Facilities providing diagnostic, therapeutic, and palliative services for patients with severe chronic pain. These may be free-standing clinics or hospital-based and serve ambulatory or inpatient populations. The approach is usually multidisciplinary. These clinics are often referred to as "acute pain services". (From Br Med Bull 1991 Jul;47(3):762-85)
An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.
A form of therapy that employs a coordinated and interdisciplinary approach for easing the suffering and improving the quality of life of those experiencing pain.
Aching sensation that persists for more than a few months. It may or may not be associated with trauma or disease, and may persist after the initial injury has healed. Its localization, character, and timing are more vague than with acute pain.
Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.
Persistent pain that is refractory to some or all forms of treatment.
Pressure, burning, or numbness in the chest.
Organized services in a hospital which provide medical care on an outpatient basis.
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
Thiazide diuretic also used as an antihypertensive agent.
Acute or chronic pain in the lumbar or sacral regions, which may be associated with musculo-ligamentous SPRAINS AND STRAINS; INTERVERTEBRAL DISK DISPLACEMENT; and other conditions.
Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.
Diseases of the muscles and their associated ligaments and other connective tissue and of the bones and cartilage viewed collectively.
Amount of stimulation required before the sensation of pain is experienced.
Pain during the period after surgery.
Acute or chronic pain located in the posterior regions of the THORAX; LUMBOSACRAL REGION; or the adjacent regions.
A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
The symptom of paroxysmal pain consequent to MYOCARDIAL ISCHEMIA usually of distinctive character, location and radiation. It is thought to be provoked by a transient stressful situation during which the oxygen requirements of the MYOCARDIUM exceed that supplied by the CORONARY CIRCULATION.
I'm sorry for any confusion, but "Scotland" is not a medical term and does not have a medical definition. Scotland is one of the four constituent countries of the United Kingdom, located in the northern part of Great Britain. If you have any questions related to healthcare or medical terminology, I would be happy to help answer those!
Sensation of discomfort, distress, or agony in the abdominal region.
Discomfort or more intense forms of pain that are localized to the cervical region. This term generally refers to pain in the posterior or lateral regions of the neck.
The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.
I'm sorry for any confusion, but 'England' is not a medical term and does not have a medical definition. England is a country that is part of the United Kingdom, known for its rich history, cultural heritage, and contributions to medical science. However, in a medical context, it may refer to the location of a patient, healthcare provider, or research study, but it is not a term with a specific medical meaning.
Determination of the degree of a physical, mental, or emotional handicap. The diagnosis is applied to legal qualification for benefits and income under disability insurance and to eligibility for Social Security and workmen's compensation benefits.
The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.
Pain in the pelvic region of genital and non-genital origin and of organic or psychogenic etiology. Frequent causes of pain are distension or contraction of hollow viscera, rapid stretching of the capsule of a solid organ, chemical irritation, tissue ischemia, and neuritis secondary to inflammatory, neoplastic, or fibrotic processes in adjacent organs. (Kase, Weingold & Gershenson: Principles and Practice of Clinical Gynecology, 2d ed, pp479-508)
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
The process by which PAIN is recognized and interpreted by the brain.
Pain in the facial region including orofacial pain and craniofacial pain. Associated conditions include local inflammatory and neoplastic disorders and neuralgic syndromes involving the trigeminal, facial, and glossopharyngeal nerves. Conditions which feature recurrent or persistent facial pain as the primary manifestation of disease are referred to as FACIAL PAIN SYNDROMES.

Maximizing use of a surgical clinic for referrals of patients having back problems. (1/129)

OBJECTIVE: To determine ways to improve the delivery of service in a surgical clinic, based on the outcome of surgical consultations for back pain. DESIGN: A prospective outcome study. SETTING: A university teaching hospital providing secondary and tertiary care. PATIENTS: One hundred and forty-two consecutive patients who presented to surgical clinics for assessment of a back problem between Apr. 14 and May 30, 1996. INTERVENTIONS: Surgeons determined the diagnosis and visit outcome; data were tabulated objectively by a third-party researcher. OUTCOME MEASURES: Waiting time for consultation, presence of referral letter, third-party interests, diagnosis and visit outcome. RESULTS: Twenty-five percent of patients had chronic pain not amenable to surgery, 19% of patients were surgical candidates and were offered an operation, 13% were symptomatically improved to the point of not wanting an operation, 11% wanted a second opinion only, 10% had mechanical back pain appropriate for referral to physiotherapy, 9% had not undergone an adequate trial of nonoperative treatment when seen in the clinic and were given follow-up appointments, 5% were "no shows," 3.5% were seen for a medicolegal assessment, 3.5% wanted confirmation from a specialist that they did not need surgery and 1% had symptoms due to a vascular rather than a spinal cause and were referred to a vascular surgeon. CONCLUSION: Delivery of service could be improved by more rigorous screening to reassign appointment times of patients who have not had an adequate trial of nonoperative treatment, are improved or do not intend to keep their appointment.  (+info)

Should we establish chest pain observation units in the UK? A systematic review and critical appraisal of the literature. (2/129)

OBJECTIVES: The chest pain observation unit (CPOU) has been developed in the United States to allow rigorous assessment of patients presenting with chest pain, thus expediting their discharge if assessment is negative. This review aims to examine the evidence for effectiveness and economic efficiency of the CPOU and to explore whether data from the United States can be extrapolated to the UK. METHOD: Search of the literature using Medline and critical appraisal of the validity of the data. RESULTS: Five studies comparing outcomes of CPOU care with routine practice showed no significant difference in objective measures including mortality or missed pathology. Eleven studies described outcomes of a cohort of CPOU patients. Follow up was comprehensive and demonstrated no clinically significant evidence of missed pathology. Nine studies comparing CPOU costs with routine care demonstrated impressive cost savings that were more modest when randomised comparisons were made. CONCLUSION: CPOU care is safe and costs are well defined. There is no strong evidence that a CPOU will improve outcomes if routine practice is good. Cost savings have been shown when compared with routine care in the United States but may not be reproduced the UK.  (+info)

