DiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPsychiatry and PsychologyPhenomena and ProcessesDisciplines and OccupationsAnthropology, Education, Sociology and Social PhenomenaHumanitiesInformation ScienceHealth CareGeographicals
Pain MeasurementPainPain ManagementChronic PainPain, PostoperativePain, IntractablePain ThresholdBack PainLow Back PainAnalgesics, OpioidAnalgesicsPain ClinicsNeck PainAbdominal PainAcute PainPain PerceptionFacial PainAnalgesiaPelvic PainTreatment OutcomePain, ReferredShoulder PainDisease ManagementChronic DiseaseMusculoskeletal PainAnesthetics, LocalNeuralgiaAnalgesia, Patient-ControlledProspective StudiesTime FactorsQuestionnairesNerve BlockPalliative CareReproducibility of ResultsMorphineComparative Effectiveness ResearchInjections, EpiduralRetrospective StudiesAnalgesics, Non-NarcoticFollow-Up StudiesMyofascial Pain SyndromesArthralgiaNociceptive PainEvidence-Based MedicineQuality of LifeCost-Benefit AnalysisUnited StatesOxycodoneSeverity of Illness IndexDouble-Blind MethodNeoplasmsHyperalgesiaTramadolEye PainOpioid-Related DisordersPractice Guidelines as TopicAnalgesia, EpiduralPatient Education as TopicFentanylPhysical Therapy ModalitiesCase ManagementOutcome Assessment (Health Care)FibromyalgiaLidocaineDisability Evaluation
OutcomesInterventionsNeuropathic painSystematic ReviewCost effectivenessInterventionOsteoarthritisThresholdSymptomsAssessmentClinicalInjectionsMethodsTendinopathyEvaluate the effectivenessMechanismsOutcome measurementMedicationsPrevalenceDisruptsAbdominal painDiagnosisInterventionalObjectivePsychologicalStiffnessTherapiesPsychosocialMusculoskeletalAffectsClinicallyImpairmentMildQuestionnaireChild'sAdultsPatients with chronic low backStudySevere painAssessResearchSeverityIntensityAcute painBaselineTherapeuticToleranceFeasibleEvaluationBehaviourBrief Pain InveChronic back painDecreaseEvidenceStudiesImproveBackMultidisciplinaryLikelihoodPhysiologicalDisabilityWOMACComorbidityKneeResearchersDisturbance
Outcomes12
  • Multimodal and interdisciplinary interventions are comparable to control interventions - and can be more effective for improving health outcomes in people with long term pain (moderate certainty of evidence). (sbu.se)
  • We analysed the results of 1) all outcomes in combination and 2) groups of outcomes covering different aspects of health divided according to components in International Classification of Function (ICF), quality of life and pain. (sbu.se)
  • Patients self-reported data via the Patient-Reported Outcomes Measurement Information System standardized questionnaire, and use of opioid medications was evaluated. (amtamassage.org)
  • Outcomes were measured using the Brief Pain Inventory, pressure pain threshold and Roland-Morris disability questionnaire. (amtamassage.org)
  • The Patient-Reported Outcomes Measurement Information System (PROMIS)-57 and the PROMIS Cognitive Function Short Form were used as research tools. (bmj.com)
  • Measuring requires use of established measures that can detect variation, identify problem processes, and identify outcomes and effectiveness of actions. (acr.org)
  • The problem is quantified, often by using standardized measurement outcomes . (drernieeisenbergblog.com)
  • At the end of a pre-determined treatment period, study subjects are reassessed using the standardized measurement outcomes . (drernieeisenbergblog.com)
  • During her 8 years of employment at the University of Miami School of Medicine, she developed advanced knowledge and skill in helping develop and implement social work interventions, so that measurement of effectiveness and improvement of outcomes could be established. (karenpeoplesfuneralhome.com)
  • Biopsychosocial Factors Associated with Pain and Pain-Related Outcomes in Adults and Children with Sickle Cell Disease: A Multivariable Analysis of the GRNDaD Multi-Center Registry. (iasp-pain.org)
  • The characteristics that influence pain experiences and outcomes in SCD are not fully understood. (iasp-pain.org)
  • Managing this problem requires adequate pain measurement to improve individualized outcomes. (proefschriftenverpleegkunde.nl)
Interventions14
  • Conclusion We found no consistent model type or time horizon used in studies assessing cost effectiveness of interventions in advanced cancer. (bmj.com)
  • Due to a lack of reliable evidence, the cost effectiveness of multimodal and interdisciplinary interventions as compared to less comprehensive interventions cannot be calculated. (sbu.se)
  • We evaluated multimodal and interdisciplinary interventions for rehabilitation of people with long term pain. (sbu.se)
  • For this review such interventions were defined as coordinated treatment regimes, given by a team of therapists from at least two clinical professions and consisting of therapies directed at both physical and psychosocial aspects of the pain condition. (sbu.se)
  • In addition, as multimodal interventions aim to improve a person's complete life situation rather than a single outcome, we investigated effects on health broadly: physical, psychological, and social function, quality of life and pain. (sbu.se)
  • The review was limited to multimodal and interdisciplinary interventions for long term pain of relevance for Swedish healthcare. (sbu.se)
  • 6 The patient with chronic low back pain, having seen the report of the radiologist and suggestions for further pain interventions, then has renewed expectations of successful treatment. (mja.com.au)
  • For patients with non-specific axial back pain, clinical examination and radiological imaging are unreliable guides to surgical or other pain interventions. (mja.com.au)
  • This consensus statement, from the 5th International Patellofemoral Research Retreat held in Australia in July 2017, focuses on exercise therapy and physical interventions (eg, orthoses, taping and manual therapy) for patellofemoral pain. (bmj.com)
  • Recommendations from the expert panel support the use of exercise therapy (especially the combination of hip-focused and knee-focused exercises), combined interventions and foot orthoses to improve pain and/or function in people with patellofemoral pain. (bmj.com)
