Articles Tagged With: pain
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Capsaicin for Painful Diabetic Peripheral Neuropathy
An 8% capsaicin patch relieves pain and improves sleep in patients with painful diabetic peripheral neuropathy.
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Video Colposcopy: Does It Reduce Patient Anxiety?
This German randomized, controlled trial of 225 women naïve to colposcopy found that video colposcopy did not reduce patient anxiety during the procedure. However, the authors found that the real-time video feed increased participants’ understanding of their disease.
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Yoga for Lumbago?
A review of randomized, controlled trials of treatments for chronic non-specific, low back pain revealed that yoga provides improvements in back-related function compared to non-exercise controls at intermediate time points, and in pain scores in the short term. Also, yoga seems to be comparable to exercise interventions, although the quality of evidence was low enough to preclude us from knowing for sure.
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Deep Brain Stimulation May Offer Hope in Treating Post-stroke Pain
This trial of deep brain stimulation of the ventral striatum/anterior limb of the internal capsule improved several measures of the affective sphere of pain in those suffering from post-stroke pain, despite no significant improvement seen in the pain disability index.
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Cognitive Behavioral Therapy for Chronic Low Back Pain
Low back pain and functional limitation scores in adults with chronic low back pain improved among those randomly assigned to receive either cognitive behavioral therapy or mindfulness-based stress reduction interventions when compared to usual care.
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Spinal Manipulative Therapy for Acute Low Back Pain
Spinal manipulative therapy for acute low back pain may provide some benefit, but carries a significant risk of treatment-associated pain.
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Non-Traumatic Ocular Emergencies
Evaluating eye-related complaints in the ED requires a good understanding of the anatomy and potential implications of failure to treat. Although most ED presentations are nonemergent, it is important that the emergency physician identify the emergent presentations and manage them promptly to prevent potential vision loss.
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Low Back Pain: Evidence for Nonpharmacologic Therapies
Developed for use in the new American College of Physicians guidelines, the authors reviewed evidence regarding non-pharmacologic interventions in treatment of low back pain.
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Pediatric Pain Management in the Emergency Department
Pain management in the pediatric population has long been a focus of healthcare providers; nevertheless, gaps in providing adequate and timely pain management remain an area of concern in EDs. This article will provide guidance for the recognition and successful management of pediatric pain in the ED setting. The authors first present definitions of pain and discuss the assessment of pain in a child, as well as common barriers to appropriate pediatric pain management in the ED. Then, the article will focus on the different aspects of pain and techniques of managing discomfort, including: anxiolysis, non-pharmacological strategies, topical medications, oral analgesics, parenteral medications, discharge medications, and misconceptions and facts about opioid analgesics. Pain control in conjunction with procedural sedation is beyond the scope of this article.
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Addicts Pose Legal Risks to Hospitals
The growing presence of opioid addicts in healthcare facilities can create a legal obligation to anticipate the patient safety risks they can introduce, says Erin L. Muellenberg, JD, partner with the law firm of Arent Fox in Los Angeles.