General Pain

Manual Therapy vs Opioids for Management of Shoulder, Spine Pain

Manual Therapy vs Opioids for Management of Shoulder, Spine Pain

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Choosing — or starting treatment with — manual therapy over opioid medications for the management of spine or shoulder may result in lower associated downstream costs.

Symptom Severity, Sensory Sensitivity May Indicate Pain Centralization in Chronic Overlapping Pain Conditions

Symptom Severity, Sensory Sensitivity May Indicate Pain Centralization in Chronic Overlapping Pain Conditions

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Two composite constructs of symptom patterns in Chronic Overlapping Pain Conditions were found to be associated with each other and the centralized pain phenotype.

Superficial Cervical Plexus Block May Be Safe, Effective for Emergency Medicine Use

Superficial Cervical Plexus Block May Be Safe, Effective for Emergency Medicine Use

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Superficial cervical plexus block may be safe and effective for use in emergency medicine.

FDA Committees Vote on Remoxy ER for Severe Pain Management

FDA Committees Vote on Remoxy ER for Severe Pain Management

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Remoxy ER contains oxycodone, a full opioid agonist, and utilizes the Company's ORADUR technology which is designed to deter abuse via non-oral routes.

Rotary Chair Testing Predicts Progression of Childhood Vestibular Disorders

Rotary Chair Testing Predicts Progression of Childhood Vestibular Disorders

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Researchers suggest children with benign paroxysmal torticollis of infancy and benign paroxysmal vertigo of childhood should also be screened for hearing loss, otitis media, and motor delays.

Percutaneous Electrolysis May Be Useful Adjunct for Subacromial Pain Syndrome

Percutaneous Electrolysis May Be Useful Adjunct for Subacromial Pain Syndrome

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In patients with subacromial pain syndrome, ultrasound-guided percutaneous electrolysis plus standard therapy and exercise may not bring additional benefits in terms of disability and pressure sensitivity compared with therapy and exercise alone.

Repeat Masseter NGF Injection May Result in Increased Pain Sensitivity

Repeat Masseter NGF Injection May Result in Increased Pain Sensitivity

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Repeated injections of nerve growth factor may lead to increased mechanical sensitivity in the masseter — but not in the temporalis muscle — as well as increased entropy.

Simple Method May Improve Shoulder Strength in Referred Shoulder Pain

Simple Method May Improve Shoulder Strength in Referred Shoulder Pain

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Application of force to C5 using a mechanically assisted instrument may improve internal rotation strength and frequency but not severity of extreme shoulder pain.

Pernix Announces Availability of Zohydro ER 20 mg Dosage Strength

Pernix Announces Availability of Zohydro ER 20 mg Dosage Strength

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Zohydro ER is also available in 10mg, 15mg, 30mg, 40mg, and 50mg dosage strengths.

Custom Foot Orthotics vs OTC Insoles for Plantar Heel Pain

Custom Foot Orthotics vs OTC Insoles for Plantar Heel Pain

Researchers conducted a systematic literature review to identify randomized controlled trials comparing 8 different types of foot orthotics.

Identifying Medication-Overuse Headache

Identifying Medication-Overuse Headache

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The identification of patients with medication-overuse headache may be facilitated by assessing factors such as headache-related disability, use of combination medications, and fear of pain.

Peripherally Acting Opioid and Cannabinoid May Be Effective for Neuropathic Pain

Peripherally Acting Opioid and Cannabinoid May Be Effective for Neuropathic Pain

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Cotargeting of peripheral μ-opioid and cannabinoid receptors was found to have a synergistic effect in reducing mechanical allodynia in a mouse model of neuropathic pain.

Trigger Point Dry Needling Plus Exercise Cost-Effective for Subacromial Pain Syndrome

Trigger Point Dry Needling Plus Exercise Cost-Effective for Subacromial Pain Syndrome

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Adding trigger point dry needling to an exercise program may be more effective than exercise alone for lowering cost associated with subacromial pain syndrome care.

Phrenic Nerve Infiltration vs SNB for Acute Ipsilateral Shoulder Pain

Phrenic Nerve Infiltration vs SNB for Acute Ipsilateral Shoulder Pain

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Investigators sought to determine whether phrenic nerve infiltration and suprascapular nerve block would control acute ipsilateral shoulder pain after thoracotomy.

Comparing the Efficacy of Postherpetic Neuralgia Treatments for Pain Relief

Comparing the Efficacy of Postherpetic Neuralgia Treatments for Pain Relief

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Analgesics may be more effective in alleviating pain associated with postherpetic neuralgia compared with topical therapies, antivirals, antidepressants, and antiepileptics.