  • This, along with investigating how Internet interventions compare with more traditional forms of treatment delivery (eg, bibliotherapy, individual and group face-to-face, telephone), will be important in clearly establishing Internet interventions as a viable and effective form of treatment, as well as demonstrating their ability to change behaviors and improve symptoms, cost-effectiveness, scalability, and acceptance in the community. (jmir.org)
  • An important step is effect evaluation of interventions by pain measurement. (proefschriftenverpleegkunde.nl)
  • The state of art is that adequate management of burn pain consists of an individualized approach, using drugs with different mechanisms of action, combined with non-pharmacological interventions. (proefschriftenverpleegkunde.nl)
  • The reliable and valid pain measurement instrument arsenal is enlarged, implying that pain measurement is currently feasible for a larger group of patients and that cutpoints can be used for treatment protocols including non-pharmacological interventions. (proefschriftenverpleegkunde.nl)
Neuropathic pain8
  • Neuropathic pain is associated with nerve injuries or abnormal sensitivities to touch or contact. (wikipedia.org)
  • Though neuropathic pain is relatively uncommon in children compared to adults, greater awareness of these conditions is on the rise. (wikipedia.org)
  • Neuropathic pain can be peripheral or central. (wikipedia.org)
  • Peripheral neuropathic pain refers to disturbance in the function of peripheral nerves while central neuropathic pain refers to nerves in the central nervous system. (wikipedia.org)
  • 5 of them assessed the use of medical marijuana in neuropathic pain as an adjunct to other concomitant analgesics including opioids and anticonvulsants. (cfp.ca)
  • Conclusion There is evidence for the use of low-dose medical marijuana in refractory neuropathic pain in conjunction with traditional analgesics. (cfp.ca)
  • A recent market research report indicates that more than 1.5 billion people worldwide suffer from chronic pain and that approximately 3- 4.5% of the global population suffers from neuropathic pain. (medicaldesignandoutsourcing.com)
  • Extracellular RNAs-TLR3 signaling contributes to cognitive impairment after chronic neuropathic pain in mice. (iasp-pain.org)
Systematic Review2
  • The primary objective of this systematic review was to determine whether smoked or vaporized cannabis provides pain relief in the CNCP population. (cfp.ca)
  • The present systematic review examines the effectiveness of exercise on water in fibromyalgia. (eeef.gr)
Cost effectiveness5
  • Methods Using UK data for 1202 patients from the Clinical Evaluation of Magnetic Resonance Imaging in Coronary Heart Disease 2 trial, we conducted an economic evaluation to assess the cost-effectiveness of CMR, MPS and NICE guidelines. (bmj.com)
  • Cost-effectiveness results were presented as incremental cost-effectiveness ratios and incremental net health benefits overall and for low, medium and high pretest likelihood of CHD subgroups. (bmj.com)
  • Overall, CMR was the cost-effective strategy, being the dominant strategy (more effective, less costly) with incremental net health benefits per patient of 0.146 QALYs (−0.18, 0.406) compared with NICE guidelines at a cost-effectiveness threshold of £15 000 per QALY (93% probability of cost-effectiveness). (bmj.com)
  • Researchers found the OMRON HEM-907XL matched the accuracy of mercury sphygmomanometers and concluded that making the switch to the automated blood pressure monitor could reduce and eliminate the presence of mercury in blood pressure monitors, and achieve environmental benefits and cost effectiveness for medical practices. (pharmacytimes.com)
  • True effectiveness (is the intervention successful in actual clinical practice [ 7 ]) and cost-effectiveness trials are underway. (jmir.org)
Intervention9
  • The effect of strengthening health literacy in nursing homes on employee pain and consequences of pain - a stepped-wedge intervention trial. (cdc.gov)
  • Objective: This study examined the effectiveness of a workplace health literacy intervention on pain intensity, bothersomeness of pain, and sickness absence. (cdc.gov)
  • Methods: The quasi-experimental stepped-wedge cluster trial evaluated an intervention with two elements: (i) courses for employees and management to organize a joint foundation of knowledge about pain prevention and management with communication tools, and (ii) structured dialogs between employee and supervisor, to develop action plans to prevent and reduce pain. (cdc.gov)
  • Conclusion: This intervention was both feasible and effective in shifting the overall mean pain level downwards for the entire population by 7%, with an accentuated effect among employees with pain levels >3. (cdc.gov)
  • Study identifies easy exercises to help pediatric providers assess functioning in children with pain and evaluate progress after intervention. (clevelandclinic.org)
  • Measurements were recorded by a blinded investigator at baseline and at 9 and 18 weeks after initiating the intervention. (vitality101.com)
  • A clinical trial, for example, could be categorized as health services research if the effectiveness of a health care technology or intervention was assessed in a ''real-world'' rather than in an ideal or highly controlled setting. (nationalacademies.org)
  • There were no statistically significant between-group differences for VISA-A and VAS pain scores at week 6, the completion of the intervention. (nih.gov)
  • Previous research did not examine our patient group, but simple relaxation is a low risk intervention which shows promise in enhancing pain management. (proefschriftenverpleegkunde.nl)
Osteoarthritis6
  • BACKGROUND: Knee osteoarthritis (KOA) primarily presents with symptoms of pain and compromised functionality. (bvsalud.org)
  • So far, the presence of central sensitization has not been considered as a confounding factor in studies assessing the pain inhibitory effect of tens on osteoarthritis of the knee. (biomedcentral.com)
