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New guidelines for measuring pain in patients with rheumatic conditions recommend that clinicians use the Numeric Rating Scale for Pain (NRS Pain) for estimating patients pain intensity and the Short Form-36 Bodily Pain Scale (SF-36 BPS) for evaluating pain in the context of overall health status, says an article by Medscape Medical News based on a review published online last month in Arthritis Care & Research. The review, part of the journals special issue titled "Patient Outcomes in Rheumatology, 2011," includes the Visual Analog Scale for Pain (VAS Pain), NRS Pain, McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), SF-36 BPS, and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Details on questionnaire content, ease of use, and measurement properties are included in the review of each questionnaire. The review also discusses the strengths and weaknesses of each questionnaire.. The authors also recommend the ...
New guidelines for measuring pain in patients with rheumatic conditions recommend that clinicians use the Numeric Rating Scale for Pain (NRS Pain) for estimating patients pain intensity and the Short Form-36 Bodily Pain Scale (SF-36 BPS) for evaluating pain in the context of overall health status, says an article by Medscape Medical News based on a review published online last month in Arthritis Care & Research. The review, part of the journals special issue titled "Patient Outcomes in Rheumatology, 2011," includes the Visual Analog Scale for Pain (VAS Pain), NRS Pain, McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), SF-36 BPS, and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Details on questionnaire content, ease of use, and measurement properties are included in the review of each questionnaire. The review also discusses the strengths and weaknesses of each questionnaire.. The authors also recommend the ...
OBJECTIVE: Establishing a research agenda on standardizing pain measurement in clinical trials in rheumatic and musculoskeletal diseases (RMD).. METHODS: Discussion during a meeting at the Outcome Measures in Rheumatology (OMERACT) 2018, prepared by a systematic review of existing core outcome sets and a patient online survey.. RESULTS: Several key questions were debated: Is pain a symptom or a disease? Are pain core (sub)domains consistent across RMD? How to account for pain mechanistic descriptors (e.g., central sensitization) in pain measurement?. CONCLUSION: Characterizing and assessing the spectrum of pain experience across RMD in a standardized fashion is the objective of the OMERACT Pain Working Group. ...
OBJECTIVE: Establishing a research agenda on standardizing pain measurement in clinical trials in rheumatic and musculoskeletal diseases (RMD). METHODS: Discussion during a meeting at the Outcome Measures in Rheumatology (OMERACT) 2018, prepared by a systematic review of existing core outcome sets and a patient online survey. RESULTS: Several key questions were debated: Is pain a symptom or a disease? Are pain core (sub)domains consistent across RMD? How to account for pain mechanistic descriptors (e.g., central sensitization) in pain measurement? CONCLUSION: Characterizing and assessing the spectrum of pain experience across RMD in a standardized fashion is the objective of the OMERACT Pain Working Group.
Home , Papers , Cross-Cultural Adaptation and Validation of the Norwegian Short-form McGill Pain Questionnaire-2 in Low Back-Related Leg Pain. ...
Read this full essay on Pain Assessment Tool for Postoperative Pain-week 12. Pain Assessment Tool for Postoperative PainAs mentioned earlier, Clark and Spear...
Running Head: Week 5Pain Assessment Tool for Postoperative Pain[Writer Name][Institute Name] Pain Assessment Tool for Postoperative PainIntroductionA study by Scott and Huskisson (1976) (N = 100) found no significant differences between the distri...
TY - JOUR. T1 - Can Multidimensional Pain Assessment Tools Help Improve Pain Outcomes in the Perianesthesia Setting?. AU - Petti, Emily. AU - Scher, Clara. AU - Meador, Lauren. AU - Van Cleave, Janet. AU - Reid, M. Carrington. PY - 2018/10/1. Y1 - 2018/10/1. UR - http://www.scopus.com/inward/record.url?scp=85053435757&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=85053435757&partnerID=8YFLogxK. U2 - 10.1016/j.jopan.2018.07.010. DO - 10.1016/j.jopan.2018.07.010. M3 - Article. VL - 33. SP - 767. EP - 772. JO - Journal of Perianesthesia Nursing. JF - Journal of Perianesthesia Nursing. SN - 1089-9472. IS - 5. ER - ...
TY - JOUR. T1 - Pain relief scale is more highly correlated with numerical rating scale than with visual analogue scale in chronic pain patients. AU - Lee, Jae Jin. AU - Lee, Mi Kyoung. AU - Kim, Jung Eun. AU - Kim, Heezoo. AU - Park, Sang Hoon. AU - Tae, Jong Hyun. AU - Choi, Sang Sik. PY - 2015/1/1. Y1 - 2015/1/1. N2 - The pain relief scale (PRS) is a method that measures the magnitude of change in pain intensity after treatment. The present study aimed to evaluate the correlation between PRS and changes in pain determined by the visual analogue scale (VAS) and numerical rating scale (NRS), to confirm the evidence supporting the use of PRS. Sixty patients with chronic spinal pain that had a VAS and NRS recorded during an initial examination were enrolled in the study. One week later, the patients received an epidural nerve block, then VAS, NRS, and PRS assessments were performed. Differences between VAS and NRS were compared to the PRS and scatter plots and correlation coefficient were ...
Background: Pain measurement in nonverbal older adults is best based on behavioural observation, e.g. using an observational measurement tool such as Doloplus-2. The purposes of this study were to examine the use ...
in Douleur et Analgésie (2014), 27. This article aims to establish a profile of patients presenting with chronic pain in the algology service of CHU of Liège to identify possible relationships between diagnoses, psychological states and ... [more ▼]. This article aims to establish a profile of patients presenting with chronic pain in the algology service of CHU of Liège to identify possible relationships between diagnoses, psychological states and modes of pain management. Between 2005 and 2010 we monitored 1832 individual chronic pain patients who attended our pain clinic at the University Hospital of Liège. This paper presents the characteristics of these patients and their test scores before the treatment to assess their health status in a biopsychosocial perspective. Demographic and lifestyle as well as occupational factors, pain disability index, pain belief assessment, hospital anxiety and depression scale, SF-36 (Short Form Health Survey) and pain visual analogue scale are ...
Patients will be assessed for pain using a Visual Analogue Scale (VAS) Scale at set time points after surgery (0,1,2,4,8,12,16,20,24 hours post-operatively). The Visual Analogue Scale (VAS) scale was measured on a scale of 0 - 10 (0 = no pain, 1-3 = mild, 4-6 = moderate, 7-10 = severe). Higher values on the VAS represent a worse outcome. The two rows below report: 1. the average VAS score for the least amount of pain reported per group and 2. the average VAS score of the worst amount of pain reported per group ...
Sixty subjects with diagnostic of facet joint syndrome will be enrolled in the study.. They were randomized into experimental and control groups. The experimental group will be submitted to intra-articular infiltration of six facet joints. The control group will be submitted to intramuscular injection of six lumbar paravertebral points. After the randomization, all subjects will be assessed by an investigator blinded to the groups. The assessment will be taken just before the interventions (T0) and them 7 , 30 , 90 and 180 days after the interventions. The following assessment instruments will be used: pain visual analogical scale (VAS) (0-10cm), pain visual analogical scale during extension of the spine (VAS E) (0-10cm), Likert scale for improving (0-5), percentage scale of subjective improving perception(0-100%), Rolland-Morris questionnaire (0-24), short health survey questionnaire (SF36), accountability of medications taken for back pain: analgesics and non-steroidal antiinflammatories ...
