Pain Management

Insufficient Evidence for Cranial Electrical Stimulation in Fibromyalgia, Chronic Conditions

Insufficient Evidence for Cranial Electrical Stimulation in Fibromyalgia, Chronic Conditions

No statistically significant benefit was reported in pain or anxiety outcomes among those with fibromyalgia or anxiety, respectively.

Hand Osteoarthritis Symptoms Not Reduced With Hydroxychloroquine

Hand Osteoarthritis Symptoms Not Reduced With Hydroxychloroquine

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Researcher sought to determine the effectiveness of hydroxychloroquine vs placebo as an analgesic treatment of hand osteoarthritis.

Factors of Plasma Ropivacaine Concentrations After Local Infiltration Analgesia in TKA

Factors of Plasma Ropivacaine Concentrations After Local Infiltration Analgesia in TKA

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For patients undergoing TKA, there were factors that influenced peak plasma total ropivacaine concentration after local infiltration analgesia.

Joint Replacement Rates in OA With Diabetes: Effects of COX-2 Inhibitors Plus Metformin

Joint Replacement Rates in OA With Diabetes: Effects of COX-2 Inhibitors Plus Metformin

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The effects of combination COX-2 inhibitor therapy with metformin on joint replacement rates were examined in patients with osteoarthritis and diabetes.

Pain Expectancy Affects Pain Experience After Electroacupuncture in OA

Pain Expectancy Affects Pain Experience After Electroacupuncture in OA

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In older patients with knee OA, pain expectancy may affect the pain experience after genuine and sham electroacupuncture.

Neuropathic Pain Commonly Found in End-Stage Lower Extremity Osteoarthritis

Neuropathic Pain Commonly Found in End-Stage Lower Extremity Osteoarthritis

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Patients with end-stage knee or hip osteoarthritis may often experience neuropathic pain, particularly at rest.

Diagnosing Complex Regional Pain Syndrome After Total Knee Arthroplasty

Diagnosing Complex Regional Pain Syndrome After Total Knee Arthroplasty

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Use of the 2006 Orlando criteria vs the 2007 Budapest criteria for diagnosis of CRPS may lead to misdiagnosis of unexplained pain after TKA.

Long-Term Improvement, High Complication Rate Following Reverse Total Shoulder Arthroplasty

Long-Term Improvement, High Complication Rate Following Reverse Total Shoulder Arthroplasty

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For patients with irreparable rotator cuff tear, improvements in range of motion and pain levels may be achieved with reverse total shoulder arthroplasty.

Many NSAID Users Exceed Daily Dose Limit

Many NSAID Users Exceed Daily Dose Limit

Many individuals who use nonsteroidal anti-inflammatory drugs tend to exceed the daily dose limit.

NSAID Safety Differences in Osteoarthritis, Rheumatoid Arthritis Compared

NSAID Safety Differences in Osteoarthritis, Rheumatoid Arthritis Compared

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The use of celecoxib in patients with OA and RA was associated with a similar or a lower risk for cardiovascular, gastrointestinal, and renal adverse events compared with ibuprofen and naproxen.

Intra-articular Betamethasone Associated With Increased Insulin Resistance in Type 2 Diabetes

Intra-articular Betamethasone Associated With Increased Insulin Resistance in Type 2 Diabetes

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Insulin resistance may be experienced by patients with T2D who receive an intra-articulate corticosteroid of betamethasone injection at the knee joint.

The Opioid Epidemic: Why Your Prescribing Habits Matter

The Opioid Epidemic: Why Your Prescribing Habits Matter

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If physicians have a genuine interest in acting with beneficence and nonmaleficence, they should recognize that their prescribing habits have significant consequences for their patients.

Association Between Physical Activity and Joint Symptoms Modified by BMI in Middle-Aged Women

Association Between Physical Activity and Joint Symptoms Modified by BMI in Middle-Aged Women

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A study sought to determine whether physical activity has a protective effect against development of joint symptoms in middle-aged women.

Patients With Osteoarthritic Knee Pain Benefit From Paracetamol

Patients With Osteoarthritic Knee Pain Benefit From Paracetamol

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In patients with knee osteoarthritic pain, extended-release paracetamol may have a greater analgesic effect than placebo.