  • The use of tens to relieve knee pain in osteoarthritis of the knee (OAk) is recommended in various clinical guidelines as a conservative treatment to relieve knee pain [ 10 - 12 ]. (biomedcentral.com)
  • This study was designed to evaluate the effectiveness of hydrotherapy in subjects with osteoarthritis (OA) of the knee compared with subjects with OA of the knee who performed land-based exercises. (vitality101.com)
  • The outcome measures included a visual analog scale (VAS) for pain in the previous week, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), pain during gait assessed by a VAS at rest and immediately following a 50-foot (15.24 m) walk test (50FWT), walking time measured at fast and comfortable paces during the 50FWT, and the Lequesne Index. (vitality101.com)
  • Taking chondroitin sulfate by mouth seems to provide some relief from osteoarthritis pain and improve function. (medlineplus.gov)
Threshold6
  • Tens influences pain through the electrical stimulation of low-threshold A-beta cutaneous fibers. (biomedcentral.com)
  • In the past decade suggestions were already made concerning the influence of sensitization of wide dynamic range (WDR) dorsal horn neurons when explaining an increase of the mechanical pain threshold after applying a blockage of A -beta nerve fibers [ 17 ]. (biomedcentral.com)
  • A 2020 experimental trial aimed to evaluate if a single session of real or placebo cupping therapy in patients with chronic low back pain would reduce pain intensity and functional disability, as well as local skin temperature, and enhance their mechanical threshold. (amtamassage.org)
  • Patients receiving real cupping showed significant improvement in all pain severity and sleep in the Brief Pain Inventory, and a decrease in disability in pressure pain threshold. (amtamassage.org)
  • They aggravate each other reciprocally or even generate a vicious circle wherein pain disrupts sleep rhythms and poor sleep lowers the pain perception threshold in turn [ 5 ]. (hindawi.com)
  • Two thirds of the staff considered the pain threshold to be high among non-communicating intellectually disabled people. (opennursingjournal.com)
Symptoms11
  • The effectiveness of medications to manage symptoms is similarly underwhelming. (ul.ie)
  • Symptoms of chronic pain typically last at least three months, although, in our population, children suffer at least one to two years before discovering our rehabilitation program. (clevelandclinic.org)
  • The primary symptoms of JIA are joint pain, stiffness, and lameness ( 5 ), which are associated with daily activities limitation, long-term disability, and reduced health-related quality of life (HRQOL) ( 6 ). (frontiersin.org)
  • Consequently, there is a growing consensus among researchers and clinicians that ameliorating patient symptoms and improving HRQOL are the primary goals of the management of JIA ( 9 , 11 ). (frontiersin.org)
  • In both groups, insomnia and pain symptoms were relieved significantly compared with pretreatment. (hindawi.com)
  • Comorbid insomnia and pain affect the life quality of patients substantially, causing symptoms such as daytime fatigue, emotional distress, and various dysfunctions. (hindawi.com)
  • However, in clinical practice, pain physicians often focus on improving pain symptoms and ignore the potential harm caused by insomnia. (hindawi.com)
  • Adequate management of burn pain may influence pain resistance, analgesic requirements, sensitivity to pain over time, wound healing and the development of delirium and posttraumatic stress symptoms. (proefschriftenverpleegkunde.nl)
  • Acute' refers primarily to the stage with the cardinal signs of heat, redness, pain, swelling and loss of function and a very recent onset of symptoms. (physio-pedia.com)
  • RM is indicated for the relief of physical symptoms that include pain and soreness of the back, hips, neck, shoulders, and also painful bra strap pain. (medscape.com)
  • Numerous studies have demonstrated this procedure's effectiveness at alleviating both somatic and psychological symptoms of macromastia, [ 2-8 ] giving support to have insurance companies classify RM as a reconstructive procedure. (medscape.com)
Assessment14
  • Pain management in children is the assessment and treatment of pain in infants and children. (wikipedia.org)
  • Acute pain is an indication for needed assessment, treatment and prevention. (wikipedia.org)
  • Pain is a subjective manifestation that necessitates the employment of reliable evaluation tools for practical assessment, thereby enabling the formulation of appropriate interventional strategies. (bvsalud.org)
  • Without a dependable method for pain assessment, doctors are often thwarted when it comes to patient care. (medicaldesignandoutsourcing.com)
  • The results of this assessment show significant improvement in patients suffering from chronic lumbar disc herniation with 3 lumbar epidural approaches with local anesthetic alone, or using steroids with long-term follow-up of up to 2 years, in a contemporary interventional pain management setting. (epain.org)
  • The identification of patients with high symptom burden management should focus on the assessment of demographic and clinical characteristics, in addition to functional status. (bmj.com)
  • I was able to mitigate their pain during the assessment process and keep it away and from there, I simply targeted mid-level managers to garner their support by doing the same for them. (ergoweb.com)
  • The graphic numeric rating scale (GNRS) is another brief, simple and easy to use tool for pain assessment. (proefschriftenverpleegkunde.nl)
  • The purpose of this study was to describe pain assessment among non-communicating intellectually disabled people living in long term care described by nursing staff. (opennursingjournal.com)
  • However, no pain assessment tools were used to assess pain and the effects of managing it. (opennursingjournal.com)
  • The findings of this study can be utilized in nursing practice and research, as well as in further education for pain assessment. (opennursingjournal.com)
  • Additional studies are needed to develop pain assessment to be more systematic among non-communicating intellectually disabled people. (opennursingjournal.com)