Sickle cell anemia day hospital: an approach for the management of uncomplicated painful crises. (3/129)

Painful crisis episodes are poorly treated in sickle cell anemia, both in timeliness and appropriateness of care. Delayed treatment in Emergency Departments, unrelieved pain, frequent admissions, and prolonged hospitalizations are common. We established a Day Hospital (DH) to determine if an alternative care delivery system could improve pain relief and reduce unnecessary hospital admissions for patients with uncomplicated painful crises. Trained DH staff delivered prompt titration for pain relief based on each patient's analgesic history and qualitative and quantitative assessments. Response to therapy and comorbidities commanded disposition. During the first 5 years of DH operation there were 2554 visits; 60% of the patients had severe pain. During an average visit of 4.5 hours, 84% of the patients were titrated to relief; 90% had pain relief within 2 to 4 hours. Overall, 81% of the patients were discharged home (70% initially and 90% to 94% in the last 3 years). During the first 5 years of the DH, there were 2612 emergency department (ED) visits that averaged 13 hours each. The combined ED and DH admissions during this time represented a 40% decrease in the baseline ED admission rate of 92%, (1 year pre-DH). Patients with uncomplicated painful crisis were admitted 5 times less often from the DH (8.3%) than from the ED (42.7%). The length of stay (LOS) for inpatients followed by the DH staff decreased by 1.5 days, while the LOS for patients followed by non-DH staff remained unchanged. Reduction of admissions and LOS represented a savings of approximately $1.7 million. We conclude that a dedicated facility provides the kingpin for effective and rapid painful crisis management, reduces hospitalizations, and facilitates integration of the approach into other areas of care. (Blood. 2000;95:1130-1136)  (+info)

Sex differences in investigation results and treatment in subjects referred for investigation of chest pain. (4/129)

OBJECTIVE: To evaluate differences in investigation results and treatment between men and women referred for diagnostic treadmill exercise testing and coronary arteriography. DESIGN: Cohort study. SETTING: Tertiary cardiology centre. SUBJECTS: 1522 subjects referred by primary care physicians to an open access chest pain clinic for initial investigation of chest pain, of whom 485 were subsequently referred for coronary arteriography; and a similar cohort of 107 subjects referred directly by secondary care physicians for diagnostic coronary arteriography. MAIN OUTCOME MEASURES: Rates of positive exercise tests and rates for referral for arteriography and revascularisation according to sex. RESULTS: Overall, women were less likely to be referred for arteriography and revascularisation than men. However, men were more likely to have positive exercise tests, and for various exercise test diagnostic end points men were also more likely to have significant coronary artery disease. After taking this into account, there was no sex difference in referral rates for arteriography or revascularisation. CONCLUSIONS: There was no evidence of a sex bias resulting in inappropriate underinvestigation or undertreatment of women. However, the positive predictive value of treadmill exercise testing is low for women and further research is needed into how best to investigate women with chest pain.  (+info)

Randomized comparison of a strategy of predischarge coronary angiography versus exercise testing in low-risk patients in a chest pain unit: in-hospital and long-term outcomes. (5/129)

OBJECTIVES: This randomized trial compared a strategy of predischarge coronary angiography (CA) with exercise treadmill testing (ETT) in low-risk patients in the chest pain unit (CPU) to reduce repeat emergency department (ED) visits and to identify additional coronary artery disease (CAD). BACKGROUND: Patients with chest pain and normal electrocardiograms (ECGs) have a low likelihood of CAD and a favorable prognosis, but they often seek repeat evaluations in EDs. Remaining uncertainty regarding their symptoms and diagnosis may cause much of this recidivism. METHODS: A total of 248 patients with no ischemic ECG changes triaged to a CPU were randomized to CA (n = 123) or ETT (n = 125). All patients had a probability of myocardial infarction < or =7% according to the Goldman algorithm, no biochemical evidence of infarction, the ability to exercise and no previous documented CAD. Patients were followed up for > or =1 year and surveyed regarding their chest pain self-perception and utility of the index evaluation. RESULTS: Coronary angiography showed disease (> or =50% stenosis) in 19% and ETT was positive in 7% of the patients (p = 0.01). During follow-up (374+/-61 days), patients with a negative CA had fewer returns to the ED (10% vs. 30%, p = 0.0008) and hospital admissions (3% vs. 16%, p = 0.003), compared with patients with a negative/nondiagnostic ETT. The latter group was more likely to consider their pain as cardiac-related (15% vs. 7%), to be unsure about its etiology (38% vs. 26%) and to judge their evaluation as not useful (39% vs. 15%) (p < 0.01 for all comparisons). CONCLUSIONS: In low-risk patients in the CPU, a strategy of CA detects more CAD than ETT, reduces long-term ED and hospital utilization and yields better patient satisfaction and understanding of their condition.  (+info)

Suspected angina pectoris: a rapid-access chest pain clinic. (6/129)

We prospectively evaluated a rapid-access chest pain clinic in terms of clinical diagnoses, outcomes, morbidity and mortality at 3 months follow-up in patients, and cost-effectiveness. All patients seen at the clinic from February 1999 to December 2000 were assessed. Referring doctors indicated the management they would have provided had the clinic been unavailable, to allow a cost-effectiveness analysis. Overall, 709 patients were referred, 471 (66%) from General Practitioners, 212 (30%) from Accident and Emergency doctors and 26 (4%) from other sources. All had recent onset, or increasing frequency of ischaemic-type chest pain (excluding those with suspected myocardial infarction or rest chest pain angina). Fifty-one (7%) had acute coronary syndromes, 119 (17%) had stable ischaemic heart disease, 144 (20%) had possible ischaemic heart disease, and 395 (56%) were considered to have non-ischaemic symptoms. Some 70% of patients were seen within 24 h. Only 57 patients (8%) were admitted. Had the clinic been unavailable, 160 patients would have been admitted. Out-patient cardiology appointments were arranged for 116 patients (16%), and 429 patients (60%) were discharged directly. Follow-up data at 3 months were obtained from 565/567 eligible patients (99.6%). No major cardiac events (death/myocardial infarction) occurred in those with non-ischaemic chest pain. There were five deaths (including one due to cancer) and three patients had a myocardial infarction (event rate 1%). There were eleven readmissions for angina: six were in patients with acute coronary syndromes, and four of these six were awaiting revascularization. The estimated net saving was pound 58/patient. A rapid-access chest pain clinic offers a prompt, safe and cost-effective service in a challenging group of patients.  (+info)

