Pain intractable. Medical search. Frequent questions

The exact definition of intractable pain varies based on the source and is not generally agreed upon. (wikipedia.org)

She presented to Urgent Care with abdominal pain, nausea, and vomiting with a 19 lb. unintentional weight loss over a three-month period and BMI of 20. (hindawi.com)
No significant group differences were found in the NRS sleep quality or nausea scores or the pain control assessment. (nih.gov)
This guideline covers prescribing of cannabis-based medicinal products for people with intractable nausea and vomiting, chronic pain, spasticity and severe treatment-resistant epilepsy. (bvsalud.org)

It is used for neuropathic pain, however it is also useful for other types of pain, such as bone pain, and musculoskeletal pain. (wikipedia.org)
This report describes the long term safety and efficacy of intrathecal therapy using Sufentanil for the management of chronic intractable neuropathic pain in 12 chronic pain patients. (epain.org)
Chronic intractable neuropathic pain can be profoundly disruptive to life, and often presents formidable treatment challenges which are non-responsive to conventional therapies. (epain.org)
The purpose of the study is to describe the long-term safety and efficacy of intrathecal therapy using Sufentanil for the management of chronic intractable neuropathic pain, including failed back surgery syndrome. (epain.org)
Its initial targets focused on focal epilepsy and chronic neuropathic pain. (biospace.com)

Background Although a multidisciplinary approach is often recommended to treat intractable pain, this approach does not completely prevent uncontrolled pain in some patients. (elsevierpure.com)
CODA has been working on a novel chemogenetic gene therapy platform to treat intractable neurological diseases. (biospace.com)

The differences in mean pain scores between the two groups at baseline and 3 months were −0.5 (p = 0.46) and −1.4 (p = 0.11) for abdominal pain and 0.1 (p = 0.85) and −0.9 (p = 0.31) for back pain in favor of PCN. (ewha.ac.kr)
METHODS: We show the case of a 24 years-old male with a 10 years length history of CP, chronic abdominal pain and dilated main pancreatic duct with a diameter of 34mm. (sages.org)
Indications for surgery were intractable abdominal pain and weigth loss. (sages.org)
Chronic abdominal pain and pelvic pain. (clevelandclinic.org)

Intractable Epilepsy. (ossweb.com)

Emerging evidence suggests that for worker's compensation patients who have chronic low back pain, those who have spinal fusion surgery have lower return to work rates, higher complication rates, and higher rates of permanent disability. (epain.org)
The authors believe that the ascending fibers subserving the distinct sensations of pain induced by tissue damage and pinprick, although mixed (overlapping) in the anterolateral funiculus of the spinal cord, are physiologically distinct from one another. (thejns.org)
Intractable spasticity associated with multiple sclerosis or spinal cord injuries. (clevelandclinic.org)

Severe Intractable Seizure Disorder. (ossweb.com)

Peripheral nerve stimulation registry for intractable migraine headache (RELIEF): a real-life perspective on the utility of occipital nerve stimulation for chronic migraine. (iasp-pain.org)
I have chronic intractable migraine. (tevapharm.com)
This is what chronic intractable daily migraine looks like when you can't take the pain anymore. (tevapharm.com)
Nothing has ever challenged me like migraine pain. (tevapharm.com)
It's as if people don't believe my pain is real, because migraine is rarely discussed. (tevapharm.com)
We sometimes overlook pain when we discuss migraine. (tevapharm.com)
Like other pain, migraine is best thought of as a warning signal - an alarm bell. (nwhn.org)
Traditionally, pain starting at the back of the head or neck was diagnosed as "tension" (even if it converted to a full-blown vascular migraine). (nwhn.org)
The pain-sensitive dura is supplied by the trigeminal nerve that controls constriction and vasodilation of the brain's blood vessels - the hallmark of true migraine. (nwhn.org)
Objective: To assess frequency of pain referred to the teeth in occipital neuralgia, migraine and tension-type headache. (bvsalud.org)

Violent pain in eyeballs which precede the development of glaucoma. (abchomeopathy.com)