  • Pain assessment and management have been the focus of interest internationally in several scientific fields. (opennursingjournal.com)
  • However, research into pain assessment among non-communicating intellectually disabled people has been very limited. (opennursingjournal.com)
Clinical13
  • The purpose of this Funding Opportunity Announcement (FOA) is to inform the scientific community of the pain research interests of the various Institutes and Centers (ICs) at the National Institutes of Health (NIH) and to stimulate and foster a wide range of basic, clinical, and translational studies on pain as they relate to the missions of these ICs. (nih.gov)
  • 2021). Sociodemographic and Clinical Characteristics Associated with Worst Pain Intensity Characteristics among Cancer Patients. (unm.edu)
  • A subset of 207 children from our clinic were evaluated using our clinical database that captures functional impairment and response to treatment in the entire population referred for pain rehabilitation. (clevelandclinic.org)
  • For the clinical management of the condition numerous treatments have been reported. (eeef.gr)
  • JIA involves multiple organs and in combination with pain, fatigue, and depression ( 3 ), most children with JIA need long-term pharmacological treatment and regular periodic clinical follow-ups ( 4 ), and some serious cases even need to require multiple hospitalizations. (frontiersin.org)
  • There is, therefore, economic support for use of chiropractic in low back pain, though the obvious clinical improvement in pain and disability attributable to chiropractic treatment is in itself an adequate reason for considering the use of chiropractic. (drernieeisenbergblog.com)
  • MPS is a common disease faced by pain physicians in clinical practice, with a prevalence of about 30%-85% in patients with musculoskeletal pain [ 2 ]. (hindawi.com)
  • Its boundaries are imprecise, particularly as they relate to policy and management studies and clinical research. (nationalacademies.org)
  • Health services research can be defined broadly to include behavioral and psychological research (e.g., assessments of individuals' preferences in health care), evaluations of programs that may fall outside the purview of the traditional health care system (e.g., school-based health programs), and randomized controlled clinical trials (e.g., studies of the effectiveness of health care technologies in situations representative of community practice). (nationalacademies.org)
  • however, while the volume of comparable studies in pain syndromes is growing, the number of clinical randomized trials is limited. (medscape.com)
  • Expert opinion [4] and clinical practice guidelines recommend that advice and education should be given to maintain pain levels of 5/10 or below on a VAS/NPRS for all activities. (physio-pedia.com)
  • Two clinical practice guidelines, one RCT and expert opinion [4] recommends that advice and education should be given to maintain pain levels of 5/10 or below on a VAS/NPRS for all activities. (physio-pedia.com)
  • see the American College of Gastroenterology's 2022 Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease ). (msdmanuals.com)
Injections4
  • Treatment such as surgery and injections can also lead to significant pain for the patient. (wikipedia.org)
  • Dr O'Sullivan explains that attempts in recent decades to treat chronic back pain by only treating the back itself through massage, manipulation, injections and surgery have had only marginal success. (ul.ie)
  • Consequently, multiple minimally invasive treatments, including epidural injections, are applied in addition to conservative management. (epain.org)
  • For excellent patient education resources, see eMedicineHealth's patient education articles BOTOX® Injections and Chronic Pain. (medscape.com)
Methods2
  • Using advanced statistical and graphical methods to develop a multi-domain index of movement-evoked pain. (unm.edu)
  • An international group of scientists and clinicians meets biennially at the International Patellofemoral Research Retreat to share research findings related to patellofemoral pain conditions and develop consensus statements using best practice methods. (bmj.com)
Tendinopathy3
  • Acromiohumeral distance measurement in rotator cuff tendinopathy: is there a reliable, clinically applicable method? (ul.ie)
  • To compare the effectiveness of the Alfredson eccentric heel-drop protocol with a "do-as-tolerated" protocol for nonathletic individuals with midportion Achilles tendinopathy. (nih.gov)
  • Clinicians want to provide evidence-informed management of tendinopathy but many struggle with accessing, appraising and synthesizing the vast array of literature available on this topic. (physio-pedia.com)
Evaluate the effectiveness2
  • A quasi-experimental trial was designed to evaluate the effectiveness of this combination in lowering perceived stress and promoting happiness, sleep quality, meditation experience, and life satisfaction among institutionalized older adults in Taiwan. (jmir.org)
  • The study is designed to evaluate the effectiveness of the conventional surgical lip repositioning (the removal of a partial thickness flap) with a surgical scalpel compared to a carbon dioxide laser using specific parameters (wavelength:10600 nm - power: 4 Watts - mode: continuous) in the management of gummy smiles causing soft tissue disorders. (who.int)
Mechanisms5
  • Central sensitization embodies modified sensory processing in the brain and malfunctioning of descending pain-inhibitory mechanisms [ 15 ]. (biomedcentral.com)
  • Research on the origins and mechanisms of pain is ongoing, including work to develop new technologies that can provide the information that doctors need. (medicaldesignandoutsourcing.com)
  • To understand the mechanisms through which A&F with action implementation toolbox facilitates action planning by ICUs to increase A&F effectiveness. (biomedcentral.com)
  • Although the bidirectional relationship between insomnia and pain has been extensively acknowledged, little scientific knowledge about the fundamental mechanisms underlying this complicated association has been entrenched. (hindawi.com)