Aim:. To determine the associations of patients documented self-rated pain with self-rated early postoperative physical recovery.. Design:. Observational with repeated measures.. Methods:. General and orthopaedic inpatients (N = 479) were during the period 2012-2015 screened for pain. Individual daily median pain scores at rest and during activity were based on 4-9 self-ratings on postoperative days 1 and 2, using the Numeric Rating Scale. Nine items reflecting physical recovery from the "Postoperative Recovery Profile" were used in a questionnaire.. Results:. Associations between median pain scores on postoperative day 1 and physical recovery (fatigue, sleeping difficulties, bladder function, mobilization, muscle weakness and personal hygiene) the same day were found. Additionally, associations were found between median pain scores on day 1 and physical recovery (fatigue, sleeping difficulties, mobilization and muscle weakness) on day 2.. ...
Brief Pain Inventory©: Cleeland CS. Measurement of pain by subjective report. In: Chapman CR, Loeser JD, editors. Issues in Pain Measurement. New York: Raven Press; pp. 391-403, 1989. Advances in Pain Research and Therapy; Vol. 12.. For further information: The Brief Pain Inventory (BPI)© from M. D. Andersons Department of Symptom Research ...
Reference Values of the Pain Disability Index in Patients With Painful Musculoskeletal and Spinal Disorders: A Cross-national Study ...
Are you experiencing spine, neck or back pain? Take our online pain assessment tool to self-diagnose your pain and start finding treatment options.
Objective: To determine the influence of a new intraarticular hyaluronic acid based hydrogel (Hymovis®) injections on the amount of analgesics consumption in patients diagnosed with primary knee OA.. Methods: A prospective, single-center study that included 35 patients, aged 45-80 years was conducted in our orthopaedics department. Patients received two intra-articular injections of hyaluronic acid (24 mg/3 ml; 500-730 kDa; Hymovis®) at one week apart. Follow-up was scheduled at 2 and 6 months after the injections. Assessment tools included Visual Analogue Scale (VAS) and an in-house designed questionnaire regarding analgesic consumption (quantity, period and product) during the follow-up.. Results: Compared to baseline, a significant amelioration in visual analogue scale was observed at six months follow-up (74.2mm ± 11.7 vs. 57.3mm ± 12.1; p ,.0001). 28% (n=10) of the patients reduced their total analgesic consumption at two months after the injections. At final follow-up, the analgesic ...
Background: The guidance of prospective therapists focused on Cognitive Behavioral Therapy (CBT) is most often made by groups of four students. However, learning therapist skills is a sensitive process that will be affected by the processes which occur within the group. Objective: The aim was to examine prospective psychotherapists attitudes to group assessments based on the revised version of the Cognitive Therapy Scale (CTS-R). Method: Participants were 56 students with an average age of 45.65 years (range = 31 - 64). They were recruited from psychotherapy training at the Gothenburg University and the Evidens University College in Sweden. A questionnaire was constructed in which the questions were answered by check on visual analogue scales (VAS). Results: A majority of students consisting of 38 participants (68%) had a very positive approach to group assessments, while a minority of 18 participants (32%) was more negative. Most crucial for how to answer the question of group assessments was whether
Introduction: Perception of pain and the need to treat it is highly variable, even amongst oncologists. Availability of pain specialists is an added advantage. This is an analysis of prescription patterns of pain medication and its outcome in cancer patients. Materials and Methods: The center has 8 oncologists and a pain and palliative care specialist. All the patients presenting to the outpatient department of our institute with a diagnosis of cancer were prospectively analyzed for usage of pain medication using a structured questionnaire. Data on diagnosis, stage, treatment given, and outcomes were analyzed. Pain intensity was recorded on visual analogue scale, types of pain medicines used, and their side effects were noted. The average cost of the pain medication purchased in our pharmacy was calculated. Use of alternative medicines was also noted. Results: A total of 1,098 cancer patients were evaluated. Pain was a prominent complaint in 64.6% of patients. Of these, only 89.5% received pain ...
Has anyone found an effective pain relief for female genital ulcers please? This symptom started about a year ago and I am currently experiencing a severe flair But neither my doctor or specialist...
Methods. We enrolled 62 patients (40 males and 22 females, with mean age of 30.1±9.3 ranging between 17 and 52 years affected by acute muscular injuries of different sites and severity. Fourty-three patients with a mean age of 30.5±9.9 received hyperthermia (group A) and the remaining 19 with a mean age of 28.2±8.2 (group B) ultrasound. Both groups received 8 applications, three times per week with a duration of 30 for the group (A), and 10 for the group (B). All the patients underwent a clinical examination including a pain measurement with a visual analogue scale (VAS) and a ultrasound scanner before, at the end and after one month follow-up ...
Aching, stabbing, dull, sharp - pain is difficult to describe, impossible to see, and is frequently treated with opium derivatives that go back to Middle Ages. Pediatric pain has long been under recognized and under treated. In fact, as many as 40% of children and adolescents complain of pain that occurs at least once weekly. One important barrier that leads to under-treatment of pain is inadequate measurement and assessment of pain. Numerical and face-based scales (e.g. Wong Baker Faces Pain Scale, Faces Pain Scale Revised) are most commonly used to assess pain in children. These scales require a certain level of expressive capacity that younger children may not have, and give no information regarding the character of pain that the child is experiencing. In addition, children may have a number of barriers that prevent accurate communication of their pain, ranging from cognitive impairments to developmental differences that make these scales inadequate for the task at hand. By utilizing other ...
A pain management algorithm was developed. The algorithm instructed nurses to assess patients´pain at least once a shift, both at rest and during turning. Further, the algorithm instructed nurses to use valid pain assessment tools. The numeric rating scale was used when patients could self-report pain. For patients not able to self-report pain, the Behavioral Pain Scale was used when patients were receiving mechanical ventilation, and the Behavioral Pain Scale-Non Intubated was used when patients were non-intubated.. Pain treatment actions were chosen based on cutoff points that defined a pain event. The algorithm was implemented in three units. Data was collected a time period after implementing the algorithm, and the same data was collected the same time period the previous year.. ...
Results Low pain group (LPG) consists of 63 (76%) and High pain group (HPG) of 20 (24%) patients respectively. Median for SF-MPQ total index in LPG was 2.0 (IQR 0-5) and HPG 14.5 (IQR 5.5-20.5). Comparative statistical analysis showed a statistical significant difference between LPG and HPG (p≤0.001). The median number of descriptive words used to describe pain for LPG was 2 (IQR 0-4.0) and for HPG 8.5 (IQR 4.0-10.5) words (p≤0.001). Correlation was found between self-reported pain related to SLE on VAS and numbers of describing words (r=0.78, p≤0.001). In both LPG and HPG the most used words to describe moderate and severe pain related to SLE were "aching" and "tender". In HPG "burning" and in LPG "stabbing" also were used frequently. In HPG, 70% reported their present pain (PPI) as distressing. Arthralgia was the most common location of pain due to SLAM in both LPG and HPG.. ...