An audit of activity and outcome from a daily and a weekly "one stop" rapid assessment chest pain clinic. (7/129)

OBJECTIVES: The recent National Service Framework for coronary heart disease advocates the establishment of rapid assessment clinics for chest pain. But how should these clinics be organised and do they fulfil their objectives? The aim of this study was to compare referral patterns to a daily and a weekly "one stop" rapid access chest pain clinic (RACPC), and to examine clinical outcome in patients attending these clinics. DESIGN: Patients were prospectively categorised into one of the following subgroups: "acute coronary syndrome", "stable coronary heart disease", or "low risk/non-coronary chest pain". Fatal and non-fatal outcomes were audited over eight months. SETTING: Both RACPCs were situated within the cardiology departments of two large Glasgow teaching hospitals. Patients were seen by a cardiologist, and underwent non-invasive testing. PARTICIPANTS: A total of 633 patients with chest pain who were referred by their general practitioner; 500 came to the daily and 133 to the weekly clinic. Forty four (7%) were categorised as having an acute coronary syndrome, 267 (42%) as stable coronary artery disease, and 322 (51%) as low risk/non-coronary chest pain. RESULTS: Referral patterns to the two clinics differed significantly. Compared with the weekly clinic, more patients with an acute coronary syndrome (7.8 v. 3.8%) and low risk/non-coronary chest pain (55.2 v. 35.6%), but fewer patients with stable coronary disease (37.0 v. 61.6%) were referred to the daily clinic (p<0.00001). During follow up eight (1.3%) patients died from a cardiac cause, and eight (1.3%) patients suffered a myocardial infarction. None of these patients were classified as low risk/non-coronary chest pain. CONCLUSIONS: (1) RACPCs do provide an effective tool for the early assessment of patients with possible angina. (2) The frequency with which clinics are scheduled may be an important factor in determining how the service is utilised in practice.  (+info)

Effectiveness of acute postoperative pain management: I. Evidence from published data. (8/129)

BACKGROUND: This review examines the evidence from published data concerning the incidence of moderate-severe and of severe pain after major surgery, with three analgesic techniques; intramuscular (i.m.) analgesia, patient controlled analgesia (PCA), and epidural analgesia. METHODS: A MEDLINE search of the literature was conducted for publications concerned with the management of postoperative pain. Over 800 original papers and reviews were identified. Of these 212 papers fulfilled the inclusion criteria but only 165 provided usable data on pain intensity and pain relief. Pooled data on pain scores obtained from these studies, which represent the experience of a total of nearly 20,000 patients, form the basis of this review. RESULTS: Different pain measurement tools provided comparable data. When considering a mixture of three analgesic techniques, the overall mean (95% CI) incidence of moderate-severe pain and of severe pain was 29.7 (26.4-33.0)% and 10.9 (8.4-13.4)%, respectively. The overall mean (95% CI) incidence of poor pain relief and of fair-to-poor pain relief was 3.5 (2.4-4.6)% and 19.4 (16.4-22.3)%, respectively. For i.m. analgesia the incidence of moderate-severe pain was 67.2 (58.1-76.2)% and that of severe pain was 29.1 (18.8-39.4)%. For PCA, the incidence of moderate-severe pain was 35.8 (31.4-40.2)% and that of severe pain was 10.4 (8.0-12.8)%. For epidural analgesia the incidence of moderate-severe pain was 20.9 (17.8-24.0)% and that of severe pain was 7.8 (6.1-9.5)%. The incidence of premature catheter dislodgement was 5.7 (4.0-7.4)%. Over the period 1973-1999 there has been a highly significant (P < 0.0001) reduction in the incidence of moderate-severe pain of 1.9 (1.1-2.7)% per year. CONCLUSIONS: These results suggest that the UK Audit Commission (1997) proposed standards of care might be unachievable using current analgesic techniques. The data may be useful in setting standards of care for Acute Pain Services.  (+info)

A pain clinic, also known as a pain management center or pain treatment center, is a healthcare facility that specializes in the diagnosis and treatment of various types and levels of pain. These clinics are typically staffed with interdisciplinary teams of medical professionals, such as anesthesiologists, neurologists, psychiatrists, psychologists, nurses, and physical therapists, who work together to provide comprehensive and personalized care for patients experiencing chronic or acute pain.

Pain clinics may offer a range of treatments, including medications, injections, nerve blocks, physical therapy, psychological counseling, and complementary therapies like acupuncture and massage. The goal of these clinics is to help patients manage their pain effectively, improve their quality of life, and increase their functionality and mobility.

It's important to note that while pain clinics can be very helpful for many people, it's essential to do your research and choose a reputable clinic with licensed and experienced medical professionals who prioritize patient safety and evidence-based treatments.

Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It is a complex phenomenon that can result from various stimuli, such as thermal, mechanical, or chemical irritation, and it can be acute or chronic. The perception of pain involves the activation of specialized nerve cells called nociceptors, which transmit signals to the brain via the spinal cord. These signals are then processed in different regions of the brain, leading to the conscious experience of pain. It's important to note that pain is a highly individual and subjective experience, and its perception can vary widely among individuals.

Pain management is a branch of medicine that focuses on the diagnosis and treatment of pain and improvement in the quality of life of patients with chronic pain. The goal of pain management is to reduce pain levels, improve physical functioning, and help patients cope mentally and emotionally with their pain. This may involve the use of medications, interventional procedures, physical therapy, psychological therapy, or a combination of these approaches.