  • Decades of research into chronic pain has deepened our understanding of the cellular mechanisms behind this process. (iasp-pain.org)
Outcome measurement1
  • In the past few years, many feasible instruments specific to JIA have been developed for outcome measurement. (frontiersin.org)
Medications4
  • Oftentimes medications such as non-steroidal anti-inflammatory drugs (NSAIDs), acetaminophen, or opiates are used to manage the pain. (wikipedia.org)
  • Long-term opiate use for pain management can create addiction in predisposed patients - all because doctors are not able to objectively evaluate their patients' pain levels or the effectiveness of the medications they prescribe. (medicaldesignandoutsourcing.com)
  • Patients suffering from chronic pain who participated in the multidisciplinary, non-pharmacological treatment approach delivered via shared medical appointments experienced reduced pain and improved measures of physical, mental and social health without increased use of opioid pain medications. (amtamassage.org)
  • Do the above for 6 weeks (they can be taken with your prescription pain medications. (vitality101.com)
Prevalence5
  • In developed countries, low back pain is the most common presenting symptom in primary care practice, with a lifetime prevalence of 80% for episodes of back pain. (mja.com.au)
  • 1 , 7 There is a point prevalence of 37% in the adult population and, although 33% may make a recovery, up to 70% will still complain of pain 12 months later. (mja.com.au)
  • The prevalence of suffering is as staggering as the negative consequences of medicine's attempts to alleviate pain. (medicaldesignandoutsourcing.com)
  • Prevalence, recognition of work-relatedness, and effect on work of low back pain among U.S. workers. (cdc.gov)
  • Prevalence of low back pain , seeking medical care, and lost time due to low back pain among manual material handling workers in the United States. (cdc.gov)
Disrupts2
  • 1 Back pain disrupts the rhythm of daily life, affecting work, recreation, social life and family income. (mja.com.au)
  • Chronic pain disrupts a person's entire life, from not getting good sleep to mobility issues to increased stress and anxiety. (amtamassage.org)
Abdominal pain2
Diagnosis4
  • Today, Cobb angle measurement plays a key role in diagnosis and treatment. (treatingscoliosis.com)
  • Renal stones, aortic aneurysm, gastric and pancreatic conditions, malignant metastases, discitis and ankylosing spondylitis will all need to be considered before accepting the diagnosis of non-specific axial low back pain. (mja.com.au)
  • In the absence of a diagnosis, magnetic resonance imaging of the lumbar spine is required to exclude congenital or advanced pathological changes in patients with low back pain. (mja.com.au)
  • Researchers at the University of Limerick are revolutionising the way we understand and treat back pain and other musculoskeletal conditions through a holistic approach which ranges from diagnosis and treatment to impacting public health policy. (ul.ie)
Interventional1
Objective5
  • Objective To determine if medical marijuana provides pain relief for patients with chronic noncancer pain (CNCP) and to determine the therapeutic dose, adverse effects, and specific indications. (cfp.ca)
  • There is a lack of sound objective measurement to quantify a child's struggle with chronic pain and gains made from pain rehabilitation. (clevelandclinic.org)
  • Management of chronic pain is one of medicine's most intractable challenges affecting billions of individuals in the U.S. With no objective or quantifiable metric for evaluating pain, healthcare providers are forced to rely on patients' self-reported pain levels. (medicaldesignandoutsourcing.com)
  • The objective of this study was to compare the effectiveness over three years of chiropractic and hospital outpatient management for low back pain. (drernieeisenbergblog.com)
  • The objective is to study the effect of this program on disease activity in patients with RA (randomized controlled trial [RCT] 1), on a risk score for developing RA in patients with anti-citrullinated protein antibody (ACPA) positive arthralgia (RCT 2) and on pain, stiffness, and function in patients with MSOA (RCT 3), all in comparison with usual care. (biomedcentral.com)
Psychological4
  • Children who experience chronic pain can have psychological effects. (wikipedia.org)
  • Psychological, social and environmental issues compound the patient's burden of pain. (mja.com.au)
  • Although many practitioners and professionals have explored aromatherapy and identified its psychological benefits, the effectiveness of combining 3-dimensional (3D) virtual reality and hands-on aromatherapy remains unknown. (jmir.org)
  • This is the first trial to explore the effectiveness of a combination of 3D virtual reality and hands-on aromatherapy in improving older adults' psychological health. (jmir.org)
Stiffness1
  • Reaching overhead or behind the back may stimulate the sensation of pain and stiffness. (aafp.org)
Therapies2
  • Subjects were patients with chronic, non-cancer-related pain who received evaluation and evidence-based therapies from a team of integrative and lifestyle medicine professionals, as well as education about non-pharmacological therapeutic approaches, the etiology of pain and the relationship of pain to lifestyle factors. (amtamassage.org)
  • Current strategies for the management of insomnia include cognitive behavioral therapy, medication, acupuncture, and other complementary therapies [ 7 ]. (hindawi.com)
Psychosocial1
  • Psychosocial and vocational issues should be addressed as part of the management of NMDs. (medscape.com)
Musculoskeletal2
  • Dr Norelee Kennedy explains: "Each year, thousands of patients present in our hospitals with back pain and other musculoskeletal conditions which if not treated appropriately will reoccur and put further strain on our health care system. (ul.ie)
  • Load management can be described as the temporary reduction of external physiological stressors with the goal of improving overall fitness and performance while maintaining musculoskeletal and metabolic health. (physio-pedia.com)