Intractable pain, also called intractable pain disease (IPD), is a severe, constant, relentless, and debilitating pain that is not curable by any known means and which causes a house-bound or bed-bound state and early death if not adequately treated, usually with opioids and/or interventional procedures. (wikipedia.org)
Clinical Definition: A severe constant incurable disabling pain that interferes with activities of daily living, produces pathological complications and a shortened lifespan. (intractablepain.org)
Thirty eight year old housewife presented with severe knee pain and swelling on the medial side of the knee since last two years. (jbstjournal.com)
A 38-yr-old housewife presented with severe right knee pains, supero-laterally to the patella, progressive since 2 years. (jbstjournal.com)
Conclusions The results of the present study suggest that severe depression at the initial visit to the liaison outpatient clinic was an exacerbating factor for prolonged pain after treatment. (elsevierpure.com)
A week later, I was still in the grip of severe pain. (tevapharm.com)

The need for alternative therapies for patients with chronic, intractable pain who are unresponsive to conventional therapies is clear. (epain.org)

The Minnesota Office of Medical Cannabis Advisory Panel on Intractable Pain will meet on Thursday to decide if intractable pain should be added to the list of qualifying medical conditions under the state's medical marijuana law. (mpp.org)
Just this past weekend, the Star Tribune published an editorial urging the Department of Health to add intractable pain to the state's medical marijuana law. (mpp.org)

Texas, under their Intractable Pain Treatment Act, defines intractable pain as a state of pain for which the cause of the pain cannot be removed or otherwise treated and in the generally accepted course of medical practice, relief or cure of the cause of the pain is not possible or has not been found after reasonable efforts. (wikipedia.org)
Dictionary/Regulatory Definition: Intractable pain is a state in which the cause cannot be removed or otherwise treated and no relief or cure has been found after reasonable efforts. (intractablepain.org)
All participants were then divided into two groups based on their self-reported pain after treatment: a pain relief group (n = 70) and a prolonged pain group (n = 24). (elsevierpure.com)
Significant improvements were seen in the PCS, PDAS, and ODI scores in the pain relief group, and in the HADS depression scores in the prolonged pain group. (elsevierpure.com)
Marah Miller - who's suffered complex pain since sixth grade - is driven to find relief. (abbott.com)
It's a path like the one she's been on to find lasting relief from that pain, a path that's leading to her next destination, medical school at St. George's University. (abbott.com)
This study shows that THC:CBD extract is efficacious for relief of pain in patients with advanced cancer pain not fully relieved by strong opioids. (nih.gov)
Neurosurgery, or the premeditated incision into the head for pain relief, has been around for thousands of years, but notable advancements in neurosurgery have only come within the last hundred years. (wikipedia.org)
The B group was superior to the A group in both treatment time and pain relief. (scirp.org)
Whereas some cordotomies, both in the current series and as reported in the literature, may affect these functions differentially, optimum pain relief seems to be obtained only when pinprick sensation is also abolished in the affected segments. (thejns.org)
The use of botulinum toxin for relief of CRPS-associated pain has not been well described. (researchgate.net)
To assess whether intramuscular botulinum toxin injections cause relief of pain caused by CRPS, and to assess the risks of this treatment. (researchgate.net)
The WPI is dedicated to overcoming the barriers that prevent the relief of pain. (bvsalud.org)
Usually, the electrodes are initially placed on the skin over the painful area, but other locations (eg, over cutaneous nerves, trigger points, acupuncture sites) may give comparable or even better pain relief. (medscape.com)

The case presented herein underlines the necessity to consider traumatic neuroma in the differential diagnosis in patients with a history of breast surgery presenting with refractory neuropathic breast pain. (irdrjournal.com)
Chronic Lyme disease, on the other hand, is a diagnosis that some health care providers use to describe patients with a variety of conditions such as fatigue, generalized pain, and neurologic disorders. (cdc.gov)
Pain management is a part of a multidisciplinary, team-based approach to the prevention, evaluation, diagnosis, treatment and rehabilitation of painful disorders. (clevelandclinic.org)