The definition of pain management can vary depending on the medical context, but it generally refers to a multidisciplinary approach that addresses the complex interactions between biological, psychological, and social factors that contribute to the experience of pain. Pain management specialists may include physicians, nurses, physical therapists, psychologists, and other healthcare professionals who work together to provide comprehensive care for patients with chronic pain.

Chronic pain is defined as pain that persists or recurs for a period of 3 months or longer, beyond the normal healing time for an injury or illness. It can be continuous or intermittent and range from mild to severe. Chronic pain can have various causes, such as nerve damage, musculoskeletal conditions, or chronic diseases like cancer. It can significantly impact a person's quality of life, causing limitations in mobility, sleep disturbances, mood changes, and decreased overall well-being. Effective management of chronic pain often involves a multidisciplinary approach, including medications, physical therapy, psychological interventions, and complementary therapies.

Pain measurement, in a medical context, refers to the quantification or evaluation of the intensity and/or unpleasantness of a patient's subjective pain experience. This is typically accomplished through the use of standardized self-report measures such as numerical rating scales (NRS), visual analog scales (VAS), or categorical scales (mild, moderate, severe). In some cases, physiological measures like heart rate, blood pressure, and facial expressions may also be used to supplement self-reported pain ratings. The goal of pain measurement is to help healthcare providers better understand the nature and severity of a patient's pain in order to develop an effective treatment plan.

In medicine, "intractable pain" is a term used to describe pain that is difficult to manage, control or relieve with standard treatments. It's a type of chronic pain that continues for an extended period, often months or even years, and does not respond to conventional therapies such as medications, physical therapy, or surgery. Intractable pain can significantly affect a person's quality of life, causing emotional distress, sleep disturbances, and reduced mobility. It is essential to distinguish intractable pain from acute pain, which is typically sharp and short-lived, resulting from tissue damage or inflammation.

Intractable pain may be classified as:

1. Refractory pain: Pain that persists despite optimal treatment with various modalities, including medications, interventions, and multidisciplinary care.
2. Incurable pain: Pain caused by a progressive or incurable disease, such as cancer, for which no curative treatment is available.
3. Functional pain: Pain without an identifiable organic cause that does not respond to standard treatments.

Managing intractable pain often requires a multidisciplinary approach involving healthcare professionals from various fields, including pain specialists, neurologists, psychiatrists, psychologists, and physical therapists. Treatment options may include:

1. Adjuvant medications: Medications that are not primarily analgesics but have been found to help with pain relief, such as antidepressants, anticonvulsants, and muscle relaxants.
2. Interventional procedures: Minimally invasive techniques like nerve blocks, spinal cord stimulation, or intrathecal drug delivery systems that target specific nerves or areas of the body to reduce pain signals.
3. Psychological interventions: Techniques such as cognitive-behavioral therapy (CBT), mindfulness meditation, and relaxation training can help patients cope with chronic pain and improve their overall well-being.
4. Physical therapy and rehabilitation: Exercise programs, massage, acupuncture, and other physical therapies may provide relief for some types of intractable pain.
5. Complementary and alternative medicine (CAM): Techniques like yoga, tai chi, hypnosis, or biofeedback can be helpful in managing chronic pain.
6. Lifestyle modifications: Dietary changes, stress management, and quitting smoking may also contribute to improved pain management.

Chest pain is a discomfort or pain that you feel in the chest area. The pain can be sharp, dull, burning, crushing, heaviness, or tightness. It may be accompanied by other symptoms such as shortness of breath, sweating, nausea, dizziness, or pain that radiates to the arm, neck, jaw, or back.

Chest pain can have many possible causes, including heart-related conditions such as angina or a heart attack, lung conditions such as pneumonia or pleurisy, gastrointestinal problems such as acid reflux or gastritis, musculoskeletal issues such as costochondritis or muscle strain, and anxiety or panic attacks.

It is important to seek immediate medical attention if you experience chest pain that is severe, persistent, or accompanied by other concerning symptoms, as it may be a sign of a serious medical condition. A healthcare professional can evaluate your symptoms, perform tests, and provide appropriate treatment.

An outpatient clinic in a hospital setting is a department or facility where patients receive medical care without being admitted to the hospital. These clinics are typically designed to provide specialized services for specific medical conditions or populations. They may be staffed by physicians, nurses, and other healthcare professionals who work on a part-time or full-time basis.

Outpatient clinics offer a range of services, including diagnostic tests, consultations, treatments, and follow-up care. Patients can visit the clinic for routine checkups, management of chronic conditions, rehabilitation, and other medical needs. The specific services offered at an outpatient clinic will depend on the hospital and the clinic's specialty.

Outpatient clinics are often more convenient and cost-effective than inpatient care because they allow patients to receive medical treatment while continuing to live at home. They also help reduce the burden on hospitals by freeing up beds for patients who require more intensive or emergency care. Overall, outpatient clinics play an essential role in providing accessible and high-quality healthcare services to patients in their communities.

A chronic disease is a long-term medical condition that often progresses slowly over a period of years and requires ongoing management and care. These diseases are typically not fully curable, but symptoms can be managed to improve quality of life. Common chronic diseases include heart disease, stroke, cancer, diabetes, arthritis, and COPD (chronic obstructive pulmonary disease). They are often associated with advanced age, although they can also affect children and younger adults. Chronic diseases can have significant impacts on individuals' physical, emotional, and social well-being, as well as on healthcare systems and society at large.

Cyclopenthiazide is a type of thiazide diuretic, which is a class of medications used to treat high blood pressure and edema (fluid retention) by promoting the excretion of urine. Specifically, cyclopenthiazide works by inhibiting the reabsorption of sodium and chloride ions in the distal convoluted tubule of the kidney, which leads to increased water loss in the urine.

The medical definition of 'Cyclopenthiazide' is:

A long-acting thiazide diuretic with a prolonged duration of action, used in the treatment of hypertension and edema associated with congestive heart failure, cirrhosis, and renal disease. It has a slower onset but longer duration of action than other thiazides, making it useful for once-daily dosing.

