant source of suffering in the United States, and many individuals increasingly turn towards yoga for pain relief. However, little is known regarding how yoga improves pain. Herein we seek to examine the scope of the literature linking mind-body practices, pain and interoception; an emerging mechanism by which yoga may improve chronic pain. METHODS: This scoping review followed the five-stage methodological framework proposed by Arksey and O'Malley to examine behavioral and neural correlates of interoception in mind-body practices and pain...
2023: Annals of Medicine
https://read.qxmd.com/read/37891800/non-pharmacological-treatment-of-primary-headaches-a-focused-review
#24
REVIEW
Emir Licina, Aleksandra Radojicic, Marta Jeremic, Aleksandra Tomic, Milija Mijajlovic
Headache disorders are a significant global health burden, leading to reduced quality of life. While vast pharmacological treatments are available, they may be associated with adverse effects or inadequate efficacy for some patients, therefore there is a need for exploring alternate treatment strategies. This review gives a brief explanation and evaluation of some established and emerging non-pharmacological approaches for headache management, focusing on nutraceuticals and diet, acupuncture, cognitive behavioral therapy (CBT), biofeedback, relaxation techniques, autogenic training, and neuromodulation...
October 8, 2023: Brain Sciences
https://read.qxmd.com/read/37818830/lightweight-macroporous-mesh-can-be-used-for-corporal-reconstruction-during-penile-prosthesis-surgery
#25
JOURNAL ARTICLE
Wai Gin Lee, Patrick Gordon, David Ralph
BACKGROUND: Options to reinforce or reconstruct the corpora cavernosa during penile prosthesis surgery are limited. Synthetic grafts may confer a higher infection risk. Lightweight macroporous mesh is a promising alternative due to better integration and tissue ingrowth. AIM: The study sought to report the first experience of using lightweight mesh to reinforce or reconstruct the corpora. METHODS: The medical records of all patients undergoing insertion or revision of penile prosthesis between May 2016 and May 2021 were reviewed retrospectively...
October 10, 2023: Journal of Sexual Medicine
https://read.qxmd.com/read/37795766/a-meta-ethnography-of-how-children-and-young-people-with-chronic-non-cancer-pain-and-their-families-experience-and-understand-their-condition-pain-services-and-treatments
#26
REVIEW
Emma France, Isabelle Uny, Ruth Turley, Katie Thomson, Jane Noyes, Abbie Jordan, Liz Forbat, Line Caes, Mayara Silveira Bianchim
BACKGROUND: Chronic non-cancer pain in childhood is widespread, affecting 20% to 35% of children and young people worldwide. For a sizeable number of children, chronic non-cancer pain has considerable negative impacts on their lives and quality of life, and leads to increased use of healthcare services and medication. In many countries, there are few services for managing children's chronic non-cancer pain, with many services being inadequate. Fourteen Cochrane Reviews assessing the effects of pharmacological, psychological, psychosocial, dietary or physical activity interventions for managing children's chronic non-cancer pain identified a lack of high-quality evidence to inform pain management...
October 5, 2023: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/37775758/multimodal-non-invasive-non-pharmacological-therapies-for-chronic-pain-mechanisms-and-progress
#27
REVIEW
Yu Shi, Wen Wu
BACKGROUND: Chronic pain conditions impose significant burdens worldwide. Pharmacological treatments like opioids have limitations. Non-invasive non-pharmacological therapies (NINPT) encompass diverse interventions including physical, psychological, complementary and alternative approaches, and other innovative techniques that provide analgesic options for chronic pain without medications. MAIN BODY: This review elucidates the mechanisms of major NINPT modalities and synthesizes evidence for their clinical potential across chronic pain populations...
