MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Pain Physician' source. Wed, 08 Feb 2012 07:39:23 +0100 http://www.medworm.com/index.php?rid=5659878&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22292136%26dopt%3DAbstract Conclusion: Clinical signs of TMD and pain symptoms are common in children. The relationship of back pain, neck-shoulder muscle palpation tenderness, and headache with clinical signs of TMD suggests that more attention should be paid to stomatognathic function in children with such pain problems. J Orofac Pain 2012;26:17-25. PMID: 22292136 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5659878 Sun, 05 Feb 2012 17:36:02 +0100 5659878 http://www.medworm.com/index.php?rid=5659876&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22301238%26dopt%3DAbstract Authors: Klenke FM, Siebenrock KA Abstract Femoroacetabular impingement is recognized as a major cause of hip pain and early hip joint osteoarthritis in young adults. The dynamic conflict between the femoral neck and the acetabular rim has been shown to result in labral tears, cartilage lesions, and early osteoarthritis. To be successful, the treatment strategy should address the underlying pathomorphology at the femoral neck, the acetabulum, or both. An overview of the various pathomorphologies leading to femoroacetabular impingement and a treatment algorithm intended to preserve the native hip joint should be helpful to the orthopaedic surgeon treating patients with this condition. PMID: 22301238 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5659876 Sun, 05 Feb 2012 17:36:02 +0100 5659876 http://www.medworm.com/index.php?rid=5659875&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22301244%26dopt%3DAbstract Authors: McCall DA, Safran MR Abstract Disorders of the hip joint can be physically disabling for the patient and a diagnostic challenge for the physician. Advances in imaging the hip with MRI can help the physician determine a more specific diagnosis for patients with acute or chronic hip pain. MRI and particularly magnetic resonance arthrography have helped raised awareness of nonarthritic hip problems and have made the diagnosis of hip problems much easier. Intra-articular and extra-articular processes can be evaluated with MRI; multiple sequences are available to increase the sensitivity and specificity for detecting specific pathology around the hip. Because the hip is a deep joint within a large soft-tissue envelope, MRI more precisely delineates the sources of hip pain by ev... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5659875 Sun, 05 Feb 2012 17:36:02 +0100 5659875 http://www.medworm.com/index.php?rid=5659879&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22289247%26dopt%3DAbstract CONCLUSIONS: Anatomic impediments to interlaminar LESI were common in this community-based population, particularly at the L5-S1 spinal level. Because of the high overall prevalence of anatomic impediments, and differences in prevalence by spinal level, knowledge of the distribution and frequency of these impediments may aid in aspects of decision-making for the interventional spine physician. PMID: 22289247 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5659879 Wed, 01 Feb 2012 05:00:00 +0100 5659879 http://www.medworm.com/index.php?rid=5659877&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22293052%26dopt%3DAbstract CONCLUSION: Outpatient tonsillectomy seems safe in Denmark. A minimum postoperative observation period of four hours will reduce the need for postoperative contacts. Because of the potentially life-threatening risk related to tonsillectomy, careful patient selection is mandatory and continuous monitoring of the quality of the procedure is essential. FUNDING: not relevant. TRIAL REGISTRATION: not relevant. PMID: 22293052 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5659877 Wed, 01 Feb 2012 05:00:00 +0100 5659877 http://www.medworm.com/index.php?rid=5659874&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22302457%26dopt%3DAbstract Conclusion: PCCS availability and growth throughout the hospital may have influenced EC consult requests. EC consults regarding family opposition to withdrawing LST and EC recommendations for patient/family support declined. PMID: 22302457 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5659874 Wed, 01 Feb 2012 05:00:00 +0100 5659874 http://www.medworm.com/index.php?rid=5624616&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22250276%26dopt%3DAbstract Authors: Aubrun F, Mazoit JX, Riou B Abstract Relief of acute pain during the immediate postoperative period is an important task for anaesthetists. Morphine is widely used to control moderate-to-severe postoperative pain and the use of small i.v. boluses of morphine in the post-anaesthesia care unit allows a rapid titration of the dose needed for adequate pain relief. The essential principle of a titration regimen must be to adapt the morphine dose to the pain level. Although morphine would not appear to be the most appropriate choice for achieving rapid pain relief, this is the sole opioid assessed in many studies of immediate postoperative pain management using titration. More than 90% of the patients have pain relief using a protocol of morphine titration and the mean dose requ... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5624616 Tue, 24 Jan 2012 19:49:41 +0100 5624616 http://www.medworm.com/index.php?rid=5624614&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22264808%26dopt%3DAbstract Authors: Jones JW, McCullough LB Abstract You received a call advising that Mr S. H. Irk was in the emergency room having considerable wound pain following an above-knee amputation you performed 6 months ago. You discharged him from your clinic 6 weeks postoperatively to his primary care physician, still complaining of more pain than usual. Your examination, clinical lab tests, and X-rays do not reveal any serious problems, but he is writhing in pain and begging for relief. Mr Irk has been to a number of different physicians in the interlude including a chiropractor, a pain specialist, several primary care physicians, and a psychiatrist without relief. He has braced up with increasing amounts of analgesics, the latest of which was oral Dilaudid. His last source of pain meds on the ... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5624614 Tue, 24 Jan 2012 19:49:00 +0100 5624614 http://www.medworm.com/index.php?rid=5624613&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22265130%26dopt%3DAbstract CONCLUSION: There is substantial short- and longer-term morbidity and ongoing analgesic use among patients who present to an ED with undifferentiated musculoskeletal low back pain. PMID: 22265130 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5624613 Tue, 24 Jan 2012 19:48:41 +0100 5624613 http://www.medworm.com/index.php?rid=5624612&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22268204%26dopt%3DAbstract CONCLUSION: Integrating salient imaging findings with clinical history is crucial when approaching the diagnosis of subcutaneous soft-tissue masses. The diagnosis of endometriosis should be entertained when soft-tissue masses are seen in the distribution of a cesarean section scar in a woman of reproductive age. Pain, particularly with a cyclic pattern, is highly suggestive of endometriosis. If endometriosis is suspected on CT or ultrasound, MRI can be performed for further evaluation. Definitive diagnosis is made with biopsy. Because subcutaneous nodules are so amenable percutaneous biopsy, imaging features, although of interest, are somewhat ancillary to the diagnostic workup. PMID: 22268204 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5624612 Tue, 24 Jan 2012 19:48:22 +0100 5624612 http://www.medworm.com/index.php?rid=5624615&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22264670%26dopt%3DAbstract CONCLUSIONS: We propose a new classification for PC based on the specific keratin gene affected to help clinicians improve their diagnostic and prognostic accuracy, correct spurious associations, and improve therapeutic development. PMID: 22264670 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5624615 Wed, 18 Jan 2012 05:00:00 +0100 5624615 http://www.medworm.com/index.php?rid=5624629&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22238253%26dopt%3DAbstract CONCLUSIONS: Consensus has been reached on common definitionsof ID/CR with cSLE and relevant patient characteristics with ID/CR. Further studies must assess the usefulness of the data-driven candidate criteria for ID in cSLE. PMID: 22238253 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5624629 Wed, 11 Jan 2012 05:00:00 +0100 5624629 http://www.medworm.com/index.php?rid=5624626&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22244224%26dopt%3DAbstract Authors: Hartman SM, Barros AJ, Brady WJ Abstract The electrocardiographic (ECG) diagnosis of ST-segment elevation myocardial infarction (STEMI) represents a challenge to all health care providers, particularly so for the novice ECG interpreter. We have developed-and present in this article-a 4-step algorithm that will detect STEMI in most instances in the prehospital and other nonemergency department (ED) settings. The algorithm should be used in adult patients with chest pain or equivalent presentation who are suspected of STEMI. It inquires as to the presence of ST-segment elevation as well as the presence of STEMI confounding/mimicking patterns; the algorithm also makes use of reciprocal ST-segment depression as an adjunct in the ECG diagnosis of STEMI. If STEMI is detected by ... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5624626 Wed, 11 Jan 2012 05:00:00 +0100 5624626 http://www.medworm.com/index.php?rid=5624621&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22244288%26dopt%3DAbstract CONCLUSION: Residents were able to perform TVUSs to determine the presence or absence of an IUP in patients in whom the diagnosis of ectopic pregnancy was being considered with a high degree of correlation with the ED Director of Ultrasound after a brief training program. Correlation with the ED director of ultrasound was influenced by year of training. PMID: 22244288 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5624621 Wed, 11 Jan 2012 05:00:00 +0100 5624621 http://www.medworm.com/index.php?rid=5578852&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231657%26dopt%3DAbstract CONCLUSIONS: Pain-related discussions comprise a substantial proportion of time during primary care visits. Future research should evaluate the relationship between time spent discussing pain and the quality of primary care pain management. PMID: 22231657 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5578852 Tue, 10 Jan 2012 05:00:00 +0100 5578852 http://www.medworm.com/index.php?rid=5578855&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221331%26dopt%3DAbstract Conclusion.  