After approval from the local ethical committee and written informed consent, 80 patients (ASA I-II), scheduled for elective surgery below umbilicus expected to last less than 180 minutes, were included in this prospective double blind study.. The patients were familiarized with the 10 cm visual analogue scale (VAS) for pain during the pre anesthetic visit and informed of the feeling of tingling, warmth or heaviness that may be felt after the injection. Each patient received 1 mg I/v midazolam in the pre op before shifting to OT where all monitoring (ECG, noninvasive blood pressure and SpO2) was established and preloading done with 10 ml kg-1 ringer lactate over 30 min. A midline spinal puncture at L3/4 space in sitting position with 25-gauge Quincke needle was performed. All patients received a coded intrathecal drug volume of 3.0 ml at a rate of 1 ml/ 5 sec with13.5 mg 0.5% hyperbaric bupivacaine, with saline ± clonidine. The control group (group 1) received bupivacain with saline (0.3ml) ...
Assessment Tools Pain assessment tools are in the public domain and are available to all health care providers to assist them in better understanding the impact of pain on a person. Single-dimensional pain scales Single-dimensional scales only measure pain intensity and are useful in acute pain when the etiology is clear. They provide a baseline and ongoing subjective measurement of a patients pain intensity score over time. Source.
The KOOS self-report questionnaire (Knee injury and Osteoarthritis Outcome Score) has 5 sub-scales, assessing knee symptoms and function, and quality of life. It is widely used as it has been found to be a valid and reliable measure. The purpose of this study was to investigate the validity, reliability and responsiveness of the Icelandic translation of KOOS. A total of 145 were recruited for the study and in addition to answering KOOS, knee pain was rated on a visual analog scale (VAS), perception of knee function during activities of daily living on a numerical rating scale, and some were tested with the timed up-and-go test (TUG). Reliability was assessed by observing ICC-values, internal consistency with Cronbachs alpha, and associations between KOOS subscales and other outcome measures with Pearsons correlation coefficient. A one-way ANOVA was used to assess differences between groups of participants with different levels of knee dysfunction. A significant change in all KOOS subscales was ...
Methods TARGET assessed sarilumab 150mg and 200mg added to csDMARDs vs placebo in patients with RA intolerant of or not responding to anti-TNF therapy. MONARCH assessed sarilumab 200mg monotherapy vs adalimumab 40mg monotherapy in patients with RA either intolerant of, inadequate responders to, or considered inappropriate candidates for continued treatment with methotrexate. Treatments were administered subcutaneously every 2 weeks. RAID has 7 single-item domains, each rated by patients on an 11-point numeric rating scale from 0 (absence) to 10 (extreme). A total score from 0 to 10 (with lower scores indicative of less impact of disease) is calculated by weighting responses for each item based on patient assessment of the relative importance of the item. RAID was assessed at baseline (BL), Weeks 12 and 24. Least square mean (LSM) changes from BL in total score (Weeks 12 and 24) and domains (Week 24 only) were analysed with a mixed model for repeated measures, including treatment, region, visit, ...
A total of 225 patients received the Mobi-C TDR device and 105 patients received ACDF. At 24 months only 3.0% of patients were lost to follow-up. On average, patients in both groups showed significant improvements in Neck Disability Index (NDI) score, visual analog scale (VAS) neck pain score, and VAS arm pain score from preoperative baseline to each time point. However, the TDR patients experienced significantly greater improvement than ACDF patients in NDI score at all time points and significantly greater improvement in VAS neck pain score at 6 weeks, and at 3, 6, and 12 months postoperatively. On average, patients in the TDR group also maintained preoperative segmental range of motion at both treated segments immediately postoperatively and throughout the study period of 24 months. The reoperation rate was significantly higher in the ACDF group at 11.4% compared with 3.1% for the TDR group. Furthermore, at 24 months TDR demonstrated statistical superiority over ACDF based on overall study ...
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The challenges of pain assessment in infants, children and young people are well recognised. As pain is known to be a complex and subjective phenomenon that is influenced by many factors, it is clear that both the intensity and unpleasantness or suffering due to pain can only be expressed accurately by the individual who experiences it. Therefore, self-report of pain is, and is likely to always remain, the gold standard of assessment. Nevertheless, as self-report of pain is impractical in many clinical situations, a number of proxy measures of pain, including facial expressions, behaviours and biomarkers, i.e. changes in physiological or biological parameters, have been investigated and incorporated, where appropriate, into clinical practice. To date, no measure has emerged as superior to others in all situations and consequently they are often combined or included in composite pain measurement scales that require validation for particular groups of patients in specific clinical ...
In just five minutes, capture a pre-treatment profile to use for follow-up comparisons! Measure and document patient perceptions of pain, satisfaction, and quality of care with research-based Outcome Assessment Measures. Other forms include TMJ forms and rehab forms.. Questionnaires include General Pain Disability Index, Roland-Morris Disability Index, Oswestry Low Back Disability Index, Neck Disability Index, and Psychological Assessment-Modified Zung. Spanish Oswestry Disability questionnaires.. ...
Currently used pain assessment tools may be underestimating the pain response in infants according to a study published in the open access journal PLoS Medicine this week. Dr. Slater and colleagues (University College London, UK) studied the association between cortical pain responses in young infants and currently used pain assessment tools which are based on behavioral and physiological measures, such as change in facial expression.
The report gives the research-based overview of on Global Pain Relief Patches Market 2019 size, industry status and forecast, competition landscape and growth opportunity. This research report categorizes the global pain relief patches market by companies, region, type and end-use industry. It also highlights the m...
ABSTRACT Background: Through good communication a relationship between the patient and the nurse can be established, which is essential for an adequate anamnesis and documentation. Pain management of patients seeking acute abdominal pain may be affected if communication and documentation is inadequate. Today there are differences in directives on how pain management of these patients should proceed.. Objective: The aim of the study was to follow patients who searched for acute abdominal pain, from the emergency department on to the surgical ward. The study focused on nurses documentation including assessments, actions and evaluations related to the patients pain problems.. Method: The study had a retrospective quantitative descriptive approach where the sample consisted of 58 patients whose medical records were reviewed.. Results: The majority of patients had a detailed pain medical history while pain assessment according to visual analogic scale (VAS) was performed on almost half of these ...
Many busy clinicians struggle with finding the time to conduct a thorough assessment of the pain patient, especially the patient with chronic pain. This article reviews how to properly assess a patient with chronic pain.