September 29, 2023: BMC Medicine
https://read.qxmd.com/read/37753632/evidence-for-the-role-of-multidisciplinary-team-care-in-people-with-pelvic-pain-and-endometriosis-a-systematic-review
#28
REVIEW
Qing Yi Fang, Nikki Campbell, Samantha S Mooney, Sarah J Holdsworth-Carson, Kate Tyson
BACKGROUND: Endometriosis is a chronic, inflammatory condition characterised by the presence of endometrial-like tissue outside the uterine cavity. Given the multi-system nature of the disease and the potential for significant negative impact on quality of life, there has been a long-standing recognition of the need for multidisciplinary care for people with endometriosis. However, there is paucity to the data supporting this approach, and much of the evidence is anecdotal. AIM: This systematic review aims to describe recent evidence-based models and patient-centred perspectives of multidisciplinary care for endometriosis, to improve understanding of the role of an integrated, multidisciplinary team in effectively addressing patients' care needs...
September 27, 2023: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://read.qxmd.com/read/37654520/stigma-and-mental-health-in-endometriosis
#29
REVIEW
H Deniz Kocas, Lisa R Rubin, Marci Lobel
This review provides an overview of patient experiences of endometriosis, endometriosis-related types and sources of stigma pertaining to menstruation, chronic pain, and infertility, and their impact on patients' mental health with particular implications for patient care. Because endometriosis is a complex disease with multifactorial etiology, complicated pathophysiology, and a spectrum of clinical features, diagnosis of endometriosis is typically a lengthy process, and many patients experience initial misdiagnosis...
September 2023: European journal of obstetrics & gynecology and reproductive biology: X
https://read.qxmd.com/read/37641572/endometriosis-in-the-era-of-precision-medicine-and-impact-on-sexual-and-reproductive-health-across-the-lifespan-and-in-diverse-populations
#30
REVIEW
Linda C Giudice, Tomiko T Oskotsky, Simileoluwa Falako, Jessica Opoku-Anane, Marina Sirota
Endometriosis is a common estrogen-dependent disorder wherein uterine lining tissue (endometrium) is found mainly in the pelvis where it causes inflammation, chronic pelvic pain, pain with intercourse and menses, and infertility. Recent evidence also supports a systemic inflammatory component that underlies associated co-morbidities, e.g., migraines and cardiovascular and autoimmune diseases. Genetics and environment contribute significantly to disease risk, and with the explosion of omics technologies, underlying mechanisms of symptoms are increasingly being elucidated, although novel and effective therapeutics for pain and infertility have lagged behind these advances...
September 2023: FASEB Journal: Official Publication of the Federation of American Societies for Experimental Biology
https://read.qxmd.com/read/37637183/acupuncture-as-an-alternative-or-in-addition-to-conventional-treatment-for-chronic-non-specific-low-back-pain-a-systematic-review-and-meta-analysis
#31
REVIEW
Carlo Maria Giovanardi, Marien Gonzalez-Lorenzo, Alessandra Poini, Eleonora Marchi, Antonio Culcasi, Francesco Ursini, Cesare Faldini, Alberto Di Martino, Umberto Mazzanti, Emanuela Campesato, Annunzio Matrà, Sabina Cevoli, Maria Grazia Benedetti
BACKGROUND: Conventional therapies (CTs), pharmacological (PH) and non-pharmacological (NPH), do not always achieve benefits in the treatment of chronic low back pain (CLBP). We assessed efficacy and safety of acupuncture for CLBP as alternative or addition to CT. METHODS: We included randomised controlled trials (RCTs) comparing acupuncture alone or in combination with CT to CT. We searched Medline, Cochrane Library, Embase up to May 2022. We assessed risk of bias with the original Cochrane tool and GRADE certainty of evidence...
