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Background: Polyneuropathy is one of the commonest complications of long standing diabetes. Progressive sensory loss can predispose patients to foot ulcer and the neuropathy oftentimes causes pain. The pain can significantly affect the quality of life of patients.Objectives: To describes the health related quality of life of pat.. Read More
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Interventional Treatments for Bladder Pain Syndrome
Patients with BPS persistent and unacceptable symptoms despite oral and/or intravesical therapy are candidates for more aggressive modalities. Many of these are best administered within the context of a clinical trial if possible. These may include: neuromodulation, intradetrusor botulinum toxin, oral cyclosporine and other anes.. Read More
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TAP Blocks: A Recent Review of Anesthetic Combinations
Multimodal analgesia is an approach to optimize pain relief by treating pain through several mechanisms along multiple sites of the nociceptive pathway. This approach not only improves pain, but also patient satisfaction. It also decreases use of narcotic pain medications, and provides faster recovery and mobilization. Transvers.. Read More
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Introduction: Trigeminal neuralgia is sudden-onset, sharp, stabbing, and recurrent pain that is provoked by trigger factors within the distributed branch area of the trigeminal nerve. Although surgical intervention, which primarily comprises micro vascular decompression (MVD), and medication are mainstream treatment options to r.. Read More
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Acupuncture and Auriculotherapy for Severe Pain Following Total Hip Replacement
Acupuncture is a form of Chinese therapy whereby stimulation of points along different energy meridians is applied. Auriculotherapy is ear acupuncture where analgesic points corresponding to different body parts are identified and stimulated on the external ear. Both forms of acupressure have been used with varying success rates.. Read More
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Objective: Cartilage injuries are one of the most frequent causes of knee pain. Other causes such as meniscus tears, synovial plica, synovitis, partial and total ligament ruptures are rather easy to identify by standard diagnostic methods and diagnostic arthroscopy. In this study we are describing two other clinical states, whic.. Read More
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Effectiveness of Balloon Kyphoplasty in Patients with Painful Vertebral Compression Fractures
We performed a case series study on the effectiveness of balloon kyphoplasty (BKP) for painful vertebral compression fractures in 60 patients with acute axial lumbar and/or thoracic spinal pain due to osteoporosis, trauma or cancer, who were referred to the pain center of a general hospital. The pain intensity levels appeared to.. Read More
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Background: Dry needling is one of the main therapeutic approaches in patients with Myofascial pain syndrome. Few studies have been compared the superficial and deep dry needling methods in these patients. Objective: To evaluate the effects of superficial and deep dry needling on pain and muscle thickness in subjects with upper.. Read More
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Predictive Validity of Lumbar X-ray Images and MRIs for Chronic Low Back Pain Subtypes
Purpose: The aim of this observational study alongside our inter-rater reliability trial (ISRCTN 43417727) is to investigate the accuracy of lumbar X-ray images and MRIs as diagnostic tools of low back pain (LBP) subtypes (sacroiliac joint, disc and facet joint).Patients and methods: Included were patients aged 18 or more with m.. Read More
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Background: Studies abroad demonstrate the effectiveness and safety of dexketoprofen in various therapeutic indications. However, there has been no related study on our local population. Objectives: To evaluate the effectiveness and safety of oral dexketoprofen among Filipino adults in the treatment of mild to moderate acute pa.. Read More
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Background and Objectives: The gold standard for acute postoperative pain management in major abdominal surgeries is thoracic epidural analgesia (TEA) and this was proved by a lot of studies, systematic reviews and metaanalyses. However, TEA is sometimes contraindicated and may cause serious risks. Rectus Sheath Block (RSB) is e.. Read More
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Is Paravertebral Block More Effective in Thoracotomy Patients Compared to Thoracic Epidural Block?
Purpose: Paravertebral block (PVB) is a simple and safe technique that can be more efficacious than epidural block (EPB) in controlling postoperative pain. We aimed to confirm this by comparing the two methods in patients after thoracotomy. Methods: Patients were randomly divided into two groups, PVB or EPB (n=30 in each). Vita.. Read More
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The Airway Management of One Lung Ventilation in a Patient with Tracheal Bronchus
We describe the airway management of one lung ventilation (OLV) in a 69-year-old patient with tracheal bronchus (TB). In addition to supportive treatment, we offered the patient controlled intravenous analgesia pump postoperative. The patient recovered well without any complication... Read More
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Sphenopalatine Ganglion Block for Postdural Puncture Headache
Post-dural puncture headache (PDPH) is a relatively common complication associated with neuraxial anesthesia and unintentional dural puncture. Epidural blood-patch (EBP) is the gold standard treatment when conservative therapy fails, but has significant risks associated. Recently, bilateral sphenopalatine ganglion block (SPGB) h.. Read More
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Pain management should be individualized for each patient as much as possible, and the use of a placebo in the clinical practice can help. The treatment with compounded topical analgesics holds a great promise for such individualized therapy, due to the fast response of patients after applying cream containing adequate concentra.. Read More
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Background: Chronic inflammatory demyelinating polyneuropathy (CIDP) is considered to be an immunemediated, acquired disease of the peripheral nerves. CIDP patients infrequently develop neuropathy with various clinical forms, such as blink reflex and trigeminal neuropathy. However, to our knowledge, there is no information about.. Read More
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Nursing in the Attention of the Evaluation of Pain as a 5th Vital Sign
Objective: The objective of this study was to identify the view of nurses in the application of the pain scale in patients hospitalized in intensive care and medical clinic. Method: An exploratory-descriptive study was conducted with a qualitative approach in a private hospital in the interior of the State of Sao Paulo. The samp.. Read More
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Taxane-Induced Neuropathic Pain: Current Evidence and Treating Strategies
Chemotherapy-induced peripheral neuropathy (CIPN) is a disabling adverse event of most of commonly used antineoplastic agents. Previous studies have focused on several chemotherapeutic agents and reported that CIPN incidence varies from 19% to >85%. The mechanisms underlying CIPN are currently unknown. However, different theo.. Read More
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Dexmedetomedine-As an Adjuvant to Epidural Analgesia: Comparison Between Different Doses
Background: Epidural analgesia offers superior pain relief and early mobilization, especially when a local anesthetic [LA] dose is combined with an adjuvant vs. an LA alone. Objective: The current study compares the analgesic and anesthetic efficiency of dexmedetomidine (1 and 2 μgkg-1) and levobupivacaine, as well as their .. Read More
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Objective: This study aim was to evaluate the effects of the lumbar stabilization exercises on cross-sectional area (CSA) of the multifidus muscle, trunk muscles’ isokinetic peak torque, pain and disability in women with chronic low back pain (cLBP). Methods: The experimental group (EG; n=55) was enrolled in a 12-week lum.. Read More
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