Cyclopenthiazide is available in oral form and is typically prescribed at a dose of 0.5 to 1 mg per day. Common side effects include electrolyte imbalances (such as low potassium levels), dehydration, dizziness, headache, and muscle cramps. It may also increase blood glucose levels in people with diabetes.

It is important to note that the use of cyclopenthiazide should be under the supervision of a healthcare professional, as it can interact with other medications and have potentially serious side effects if not used properly.

Low back pain is a common musculoskeletal disorder characterized by discomfort or pain in the lower part of the back, typically between the costal margin (bottom of the ribcage) and the gluteal folds (buttocks). It can be caused by several factors including strain or sprain of the muscles or ligaments, disc herniation, spinal stenosis, osteoarthritis, or other degenerative conditions affecting the spine. The pain can range from a dull ache to a sharp stabbing sensation and may be accompanied by stiffness, limited mobility, and radiating pain down the legs in some cases. Low back pain is often described as acute (lasting less than 6 weeks), subacute (lasting between 6-12 weeks), or chronic (lasting more than 12 weeks).

Analgesics, opioid are a class of drugs used for the treatment of pain. They work by binding to specific receptors in the brain and spinal cord, blocking the transmission of pain signals to the brain. Opioids can be synthetic or natural, and include drugs such as morphine, codeine, oxycodone, hydrocodone, hydromorphone, fentanyl, and methadone. They are often used for moderate to severe pain, such as that resulting from injury, surgery, or chronic conditions like cancer. However, opioids can also produce euphoria, physical dependence, and addiction, so they are tightly regulated and carry a risk of misuse.

Musculoskeletal diseases are a group of medical conditions that affect the bones, joints, muscles, tendons, ligaments, and nerves. These diseases can cause pain, stiffness, limited mobility, and decreased function in the affected areas of the body. They include a wide range of conditions such as:

1. Osteoarthritis: A degenerative joint disease characterized by the breakdown of cartilage in joints, leading to pain, stiffness, and loss of mobility.
2. Rheumatoid arthritis: An autoimmune disorder that causes inflammation in the lining of the joints, resulting in swelling, pain, and bone erosion.
3. Gout: A form of arthritis caused by the buildup of uric acid crystals in the joints, leading to severe pain, redness, and swelling.
4. Osteoporosis: A condition characterized by weakened bones that are more susceptible to fractures due to decreased bone density.
5. Fibromyalgia: A disorder that causes widespread muscle pain, fatigue, and tenderness in specific areas of the body.
6. Spinal disorders: Conditions affecting the spine, such as herniated discs, spinal stenosis, or degenerative disc disease, which can cause back pain, numbness, tingling, or weakness.
7. Soft tissue injuries: Damage to muscles, tendons, and ligaments, often caused by overuse, strain, or trauma.
8. Infections: Bone and joint infections (septic arthritis or osteomyelitis) can cause pain, swelling, and fever.
9. Tumors: Benign or malignant growths in bones, muscles, or soft tissues can lead to pain, swelling, and limited mobility.
10. Genetic disorders: Certain genetic conditions, such as Marfan syndrome or Ehlers-Danlos syndrome, can affect the musculoskeletal system and cause various symptoms.

Treatment for musculoskeletal diseases varies depending on the specific condition but may include medications, physical therapy, exercise, surgery, or a combination of these approaches.

Pain threshold is a term used in medicine and research to describe the point at which a stimulus begins to be perceived as painful. It is an individual's subjective response and can vary from person to person based on factors such as their pain tolerance, mood, expectations, and cultural background.

The pain threshold is typically determined through a series of tests where gradually increasing levels of stimuli are applied until the individual reports feeling pain. This is often used in research settings to study pain perception and analgesic efficacy. However, it's important to note that the pain threshold should not be confused with pain tolerance, which refers to the maximum level of pain a person can endure.

Postoperative pain is defined as the pain or discomfort experienced by patients following a surgical procedure. It can vary in intensity and duration depending on the type of surgery performed, individual pain tolerance, and other factors. The pain may be caused by tissue trauma, inflammation, or nerve damage resulting from the surgical intervention. Proper assessment and management of postoperative pain is essential to promote recovery, prevent complications, and improve patient satisfaction.

Back pain is a common symptom characterized by discomfort or soreness in the back, often occurring in the lower region of the back (lumbago). It can range from a mild ache to a sharp stabbing or shooting pain, and it may be accompanied by stiffness, restricted mobility, and difficulty performing daily activities. Back pain is typically caused by strain or sprain to the muscles, ligaments, or spinal joints, but it can also result from degenerative conditions, disc herniation, spinal stenosis, osteoarthritis, or other medical issues affecting the spine. The severity and duration of back pain can vary widely, with some cases resolving on their own within a few days or weeks, while others may require medical treatment and rehabilitation.

I'm sorry for any confusion, but "Ontario" is not a medical term. It is the name of a province in Canada, similar to how "California" is the name of a state in the United States. If you have any questions related to medical terminology or health conditions, I would be happy to try and help answer those for you!

A questionnaire in the medical context is a standardized, systematic, and structured tool used to gather information from individuals regarding their symptoms, medical history, lifestyle, or other health-related factors. It typically consists of a series of written questions that can be either self-administered or administered by an interviewer. Questionnaires are widely used in various areas of healthcare, including clinical research, epidemiological studies, patient care, and health services evaluation to collect data that can inform diagnosis, treatment planning, and population health management. They provide a consistent and organized method for obtaining information from large groups or individual patients, helping to ensure accurate and comprehensive data collection while minimizing bias and variability in the information gathered.

Angina pectoris is a medical term that describes chest pain or discomfort caused by an inadequate supply of oxygen-rich blood to the heart muscle. This condition often occurs due to coronary artery disease, where the coronary arteries become narrowed or blocked by the buildup of cholesterol, fatty deposits, and other substances, known as plaques. These blockages can reduce blood flow to the heart, causing ischemia (lack of oxygen) and leading to angina symptoms.