September 2023: Integrative Medicine Research
https://read.qxmd.com/read/37596980/beyond-trial-and-error-individualizing-therapeutic-transcranial-neuromodulation-for-chronic-pain
#32
REVIEW
Daniel Ciampi de Andrade, Luís García-Larrea
BACKGROUND AND OBJECTIVE: Repetitive transcranial magnetic stimulation (rTMS) applied to the motor cortex provides supplementary relief for some individuals with chronic pain who are refractory to pharmacological treatment. As rTMS slowly enters treatment guidelines for pain relief, its starts to be confronted with challenges long known to pharmacological approaches: efficacy at the group-level does not grant pain relief for a particular patient. In this review, we present and discuss a series of ongoing attempts to overcome this therapeutic challenge in a personalized medicine framework...
October 2023: European Journal of Pain: EJP
https://read.qxmd.com/read/37586860/cepharanthine-and-oral-lichen-planus-efficacy-cole-study-protocol-for-a-multicentre-randomised-controlled-study-assessing-the-efficacy-and-safety-of-cepharanthine-with-topical-corticosteroids-in-oral-lichen-planus
#33
JOURNAL ARTICLE
Takahiro Yagyuu, Masahiro Isogawa, Kazuhiko Yamamoto, Tsutomu Sugiura, Yumiko Matsusue, Masato Kasahara, Tadaaki Kirita
INTRODUCTION: Oral lichen planus (OLP) is a chronic, inflammatory oral condition leading to a range of symptoms from mild discomfort to severe pain, affecting patients' quality of life. Standard therapy involves the use of topical corticosteroids, although some patients respond insufficiently or develop resistance to therapy. We aim to explore if adding cepharanthine, an herbal extract from Stephania cepharantha Hayata, can enhance the efficacy of corticosteroid therapy in symptomatic OLP...
August 16, 2023: BMJ Open
https://read.qxmd.com/read/37580632/collaborative-care-models-to-improve-pain-and-reduce-opioid-use-in-primary-care-a-systematic-review
#34
Sarah Cercone Heavey, Jacob Bleasdale, Eve A Rosenfeld, Gregory P Beehler
BACKGROUND: Collaborative care management (CCM) is an empirically driven model to overcome fractured medical care and improve health outcomes. While CCM has been applied across numerous conditions, it remains underused for chronic pain and opioid use. Our objective was to establish the state of the science for CCM approaches to addressing pain-related outcomes and opioid-related behaviors through a systematic review. METHODS: We identified peer-reviewed articles from Cochrane, Embase, PsycINFO, and PubMed databases from January 1, 1995, to October 31, 2022...
October 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/37577106/the-use-of-complementary-and-alternative-medicine-for-the-treatment-of-gastrointestinal-symptoms-in-long-covid-a-systematic-review
#35
REVIEW
Brent Gawey, Juan Yang, Brent Bauer, Joanne Song, Xiao Jing Wang
BACKGROUND: Most people with coronavirus disease 2019 (COVID-19) experience resolution of symptoms within days to weeks following initial infection. In a subset of individuals, symptoms persist longer than 4 weeks, known as 'Long COVID'. Many gastrointestinal (GI) symptoms persist as part of this syndrome; yet, an approach to treatment remains unclear. Prior studies have demonstrated the efficacy of complementary and alternative medicine (CAM) for the treatment of acute COVID-19 infections, but little data exist regarding the potential use of CAM in the treatment of Long COVID...
2023: Therapeutic Advances in Chronic Disease
https://read.qxmd.com/read/37525791/the-benefits-of-integrative-medicine-for-pain-management-in-oncology-a-narrative-review-of-the-current-evidence
#36
REVIEW
Victoria Carvalho, Shahid B Rangrej, Rajni Rathore
The aim of this evidence-based study is to narrate and evaluate the current evidence on recommendations for practicing physicians and other healthcare providers regarding integrative approaches to managing pain in patients with cancer. This review will assess the guideline recommendations and analyze the role of integrative medicine in addressing cancer pain in patients. The literature search highlights relevant studies that will inform evidence-based recommendations for practicing physicians, highlighting their relevance and weaknesses...