Currently, there is no direct method of quantifying pain; in clinical practice, patients are most commonly asked to verbally rate their pain on a numeric scale. Several issues and limitations arise from qualitative methods of assessment as they are highly subjective, relying on self-reports of pain from conscious and cooperative patients. Anesthetic treatments, which are largely determined by these responses, vary widely in efficacy as a result. Overall, the current methods increase the amount of time needed by clinicians and nurses to monitor individual patients and the risk of complications, resulting in longer hospital stays. The capability of quantifying the measurement of pain, both by degree/extent and physical region, is fundamentally important as it significantly improves over current methods of pain measurement that are not precise due to their subjective nature.. Population: Post-op thoracic and abdominal adult surgical patients with epidurals.. Outcome: Lower complication rates in ...
ers (eg, The FPS-R is a 6-point scale, with 6 differentfaces that represent increasing levels of pain intensity. Respon- dents are asked to select the one expression that best characterizeshis or her pain intensity, from the left-most face (No pain), to the The cold-pressor apparatus used consisted of 4 thermal insu- right-most face (Very much pain). Each illustration corresponds lated containers with 18.1 L of capacity containing water chilled to a numeric score (0, 2, 4, 6, 8, or 10). Research supports the valid- to 4 different temperatures. The apparatus was capable of main- ity of each of the pain measures used in this study as measures of taining water temperatures within ±0.5°C of the desired tempera- pain intensity . Although the FPS-R was ini- tures throughout the experimental procedures. Each container tially developed for use with children, researchers also use the had 2 compartments separated by a metal filter, one of which held measure in samples of individuals with ...
Objective: To evaluate the effectiveness of a program of psychological preparation for invasive procedures in patients with heart disease, candidates for cardiac surgery, to reduce emotional morbidity and improve perception of health related quality of life. Methods: A Quasi-experimental design was used. The study included a non-probabilistic randomized sample of 110 patients treated in the Division of Cardiac Surgery Centro Medico Nacional Siglo XXI Instituto Mexicano del Seguro Social IMSS. They were divided in two groups: Experimental group (n = 44) and Control group (n = 66). Instruments: CHIP Coping Questionnaire, HADS Anxiety and Depression Hospital Scale, Health Related Quality of Life Questionnaire and a Visual Analogue Scale (VAS) to measure postoperative pain. Results: The experimental group showed an increase in instrumental coping style compared to pre (M = 24.55) and post evaluation (M = 25.93); statistically significant differences were found in the variables of stress (p = 0.042), anxiety
Results A total of 41 patients (16 atorvastatin 10-80 mg/day; 25 simvastatin 10-80 mg/day) were enrolled. On entry the average pain score was 4.7 (range 0-8) and the average CPK was 138.8 (range 34-573 mg/dL). There was no significant baseline correlation between pain score and CPK (lowest versus highest CPK quartile 5.4 versus 4.2 mean pain score; p = NS). There was no significant difference in baseline pain score between atorvastatin versus simvastatin (5 versus 4.5 respectively; p = NS) treated patients and no significant correlation in either group of pain severity with statin choice (correlation coefficients -0.13 atorvastatin, -0.47 simvastatin) or dose. After one month pain scores improved (-3 mean) in 20 patients and remained the same or worsened (+0.7 mean) in 21 patients. There was no relation between the magnitude or direction of change in pain score and the change in the repeat CPK. The mean CPK increased by 15.3 mg/dL in the improved pain group and decreased by 14.7 mg/dL in the ...
Pain rating scales have become a medical standard for excellent reason: They give doctors important information about changing symptoms and have led to better outcomes in clinical trials. The pain intensity numeric scale (PI-NRS) and patients global impression of change (PGIC) contribute to better care but bring a heavy dose of subjectivity to the consulting room. Partly as a result of this subjectivity, doctors may be too quick to prescribe opioid medication when other treatments would be preferable.. Anaesthesiologist Myles Gart proposes an objective way to assess acute pain. The metrics can be remembered with a cheeky mnemonic based on the acronym ORHBP: Opioids Rarely Help Bodily Pain.. Observation. Pain often shows in mood and behavior, but so do symptoms unrelated to pain. By ruling out hypoxemia and other conditions, physicians can assess whether a patients pain is intolerable. Gart suggests that analgesics should only be given to patients who have hit 10 on the PI-NRS ...
Local arm factors: severe spasticity Modified Ashworth scale >1+ in any region, fixed joint contractures or joint replacements, patients with poor skin conditions which would contraindicate repetitive arm training, upper limb pain impeding movements with visual analogue scale (VAS score) >4/10, other conditions ensuing upper limb weakness, skull defect, polydactyly or amputation of fingers, and allergy to electrodes or adhesive gel ...
References: 1. Wang-Gillam A, Li C-P, Bodoky G, et al. Nanoliposomal irinotecan with fluorouracil and folinic acid in metastatic pancreatic cancer after previous gemcitabine-based therapy (NAPOLI-1): a global, randomised, open-label, phase 3 trial. Lancet 2016;387(10018):545-57. 2. Mercadé TM, Siveke JT, Dean A, et al. Subgroup analysis by baseline pain intensity (BPI) and baseline analgesic use (BAU) in NAPOLI-1, a phase 3 study of liposomal irinotecan (nal-IRI)±5-fluorouracil/leucovorin (5-FU/LV) in patients with metastatic pancreatic ductal adenocarcinoma previously treated with gemcitabine-based therapy. J Clin Oncol (ASCO GI Meeting) 2018;36(Suppl):abstr 379.. ...
Analyzed data on subset of respondents with chronic pain from the National Survey of Midlife in the United States (MIDUS). Results indicated trait and state feelings of positive affect were associated with changes in levels of salivary cortisol.Analyzed GIS and daily diary data from a pilot study of chronic pain. Results indicated that exposure to nearby nature buffered the effects of pain catastrophizing on pain intensity.Examined the relationship of perceived control over daily uplifts and hassles in a sample of individuals with chronic pain. Results indicated that greater control over uplifts was associated with more adaptive pain outcomes and lower control over hassles with poorer functioning ...
The Simple Descriptive Scale (SDS) has been known to be easier to use, but lacks sensitivity when compared to the Visual Analogue Scale (VAS). In this study, 79 cancer patients quantified the intensity of their pain experience on both the VAS and SDS before receiving pain therapy and on the fifth day after commencing the therapy. High correlations were observed between the two scales in age, sex and types of analgesics. The results demonstrate that the SDS provides a simpler and, perhaps, equally sensitive alternative to the VAS, in measurement of cancer pain among Chinese patients. It would be particularly useful for those with language barriers and/or other factors in understanding the requirements or the VAS ...
Results 159 participants attended the first 12 courses. 156 completed pre and post course questionnaires and 104 completed pre and post course confidence visual analogue scales which were compared. Many of the items suggest improvement from before the course to immediately afterwards, for example, pre course only 6% participants felt that they understood the nature of spiritual assessment very well, 36% quite well, 57% a little or not at all. After the course 57% participants scored the answer as very well, and 40% quite well with only 3% a little. Pre course the mean visual analogue score for confidence in assessing spiritual needs was 4.00 and afterwards 6.76 (where 0 was no confidence) and for assessing religious needs pre course 4.71 and post course 7.07.. ...
7. Temporal summation of mechanical pain - assessed through the repetition of 10 standardised punctuate stimuli at a frequency of 1 Hz, applied to an area of the skin 1cm lateral to the midline of the patella using a 225.1g Von Frey filament. Patients will be asked to rate the pain intensity of the first and last stimuli on a 0-10 numerical rating scale (0 = no pain; 10 = extreme pain). The difference in pain intensity between the last and first stimuli will be calculated to indicate the magnitude of temporal summation ...
Carprieve (Carprofen) is a Rimadyl generic that provides clinically effective pain relief associated with osteoarthritis and post operative pain associated with soft tissue and orthopedic surgeries in dogs. It is non-narcotic, non-steroidal, anti-inflammatory and is available as scored caplets that contain 25 mg, 75 mg and 100 mg per caplet ...