There are two primary types of angina: stable and unstable. Stable angina is predictable and usually occurs during physical exertion or emotional stress when the heart needs more oxygen-rich blood. The pain typically subsides with rest or after taking prescribed nitroglycerin medication, which helps widen the blood vessels and improve blood flow to the heart.

Unstable angina, on the other hand, is more severe and unpredictable. It can occur at rest, during sleep, or with minimal physical activity and may not be relieved by rest or nitroglycerin. Unstable angina is considered a medical emergency, as it could indicate an imminent heart attack.

Symptoms of angina pectoris include chest pain, pressure, tightness, or heaviness that typically radiates to the left arm, neck, jaw, or back. Shortness of breath, nausea, sweating, and fatigue may also accompany angina symptoms. Immediate medical attention is necessary if you experience chest pain or discomfort, especially if it's new, severe, or persistent, as it could be a sign of a more serious condition like a heart attack.

I'm sorry for any confusion, but "Scotland" is not a medical term or concept. It is one of the four constituent countries of the United Kingdom. If you have any questions related to medical terminology or health-related topics, I would be happy to try and help answer those for you.

Abdominal pain is defined as discomfort or painful sensation in the abdomen. The abdomen is the region of the body between the chest and the pelvis, and contains many important organs such as the stomach, small intestine, large intestine, liver, gallbladder, pancreas, and spleen. Abdominal pain can vary in intensity from mild to severe, and can be acute or chronic depending on the underlying cause.

Abdominal pain can have many different causes, ranging from benign conditions such as gastritis, indigestion, or constipation, to more serious conditions such as appendicitis, inflammatory bowel disease, or abdominal aortic aneurysm. The location, quality, and duration of the pain can provide important clues about its cause. For example, sharp, localized pain in the lower right quadrant of the abdomen may indicate appendicitis, while crampy, diffuse pain in the lower abdomen may suggest irritable bowel syndrome.

It is important to seek medical attention if you experience severe or persistent abdominal pain, especially if it is accompanied by other symptoms such as fever, vomiting, or bloody stools. A thorough physical examination, including a careful history and a focused abdominal exam, can help diagnose the underlying cause of the pain and guide appropriate treatment.

Neck pain is discomfort or soreness in the neck region, which can extend from the base of the skull to the upper part of the shoulder blades, caused by injury, irritation, or inflammation of the muscles, ligaments, or nerves in the cervical spine. The pain may worsen with movement and can be accompanied by stiffness, numbness, tingling, or weakness in the neck, arms, or hands. In some cases, headaches can also occur as a result of neck pain.

**Referral:**
A referral in the medical context is the process where a healthcare professional (such as a general practitioner or primary care physician) sends or refers a patient to another healthcare professional who has specialized knowledge and skills to address the patient's specific health condition or concern. This could be a specialist, a consultant, or a facility that provides specialized care. The referral may involve transferring the patient's care entirely to the other professional or may simply be for a consultation and advice.

**Consultation:**
A consultation in healthcare is a process where a healthcare professional seeks the opinion or advice of another professional regarding a patient's medical condition. This can be done in various ways, such as face-to-face meetings, phone calls, or written correspondence. The consulting professional provides their expert opinion to assist in the diagnosis, treatment plan, or management of the patient's condition. The ultimate decision and responsibility for the patient's care typically remain with the referring or primary healthcare provider.

I'm sorry for any confusion, but "England" is not a medical term or concept. It is one of the four constituent countries that make up the United Kingdom, along with Wales, Scotland, and Northern Ireland. England is located in the southern part of Great Britain, which is the largest island of the British Isles.

If you have any questions related to medicine or healthcare, I would be happy to try to help answer them for you!

Disability Evaluation is the process of determining the nature and extent of a person's functional limitations or impairments, and assessing their ability to perform various tasks and activities in order to determine eligibility for disability benefits or accommodations. This process typically involves a medical examination and assessment by a licensed healthcare professional, such as a physician or psychologist, who evaluates the individual's symptoms, medical history, laboratory test results, and functional abilities. The evaluation may also involve input from other professionals, such as vocational experts, occupational therapists, or speech-language pathologists, who can provide additional information about the person's ability to perform specific tasks and activities in a work or daily living context. Based on this information, a determination is made about whether the individual meets the criteria for disability as defined by the relevant governing authority, such as the Social Security Administration or the Americans with Disabilities Act.

Health services accessibility refers to the degree to which individuals and populations are able to obtain needed health services in a timely manner. It includes factors such as physical access (e.g., distance, transportation), affordability (e.g., cost of services, insurance coverage), availability (e.g., supply of providers, hours of operation), and acceptability (e.g., cultural competence, language concordance).

According to the World Health Organization (WHO), accessibility is one of the key components of health system performance, along with responsiveness and fair financing. Improving accessibility to health services is essential for achieving universal health coverage and ensuring that everyone has access to quality healthcare without facing financial hardship. Factors that affect health services accessibility can vary widely between and within countries, and addressing these disparities requires a multifaceted approach that includes policy interventions, infrastructure development, and community engagement.

Pelvic pain is defined as discomfort or unpleasant sensation in the lower abdominal region, below the belly button, and between the hips. It can be acute (sudden and lasting for a short time) or chronic (persisting for months or even years), and it may be steady or intermittent, mild or severe. The pain can have various causes, including musculoskeletal issues, nerve irritation, infection, inflammation, or organic diseases in the reproductive, urinary, or gastrointestinal systems. Accurate diagnosis often requires a thorough medical evaluation to determine the underlying cause and develop an appropriate treatment plan.

Patient satisfaction is a concept in healthcare quality measurement that reflects the patient's perspective and evaluates their experience with the healthcare services they have received. It is a multidimensional construct that includes various aspects such as interpersonal mannerisms of healthcare providers, technical competence, accessibility, timeliness, comfort, and communication.