Patients treated by residents are more likely to rate their experience as worse compared with the attending. However, majority of patients in both groups were satisfied in that they perceived their procedure as expected or better than expected. PMID: 22221331 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5578855 Thu, 05 Jan 2012 05:00:00 +0100 5578855 http://www.medworm.com/index.php?rid=5578853&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22227176%26dopt%3DAbstract CONCLUSIONS: Patients undergoing THA alone had greater improvement in function and pain relief with fewer medical charges as compared with patients undergoing a THA and treatment for an LSD. The prevalence of coexisting hip disorders and spine disorders is likely higher than currently documented. Further study is needed to improve therapeutic recommendations and determine the potential for reduction in medical expenses associated with concurrent treatment of hip OA and LSDs. PMID: 22227176 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5578853 Thu, 05 Jan 2012 05:00:00 +0100 5578853 http://www.medworm.com/index.php?rid=5578856&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22219215%26dopt%3DAbstract ConclusionAll three pain provocation tests proved to be of potential value in assessing chronic PHT in athletes. However, we recommend that they be used in conjunction with other objective measures, such as MRI. PMID: 22219215 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5578856 Wed, 04 Jan 2012 05:00:00 +0100 5578856 http://www.medworm.com/index.php?rid=5578854&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22222479%26dopt%3DAbstract CONCLUSIONS:: MR04A3 is hypnotic in man with a satisfactory hemodynamic and safety profile. PMID: 22222479 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5578854 Wed, 04 Jan 2012 05:00:00 +0100 5578854 http://www.medworm.com/index.php?rid=5561907&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22212650%26dopt%3DAbstract CONCLUSION: Cervical smear seems to be more accurate without gel application. Experience of the physician is also important. Water-based gel can be used in some women who experience overt pain during speculum examination, but these patients must be warned about unsatisfactory results and the need of repeat test. PMID: 22212650 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5561907 Tue, 03 Jan 2012 05:00:00 +0100 5561907 http://www.medworm.com/index.php?rid=5536724&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22185546%26dopt%3DAbstract Authors: Quincy BL, Turbow DJ, Dabinett LN Abstract The aim of this study was to compare the acceptability of self-collected vs clinician-collected human papillomavirus (HPV) tests. Utilising a cross-sectional approach, 250 non-pregnant, 25-60-year-old women from Leon, Nicaragua self-collected vaginal swabs and brushes for HPV and received a pelvic examination for liquid-based cytology and reflex HPV. Subjects underwent colposcopy, with biopsy if indicated, and completed questionnaires comparing their perceptions of HPV testing methods. Acceptability indices were significantly higher for self-collected brushes (M = 18.40, SD = 2.73) and swabs (M = 18.48, SD = 2.41) than clinician-collection (M = 17.56, SD = 2.92), p < 0.001. Multiple regression analyses revealed that age, educat... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5536724 Sat, 24 Dec 2011 11:06:14 +0100 5536724 http://www.medworm.com/index.php?rid=5514618&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22172439%26dopt%3DAbstract CONCLUSION: In suspected patients with acute coronary syndrome presenting to the emergency department within 8 hours of symptom onset, 3 hours of serial testing with the Cardio3 TnI POC platform provides similar diagnostic accuracy for AMI as longer periods. PMID: 22172439 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5514618 Sun, 18 Dec 2011 13:18:30 +0100 5514618 http://www.medworm.com/index.php?rid=5514622&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21804275%26dopt%3DAbstract CONCLUSION: Abdominal symptom-related QOL impairment is considered to lead patients to seek medical care, though different symptoms have varying levels of influence. PMID: 21804275 [PubMed - indexed for MEDLINE] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5514622 Sun, 18 Dec 2011 13:18:02 +0100 5514622 http://www.medworm.com/index.php?rid=5514621&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21910895%26dopt%3DAbstract CONCLUSIONS: Among older adults with painful OA, more than one-quarter had depressed mood, but almost half received no mental health care, suggesting a care gap. PMID: 21910895 [PubMed - indexed for MEDLINE] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5514621 Sun, 18 Dec 2011 13:18:02 +0100 5514621 http://www.medworm.com/index.php?rid=5514620&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22152410%26dopt%3DAbstract CONCLUSION: A raised serum creatinine level and LDH activity are classic indicators of renal infarction. In addition, most patients have haematuria. Typical wedge-shaped perfusion defects are visible on a CT-scan with intravenous contrast. Timely diagnosis of renal infarction is important both for the prevention of recurrence of thromboembolic complications and for potential revascularisation. The diagnosis of renal infarction should be included in the differential diagnosis in