Carprieve (Carprofen) is a Rimadyl generic that provides clinically effective pain relief associated with osteoarthritis and post operative pain associated with soft tissue and orthopedic surgeries in dogs. It is non-narcotic, non-steroidal, anti-inflammatory and is available as scored caplets that contain 25 mg, 75 mg and 100 mg per caplet ...
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This is really interesting as I find pain scales very difficult - even when a doctor or a nurse tells me to think of the worst pain I have ever had in an attempt to help... It doesnt!
Rolands job as a policeman is pretty active so he wont be going back to work for some time, and is very annoyed to be losing his bonus for not being off sick. Hes also upset and frightened about the nature of his injuries and prospect for recovery which has led to some interesting conversations between he and I. He keeps telling me he just doesnt know how I manage to cope and keep a smile on my face. Roland has always been a very supportive friend to me, and Im just hoping he doesnt have to find out what its really like to have to cope with such high pain levels every day with no end in sight ...
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Australian researchers have revealed physiological changes behind vicarious pain - where a person literally feels someone elses pain.
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Other News Québec Science magazine has selected its 10 Discoveries of the Year for 2016, and McGill researchers figure in six of them. ...
Jabez went from being the cause of pain to honorableness. His name followed his actions,and so do ours. How does one transform from, Oh No! Here they come. to So glad to see you?
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OBJECTIVE: To examine patient-reported outcomes (PROs) in patients with different rheumatoid arthritis (RA) disease activity levels and identify residual symptoms. METHODS: Post hoc analyses of overall and Japanese data from two randomized controlled trials including RA patients with previous inadequate responses to methotrexate (NCT01710358) or no/minimal previous disease-modifying antirheumatic drug treatment (NCT01711359) (sponsor: Eli Lilly and Company). Week 24 assessments were disease activity (Simplified Disease Activity Index, Disease Activity Score/Disease Activity Score 28 joints-erythrocyte sedimentation rate) and PROs (pain visual analog scale [VAS], morning joint stiffness [MJS], Health Assessment Questionnaire-Disability Index, Functional Assessment of Chronic Illness Therapy-Fatigue, and Medical Outcomes Study Short Form 36 Health Survey Physical and Mental Component Scores ...
A 44-year-old woman presented with lumbar pain (visual analog scale [VAS] = 9) secondary to adrenocortical carcinoma sclerotic L4-vertebral metastasis. The positron emission tomography-computed tomography hypermetabolic lesion (Fig 1a,d) was unresponsive to radiotherapy or chemotherapy. She refused surgery. Following general anesthesia and aseptic preparation, 2 power d rill-mounted (Aescula...
Objective. In lumbar foraminal spinal stenosis (LFSS), numerous ligaments may play an important role in causing radiculopathy by narrowing the exit of the nerve root. In order to achieve effective decompression of lumbar foraminal ligaments, a specially designed instrument for percutaneous lumbar extraforaminotomy (PLEF) was invented. The purpose of this study was to evaluate the effectiveness of PLEF in patients with intractable radiculopathy from LFSS. Design. A prospective, single-armed, observational pilot study. Setting. A pain center in a tertiary university-based hospital. Methods. The PLEF was performed in patients who suffered from radiculopathy with concordant imaging evidence of a mild to severe degree of LFSS. For each patient, an 11-point numerical rating scale (NRS) pain score, the Oswestry Disability Index (ODI), the Roland Morris Disability Questionnaire (RMDQ) score, and any adverse events were evaluated at three-month follow- ups. Successful responder percentage defined as 40% ...
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PMID: 9656903 The McGill Pain Questionnaire is an instrument that is widely used to assess the multidimensional experience of pain. Although it was introduced more than 20 years ago, limited information is available about its use in patients suffering from persistent facial pain. The aim of this study was to investigate the response patterns of persistent facial pain patients to the McGill Pain Questionnaire, to correlate these patterns with patients beliefs about the seriousness of the condition, and to compare the findings with data reported from other painful conditions. The study sample consisted of 200 consecutive female patients referred to a tertiary care facial pain clinic. The Pain Rating Index scores of the McGill Pain Questionnaire subscales and the total number of words chosen by these patients closely matched the summary scores reported by Wilkie et al, who pooled data from seven pain conditions (cancer, chronic back, mixed chronic, acute/postoperative, labor/gynecological, dental, ...
Article 8.5 of the Directive 2011/24/EU states that the degree of patients pain must be taken into account in the process of the cross-border healthcare treatment authorization.. Member States should have transposed the Directive into their national legislation by October 2013 and, consequently, should have put in place mechanisms to assess the patients level of pain.Unfortunately, in the transposition process at national level only few Countries have formally recognized the importance of the assessment of the degree of patients pain as stated in article 8.5, setting the benchmark on the implementation of the cross-border healthcare directive.. In practice, do the National implementation measures include a reference to the intensity of pain? Do the medical records have now specific sections dedicated to the patients pain assessment? How common is pain measurement in the EU Member States? According to the intensity of pain, do patients receive any medical advice from their doctors about which ...
Data Synthesis:. We found good evidence that NSAIDs, skeletal muscle relaxants (for acute low back pain), and tricyclic antidepressants (for chronic low back pain) are effective for pain relief. The magnitude of benefit was moderate (effect size of 0.5 to 0.8, improvement of 10 to 20 points on a 100-point visual analogue pain scale, or relative risk of 1.25 to 2.00 for the proportion of patients experiencing clinically significant pain relief), except in the case of tricyclic antidepressants (for which the benefit was small to moderate). We also found fair evidence that acetaminophen, opioids, tramadol, benzodiazepines, and gabapentin (for radiculopathy) are effective for pain relief. We found good evidence that systemic corticosteroids are ineffective. Adverse events, such as sedation, varied by medication, although reliable data on serious and long-term harms are sparse. Most trials were short term (≤4 weeks). Few data address efficacy of dual-medication therapy compared with monotherapy, or ...
The Oxford Textbook of Paediatric Pain brings together an international team of experts to provide an authoritative and comprehensive textbook on all aspects of pain in infants, children and youth. Divided into nine sections, this resource analyses pain as a multifactorial problem and gives the reader a comprehensive understanding of this challenging subject. Topics covered include the biological, social, and psychological basis of pain, pain in specific populations, pain measurement, pharmacology, psychosocial and physical interventions, complementary therapies, education, and ethics of pain control in youths, children, and infants. Evidence-based chapters look in depth at areas ranging from the long-term effects of the pain in children, to sociodemographic differences in paediatric pain management. Case examples and online materials including scales, worksheets, and videos are provided to aid learning and illustrate the application of knowledge.
We identified 12 additional trials and included 22 trials with 8275 participants in this update. Oral oxycodone was studied in 10 trials, transdermal buprenorphine and oral tapentadol in four, oral codeine in three, oral morphine and oral oxymorphone in two, and transdermal fentanyl and oral hydromorphone in one trial each. All trials were described as double-blind, but the risk of bias for other domains was unclear in several trials due to incomplete reporting. Opioids were more beneficial in pain reduction than control interventions (SMD -0.28, 95% CI -0.35 to -0.20), which corresponds to a difference in pain scores of 0.7 cm on a 10-cm visual analogue scale (VAS) between opioids and placebo. This corresponds to a difference in improvement of 12% (95% CI 9% to 15%) between opioids (41% mean improvement from baseline) and placebo (29% mean improvement from baseline), which translates into a number needed to treat (NNTB) to cause one additional treatment response on pain of 10 (95% CI 8 to 14). ...