Nerve Root Disorders Nerve root disorders result in segmental radicular deficits (eg, pain or paresthesias in a dermatomal distribution, weakness of muscles innervated by the root). (msdmanuals.com)
Therefore, HDBS in PAG/DRN holds great promise as an efficient treatment of intractable chronic pain disorders. (lu.se)

Traumatic neuroma as a rare cause of intractable neuropathic breast pain following cancer surgery: M. (irdrjournal.com)
Although endoscopic ultrasound-guided celiac neurolysis (EUS-CN) and percutaneous celiac neurolysis (PCN) are utilized to manage intractable pain in pancreatic cancer patients, no direct comparison has been made between the two methods. (ewha.ac.kr)
Sixty pancreatic cancer patients with intractable pain were randomly assigned to EUS-CN (n = 30) or PCN (n = 30). (ewha.ac.kr)
EUS-CN and PCN were similarly effective and safe in managing intractable pain in pancreatic cancer patients. (ewha.ac.kr)
This study compared the efficacy of a tetrahydrocannabinol:cannabidiol (THC:CBD) extract, a nonopioid analgesic endocannabinoid system modulator, and a THC extract, with placebo, in relieving pain in patients with advanced cancer. (nih.gov)
After a nephrectomy for renal cancer, he developed intractable pain. (beliefnet.com)
Clonidine is a prescription medication used to treat high blood pressure, ADHD, and cancer pain. (rxwiki.com)

in addition to the horrific pain and disability, they also die from suicide and strokes from migraines that are improperly diagnosed, but profitably treated by the drug industry. (nwhn.org)
Here are approaches that address migraines' actual causes and can help break the cycle of pain and dysfunction. (nwhn.org)

Florida's intractable pain statute defines "intractable pain" as pain for which, in the generally accepted course of medical practice, the cause cannot be removed and otherwise treated. (wikipedia.org)
The bill directs the Commissioner of Health to consider the addition of other conditions, particularly intractable pain (as defined in statute) by July 1, 2016. (bluestemprairie.com)

The aim of IP treatment is to appreciate the pain caused by the root condition in order to minimize or reverse the neurological, endocrine, and cardiac changes. (wikipedia.org)
Some medications can be used to potentiate the primary treatment, this is most commonly done to boost the efficacy of opioids and minimize the dose of the opioid needed to alleviate the pain. (wikipedia.org)
Tibial sesamoid shaving for treatment of intractable plantar keratosis. (medscape.com)
Despite significant advances in its pharmacological treatment, it often remains intractable. (iasp-pain.org)
Pre- and post- treatment BPI measures and pain scale scores showed a statistically significant difference. (epain.org)
Intrathecal therapy with Sufentanil therapy offers a good treatment alternative for those cases that have failed both surgery and standard pain treatment. (epain.org)
The exacerbating factors of prolonged pain after treatment in the pain liaison outpatient clinic were analyzed using univariate and multiple logistic regression analysis. (elsevierpure.com)
After treatment, 24 (25.5%) of the 94 patients reported having prolonged pain. (elsevierpure.com)
On univariate and multiple regression analysis, HADS depression scores were identified as a factor related to prolonged pain after treatment. (elsevierpure.com)
the remaining 38 patients (61.29%) were combined with varying degrees of neurological impairment, and surgical treatment was performed after 2 to 4 weeks of drug therapy without improvement (group B). The pain scores showed that there was a statistically significant difference between the two groups at the same time point (P (scirp.org)
But there are many who think that pains are not amenable to such a treatment. (stanford.edu)
Although it was the treatment of pain as a sensory-discriminative experience that had dominated the philosophical discussions throughout most of the twentieth century, attention to pains' affective-motivational dimension has gained prominence in recent years. (stanford.edu)
Pain Research and Treatment: Further Observations from City of Hope Medical Center. (thejns.org)
Cleveland Clinic Florida offers a full spectrum of treatment options for patients suffering chronic and acute pain from disease, surgery or trauma. (clevelandclinic.org)
See Pain Management: Concepts, Evaluation, and Therapeutic Options , a Critical Images slideshow, to help assess pain and establish efficacious treatment plans. (medscape.com)
7. Abnormal pain behavior, inappropriate medication use and/or unresolved psychiatric illness, that in the opinion of the investigator are significant enough to impact perception of pain, compliance with intervention and/or ability to evaluate treatment outcome. (who.int)

