Pain Management

Less Pain After TKA With Addition of Peripheral Nerve Blocks

Less Pain After TKA With Addition of Peripheral Nerve Blocks

Addition of an interspace between the popliteal artery and capsule of the posterior knee block and adductor canal block to periarticular injection is associated with less pain after TKA.

Femoral Nerve Block Alone or in Combination With Sciatic Nerve Block for TKA: A Meta-Analysis

Femoral Nerve Block Alone or in Combination With Sciatic Nerve Block for TKA: A Meta-Analysis

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Sciatic nerve block may represent an effective complement to femoral nerve block for total knee arthroplasty.

Intramuscular Triamcinolone Acetate Injection for OA Hip Pain

Intramuscular Triamcinolone Acetate Injection for OA Hip Pain

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In patients with painful hip osteoarthritis, an intramuscular glucocorticoid injection may effectively alleviate hip pain in the short-term.

Corticosteroids May Be an Effective Alternative to NSAIDs in Acute Gout Pain

Corticosteroids May Be an Effective Alternative to NSAIDs in Acute Gout Pain

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Corticosteroids appear to be a reasonable alternative to NSAIDs for the treatment of acute pain as a result of gout.

Multimodal Analgesia After Knee, Hip Arthroplasty and Perioperative Outcomes

Multimodal Analgesia After Knee, Hip Arthroplasty and Perioperative Outcomes

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Multimodal analgesia after hip or knee arthroplasty may be associated with fewer complications and reduced opioid prescriptions and hospital length of stay, compared with unimodal analgesia.

Radiofrequency Ablation for Chronic Hip Pain in Osteoarthritis: Reviewing the Evidence

Radiofrequency Ablation for Chronic Hip Pain in Osteoarthritis: Reviewing the Evidence

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The available evidence suggests that radiofrequency ablation is a feasible treatment option for chronic hip pain associated with degenerative diseases.

Subcutaneous vs Intravenous Tanezumab for Knee, Hip Osteoarthritis

Subcutaneous vs Intravenous Tanezumab for Knee, Hip Osteoarthritis

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Intravenous and subcutaneous administration of tanezumab may provide similar analgesia and tolerability in patients with hip or knee osteoarthritis.

Catastrophizing, Fibromyalgia, and the Cognitive Modulation of Pain

Catastrophizing, Fibromyalgia, and the Cognitive Modulation of Pain

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Pain catastrophizing may be associated with a reduced ability to effectively distract the mind from pain in patients with fibromyalgia.

Bariatric Surgery Lessens Knee OA Pain More in Certain Patients

Bariatric Surgery Lessens Knee OA Pain More in Certain Patients

Laparoscopic gastric band surgery is associated with more improvement in knee osteoarthritis in younger patients and in patients without prior knee injury.

Opioids vs Nonopioid Medications for Chronic Back, Knee, and Hip Osteoarthritis Pain

Opioids vs Nonopioid Medications for Chronic Back, Knee, and Hip Osteoarthritis Pain

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Opioids and nonopioid analgesics were found to provide similar improvements in pain-related function in patients with chronic back pain or knee or hip OA pain.

Examining Progression From Inflammatory Back Pain to Spondyloarthritis

Examining Progression From Inflammatory Back Pain to Spondyloarthritis

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Less than one-third of patients with new-onset inflammatory back pain were found to progress to spondyloarthritis during a 13-year period, while most resolved to inflammatory back pain.

Painful Temporomandibular Joint Osteoarthritis: Glucosamine Supplements vs Ibuprofen

Painful Temporomandibular Joint Osteoarthritis: Glucosamine Supplements vs Ibuprofen

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The effects of glucosamine supplements were not superior to the effects of ibuprofen in the treatment of patients with temporomandibular joint OA.

RNA Blood Test Available to Identify Fibromyalgia

RNA Blood Test Available to Identify Fibromyalgia

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IQuity has released a blood test called IsolateFibromyalgia, which uses RNA data to identify fibromyalgia.

Fibromyalgia Pain, Fatigue May Be Improved With Acupuncture

Fibromyalgia Pain, Fatigue May Be Improved With Acupuncture

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A group acupuncture program may be beneficial for women with fibromyalgia.

Efficacy of Colchicine for the Reduction of Symptoms in Knee Osteoarthritis

Efficacy of Colchicine for the Reduction of Symptoms in Knee Osteoarthritis

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Researchers sought to investigate the effectiveness of colchicine on pain and function in symptomatic knee osteoarthritis.

Pain Outcomes in Knee Osteoarthritis: Total Knee Replacement vs Nonsurgical Interventions

Pain Outcomes in Knee Osteoarthritis: Total Knee Replacement vs Nonsurgical Interventions

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Low pressure pain thresholds at baseline predicted worse pain outcomes after total knee replacement surgery, but did not predict outcomes after nonsurgical interventions.

Exercise Interventions in Knee Osteoarthritis: Physical Therapy vs Tai Chi

Exercise Interventions in Knee Osteoarthritis: Physical Therapy vs Tai Chi

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The dose-response effects of physical therapy and tai chi for patients with knee OA are approximately linear.

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.

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