This non-experimental study was designed to investigate the congruence between in-labor report and postpartum recall of labor pain as measured by the McGill Pain Questionnaire (MPQ). Fifty married parturients, ages 19 to 39 at term with a normal pregnancy, served as subjects. Analysis of variance showed that postpartum report of labor pain on the Present Pain Intensity scale of the MPQ was not consistently congruent with pain reported during labor. In contrast, the Pain Rating Index of the MPQ provided postpartum data that was congruent with the in-labor report. Significant interaction effects, however, suggested that postpartally the women tended to devaluate the pain of early labor and inflate the pain of transitional labor when compared to their in-labor report. Theoretical and practical implications of the results for the measurement of labor pain are discussed. ...
The objective of this study is to fill gaps in the literature regarding the effectiveness of cupping therapy on lumbar stiffness. Participants will be recruited from the University of South Carolina and from local clinics in Columbia, South Carolina. Individuals will be classified based on lumbar range of motion limitations, and then they will be equally dispersed into three treatment groups via stratified randomization. These groups include dynamic cupping, static cupping, or stretching. All participants will be assessed prior to selected treatment to obtain baseline values for four measures: back range of motion (BROM), pain pressure threshold (PPT), active straight leg raise (ASLR), and numeric pain rating scale (NPRS). Participants will be given each measure directly after treatment, followed by a follow-up measurement 24 hours after treatment.
In this systematic review and meta-analysis of 33 studies, we identified nine preoperative predictors that were negatively associated with pain control after surgery: young age, female sex, smoking, history of depressive symptoms, history of anxiety symptoms, sleep difficulties, higher BMI, presence of preoperative pain and use of preoperative analgesia. The most well-studied predictors were female sex (number of studies, n=20), young age (n=14) and the presence of preoperative pain (n=13). The strongest negative prognostic factors were a history of sleeping difficulties (number of studies, n=2) and depression (n=8), which were independently associated with approximately twofold higher odds of poor postoperative pain control. Our findings are consistent with and extend the results of the previous systematic review by Ip et al.20 In addition to the predictors previously described, we identified six additional preoperative predictors of poor postoperative pain control.20. Previous reports have ...
View more ,Question Is Strain-Counterstrain treatment combined with exercise therapy more effective than exercise alone in reducing levels of pain and disability in people with acute low back pain? Design Randomised trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants 89 (55 female) participants between 18 and 55 years experiencing acute low back pain were randomised to experimental (n = 44) and control (n = 45) groups. Intervention Participants attended four treatments in two weeks. The experimental group received Strain-Counterstrain treatment and review of standardised exercises (abdominal bracing, knee to chest, and lumbar rotation). The control group performed the standardised exercises under supervision. Following the intervention period, all participants received exercise progression, manual therapy, and advice. Outcome measures The primary outcome was the modified Oswestry low back pain disability questionnaire, measured at 2 weeks (ie, end of ...
7thSpace has reprinted an article that was first published in BMC Musculoskeletal Disorders:. Prevalence of fibromyalgia in low socioeconomic status population. The aim of this study was to estimate the prevalence of fibromyalgia, as well as to assess the major symptoms of this syndrome in an adult, low socioeconomic status population assisted by the primary health care system in a city in Brazil.. Methods: We cross-sectionally sampled individuals assisted by the public primary health care system (n=768, 35-60 years old). Participants were interviewed by phone and screened about pain.. They were then invited to be clinically assessed (304 accepted). Pain was estimated using a Visual Analogue Scale (VAS).. Fibromyalgia was assessed using the Fibromyalgia Impact Questionnaire (FIQ), as well as screening for tender points using dolorimetry. Statistical analyses included Bayesian Statistics and the Kruskal-Wallis Anova test (significance level=5%).. Results: From the phone-interview screening, we ...
Chronic pain is generally regarded as being divided into two mutually exclusive pain mechanisms: nociceptive and neuropathic. Recently, this dichotomous approach has been questioned and a model of chronic pain being more or less neuropathic has been suggested. To test whether such a spectrum exists, we examined responses by patients with chronic pain to validated neuropathic pain assessment tools and compared these with ratings of certainty about the neuropathic origin of pain by their specialist pain physicians. We examined 200 patients (100 each with nociceptive and neuropathic pain) and administered the self-complete Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS score) and the Neuropathic Pain Scale (NPS). Clinicians were asked to rate their certainty of the presence of neuropathic pain mechanisms on a 100 mm visual analogue scale (VAS) (0 = not at all neuropathic in origin to 100 = completely neuropathic in origin). The whole sample was divided into tertiles based on ...
Around 14% of adults who experience pain report that it lasts 3 months to a year and 42% report pain that lasts more than a year.
This project is supported by the Canadian Institutes of Health Research (award #111062), Alberta Innovates - Health Solutions, and by The Metabolomics Innovation Centre (TMIC), a nationally-funded research and core facility that supports a wide range of cutting-edge metabolomic studies. TMIC is funded by Genome Alberta, Genome British Columbia, and Genome Canada, a not-for-profit organization that is leading Canadas national genomics strategy with funding from the federal government. Maintenance, support, and commercial licensing is provided by OMx Personal Health Analytics, Inc. Designed by Educe Design & Innovation Inc. ...
TY - JOUR. T1 - A prospective double-blind randomised controlled trial of intraoperative pelvic instillation with bupivacaine for management of pain following laparoscopy and dye. AU - Sripada, Sreebala. AU - Roy, S.. AU - Mathur, M.. AU - Hamilton, M. AU - Cranfield, K.. AU - Bhattacharya, Siladitya. PY - 2006. Y1 - 2006. N2 - The aim of this randomised, double-blind, placebo-controlled trial was to evaluate the effectiveness of intraperitoneal instillation of bupivacaine following laparoscopy and dye test. Women received either 15 ml of 0.9% saline (n=42) or 15 ml of 0.5% bupivacaine (n=43), which was instilled intraperitoneally. Pain and nausea scores were recorded on a visual analogue scale (VAS). Pain perception was no different in the bupivacaine group compared with the control group with median values of VAS at 2 hours (18, 19; P=0.8), 6 hours (21, 22; P=0.5), 12 hours (19, 25; P=0.8), 24 hours (27, 27; P=0.9) and 48 hours (21, 13; P=0.26). Women in the bupivacaine group were less ...
RATIONALE: Low back pain has a significant socioeconomic impact. Repetitive lifting, with combined twisting and flexion motions of the lumbar spine, increases the risk for low-back pain and injury to the supporting tissues. PATIENT CONCERNS: A 60-year-old male who presented with acute low-back pain, with a pain intensity of 6/10 on the visual analog scale (VAS) and an Oswestry disability index (ODI) score of 70%. The range of motion (ROM) of the lumbar spine on initial examination, relative to the normal peak ROM, was as follows: extension, 12°/30°; flexion, 15°/80°; left rotation, 15°/45°; and right rotation, 25°/45 ...