Not every patient with these conditions will develop intractable pain, but the following conditions are known to cause intractable pain in some patients: Failed back syndrome Scoliosis, kyphosis, kyphoscoliosis Complex regional pain syndrome (CRPS) Degenerative disk disease Rheumatoid arthritis Central pain syndrome (CPS) Migraine Ehlers-Danlos syndromes Although not recognized during their lifetimes, John F Kennedy and Howard Hughes[citation needed] are both believed to have suffered from intractable pain. (wikipedia.org)
In a group of chronic limb pain patients (n = 87) with a pain duration average of 5.7 years, Global Assessment of Functioning scores for social, occupation, or school functioning showed 27.6% had serious difficulty functioning, 57.5% had moderate difficulty functioning, 13.79% had some difficulty functioning, and 1.15% had good functioning in all areas. (epain.org)
We compared the efficacy and safety of EUS-CN and PCN in managing intractable pain in such patients. (ewha.ac.kr)
The aim of this retrospective study was to investigate the exacerbating factors of prolonged, intractable pain among patients being treated at a pain liaison clinic. (elsevierpure.com)
The authors present a review of 146 patients who underwent 181 percutaneous cervical cordotomies for intractable pain. (thejns.org)
Cleveland Clinic Florida's Department of Anesthesiology offers expert anesthesiology and pain management care to patients in South Florida. (clevelandclinic.org)
When TENS is used analgesically, patients are instructed to try different frequencies and intensities to find those that provide them with the best pain control. (medscape.com)
Cervical spondylosis is suspected when characteristic neurologic deficits occur in patients who are older, have osteoarthritis, or have radicular pain at the C5 or C6 levels. (msdmanuals.com)

Evaluation of the V-osteotomy as a procedure to alleviate the intractable plantar keratoma. (medscape.com)

She knows these paths because they're well-worn from, and greatly influenced by, her experience as a child facing complex regional pain syndrome (CRPS) through more than 55 procedures and surgeries that included spending months - years - homebound and in the hospital around the very doctors and nurses she hopes to someday join, medical professionals trying all they could to relieve her pain-filled reality. (abbott.com)
Accumulating experimental and clinical evidence supports the hypothesis that complex regional pain syndrome type I (CRPS-I) may be a small fiber neuropathy. (researchgate.net)
Pain associated with complex regional pain syndrome (CRPS) is frequently excruciating and intractable. (researchgate.net)
Complex regional pain syndrome (CRPS), a chronic pain condition affecting the extremities, can severely affect the quality of life. (frontiersin.org)
examined radial, median, and ulnar nerve specimens from a CRPS-affected amputated limb and showed widespread (47-58%) selective degeneration in the larger myelinated Aα fibers (motor/proprioception) and in groups of small unmyelinated C fibers (Remak bundles), while the smaller Aδ (pain/temperature) fibers were spared. (frontiersin.org)

Garcia Carmona FJ, Pascual Huerta J, Hernandez Toledo J. Plantar epidermoid inclusion cyst as a possible cause of intractable plantar keratosis lesions. (medscape.com)
Plantar epidermoid inclusion cyst as a possible cause of intractable plantar keratosis lesions. (medscape.com)

When pathological pain is completely abolished, so is pinprick sensation. (thejns.org)
However, in a number of cases where pathological pain was only partially alleviated, pinprick sensation remained intact. (thejns.org)
To develop appropriate treatments, it is crucial to understand the complex mechanisms underlying pain and how they change during sustained pain stimuli or during pathological conditions. (lu.se)

However, one study found the diagnostic validity of pedobarography to be low for intractable plantar keratosis (IPK) related to metatarsophalangeal (MTP) dislocation in rheumatoid arthritis. (medscape.com)

Intractable plantar keratoses: a review of surgical corrections. (medscape.com)