Affects4
  • Chronic pain in children is unresolved pain that affects activities of daily living and may result in a significant amount of missed school days. (wikipedia.org)
  • The bottom line is this: pain affects more Americans than diabetes, heart disease and cancer combined. (medicaldesignandoutsourcing.com)
  • Patellofemoral pain affects a large proportion of the population, from adolescents to older adults, and carries a substantial personal and societal burden. (bmj.com)
  • Chronic pain affects nearly 20% of the US population. (iasp-pain.org)
Clinically1
  • The supporting muscles, interspinous ligaments, lateral facet joints, vertebrae, discs and sacroiliac joints may all contribute to chronic low back pain, but their individual contribution can be difficult to elucidate clinically. (mja.com.au)
Impairment3
  • Though not FDA-approved to address pain in children, anticonvulsants such as gabapentin and pregabalin have been used in severe neuropathic impairment (SNI). (wikipedia.org)
  • When evaluating the severity of impairment in chronic pain, most researchers use self-report measures. (clevelandclinic.org)
  • Its impact on individuals and communities in terms of pain and suffering, impairment of function and reduced quality of life, is considerable. (who.int)
Mild4
  • Chronic pain is present for long periods of time and is characterized as mild to severe. (wikipedia.org)
  • Factors Associated with Mild/Moderate and Severe Pain among People Living with HIV: Results from a Statewide Community Sample. (unm.edu)
  • The advantage for chiropractic over conventional hospital treatment was "not a trivial amount" and "reflects the difference between having mild pain, the ability to lift heavy weights without extra pain, and the ability to sit for more than one hour, compared with moderate pain, the ability to lift heavy weights only if they are conveniently positioned, and being unable to sit for more than 30 minutes. (drernieeisenbergblog.com)
  • It can cause some mild stomach pain and nausea. (medlineplus.gov)
Questionnaire4
  • Measures The 34-item Back Pain Attitudes Questionnaire (Back-PAQ) was developed. (bmj.com)
  • The Back Pain Attitudes Questionnaire (Back-PAQ) was developed based on in-depth interviews with people experiencing acute and chronic back pain. (bmj.com)
  • The same authors, from the Medical Research Council Epidemiology and Medical Care Unit, Wolfson Institute of Preventive Medicine, Medical College of St. Bartholomew's Hospital, London, reminded the readers that their original study involved 741 men and women aged 18-64 years with low back pain, and that the primary measurement outcome used was the change in the total Oswestry Low Back Questionnaire score. (drernieeisenbergblog.com)
  • The data were collected during spring 2008 by a semi-structured questionnaire (Non-communicating Children's Pain Checklist - Revised, N=222), and the response rate was 82% (n=181). (opennursingjournal.com)
Child's1
  • Many different health care professionals will manage the child's pain and are referred to as the patient's palliative care team, these include oncologists, anesthesiologists, neurologists, surgeons, psychiatrists, and pharmacists. (wikipedia.org)
Adults4
  • Severe pain as a child is associated with higher reports of pain in adults. (wikipedia.org)
  • Aetna considers the FDA-cleared weight reduction device, Plenity (Gelesis, Inc.), as medically necessary to aid in weight management in overweight and obese adults with a Body Mass Index (BMI) of 25-40 kg/m 2 , when used in conjunction with diet and exercise. (aetna.com)
  • The visual analogue thermometer (VAT) is an instrument with good clinimetric properties for self-reports of pain in adults with burns. (proefschriftenverpleegkunde.nl)
  • The effectiveness of simple relaxation on procedural pain in adults was examined by a literature review. (proefschriftenverpleegkunde.nl)
Patients with chronic low back1
  • Do patients with chronic low back pain have an altered level and/or pattern of physical activity compared to healthy individuals? (ul.ie)
Study13
  • Accordingly, this study investigated the effectiveness and safety of ORC in patients receiving TKA. (bvsalud.org)
  • The purpose of this study is to explore the pain inhibitory effect of burst tens in OAk patients and to explore the prognostic value of central sensitization on the pain inhibitory effect of tens in OAk patients. (biomedcentral.com)
  • The International Association for the Study of Pain defines pain as "an unpleasant sensory and emotional experience associated with or resembling that associated with actual or potential tissue damage. (clevelandclinic.org)
  • The aim of this study was to evaluate functionally relevant physical exercises to assess children's day-to-day functioning with chronic pain as well as improvement in functioning after a course of pain rehabilitation. (clevelandclinic.org)
  • Though more research is needed, this small study suggests that cupping therapy can be effective in helping decrease low-back pain and disability. (amtamassage.org)
  • This study showed that walking in a pool (and many communities with a local pool, fitness club or YWCA that offers low cost swimnastic programs) was even more effective at reducing pain than regular walking. (vitality101.com)
  • The current study focused on understanding the mechanism by which the toolbox increased A&F effectiveness. (biomedcentral.com)
  • This study was a randomized comparison of chiropractic and hospital outpatient treatment in the management of low back pain. (drernieeisenbergblog.com)
  • The authors of the British Medical Journal study (1) note that if all back-pain patients without manipulation contraindications were referred for chiropractic instead of hospital treatment, there would be significant annual treatment cost reductions, a significant reduction in sickness days, and a significant savings in social security payments. (drernieeisenbergblog.com)
  • As noted above, the authors remind the readers that their 1990 study "reported greater improvement in patientswith low back pain treated by chiropractic compared with those receiving hospital outpatient management. (drernieeisenbergblog.com)