June 2023: Curēus
https://read.qxmd.com/read/37335629/integrative-medicine-using-east-asian-herbal-medicine-for-inflammatory-pain-in-patients-with-rheumatoid-arthritis-a-protocol-for-systematic-review-and-meta-analysis-integrated-with-multiple-data-mining-for-core-candidate-discovery
#37
JOURNAL ARTICLE
Hee-Geun Jo, Jihye Seo, Eunhye Baek, Ji-Hye Hwang, Donghun Lee
BACKGROUND: Rheumatoid arthritis is a chronic inflammatory autoimmune disease characterized by a wide range of clinical symptoms affecting various bodily functions, including skeletal, vascular, metabolic, and cognitive functions. This review aimed to evaluate the efficacy and safety of integrative medicine (East Asian herbal medicine combined with conventional medicine) used for the treatment of inflammatory pain in rheumatoid arthritis and to identify key candidate drugs based on the data...
June 9, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37253494/identification-of-palliative-care-needs-and-prognostic-factors-of-survival-in-tailoring-appropriate-interventions-in-advanced-oncological-renal-and-pulmonary-diseases-a-prospective-observational-protocol
#38
JOURNAL ARTICLE
Vanessa Valenti, Romina Rossi, Emanuela Scarpi, Monia Dall'Agata, Ilaria Bassi, Paola Cravero, Gaetano La Manna, Giacomo Magnoni, Martina Marchello, Giovanni Mosconi, Oriana Nanni, Stefano Nava, Maria Caterina Pallotti, Ilario Giovanni Rapposelli, Marianna Ricci, Anna Scrivo, Alessandra Spazzoli, Danila Valenti, Loretta Zambianchi, Augusto Caraceni, Marco Maltoni
INTRODUCTION: It is estimated that of those who die in high-income countries, 69%-82% would benefit from palliative care with a high prevalence of advanced chronic conditions and limited life prognosis. A positive response to these challenges would consist of integrating the palliative approach into all healthcare settings, for patients with all types of advanced medical conditions, although poor clinician awareness and the difficulty of applying criteria to identify patients in need still pose significant barriers...
May 30, 2023: BMJ Open
https://read.qxmd.com/read/37232652/psychoeducation-for-fibromyalgia-syndrome-a-systematic-review-of-emotional-clinical-and-functional-related-outcomes
#39
REVIEW
Carmen M Galvez-Sánchez, Casandra I Montoro
Fibromyalgia Syndrome (FMS) is a chronic condition of widespread pain accompanied by several symptoms such as stiffness, fatigue, sleep problems, depression, anxiety, and cognitive deficits. To date, there is no specific treatment for FMS. The European League Against Rheumatism, and the majority of the international recommendations for managing FMS, has claimed psychoeducational intervention as the first step in FMS treatment for adequate symptoms management. However, scientific studies in this regard are scarce, diverse, and with contradictory findings...
May 15, 2023: Behavioral Sciences
https://read.qxmd.com/read/37094892/effects-of-manual-therapy-combined-with-therapeutic-exercise-versus-routine-physical-therapy-on-brain-biomarkers-in-patients-with-chronic-non-specific-neck-pain-in-thailand-a-study-protocol-for-a-single-blinded-randomised-controlled-trial
#40
JOURNAL ARTICLE
Rungtawan Chaikla, Munlika Sremakaew, Suchart Kothan, Suwit Saekho, Kittichai Wantanajittikul, S Uthaikhup
INTRODUCTION: Structural brain alterations in pain-related areas have been demonstrated in patients with non-specific neck pain. While manual therapy combined with therapeutic exercise is an effective management for neck pain, its underlying mechanisms are poorly understood. The primary objective of this trial is to investigate the effects of manual therapy combined with therapeutic exercise on grey matter volume and thickness in patients with chronic non-specific neck pain. The secondary objectives are to assess changes in white matter integrity, neurochemical biomarkers, clinical features of neck pain, cervical range of motion and cervical muscle strength...
April 24, 2023: BMJ Open
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