patients with acute abdominal pain. PMID: 22152410 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5514620 Sun, 18 Dec 2011 13:18:02 +0100 5514620 http://www.medworm.com/index.php?rid=5514616&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22173794%26dopt%3DAbstract DiscussionSymptoms of PTSD may emerge during physical therapy treatment, and patient-sensitive responses to disclosure are important. The trauma-cognizant approach (2-way communication, patient-centered management, and integration of psychological elements into clinical decision making) helped identify and respond to triggers. The physical therapists reinforced cognitive-behavioral strategies introduced by psychotherapists to manage PTSD symptoms. Patient-centered care with further refinement to a trauma-cognizant approach may play an important role in assisting patients with PTSD or a history of sexual trauma to manage symptoms while addressing rehabilitation needs. PMID: 22173794 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5514616 Thu, 15 Dec 2011 05:00:00 +0100 5514616 http://www.medworm.com/index.php?rid=5514619&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22165952%26dopt%3DAbstract Conclusion: A patient-reported questionnaire with or without a brief physical examination may improve identification of fibromyalgia patients in primary care settings. PMID: 22165952 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5514619 Wed, 14 Dec 2011 05:00:00 +0100 5514619 http://www.medworm.com/index.php?rid=5514617&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22173041%26dopt%3DAbstract CONCLUSIONS: This pilot study suggests that LBP can be prevented in 50-year-old healthy working persons by daily, mild home calisthenics that improve balance-muscle strength. We hypothesize that improved respiratory function may be related to improved posture. PMID: 22173041 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5514617 Wed, 14 Dec 2011 05:00:00 +0100 5514617 http://www.medworm.com/index.php?rid=5494144&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22138895%26dopt%3DAbstract Conclusion A quarter of all patients with gastrointestinal cancer seen at an oncological centre are employed at time of diagnosis, and of these employed patients, 73% experience work-related problems. During diagnosis and treatment, information and support on work-related issues should be offered to patients with cancer as an essential part of high-quality oncological care. PMID: 22138895 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5494144 Mon, 12 Dec 2011 17:18:02 +0100 5494144 http://www.medworm.com/index.php?rid=5494143&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22146556%26dopt%3DAbstract Authors: Pagnez MA, Elliott JM Abstract The patient was a 79-year-old man with a chief complaint of neck pain after a fall. Three days following the fall, the patient was seen in the emergency department, where computed tomography imaging of the head and radiographs of the cervical spine were completed. The patient was subsequently referred to a physical therapist. Due to concern for a possible undetected cervical spine fracture, the patient was immediately referred to his physician. Magnetic resonance imaging demonstrated a type II fracture of the odontoid. J Orthop Sports Phys Ther 2011;41(12):981. doi:10.2519/jospt.2011.0424. PMID: 22146556 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5494143 Mon, 12 Dec 2011 17:18:02 +0100 5494143 http://www.medworm.com/index.php?rid=5494142&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22146567%26dopt%3DAbstract Authors: Reiman MP, Stovak M, Dart BR Abstract The patient was a 17-year-old female who was referred to a physical therapist by her primary-care physician with a chief complaint of bilateral hip and groin pain. The patient was treated by the physical therapist for 8 weeks, but she was unable to successfully return to playing soccer. The patient was subsequently referred to an orthopaedic surgeon, who ordered a magnetic resonance arthrogram that did not reveal intra-articular pathology. To further evaluate bony morphology, computed tomography with 3-dimensional reconstructions was ordered, which demonstrated findings consistent with cam-type femoroacetabular impingement. J Orthop Sports Phys Ther 2011;41(12):982. doi:10.2519/jospt.2011.0425. PMID: 22146567 [PubMed - in process] ... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5494142 Mon, 12 Dec 2011 17:18:02 +0100 5494142 http://www.medworm.com/index.php?rid=5475871&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102783%26dopt%3DAbstract Authors: Tanindi A, Cemri M Abstract Acute coronary syndromes comprise a large spectrum of clinical conditions ranging from unstable angina pectoris to acute ST-elevation myocardial infarction. Chest pain is usually the major symptom of atherosclerotic heart disease; however, it may be challenging to diagnose correctly, especially in the emergency department, because of the ambiguous way that pain is characterized by some patients. Cardiac troponins are sensitive and specific biomarkers used in the diagnosis of myocardial infarction that are released into the bloodstream when cardiac myocytes are damaged by acute ischemia or any other mechanism. They are the cornerstone for the diagnosis, risk assessment, prognosis, and determination of antithrombotic and revascularization strategi... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5475871 Tue, 06 Dec 2011 22:06:02 +0100 5475871 http://www.medworm.com/index.php?rid=5475870&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22105411%26dopt%3DAbstract Authors: Spicer RS, Miller TR, Hendrie D, Blincoe LJ Abstract The Injury Impairment Index (III) has long been used internationally to estimate the quality-adjusted life year (QALY) losses associated with crash injuries. The III has major limitations, notably its lack of detailed validation, but it is widely used and estimates from it are regularly published. It is based on physician estimates of typical impairment on 6 dimensions of functioning (cognitive, mobility, bending/grasping/lifting, sensory, pain and cosmetic), supplemented with data on work-related disability. This paper reports on a literature synthesis used to update the III scoring algorithm that converts impairment levels by dimension into a combined QALY loss score. An extensive international literature search identi... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5475870 Tue, 06 Dec 2011 22:06:02 +0100 5475870 http://www.medworm.com/index.php?rid=5457204&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22107737%26dopt%3DAbstract Authors: Ruhnke GW, Warshaw AL Abstract This year marks 200 years of patient care at the Massachusetts General Hospital (MGH). In celebration of this milestone, a unique Grand Rounds case is presented. A 450-year-old rotund man admitted 60 times presents with a classic triad of periumbilical pain, bilateral plantar burns, and a frozen scalp. Although this triad may at first strike a cord of familiarity among seasoned clinicians, the disease mechanism is truly noteworthy, being clarified only after a detailed occupational history. Ergo, the lessons hark back to the days of yesteryear, when the history and physical served as the cornerstone of Yuletide clinical diagnosis. A discussion of epidemiology and prognosis accompanies a detailed examination of the pathophysiholiday. Although ... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5457204 Thu, 01 Dec 2011 02:30:23 +0100 5457204 http://www.medworm.com/index.php?rid=5457203&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22120919%26dopt%3DAbstract CONCLUSIONS: The results of this study verified that the highest knowledge scores were achieved by PPs and overall, the knowledge scores showed an improvement in comparison to previous investigations. In recent years there seems to have been an improvement in education on pain treatment,for example during medical school. Whether this also leads to an improvement of patient care and the relevance of these data for the clinical practice needs to be investigated in further studies. PMID: 22120919 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5457203 Thu, 01 Dec 2011 02:30:13 +0100 5457203 http://www.medworm.com/index.php?rid=5346122&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22017903%26dopt%3DAbstract Conclusion: The outcome measures of the patients with SF-36 and the more functional related AOFAS hindfoot score showed poor outcome rates after subtalar fusion in posttraumatic osteoarthritis. The AOFAS hindfoot score was 47±24 points after primary arthrodesis and 46±17 points after secondary arthrodesis of the subtalar joint. The patients regained their former ability to work only in 30% after fusion of the subtalar joint. If revision surgery was necessary 8% of the patients got back to their work prior to the injury. PMID: 22017903 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5346122 Tue, 25 Oct 2011 13:50:12 +0100 5346122 http://www.medworm.com/index.php?rid=5282226&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21052733%26dopt%3DAbstract CONCLUSION: These data suggest that providers' pain knowledge is related to pain assessment but not treatment or outcome. In addition, these data showed no relationship between assessment, treatment prescribed, and pain relief in these ambulatory settings. PMID: 21052733 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5282226 Tue, 04 Oct 2011 16:35:11 +0100 5282226 http://www.medworm.com/index.php?rid=5282228&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21854620%26dopt%3DAbstract DISCUSSION: This consortium is a collaboration between different research groups, aiming to provide insight into the course of back complaints in older people and to identify prognostic factors for the transition from acute back complaints to chronic back complaints in older persons. The BACE consortium allows to investigate differences between older people with back complaints and the health care systems in the different countries and to increase the statistical power by enabling meta-analyses using the individual patient data. Additional research groups worldwide are invited to join the BACE consortium. PMID: 21854620 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5282228 Tue, 04 Oct 2011 16:35:02 +0100 5282228 http://www.medworm.com/index.php?rid=5282227&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21960762%26dopt%3DAbstract CONCLUSION: The number of colonoscopies continues to increase with the aging population, increasing the potential number of associated splenic injuries. The physician needs to have a high index of suspicion when a patient presents after colonoscopy with abdominal pain associated with hemodynamic instability. Abdominal pain within 24 hours is the most reliable indicator and requires further