  • For OA, a small pilot study showed a significant reduction of pain and improvement of function in patients who followed an 8-week meditation program. (biomedcentral.com)
  • Engaging parent-child dyad and healthcare provider stakeholders in a patient-centered comparative effectiveness study. (cdc.gov)
  • International Association for the Study of Pain. (who.int)
Severe pain2
  • The goal is to achieve sufficient background control of pain and minimize any acute exacerbation of severe pain. (wikipedia.org)
  • Chiropractic was particularly effective in those with fairly intractable pain-that is, those with a history of severe pain. (drernieeisenbergblog.com)
Assess3
  • Our aim was to provide current evidence for health effects, and to assess health economical aspects, of multimodal and interdisciplinary rehabilitation in people with long term pain. (sbu.se)
  • The acute pain associated with injury or surgery sometimes progresses to become chronic, maladaptive pain (persistently experienced for longer than three months), which is exceedingly difficult to assess and treat. (medicaldesignandoutsourcing.com)
  • Objectives To develop an instrument to assess attitudes and underlying beliefs about back pain, and subsequently investigate its internal consistency and underlying structures. (bmj.com)
Research6
  • New advances are needed in every area of pain research, from the micro perspective of molecular sciences to the macro perspective of behavioral and social sciences. (nih.gov)
  • Research analyst in the Comprehensive Pain Program. (cfp.ca)
  • Research assistant in the Comprehensive Pain Program and is a doctoral candidate in the Institute of Medical Sciences at the University of Toronto. (cfp.ca)
  • this is expected as existing research supports that subjective reports of pain typically improve after a sustained improvement in functioning. (clevelandclinic.org)
  • From this research comes clear evidence that while pain generally originates with injury, it is experienced in the brain. (medicaldesignandoutsourcing.com)
  • Therefore, in view of our current understanding of the nature of muscle-induced pain and the paucity of prospective research regarding neuromuscular blockade and/or inhibition of nociception in such conditions, critical and careful analysis of the data and opinions presented in this section is appropriate. (medscape.com)
Severity3
  • Since 1948, the Cobb method has remained the most widely used radiographic measurement system for determining the severity of scoliosis. (treatingscoliosis.com)
  • While Cobb angle measurement is useful for quantifying the severity of a scoliosis curve, its inability to encompass the axial plane renders it "limited in scope to a two-dimensional angular relationship between two angulated vertebrae" and unable to "relay the complex nature of a three-dimensional individual curve," asserts the American Academy of Orthotists and Prosthetists . (treatingscoliosis.com)
  • There are different types of pain in addition to the range of severity that can be experienced. (medicaldesignandoutsourcing.com)
Intensity4
  • Monthly measurements were taken of pain intensity (0-10 scale), bothersomeness (days/month), and pain-related absence (days/month). (cdc.gov)
  • From linear mixed models, pain intensity was reduced by -0.28 [95% confidence interval (CI) -0.52- -0.04] corresponding to a 7% reduction. (cdc.gov)
  • Compared with pharmacological therapy alone, ozonated autohemotherapy combined with pharmacological therapy can ameliorate insomnia, reduce pain intensity, improve negative mood, and alleviate fatigue more effectively without serious adverse complications. (hindawi.com)
  • Pain intensity was assessed using a visual analog scale (VAS). (nih.gov)
Acute pain3
Baseline2
  • At baseline, mean pain level was 4.0, mean bothersomeness was 3.8 days/month, and mean pain-related absence was 0.6 days/month. (cdc.gov)
  • Changes observable on MRI consistent with a fungal infection have proven valuable in the identification of cases, especially in patients with a history of significant baseline pain. (cdc.gov)
Therapeutic1
  • 2021) Reasons for Marijuana Use and Its Perceived Effectiveness in Therapeutic and Recreational Marijuana Users Among People Living with HIV in Florida. (unm.edu)
Tolerance1
  • personality and tolerance, cultural and gender differences, emotional resiliency, personal perception, relative experience, and addictive tendencies all affect the way individuals perceive and report their pain. (medicaldesignandoutsourcing.com)
Feasible1
  • The findings are expected to conclude that the symptom management based on ePROs for children with JIA can improve the symptom of JIA, and it is a feasible and effective way to monitor and intervene children with JIA. (frontiersin.org)
Evaluation3
  • The capacity of a pool of experts and researchers is being developed in the areas of measurement of financial risk protection, as part of monitoring progress towards universal health coverage, and in undertaking economic evaluation studies. (who.int)
  • Fracture risk is calculated upon co-evaluation of Singh?s Index with THBMD and other local mineral density measurements of interest. (eeef.gr)
  • Spinal cord stimulation is an effective treatment for those experiencing chronic back and leg pain but requires a temporary evaluation period (SCSeval) before permanent implantation. (iasp-pain.org)
Behaviour3
  • 5 He likens the pain injury to the inner core of an onion, with additional layers surrounding it which enhance the experience of pain, including childhood issues, masked depression, substance abuse, pain behaviour and entitlements to secondary gain. (mja.com.au)
  • A common neuronal ensemble in nucleus accumbens regulates pain-like behaviour and sleep. (iasp-pain.org)
  • Therefore, reliability and validity of the pain observation scale for young children (POCIS), the COMFORT behaviour scale (COMFORT-B), and the nurse observational visual analogue scale (VAS obs) have been tested. (proefschriftenverpleegkunde.nl)
Brief Pain Inve1
Chronic back pain2