Background: Local anesthetics act by different mechanisms to produce their effects in control acute and chronic pain. Methods: A total of 22 patients (14 female, 8 male) who need tooth apisectomy under infiltration local anesthesia were examined in two situations: Before and after administration of local anesthesia. For all patients salivary sample has been collected by salivette to estimate the level of opiorphin using ELISA Kits, the pain was assessed after administration of local anesthesia using Visual Analogue Scale (VAS). Results: the results showed a significant differences of salivary opiorphin before and after administration of local anesthesia (5.96+5.38) ng/ml and (14.49±3.66) ng/ml respectively with p<0.05, the results also showed that the pain assessment by VAS was (0.831±0.4587) with inverse correlation between the VAS and salivary opiorphin levels but with no significant difference (p>0.05). Conclusions: local
to the editor: I was pleased to read the article1 on management of nonmalignant pain. The undertreatment of pain is a widespread issue in the United States, and helping to educate practicing family physicians in the most current pain management techniques is an important, even critical, goal.. I was disappointed, however, by the relative lack of information in the article on the two newest classes of oral analgesics: (1) tramadol (Ultram) and (2) cyclooxygenase-2 (COX-2) inhibitors, which represent a new type of non-steroidal anti-inflammatory drug (NSAID).. Tramadol has been available in the United States for five years. It is effective not only for an acute episode of neuropathic pain (as suggested in the article), but also for chronic neuropathic pain syndrome, fibromyalgia, osteoarthritis pain2 and chronic low back pain.3 Tramadol may be most notable for what it is not-tramadol is not an NSAID, nor is it a typical opioid. Tramadol has a dual mechanism of action: it acts centrally at ...
DUBLIN, IRELAND, July 9 (Korea Bizwire) - Research and Markets (http://bit.ly/VZyRjp) has announced the addition of Jain PharmaBiotechs new report "Global Pain Therapeutics Report 2014: Drugs, Markets and Companies - The Latest Concepts of Pathomechanisms of Pain" to their offering.. This report describes the latest concepts of pathomechanisms of pain as a basis for management and development of new pharmacotherapies for pain. Major segments of the pain market are arthritis, neuropathic pain and cancer pain. Because pain is a subjective sensation, it is difficult to evaluate objectively in clinical trials. Various tools for pain measurement are described, including brain imaging.. Most of the currently used analgesic drugs fall into the categories of opioids and nonsteroidal antiinflammatory drugs such as COX-2 inhibitors. Non-opioid analgesics include ketamine, a N-methyl-D-aspartate receptor antagonist. Adjuvant analgesics include antidepressants and antiepileptic drugs used for the treatment ...
Context: Intramuscular (IM) butorphanol can be a convenient postoperative analgesia compared to epidural (EP) route. Aims: Compare the efficacy and safety of IM vs EP butorphanol (1 mg/2 mg) as postoperative analgesia. Settings and design: A randomized-controlled study. Materials and methods: This study was conducted on 120 adult patients of either sex in the age group of 20-60 years, undergoing lower abdominal or lower limb surgeries (American Society of Anesthesiologists [ASA] class-I/II). Patients were randomized to butorphanol intramuscularly (IM group) or EP injection (EP group). Each group had two equal subgroups where patients received either 1 mg or 2 mg by the respective route. The primary outcomes were onset of analgesia, peak time of analgesia, and duration of analgesia. Pain was assessed on a 0-10 visual analog scale (VAS), and vital parameters were assessed at baseline and after 10, 20, 30, 60, 90, 120, and 180 minutes. Clinical safety was assessed by the adverse events. Results: ...
Objective: To determine the effectiveness of subsensory, pulsed electrical stimulation (PES) in the symptomatic management of osteoarthritis (OA) of the knee. Methods: This was a double-blind, randomized, placebo-controlled, repeated-measures trial in 70 participants with clinical and radiographically diagnosed OA of the knee who were randomized to either PES or placebo. The primary outcome was change in pain score over 26 weeks measured on a 100-mm visual analog scale (VAS). Other measures included pain on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), function on the WOMAC, patients global assessment of disease activity (on a 100-mm VAS), joint stiffness on the WOMAC, quality of life on the Medical Outcomes Study Short-Form 36 (SF-36) health survey, physical activity (using the Human Activity Profile and an accelerometer), and global perceived effect (on an 11-point scale). Results: Thirty-four participants were randomized to PES and 36 to placebo. Intent-to-treat
Pain assessment is a complex task often hindered by subjectivity, an overabundance of measurement options, and communication barriers. Research has focused on psychosocial factors that affect pain assessment as well as the need for a more concise method by which to measure pain. This study explored a previously proposed method of pain assessment involving corneal drying, deemed the Blink Test, as a potential method of determining individual pain tolerance. A correlational analysis was used to determine the usefulness of the Blink Test by comparing how long individuals could keep their eyes open with their performance on the Cold Pressor Test, a previously validated pain tool only used in research. No significant correlations were found between performances on the Blink Test with those on the Cold Pressor Test, suggesting that it is not a useful pain assessment. Further, scores on a measure of hope were collected to explore previous research connecting the pain experience to psychological factors ...
The Pain Patient Pain sensation is highly subjective, and individual pain threshold levels differ. Accurate assessment generally requires understanding the patients pain history, and many programs employ rating scales to measure pain intensity. Cognitive impairment or physical trauma, however, often stifles patients communication. Cognitively impaired patients may underreport pain frequency and intensity,8 leaving nonverbal cues, like labored breathing, aggression, and agitation, to be the first signs of pain.9 Pain oscillates, especially at night. Caregivers must be especially vigilant for nonverbal cues and document carefully, or oscillations may be confused with treatment response. Treatment Approaches Although no ideal agent exists, todays pain treatments include a range of interventions and strategies. Certified pain specialist and geriatric psychiatrist Howard Cohen, MD, director of Dallas Mind/Body Medicine, indicates, "Rational polypharmacy is the rule of thumb when treating chronic ...
The MedWell Spine, OsteoArthritis & Neuropathy Center, a trusted Paramus, NJ sciatica treatment provider, is offering a diverse range of services for patients suffering from this painful condition of sciatica. The practice specializes in effective therapeutic interventions for a broad range of physical ailments and maladies. Sciatica, known to medical professionals as sciatic neuralgia or…
DUBLIN, May 23, 2019 /PRNewswire/ -- The "Pain Therapeutics - Drugs, Markets and Companies" report from Jain PharmaBiotech has been added to ResearchAndMarkets.coms offering. This report describes the latest concepts of pathomechanisms of pain as a basis for management and development of new pharmacotherapies for pain. Major segments of the pain market are arthritis, neuropathic pain and cancer pain. Because pain is a subjective sensation, it is difficult to evaluate objectively in clinical trials. Various tools for pain measurement are described, including brain imaging.. Most of the currently used analgesic drugs fall into the categories of opioids and nonsteroidal anti-inflammatory drugs such as COX-2 inhibitors. Non-opioid analgesics include ketamine, a N-methyl-D-aspartate receptor antagonist. Adjuvant analgesics include antidepressants and antiepileptic drugs used for the treatment of neuropathic pain. Management of pain is multidisciplinary and includes both pharmacological and ...