workup and monitoring. Persistent hemodynamic instability mandates operative management. PMID: 21960762 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5282227 Tue, 04 Oct 2011 16:35:02 +0100 5282227 http://www.medworm.com/index.php?rid=5262628&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21507527%26dopt%3DAbstract CONCLUSION: When analyzed per protocol or with the more conservative intention-to-treat analysis, the 1+1 hydromorphone protocol is statistically and clinically more efficacious than usual care. Safety profiles were similar in both groups. PMID: 21507527 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5262628 Thu, 29 Sep 2011 14:00:37 +0100 5262628 http://www.medworm.com/index.php?rid=5262627&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21951672%26dopt%3DAbstract Authors: Mondolfi AE, Slova D, Fan W, Attiyeh FF, Afthinos J, Reidy J, Pang Y, Theise ND Abstract A 48 year-old African American woman presented to her physician complaining of a rapidly evolving epigastric and right upper quadrant abdominal pain. A PET-CT of the abdomen and pelvis demonstrated hypermetabolic, polypoid masses within the gallbladder and several tumors in the left lobe of the liver for which she underwent diagnostic laparoscopy. The gallbladder revealed a 3.5 × 3.3 × 2.4 tan-brown exophytic mass located at the fundus and growing into the lumen with multiple contiguous papillary projections arising from the mucosal surface. A concurrent large cell neuroendocrine carcinoma and papillary adenocarcinoma of the gallbladder was revealed histologically. There was shared... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5262627 Thu, 29 Sep 2011 14:00:26 +0100 5262627 http://www.medworm.com/index.php?rid=5262626&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21951733%26dopt%3DAbstract Authors: Barosh BA, Holmes C, Keerikattu LM, Manappurathu MS, Segovia JH, Hasen PC, Pai SV, Lobiondo-Wood G, Kurzrock R Abstract A delay in hepatic artery infusion catheter removal may prolong patient discomfort and lead to additional complications. As a result, this article evaluated the effectiveness of shifting the responsibility of catheter removal from advanced practice or medical staff to nurses. Overall, patients were satisfied, felt comfortable, and experienced minimal pain irrespective of whether their catheter was removed by a nurse, physician, or advanced practice staff. Nurses also were satisfied and felt they had enhanced their ability to provide quality patient care. PMID: 21951733 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5262626 Thu, 29 Sep 2011 14:00:15 +0100 5262626 http://www.medworm.com/index.php?rid=5247828&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21929441%26dopt%3DAbstract Authors: Nicolaou A PMID: 21929441 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5247828 Sat, 24 Sep 2011 02:16:41 +0100 5247828 http://www.medworm.com/index.php?rid=5247827&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21932934%26dopt%3DAbstract Conclusions: The combination of RF and optical energies proved its safety and efficacy for hair removal, which is comparable with diode lasers and approximately 20% more efficient than 'pure' IPL. PMID: 21932934 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5247827 Sat, 24 Sep 2011 02:16:31 +0100 5247827 http://www.medworm.com/index.php?rid=5247826&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21934449%26dopt%3DAbstract CONCLUSION: : When presented with a patient with a suspicious ovarian mass, the majority of primary care physicians do not self-report direct referral to a gynecologic oncologist. This may contribute to the high rates of noncomprehensive surgery for ovarian cancer patients in the United States. LEVEL OF EVIDENCE: : II. PMID: 21934449 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5247826 Sat, 24 Sep 2011 02:16:22 +0100 5247826 http://www.medworm.com/index.php?rid=5247825&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21936635%26dopt%3DAbstract In this study, the authors have used the infusion of dimethyl sulfoxide-sodium bicarbonate (DMSO-SB) to treat 18 patients with MPC. The 90-day follow-up of the patients having undergone the proposed therapeutic regimen showed significant improvement in clinical symptoms, blood and biochemistry tests, and quality of life. There were no major side effects from the treatment. In searching for new and better methods for palliative treatment and pain relief, this study strongly suggested therapy with DMSO-SB infusions could provide a rational alternative to conventional treatment for patients with MPC. PMID: 21936635 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5247825 Wed, 21 Sep 2011 04:00:00 +0100 5247825 http://www.medworm.com/index.php?rid=5219621&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21882982%26dopt%3DAbstract Authors: Eisenberg E, Searle R Abstract ABSTRACT Treatment of trigeminal neuralgia as currently provided in the United Kingdom is discussed. The role of interventional procedures when pharmacotherapy alone is inadequate is described. Perspectives from specialist in Romania and Belgium also are provided. PMID: 21882982 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219621 Thu, 15 Sep 2011 08:20:09 +0100 5219621 http://www.medworm.com/index.php?rid=5219610&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21904704%26dopt%3DAbstract This article looks at some of the considerations