  • Design The instrument was developed by a multidisciplinary team of clinicians and researchers based on analysis of qualitative interviews with people experiencing acute and chronic back pain. (bmj.com)
  • Participants Instrument development informed by interviews with 12 participants with acute back pain and 11 participants with chronic back pain. (bmj.com)
Decrease4
  • In some sufferers, knee and/or hip arthritis is so severe that it hurts to walk-even though walking would help decrease the pain in the long term. (vitality101.com)
  • In addition, natural remedies can dramatically decrease most kinds of arthritis pain and improve function. (vitality101.com)
  • However, the water-based exercise group experienced a significantly greater decrease in pain than the land-based exercise group before and after the 50FWT at the week 18 follow-up. (vitality101.com)
  • Shoulder pain accompanied by a marked decrease in range of motion is the chief characteristic of adhesive capsulitis. (aafp.org)
Evidence6
  • Evidence-based statements were developed from included papers and presented to a panel of 41 patellofemoral pain experts for consensus discussion and voting. (bmj.com)
  • Real World Characterization of Chronic Pain, Success Rates and Implant Rates: Evidence from a Digital Health Platform of Patients Undergoing Spinal Cord Stimulation Evaluations. (iasp-pain.org)
  • Moderate-quality evidence from three randomized controlled trials with longitudinal data demonstrated that most improvement in pain and range of motion occurs early, not late. (aafp.org)
  • To develop evidence based recommendations for the management of gout. (bmj.com)
  • Impacts of adherence to evidence-based medicine guidelines for the management of acute low back pain on costs of worker's compensation claims. (cdc.gov)
  • Natural Medicines Comprehensive Database rates effectiveness based on scientific evidence according to the following scale: Effective, Likely Effective, Possibly Effective, Possibly Ineffective, Likely Ineffective, Ineffective, and Insufficient Evidence to Rate. (medlineplus.gov)
Studies2
  • All experimental sessions in the studies were of short duration (maximum of 5 days) and reported statistically significant pain relief with nonserious side effects. (cfp.ca)
  • At present, no randomized controlled studies have investigated the effect and usability of ePROs symptom management for children with JIA. (frontiersin.org)
Improve2
  • A 2021 retrospective, pre-post review of " Living Well With Chronic Pain " focused on evaluating the effectiveness of a multidisciplinary, non-pharmacological, integrative approach that uses shared medical appointments to improve health-related quality of life and reduce opioid medication use in patients with chronic pain. (amtamassage.org)
  • Third, we are continuing our efforts to help laboratories improve the quality of their blood lead measurements through our proficiency testing program and through our Blood Lead Laboratory Reference System. (cdc.gov)
Back9
  • There is an encyclopaedic range of medical and alternative treatments for low back pain. (mja.com.au)
  • At the initial consultation, the astute family physician will consider a wide range of diagnoses in the patient with the recent onset of back pain. (mja.com.au)
  • The spinal surgeon needs to be conscious of the natural history of low back pain. (mja.com.au)
  • 7 Back pain can be transient, recurrent and chronic. (mja.com.au)
  • Globally there are vast levels of misinformation around conditions like back pain, such as the idea that structures such as bones and discs can go out of place. (ul.ie)
  • Back pain accounts for 25% of GP visits in Ireland and is one of the most costly conditions to diagnose and treat. (ul.ie)
  • He explains: "While people with chronic pain may be very stiff and sore in their back, it appears that overall health factors such as stress, sleep, mood, activity levels are very important. (ul.ie)
  • You'll love how the pain goes away, and you'll get your life back! (vitality101.com)
  • Chiropractic treatment was more effective than hospital outpatient management, mainly for patients with chronic or severe back pain. (drernieeisenbergblog.com)
Multidisciplinary2
  • Such comprehensive management usually requires the efforts of a multidisciplinary team. (medscape.com)
  • In this protocol paper, we therefore present Plants for Joints, a multidisciplinary lifestyle program, based on a WFPD, exercise, and stress management. (biomedcentral.com)
Likelihood1
Physiological2
Disability1
  • Analysis showed similar efficacy for caudal, interlaminar, and transforaminal approaches in managing chronic pain and disability from disc herniation. (epain.org)
WOMAC2
  • In addition, pain on a numeric rating score, WOMAC subscores for pain and function and global perceived effect will be assessed. (biomedcentral.com)
  • Reductions in pain and improvements in WOMAC and Lequesne index scores were similar between groups. (vitality101.com)
Comorbidity2
  • The comorbidity of insomnia and pain is a fairly destructive situation for patients, and there is a complex bidirectional connection between insomnia and pain [ 4 ]. (hindawi.com)
  • A comorbidity of chronic pain is sleep disturbance. (iasp-pain.org)
Knee2
  • Patients with knee pain due to OAk will be recruited through advertisements in local media. (biomedcentral.com)
  • Both water-based and land-based exercises reduced knee pain and increased knee function in participants with OA of the knee. (vitality101.com)
Researchers2
  • Above all, measurement of vertebral rotation is of key significance in the prognosis and treatment of scoliotic curves ," says one group of researchers from Edmonton, Canada. (treatingscoliosis.com)
  • For example, researchers noted more than two decades ago that patients with the same Cobb angle measurement can have wholly different curvature patterns. (treatingscoliosis.com)
Disturbance1
  • Statistically significant improvements in all domains-physical functioning, anxiety, depression, fatigue, social roles, pain interference and sleep disturbance-were observed between the first and last visits. (amtamassage.org)