The primary outcomes were pain reduction in numerical rating scale (NRS) and opioid requirement reduction. (ewha.ac.kr)

The implementation of surgery has obvious advantages whether it is to relieve pain, stabilize the spine, restore nerve function, or recover early. (scirp.org)
It causes positional neck pain, symptoms of nerve. (msdmanuals.com)
Occipital neuralgia (ON) is a rare neuralgic pain in the distribution of the sensory branches of the cervical plexus, usually described as a paroxystic, stabbing pain in the distribution of the greater occipital nerve (GON), lesser occipital nerve (LON) and/or third occipital nerve and presents tenderness over the affected nerve 11 . (bvsalud.org)

Even though I experience such intense pain, I still have to be a mother to my kids and a partner to my husband. (tevapharm.com)
Each pain attack is usually more intense in the frontal, temporal and ocular regions before spreading to the parietal and occipital areas, but any region of the head or face may be affected 22 . (bvsalud.org)

When painful peripheral stimulation occurs, however, the information carried by C fibers reaches the T cells and opens the gate, allowing pain transmission centrally to the thalamus and cortex, where it is interpreted as pain. (medscape.com)

The results of laboratory studies suggest that electrical stimulation delivered by a TENS unit reduces pain through nociceptive inhibition at the presynaptic level in the dorsal horn, thus limiting its central transmission. (medscape.com)

For the purposes of subitems (2) and (3), "radicular pain" means pain radiating distal to the knee, or pain conforming to a dermatomal distribution and accompanied by anatomically congruent motor weakness or reflex changes. (mn.gov)
Radicular pain, with or without regional low back pain, with static or no neurologic deficit. (mn.gov)

Hide and Seek with Providence: Suffering from intractable Lyme disease, I look for meaning and fear to find it. (plough.com)

BACKGROUND: Chronic pancreatitis (CP) is characterized by irreversible damage of pancreatic parenchyma leading to exocrine insufficiency, intractable pain and progressive loss of endocrine function. (sages.org)

Lobelia Erinus (violent cork-screw-like pains in abdomen). (abchomeopathy.com)
Agonizing pain in abdomen, causing patient to bend double, is most characteristic. (abchomeopathy.com)

Conclusion: The ON subgroup demonstrated the highest frequency of dental pain referred to the teeth. (bvsalud.org)

She knows it just like she knows the pathway the pain travels from her ankle to her brain. (abbott.com)

To evaluate the effect of HDBS in PAG/DRN on the nociceptive pathways related to pain perception, microelectrode recordings were made in cortical areas known to be involved in the sensory-discriminative and affective aspects of pain. (lu.se)

Constant pain. (tevapharm.com)

An unusual cause of intractable heel pain. (medscape.com)
The patient had a miraculous recovery from the pain and unusual behaviour pattern. (jbstjournal.com)

Our finding, that 5-HT 1D receptors are distributed in nociceptors throughout the body, raises the possibility that triptans can regulate not only headache-associated pain but also nociceptive responses in extracranial tissues. (jneurosci.org)
Neurophysiological mechanisms may explain higher frequency of referred pain associated with the severity of headache. (bvsalud.org)
The pain in TTH is not exacerbated by physical activity and there are no other symptoms associated with this headache 15 . (bvsalud.org)

Complex regional pain syndrome (RSD). (clevelandclinic.org)

Methods The participants of this study were 94 outpatients (32 men, 62 women) with chronic intractable pain who visited our hospital between April 2013 and February 2015. (elsevierpure.com)

Myofacial Pain Syndrome. (ossweb.com)

Strict patient selection based on psychological screening, control of co-morbidities, a proper pain management may contribute to successful outcome. (epain.org)
Our staff is trained in the latest techniques in endoscopy, colonoscopy, radiology and cardiothoracic anesthesiology, as well as pain management. (clevelandclinic.org)
The department is directed by anesthesiologists who are board-certified in pain management. (clevelandclinic.org)
Utilizing the latest equipment and innovative procedures, the Outpatient Pain Management Clinic at Cleveland Clinic Florida diagnoses and treats acute and chronic pain. (clevelandclinic.org)