Patient satisfaction is typically measured through standardized surveys or questionnaires that ask patients to rate their experiences on various aspects of care. The results are often used to assess the quality of care provided by healthcare organizations, identify areas for improvement, and inform policy decisions. However, it's important to note that patient satisfaction is just one aspect of healthcare quality and should be considered alongside other measures such as clinical outcomes and patient safety.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Pain perception refers to the neural and psychological processes involved in receiving, interpreting, and responding to painful stimuli. It is the subjective experience of pain, which can vary greatly among individuals due to factors such as genetics, mood, expectations, and past experiences. The perception of pain involves complex interactions between the peripheral nervous system (which detects and transmits information about tissue damage or potential harm), the spinal cord (where this information is processed and integrated with other sensory inputs), and the brain (where the final interpretation and emotional response to pain occurs).

Facial pain is a condition characterized by discomfort or pain felt in any part of the face. It can result from various causes, including nerve damage or irritation, injuries, infections, dental problems, migraines, or sinus congestion. The pain can range from mild to severe and may be sharp, dull, constant, or intermittent. In some cases, facial pain can also be associated with other symptoms such as headaches, redness, swelling, or changes in sensation. Accurate diagnosis and treatment of the underlying cause are essential for effective management of facial pain.

If you are the domain administrator get started creating your home page with Google Sites ...
The Pain Clinic covers professional wrestling news, while also interviewing various WWE and TNA superstars. The Pain Clinic was ... Official Site The Pain Clinic on Twitter The Pain Clinic on MySpace 1280 WHTK (Articles needing additional references from ... The Pain Clinic is a pro wrestling talk show that airs Saturday mornings on FOX Sports 1280 Rochester in Rochester, New York. ... The Pain Clinic roster currently consists of the host "The Cashman" Richie Rich (98-present) and regular co-hosts Danger Boy ...
Pain in a joint can be a symptom of many illnesses. Most often its caused by some type of arthritis. ... Mayo Clinic PressMayo Clinic on Hearing and Balance. *FREE Mayo Clinic Diet Assessment - Mayo Clinic PressFREE Mayo Clinic Diet ... Mayo Clinic on Incontinence - Mayo Clinic PressMayo Clinic on Incontinence. *The Essential Diabetes Book - Mayo Clinic PressThe ... Appointments at Mayo Clinic Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System ...
Learn about the causes and treatment for pain in and around the hip joint. ... Mayo Clinic PressMayo Clinic on Hearing and Balance. *FREE Mayo Clinic Diet Assessment - Mayo Clinic PressFREE Mayo Clinic Diet ... Mayo Clinic on Incontinence - Mayo Clinic PressMayo Clinic on Incontinence. *The Essential Diabetes Book - Mayo Clinic PressThe ... Nutrition and pain. Pagets disease of bone. Pain rehabilitation. Polymyalgia rheumatica. Self-care approaches to treating pain ...
A Family and Sports Chiropractic Clinic in Vancouver, WA recently wrote a series of blogs posts regarding lower back... ... A Family & Sports Chiropractic Clinic in Vancouver WA urges you to take steps to prevent back pain from gardening activities ... Chiropractic Clinic in Vancouver WA Discusses Lower Back Pain Caused by Gardening ... The main point of this post is that gardening and back pain do not have to be synonymous. If gardening is done right, the ...
The owner and president of a pain clinic in Chantilly was convicted Friday, Aug. 3, in Federal Court of conspiring to ... pain clinic.. In addition, a nurse practitioner with the clinic, Charles Brown Jr., 51, was convicted of the same two narcotics ... Centreville The owner and president of a pain clinic in Chantilly was convicted Friday, Aug. 3, in Federal Court of conspiring ... But although the clinic treated patients on Medicare and submitted claims for their services, Boccone never obtained a provider ...
Neck Pain. If you suffer from Neck Pain our providers at Utah Valley Pain Management can help you establish a pain management ... Back Pain. Back pain is a common type of acute and chronic pain that plagues many Americans. The expert team of providers at ... Muscle Pain. Our providers at Utah Valley Pain Management work with patients to treat and manage muscle pain throughout the ... Hand and Foot Pain. It can be so easy to take advantage of all the things our hands and feet do, until you have chronic pain. ...
This will lead to reduced diagnosis timeframes and better pain management for those suffering from endometriosis and pelvic ... We are establishing endometriosis and pelvic pain clinics across Australia to provide more appropriate and timelier ... Endometriosis and pelvic pain clinics. We are establishing endometriosis and pelvic pain clinics across Australia to provide ... The Australian Government is funding endometriosis and pelvic pain clinics in every state and territory in Australia. These ...
Back pain may be mild or extreme and cause lost job time, lost personal time and can significantly decrease quality of life. ... Lower back pain is second only to the common cold for why people seek medical care. ... Our clinic provides an integrated approach to resolve your back pain. We first confer with our specialist and then create a ... Lower back pain is second only to the common cold for why people seek medical care. Back pain may be mild or extreme and cause ...
... offering expert anesthesiology and pain management care to patients in South Florida. ... the Outpatient Pain Management Clinic at Cleveland Clinic Florida diagnoses and treats acute and chronic pain. Our staff works ... Home / Institutes & Departments / Anesthesiology & Pain Management Anesthesiology & Pain Management Cleveland Clinic Floridas ... Pain Management Pain Management. Cleveland Clinic Florida offers a full spectrum of treatment options for patients suffering ...
Get contact details and address of Pain Clinic Services firms and companies in Bengaluru ... Pain Clinic Services Providers in Bengaluru, Karnataka. ...
Wellness Clinic in Darlinghurst, NSW, 2010. Business contact details for Pain Relief & Wellness Clinic including phone number, ... Pain Relief & Wellness Clinic. Wellness and being pain free makes for a better life. The pain Relief and Wellness clinic is a ... After trying a plethora of natural therapies for my stress, anxiety, insomnia & skin issues I thankfully stumbled upon The Pain ... Relief & Wellness Clinic & discovered acupuncture. I found Leif to be attentive, perceptive & extremely knowledgeable & within ...
