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Background: The objective of the ACHEON survey was to investigate current practices in chronic non-cancer pain (CNCP) management in Asia, with a focus on opioid use. Methods: A questionnaire-based survey conducted in 10 Asian countries/regions was answered by 695 physicians managing pain (median experience: 15 years) and 1,305 .. Read More
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Introduction: Weight lifting is a popular sport in Sri Lanka. This descriptive cross sectional study was done among adult and adolescent weight lifters in the Western and North eastern provinces of Sri Lanka. Objectives: To determine the prevalence of chronic pain affecting the muscular skeletal system, whether their training ha.. Read More
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Motor Cortex Stimulation for Chronic Central and Peripheral Neuropathic Pain: State of Art
Motor cortex stimulation (MCS) was proposed by Tsubokawa in 1991 for the treatment of post-stroke thalamic pain. Since that time, the indications enlarged including trigeminal neuropathic pain and other types of central and peripheral deafferentation pain. Clinical knowledge of MCS derives mainly from published individual cases .. Read More
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Ultrasound Guidance in Paravertebral Injections of Oxygen-Ozone: Treatment of Low Back Pain
Background: Paravertebral injection of ozone is an established clinical practice for the treatment of Low Back Pain (LBP). The role of Ultrasound Guidance (USG) in mini invasive procedures has become important in many clinical practice thanks to the greater precision this technique can add. As matter of fact, a large volume of o.. Read More
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Multimodal Analgesia in Spine Surgery: A Commentary
Chronic back pain is a multifactorial issue requiring a concerted effort amongst members of the multidisciplinary team throughout a patient’s surgical course to provide the best environment for targeted therapy in order to reduce postoperative morbidity. Implementing a program designed to reduce opioid consumption and prov.. Read More
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Effect of Oxycodone in Post-operative Pain Management
Aims: To study the efficacy of oxycodone for short-term pain management in post-operative patients in a realworld setting. Methods: A 15-item survey was given to 263 post-operative patients undergoing ENT, general, local sedation, obstetrics/gynecology, ophthalmic, orthopedic, plastic and urological surgery at the department o.. Read More
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Objective: the goal of this paper is to perform a systematic review on the use of diclofenac/B complex indicated for acute low back pain, compared to other available therapies for low back pain. Material and Methods: The systematic review was performed on the following databases: Medline/Pubmed, Cochrane Library (CENTRAL), EMB.. Read More
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Myofascial Pain Syndrome - A Surgical Perspective
In this article we discuss the evaluation of a typical patient referred to our clinic with myofascial pain syndrome. With an understanding of the underlying pathoanatomy and pathophysiology we discuss the rationale and potential benefits of surgery for some patients... Read More
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Clinical Presentation of Oral Manifestations and Intraoral Somatosensory Changes in Fahr's Disease
Fahr’s disease is a rare congenital disorder characterized by abnormal calcium deposition with subsequent atrophy involving the basal ganglia, cerebral and cerebellar cortical regions. Very little information is available regarding non-neurological manifestations of this disease, and almost no information is available on o.. Read More
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Recurrent low back pain (LBP) is the most commonly encountered medical condition in older adults and poses an even greater challenge in health care. This commentary proposes biomechanical outcome assessments of spinal function and implies an objective measurement to assess recurrent LBP. It is important to determine the potentia.. Read More
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Mechanically Actuated Stance-Control-Orthoses: Advantages, Design Evaluation and Future Directions
Engineers and researchers have devotedly sought to improve and develop the design of walking assistive devices in last few decades to enhance the mobility of impaired individuals. The progress is quite impressive but a lot of design challenges are still remain in making these designs user-friendly and commercially viable. Patien.. Read More
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Subjects with Knee Osteoarthritis Exhibit Widespread Hyperalgesia to Pressure and Cold
Hyperalgesia to mechanical and thermal stimuli are characteristics of a range of disorders such as tennis elbow, whiplash and fibromyalgia. This study evaluated the presence of mechanical and thermal hyperalgesia in individuals with knee osteoarthritis (OA), compared to healthy control subjects. Twenty-three subjects with knee O.. Read More
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Femoral Nerve Block in Anterior Cruciate Ligament Surgery: A Prospective Randomized Trial
Early painless rehabilitation is essential after anterior cruciate ligament surgery (ACL). Postoperative main management with femoral nerve block (FNB) is a frequently used method, but it is still unknown how to administer this procedure in order to achieve faster and better analgesia. Purpose: To compare effectiveness of pain .. Read More
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Purpose: Melatonin is a well-known antioxidant molecule and protector against ischemia reperfusion (I/R) injury. It has a tissue protective effect against I/R injury. Methods: We aimed to evaluate the effect of oral melatonin, on I/R injury in patients undergoing arthroscopic knee surgery under spinal anaesthesia. Methods: Malo.. Read More
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Neuroplasticity, Central Sensitization and Odontogenic Referred Orofacial Pain
Patients presenting with referred dental orofacial pain are not rare in dental clinics. The most common cause for referred dental craniofacial pain is of odontogenic origin. An accurate diagnosis will depend on a comprehensive clinical exam and dental history review. For differential diagnosis, it is critical to consider both th.. Read More
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Glossopharyngeal Neuralgia: Case Report
Glossopharyngeal neuralgia (GPN) is an unusual cause of facial pain, corresponding to approximately 0.2-1.3%. Patients usually presents with facial pain associated with daily life activities (cough, swallow) and in severe cases with syncop. Epidemiology of the pathology demonstrates controversy about the predominance of the male.. Read More
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Background: Several studies have demonstrated the efficacy of spinal stability exercises in physiotherapy management of back pain disorders. Physiotherapists traditionally can administer this exercise treatment either with the patient in group or one to one basis. There is dearth of information on the relative efficacy of group-.. Read More
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A Correlation Assessment of Burnt Adjustment to Society
Introduction: The present study was conducted on “correlating the burnt adjustment to the society”. The study aimed at finding the correlation amongst psycho-social rehabilitation of burnt people with their social adjustment, psychological adjustment, family and peer group relations and economic viability. Methods: .. Read More
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Disc Displacement with Reduction of the Temporomandibular Joint: The Real Need for Treatment
Disc displacement with reduction is a condition that remains very controversial regarding its diagnosis and the application of a specific treatment, because its clinical characteristics, most often, presents no symptoms requiring treatment, as well as the imaging tests do not correlate with the clinical condition. For this reaso.. Read More
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Background: Post-thoracotomy pain syndrome (PTPS) is relatively common with a varying prevalence of up to 80%. The objective of this study was to describe the prevalence, characteristics and impact of PTPS on quality of life among patients who underwent surgery either by open thoracotomy or video-assisted thoracoscopic surgery (.. Read More
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