Changes the term "debilitating medical condition" to "qualifying medical condition," and updates the list of conditions, including by allowing chronic pain to qualify. (mpp.org)
The commissioner of health shall consider the addition of intractable pain, as defined in Minnesota Statutes, section 152.125, subdivision 1, to the list of qualifying medical conditions under Minnesota Statutes, section 152.22, subdivision 14, prior to the consideration of any other new qualifying medical conditions. (bluestemprairie.com)
The commissioner shall report findings on the need for adding intractable pain to the list of qualifying medical conditions to the task force established under Minnesota Statutes, section 152.36, no later than July 1, 2016. (bluestemprairie.com)
Hence there appear to be reasons both for thinking that pains (along with other similar bodily sensations) are physical objects or conditions that we perceive in body parts, and for thinking that they are not. (stanford.edu)
The first thread treats pains as particulars spatially located in body regions, or more generally, as particular conditions of body parts that have spatiotemporal characteristics as well as features such as intensity (among others). (stanford.edu)
According to this thread, pains are like physical objects or specific conditions of physical objects. (stanford.edu)
When this is combined with our standard practice of treating pains as having spatiotemporal properties along with other similar features typically attributed to physical objects or quantities, it points to an understanding of pains according to which pains might plausibly be identified with physical features or conditions of our body parts, probably with some sort of (actual or impending) physical damage or trauma to the tissue. (stanford.edu)
Hundreds of clinical reports exist concerning the use of TENS for various types of conditions, such as low back pain (LBP), myofascial and arthritic pain, sympathetically mediated pain, bladder incontinence , neurogenic pain, visceral pain, and postsurgical pain . (medscape.com)
The selected microelectrode combinations also reduced nociceptive-evoked cortical responses (related to both discriminative and affective pain) in normal conditions and during hyperalgesia. (lu.se)
2. Other pain conditions, not intended to be treated in this study, that in the opinion of the investigator could interfere with study procedures, accurate pain reporting, and/or confound evaluation of study endpoints. (who.int)

The staff is closely linked with the departments of Psychiatry and Psychology, Physical Therapy and Rehabilitation, Neurosurgery and Orthopaedic Surgery at Cleveland Clinic Florida for consultation and collaboration in all aspects of chronic and acute pain. (clevelandclinic.org)

Regional low back pain, includes referred pain to the leg above the knee unless it conforms to an L2, L3, or L4 dermatomal distribution and is accompanied by anatomically congruent motor weakness or reflex changes. (mn.gov)

1. Evaluation of foot pain and identification of associated problems. (medscape.com)
The evaluation indicators were pain scores, activity of daily living (ADL), imaging findings, and laboratory tests. (scirp.org)

Neuropathic facial pain was added to her diagnoses. (hindawi.com)

Spine surgeries are among the most difficult chronic pain problems to treat. (epain.org)

Anatomy30

Organisms1

Diseases92

Chemicals and Drugs28

Analytical, Diagnostic and Therapeutic Techniques and Equipment65

Psychiatry and Psychology25

Phenomena and Processes18

Disciplines and Occupations2

Anthropology, Education, Sociology and Social Phenomena3

Humanities1

Information Science2

Named Groups1

Health Care34

Definition of intractable pain1

Nausea3

Neuropathic pain5

Treat intractable2

Abdominal pain4

Epilepsy1

Spinal3

Seizure disorder1

Migraine10

Glaucoma1

Severe6

Unresponsive1

Medical Marijuana2

Relief14

Diagnosis3

Disorders2

Cancer7

Migraines2

Statute2

Treatment16

Patients8

Alleviate1

CRPS5

Lesions2

Pathological3

Diagnostic1

Surgical1

Opioid1

Nerve3

Intense2

Peripheral1

Stimulation1

Radicular pain2

Disease1

Pancreatic1

Abdomen2

Subgroup1

Ankle1

Sensory-discriminative1

Constant1

Unusual2

Headache3

Complex1

METHODS1

Syndrome1

Management4

Conditions10

Acute pain1

Dermatomal distribution1

Evaluation2

Diagnoses1

Spine1