Off-Label Bisphosphonate Use Effective for Edema in Bone Marrow Lesions

Off-Label Bisphosphonate Use Effective for Edema in Bone Marrow Lesions

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IV zoledronic acid and vitamin D reduces volume of bone marrow edema in patients with bone marrow lesions.

Three-Fourths of Patients Report Rx Opioids Kept in Unlocked Containers

Three-Fourths of Patients Report Rx Opioids Kept in Unlocked Containers

The reasoning for not taking prescribed opioids, the number of unused pills, method medication was stored and disposed of was assessed.

'Choosing Wisely' Linked to Small Reduction in Imaging for Back Pain

'Choosing Wisely' Linked to Small Reduction in Imaging for Back Pain

The 'Choosing Wisely" campaign was launched in order to reduce expenses forlow back pain visits.

Impoved Pain Relief After Total Knee Arthroplasty With SNB Plus FNB

Impoved Pain Relief After Total Knee Arthroplasty With SNB Plus FNB

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SNB and FNB was more effective in pain relief for patients undergoing TKA.

Complete Body Coverage Not Provided By Routine Sunscreen Application

Complete Body Coverage Not Provided By Routine Sunscreen Application

Constant sunscreen application doesn't provide complete body coverage.

Yoga Equally Effective as PT for Chronic Low Back Pain

Yoga Equally Effective as PT for Chronic Low Back Pain

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In a randomized trial that compared the efficacy of yoga, physical therapy, and education for patients with chronic low back pain, yoga was deemed noninferior to PT.

Radiofrequency Denervation May Relieve Thoracic Facet Joint Pain

Radiofrequency Denervation May Relieve Thoracic Facet Joint Pain

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Radiofrequency denervation of thoracic facet joints may provide pain relief comparable to pain relief achieved for cervical and lumbar facet joints.

Superior Reduction in Osteoarthritis Knee Pain From Novel Hyaluronan Injection

Superior Reduction in Osteoarthritis Knee Pain From Novel Hyaluronan Injection

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A novel viscous gel-based formulation of hyaluronan was more effective in reducing pain and stiffness in patients with moderate knee osteoarthritis.

Cold Application on Trapezius Decreases Fibromyalgia Pain

Cold Application on Trapezius Decreases Fibromyalgia Pain

A 10-minute cold application on the trapezius muscle was tied to a significant decrease in pain score.

Preferred Treatment to Reduce GI Bleeding Risk With NSAIDS in OA, RA

Preferred Treatment to Reduce GI Bleeding Risk With NSAIDS in OA, RA

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Celecoxib plus a proton pump inhibitor reduces risk for recurrent upper gastrointestinal bleeding in patients with arthritis using NSAIDs who are at risk for cardiovascular, gastrointestinal events.

Efficacy of Internet-Delivered Cognitive Behavioral Pain Management for Fibromyalgia

Efficacy of Internet-Delivered Cognitive Behavioral Pain Management for Fibromyalgia

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This research is especially important given that patients with fibromyalgia have difficulty attending treatment sessions in person.

How Effective is RF Denervation for Symptomatic Knee OA?

How Effective is RF Denervation for Symptomatic Knee OA?

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Radiofrequency treatment is an effective option for treating refractory chronic knee, hip, and shoulder joint pain associated with osteoarthritis.

Spinal Manipulation Shows Modest Improvements For Low Back Pain

Spinal Manipulation Shows Modest Improvements For Low Back Pain

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A review and meta-analysis indicates that spinal manipulative therapy is linked to modest improvements in low back pain.

VA and DoD Practice Guideline Update: Opioids for Chronic Pain

VA and DoD Practice Guideline Update: Opioids for Chronic Pain

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The Veterans Administration and Department of Defense issue an updated clinical practice guideline regarding opioid therapy for chronic pain in veterans.

Corticosteroids Linked to Increased Metabolic Syndrome Risk

Corticosteroids Linked to Increased Metabolic Syndrome Risk

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Researchers found a correlation between use of corticosteroids and increased odds of metabolic syndrome and elevated body mass index.

FDA Grants Breakthrough Therapy Designation to Rituxan

FDA Grants Breakthrough Therapy Designation to Rituxan

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FDA gives breakthrough therapy designation to rituxan for treatment of pemphigus vulgaris and is indicated for treating rheumatoid arthritis

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