Using the Modified Behavioral Pain Scale to Assess Pediatric Procedural Pain

Using the Modified Behavioral Pain Scale to Assess Pediatric Procedural Pain

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The Modified Behavioral Pain Scale may represent a reliable tool for assessing procedural pain but may not allow to discriminate between pain- and non-pain-related distress in infants and young children.

Optimal Approaches to the Management of Burn Pain: Expert Insight

Optimal Approaches to the Management of Burn Pain: Expert Insight

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Depending on the extent of the injury, pain due to burns can range from mild to severe to excruciating.

An Avenue for the Development of Opioid Adjuncts for Enhanced Analgesia, Reduced Abuse Potential

An Avenue for the Development of Opioid Adjuncts for Enhanced Analgesia, Reduced Abuse Potential

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Suppression of the function of an intracellular modulator of the μ-opioid receptor was found to enhance the analgesic activity of agonists for those receptors, delay the tolerance to morphine and reduce its rewarding effects

Osteoarthritis-Associated Pain Not Relieved With Hydroxychloroquine

Osteoarthritis-Associated Pain Not Relieved With Hydroxychloroquine

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Hydroxychloroquine was no more effective than placebo in reducing symptoms or radiographic progression in patients with moderate to severe hand pain and radiographic osteoarthritis.

Limited Evidence Supporting Effectiveness of Cranial Electrical Stimulation for Chronic Pain

Limited Evidence Supporting Effectiveness of Cranial Electrical Stimulation for Chronic Pain

Researchers reviewed evidence relating to the benefits and harms of cranial electrical stimulation for adults with chronic painful conditions, depression, anxiety, and insomnia.

Examining the Efficacy of Arthroscopic Decompression for Subacromial Shoulder Pain

Examining the Efficacy of Arthroscopic Decompression for Subacromial Shoulder Pain

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Arthroscopic subacromial decompression may not improve pain relative to placebo surgery or provide clinically important benefits compared with no treatment in patients with subacromial shoulder pain.

Injections of Corticosteroids vs Local Anesthetic in Rotator Cuff-Related Shoulder Pain

Injections of Corticosteroids vs Local Anesthetic in Rotator Cuff-Related Shoulder Pain

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Corticosteroid injections may be associated with greater efficacy in the short-term compared with local anesthetic injections in the treatment of rotator cuff-related shoulder pain.

Injections of Corticosteroids vs Local Anesthetic in Rotator Cuff-Related Shoulder Pain

Injections of Corticosteroids vs Local Anesthetic in Rotator Cuff-Related Shoulder Pain

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Corticosteroid injections may be associated with greater efficacy in the short-term compared with local anesthetic injections in the treatment of rotator cuff-related shoulder pain.

Reverse Total Shoulder Arthroplasty: Long-Term Clinical, Subjective Outcomes

Reverse Total Shoulder Arthroplasty: Long-Term Clinical, Subjective Outcomes

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Reverse total shoulder arthroplasty in patients with irreparable rotator cuff tear may lead to long-term improvements in range of motion and pain levels, but may be associated with high rates of complications.

Capsaicin Patch Superior to Pregabalin for Alleviating, Resolving Dynamic Mechanical Allodynia

Capsaicin Patch Superior to Pregabalin for Alleviating, Resolving Dynamic Mechanical Allodynia

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Treatment with the capsaicin 8% patch Qutenza may be more effective than pregabalin for reducing the intensity and area of dynamic mechanical allodynia and for complete resolution of the disorder.

Case Report: Foot Pain After Jogging Injury

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A 64-year-old woman presents to an urgent care clinic with 24 hours of left foot pain after tweaking it while jogging. What's her diagnosis?

Neurostimulation Effective in Refractory Cervicogenic Headaches

Neurostimulation Effective in Refractory Cervicogenic Headaches

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Occipital nerve stimulation is a potentially safe and effective management strategy for daily moderate to severe refractory cervicogenic headaches.

Nonopioid Analgesic Combination and Opioid Combinations Provide Similar Analgesic Effects for Acute Extremity Pain

Nonopioid Analgesic Combination and Opioid Combinations Provide Similar Analgesic Effects for Acute Extremity Pain

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Nonopioid analgesic combinations may be noninferior to opioid/acetaminophen combinations for reducing acute extremity pain.

Decompression Surgery May Not Improve Subacromial Shoulder Pain

Decompression Surgery May Not Improve Subacromial Shoulder Pain

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Surgical intervention with arthroscopic subacromial decompression may not yield a clinically significant reduction in shoulder pain and function in patients with subacromial pain.

Decompression Surgery May Not Improve Subacromial Shoulder Pain

Decompression Surgery May Not Improve Subacromial Shoulder Pain

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Surgical intervention with arthroscopic subacromial decompression may not yield a clinically significant reduction in shoulder pain and function in patients with subacromial pain.

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