The Pain Outpatient Clinic is for treating cancer pain and chronic pain. ... The Pain Outpatient Clinic is for treating cancer pain and chronic pain. ...
Regaining control in the face of chronic pain The Michael G. DeGroote Pain Clinic is an interdisciplinary team with expertise ... Treating chronic pain is not an easy task. And for patients suffering anything from back pain to pain in the... ... Veteran no longer must push through the pain As a veteran, Chris Teer was focused on pushing through the pain. Its what he ...
Pain Management Clinic. Our Pain and addiction specialist is a trusted expert in the management of persistent pain. We use a ... Specialty Clinics Calendar. Please use our calendar to find the Specialty Clinics scheduled in your community. Check back ... If you are a patient who is interested in attending one of these clinics, please speak with your provider. ... team approach to increase the quality of life for persons living with persistent pain. ...
Posture affects back pain more than any other pain. It may be easier to slouch and slump but it wont improve your pain in the ... Radiculopathy is radiating pain from the nerve impingement. Dont twist the spine in an effort to get rid of this pain. I have ... TMJ or temporomandibular syndrome, a jaw-tightening, teeth-grinding habit, can cause neck pain and even general back pain. I ... Stop any exercise that causes significant pain during or after exercise, another reason why you shouldnt take pain-killers ...
Physical therapy for back pain (January 2005) Message Subject (Your Name) has sent you a message from Cleveland Clinic Journal ... Vice-Chairman, Cleveland Clinic Spine Institute, Head, Section of Spine Medicine, The Cleveland Clinic Foundation ... Cleveland Clinic Journal of Medicine Vol. 72, Issue 5 1 May 2005 ... Physical therapy for back pain (January 2005). Daniel Mazanec, ... Your Name) thought you would like to see the Cleveland Clinic Journal of Medicine web site. ...
Pain Management Clinic. Consultant. Day & Time. Frequency. Location. Contact Information. Dr. Ray Victory. Tuesday 08:30 - 11: ...
Any individual who is actively involved in all or any aspects of hospice palliative care.. ...
Advice provided by UK charity the Vulval Pain Society. ... clinic in the UK in order to diagnose and treat vulval pain. ... BSSVD list of vulval clinics in the UK. Please note that as a patient you cannot refer yourself to these clinics and you will ... They hold a database of vulval clinics and services in the UK, which you can search for clinics and services near you. You can ... A vulval clinic is usually a hospital service offering care specifically for vulval problems and it can be run by a number of ...
... will discuss back pain prevention and self-care options with you. ... Back Pain Prevention & Self-care in Mankato Back pain is common ... A problem in any part of your spine can cause back pain. For some people, back pain is simply an annoyance. For others, it can ... Most back pain - even severe back pain - goes away on its own in four to six weeks. ... Its beneficial to do all you can to prevent back pain, if possible, and try conservative treatment options first. ...
Visit our Acupuncture Clinic - 56 Mary Mall, Mary Street, Dublin, Dublin 1, Ireland. ... Acuherb Pain Specialist Clinic. Show Phone Number. 56 Mary Mall, Mary Street, Dublin, Dublin 1Ireland. ... About Acuherb Pain Specialist Clinic Prof M Saleem Khan is the Founder President and Former Principal of the Acupuncture ... Looking for a different clinic?. Popular treatments. Cosmetic AcupunctureDry NeedlingAcupressureFertility AcupunctureElectro- ...
... its called ulnar wrist pain. There are many things that can cause it, and there are several ways to treat it. ... Please courtesy: "Mayo Clinic News Network." Read the script.. "Ulnar wrist pain is a small area from the pinky side of your ... If you have pain on the side of your wrist opposite your thumb, its called ulnar wrist pain. There are many things that can ... Ulnar wrist pain can occur after a fall onto an outstretched hand. But it also happens in people who play stickhandling sports ...
... offers holistic physical therapy to help patients manage chronic pain. ... an Atlanta-based clinic owned by HBCU graduate Teresa Bristol, ... PT Works, an Atlanta-based clinic owned by HBCU graduate Teresa ... Founder of Black-Owned Health Clinic Celebrates 20 Years of Helping Patients Deal With Pain. ... reduce pain and promote healing. Based in Atlanta, PT Works delivers care based on evidence-based practice. For more ...
... PHOENIX - The Drug Enforcement ... An analysis of 18 months of prescribing had revealed the clinic issued prescriptions in excess of 1.6 million dosage units, of ... The Ips were owners and operators of Ava Pain Management, formerly known as White Cranes Medical Center, and allegedly ...
Two-and-a-half weeks after her initial visit to the clinic, Lynnes pain went from a nine to a two on the ten-point pain scale. ... She felt debilitating low back pain for three months before she went to the Rapid Access Clinic for Low Back Pain (formerly the ... practice lead for the Rapid Access Clinic for Low Back Pain.. The clinic helps direct patients to the most appropriate care if ... The Rapid Access Clinic for Low Back Pain is a provincial initiative that aims to reduce the long waiting time to see a ...
Dont assume pain in the lower back, cramping in the legs and that ... When Back Pain Means More Than a Back Problem. Dont assume pain in the lower back, cramping in the legs and that "pins and ... When back pain is likely spinal stenosis. Spinal stenosis is one of the most common causes of spinal pain not related to injury ... When Back Pain Means More Than a Back Problem. Medical conditions may masquerade as spine pain ...
A UK-based femtech startup has launched a virtual service dedicated to fighting menstrual and pelvic pain. ... Nobodys menstrual pain should be dismissed, which is why we launched our Period Pain Clinic to ensure that nobody has to ... The clinic provides a 360° approach and full virtual service to support those experiencing period pain. The clinic will offer ... Femtech startup launches digital period pain clinic. Period pain has long gone untreated. A virtual service from femtech ...
"Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of ... Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. Mayo Clinic does not ... Mayo Clinic Footer. Legal Conditions and Terms. Any use of this site constitutes your agreement to the Terms and Conditions and ... Participating Mayo Clinic locations. Study statuses change often. Please contact the study team for the most up-to-date ...

No FAQ available that match "pain clinics"

No images available that match "pain clinics"