However, some doctors still rely on the tender point model as does Social Security, see disability ruling SSR 12-2p: Titles II and XVI: Evaluation of Fibromyalgia. There are good arguments for doing away with the tender point count, and there are good arguments for keeping them. I suppose that is why the ACR does not completely exclude the tender point examination in their recommendation. The tender point count was the criteria when I was diagnosed. And, my FM/a® test results were astoundingly high, so for me-the criteria worked. But, does the tender point count work in diagnosing men? The consensus on this varies, too. Another disparity-few fibromyalgia studies include male subjects ...
Purpose: Sarpogrelate hydrochloride, a selective 5-hydroxytryptamine 2A antagonist, is a widely used antiplatelet agent for the treatment of peripheral arterial disease (PAD). DP-R202 is a new sarpogrelate hydrochloride product with an improved dosage regimen compared with the agent in current use. The aim of this study was to compare the efficacy and safety profile of DP-R202 and Anplag* Tab in patients with PAD. Methods: This study was a 12-week, multicenter, randomized, double-blinded, active-controlled, parallel group comparative Phase III clinical trial. One hundred fifty-one volunteer patients with PAD were randomized to receive DP-R202 300 mg once daily or Anplag Table 100 mg TID for 12 weeks. The primary end point was a change in patient assessment of lower leg pain intensity with the use of a visual analog scale (VAS) after 12 weeks of treatment. Results after 4, 8, and 12 weeks of treatment were compared with baseline and between treatment groups, and all patients were assessed for ...
The principal finding of this trial was that electronic A&F augmented with an action implementation toolbox resulted in greater improvements in pain management than feedback alone. However, feedback alone was also associated with improvements in pain management over time. Improvement in both groups was mostly due to an increase in measuring pain each shift and on repeating pain measurements within 1 hour after an unacceptable pain score was observed. We found no change in the proportion of patient-shifts with acceptable pain scores, and shifts in which unacceptable pain was normalised within 1 hour. ICUs that received the toolbox achieved larger improvements on all four indicators compared with the other ICUs, but this only reached statistical significance for measuring pain each shift.. The action plans that ICUs had developed during the trial indicated that ICUs with access to the toolbox undertook more actions to improve practice, and targeted a wider variety of practice change, compared with ...
While there is an established practice of administering facet blocks before radiofrequency ablation, its value as a prognostic tool has not been demonstrated. With facet interventions increasingly being challenged, researchers recruited 229 participants for a randomized trial. The goal was to better understand the efficacy of intraarticular and medial branch facet blocks and their ability to predict radiofrequency ablation outcomes. Patients were randomly assigned to one of the two techniques, or to saline. After one month, anyone with at least a 2-point drop in average pain score and a satisfaction score of 3 or higher on a 5-point scale were followed up to six months. Meanwhile, all saline recipients underwent radiofrequency ablation, along with any patients in the intraarticular and medial branch block groups who experienced a positive diagnostic block but a negative outcome, for a total of 135 patients. The primary outcome for the second phase of the study was average pain score three months ...
BACKGROUND: Pain and sedation assessment are an important aspect of medical care of the hospitalized patient of all ages. Inadequate pain assessment contributes to sub-optimal pain management leading to morbidity and mortality. A clinically useable, reliable, and valid pain and sedation tool is needed to improve patient care and clinical outcomes. The currently available Premature Infant Pain Profile (PIPP) was created for procedural pain. The N-PASS: Neonatal Pain, Agitation and Sedation Scale was developed in response to the need for a clinically useable, consistent, age appropriate assessment and documentation methodology for ongoing infant pain and also sedation in the neonatal intensive care unit (NICU) of Ronald McDonald Childrens Hospital of Loyola University Medical Center. OBJECTIVE: To establish the inter-rater and internal consistency as measures of reliability of the N-PASS instrument as well as the convergent and concurrent validity. DESIGN/METHODS: NICU nurses were trained in the ...
Background. Pre-clinical studies suggest that P2X3 receptors are expressed by airway vagal afferents and contribute to the hyperexcitability of sensory neurons. We hypothesized that P2X3 receptors play a role in the sensitisation of vagal pathways mediating the cough reflex leading to chronic cough (CC).. Objective. To investigate the efficacy of a first in class oral P2X3 antagonist, AF-219, in reducing daytime cough in idiopathic/treatment-resistant CC.. Methods. 24 subjects (19 women, mean age 54.5 years) were randomised into a double blind, placebo-controlled, 2-period, crossover study, of AF-219, 600 mg bd. Cough was assessed at baseline and after 2 weeks of treatment; primary endpoint, daytime objective cough frequency (coughs/hr) (VitaloJAK™); secondary endpoints, cough severity and urge to cough visual analogue scales (VAS), cough quality of life questionnaire (CQLQ).. Results. AF-219 markedly and significantly reduced cough (mean difference vs. placebo): daytime cough rate -75% (95%CI ...
About 39 million people in the U.S., or 19%, have persistent pain, and the incidence varies according to age and gender, according to a recent study. For the study, researchers at the Washington State University College of Nursing in Spokane defined persistent pain as frequent or constant pain lasting longer than three months.. Researchers used data from the 2010 Quality of Life Supplement of the National Health Interview Survey to calculate the prevalence of persistent pain. They also calculated persistent pain based on risk group, chronic condition and disability status. Findings were published in the October issue of The Journal of Pain, the peer-reviewed publication of the American Pain Society.. Results of the analysis showed about 19% of U.S. adults reported persistent pain in 2010, and older adults were more likely to experience persistent pain than younger adults. The age group at highest risk of persistent pain was adults ages 60-69, findings showed. Women also had a slightly higher ...
Behavior Rating Inventory of Executive Function... PDF On Aug 21, 2015, Nolwenn Poquet and others published The Brief Pain Inventory (BPI)
Thirty-one patients with chronic discogenic LBP who underwent either Disc PRF (n = 15) or IDET (n = 16) were enrolled in the study. A Diskit II® needle (15-cm length, 20-gauge needle with a 20-mm active tip) was placed centrally in the disc. PRF was applied for 15 min at a setting of 5 × 50 ms/s and 60 V. The pain intensity score on a 0-10 numeric rating scale (NRS) and the Roland-Morris Disability Questionnaire (RMDQ) were assessed pretreatment and at 1, 3, and 6 months post-treatment ...
The visual analog scale is among the most popular pain assessments which benefit research and medical care. The scale consists of a 10-cm line on which patients can rate their pain experience. The scale reveals good psychometric qualities and high compliance. With its numerous strengths, the visual analog scale can be implemented across various settings, such as childbirth, hip pain, etc. It can be used to assess pain progression and compare pain experiences between patients. This scale is also a valuable tool in the assessment of depression, appetite, and asthma. The digital version of the visual analog scale, in particular, can revolutionize pain assessment and treatment. Both the mobile and the laptop version of the scale improve user experience and data interoperability.. To sum up, as pain is a personal experience, pain assessment often challenges researchers and health providers. The selection of a reliable tool is paramount to improve pain assessment and treatment. Subjective instruments, ...