which need to be made when interpreting the significance of a raised troponin value. PMID: 21904704 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219610 Thu, 15 Sep 2011 08:20:09 +0100 5219610 http://www.medworm.com/index.php?rid=5219609&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21908137%26dopt%3DAbstract CONCLUSIONS: This study demonstrates no association between physician discretionary uses of stress testing based on sex. There is a need for further research on patient- or provider-specific factors that determine stress use and on how differences may affect clinical outcomes. PMID: 21908137 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219609 Fri, 09 Sep 2011 04:00:00 +0100 5219609 http://www.medworm.com/index.php?rid=5219614&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21900134%26dopt%3DAbstract CONCLUSIONS: The majority of first-year medical students at a single school had IAT scores consistent with implicit preference for white persons and possibly for those in the upper class. However, overall vignette-based clinical assessments were not associated with patient race or occupation, and no association existed between implicit preferences and the assessments. PMID: 21900134 [PubMed - indexed for MEDLINE] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219614 Wed, 07 Sep 2011 04:00:00 +0100 5219614 http://www.medworm.com/index.php?rid=5219616&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21892907%26dopt%3DAbstract Authors: Christ M, Bertsch T, Popp S, Bahrmann P, Heppner HJ, Müller C Abstract Abstract Evaluating patients with acute chest pain presenting to the emergency department remains an ongoing challenge. The spectrum of etiologies in acute chest pain ranges from minor disease entities to life-threatening diseases, such as pulmonary embolism, acute aortic dissection or acute myocardial infarction (MI). The diagnosis of acute MI is usually made integrating the triad of patient history and clinical presentation, readings of 12-lead ECG and measurement of cardiac troponins (cTn). Introduction of high-sensitivity cTn assays substantially increases sensitivity to identify patients with acute MI even at the time of presentation to the emergency department at the cost of specificity. However,... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219616 Tue, 06 Sep 2011 04:00:00 +0100 5219616 http://www.medworm.com/index.php?rid=5219613&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21900284%26dopt%3DAbstract CONCLUSION: Both arms of the ASAS criteria have good diagnostic utility in early SpA, although they are of limited value for the prediction of radiographic progression. This may be due to the definition of a positive MRI for sacroiliitis that lacks specificity at baseline. PMID: 21900284 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219613 Tue, 06 Sep 2011 04:00:00 +0100 5219613 http://www.medworm.com/index.php?rid=5219612&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21903477%26dopt%3DAbstract This study is registered with ClinicalTrials.gov, number NCT00804895. FINDINGS: Between November, 2008, and July, 2009, we randomly allocated 43 patients (15 with chronic and 28 with episodic cluster headache) to receive cortivazol or placebo. 20 of 21 patients who received cortivazol had a mean of two or fewer daily attacks after injections compared with 12 of 22 controls (odds ratio 14·5, 95% CI 1·8-116·9; p=0·012). Patients who received cortivazol also had fewer attacks (mean 10·6, 95% CI 1·4-19·9) in the first 15 days of study than did controls (30·3, 21·4-39·3; mean difference 19·7, 6·8-32·6; p=0·004). We noted no serious adverse events, and 32 (74%) of 43 patients had other adverse events (18 of 21 patients who received cortivazol and 14 of 22 controls; p=0·162); the m... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219612 Tue, 06 Sep 2011 04:00:00 +0100 5219612 http://www.medworm.com/index.php?rid=5219620&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21884375%26dopt%3DAbstract Conclusions: Like other studies, this study showed admission medication reconciliation lists are often inaccurate. Our results suggest that verification of admission medication lists with outpatient provider lists may improve accuracy. Patients, with guidance from outpatient care providers, should assume accountability for maintaining accurate medication lists. A secure, universal, interactive electronic medical record may be a future solution for organizing and sharing medication data between providers. Clinical Relevance: Medication reconciliation upon inpatient admission remains a high-volume and high-acuity problem. We found that not only hospital medication lists, but source lists, including those maintained by the patient, the PCP, and the OP, are vastly inaccurate. PMID: 2188437... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219620 Thu, 01 Sep 2011 04:00:00 +0100 5219620 http://www.medworm.com/index.php?rid=5219619&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21884860%26dopt%3DAbstract CONCLUSION: Emergency department triage of patients with AMI improved substantially over 5 years. For the third of patients with AMI who continue to receive a low priority score, including 25% of patients with STEMI, the associated delays in diagnosis and therapy were greater than previously and were associated with increased hospital LOS and mortality. Given the impact of this initial, cursory assessment, hospital systems should consider monitoring the quality of their ED triage. PMID: 21884860 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219619 Thu, 01 Sep 2011 04:00:00 +0100 5219619 http://www.medworm.com/index.php?rid=5219618&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21888868%26dopt%3DAbstract Conclusion: Although larger cohort is required, this survey demonstrates that the combination of calcium channel blockers and warfarin is an independent risk factor for GERD. PMID: 21888868 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219618 Thu, 01 Sep 2011 04:00:00 +0100 5219618 http://www.medworm.com/index.php?rid=5219617&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21892018%26dopt%3DAbstract Authors: Kulacoglu H, Ozyaylali I, Kunduracioglu B, Yazicioglu D, Ersoy E, Ugurlu C PMID: 21892018 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219617 Thu, 01 Sep 2011 04:00:00 +0100 5219617 http://www.medworm.com/index.php?rid=5219615&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21893304%26dopt%3DAbstract This study describes strategies used by the Joint Clinical Practice Council of Children's Hospital of Wisconsin to identify barriers perceived as interfering with nurses' (RNs) ability to provide optimal pain management. A survey was used to ascertain how nurses described optimal pain management and how much nurses perceived potential barriers as interfering with their ability to provide that level of care. The survey, "Barriers to Optimal Pain management" (adapted from Van Hulle Vincent & Denyes, 2004), was distributed to all RNs working in all patient care settings. Two hundred seventy-two surveys were returned. The five most significant barriers identified were insufficient physician (MD) orders, insufficient MD orders before procedures, insufficient time to premedicate patients bef... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219615 Thu, 01 Sep 2011 04:00:00 +0100 5219615 http://www.medworm.com/index.php?rid=5219611&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21904699%26dopt%3DAbstract DISCUSSION: Proper diagnosis is imperative to effective treatment in all patients. This case illustrates the importance of a thorough examination and consideration of multiple diagnostic findings, particularly when EMG/NCV tests were negative, the cause was not apparent, and symptoms were less severe than other cases documented in the literature. LEVEL OF EVIDENCE: Diagnosis, level 4. PMID: 21904699 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219611 Thu, 01 Sep 2011 04:00:00 +0100 5219611 http://www.medworm.com/index.php?rid=5219608&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21908996%26dopt%3DAbstract CONCLUSION: : When objective evaluation of the abdomen is to be obtained via CT scanning, PXR in the emergency department is obsolete in the absence of hemodynamic instability and significant physical examination findings. Implementation of a selective algorithm in this patient population can result in significant cost savings without adverse patient outcomes. PMID: 21908996 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5219608 Thu, 01 Sep 2011 04:00:00 +0100 5219608 http://www.medworm.com/index.php?rid=5178696&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21871995%26dopt%3DAbstract Authors: Huang HD, Birnbaum Y Abstract It is well accepted that early reperfusion is beneficial in patients with acute myocardial infarction presenting with ST elevation (STE). Earlier studies suggested lack of beneficial effects in patients presenting without STE and even with ST depression. Currently, time to reperfusion is considered to be a quality of care measure, and the latest American College of Cardiology/American Heart Association guidelines for the treatment of STE acute myocardial infarction (STEMI) emphasize that the physician at the emergency department should make reperfusion decisions within 10 minutes of performing the initial electrocardiogram (ECG). However, not all ECGs with STE necessarily reflect transmural infarction from acute thrombotic occlusion of an epic... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5178696 Wed, 31 Aug 2011 00:56:07 +0100 5178696 http://www.medworm.com/index.php?rid=5157692&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21859448%26dopt%3DAbstract CONCLUSIONS: FM imposes a substantial humanistic burden on patients in the United States, and leads to substantial productivity loss, despite treatment. This burden is higher among subjects with worse FM severity. PMID: 21859448 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5157692 Sun, 21 Aug 2011 23:00:00 +0100 5157692 http://www.medworm.com/index.php?rid=5141990&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21832854%26dopt%3DAbstract Authors: Jassal SV, Kelman EE, Watson D Abstract Non-dialysis care (NDC) is the provision of all aspects of renal care except for the dialysis process. While the nomenclature may vary, with terms such as 'conservative care', 'maximal conservative management' or 'non-dialytic treatment' having been associated with NDC, the clinical principle is to provide comprehensive care to patients who opt to forgo dialysis despite increasing uraemic symptoms. NDC therapies focus on pain relief, the use of erythropoietin-stimulating agents, anti-pruritics and anti-nausea therapies, with lower emphasis on strategies used to modulate the rate of renal progression. Patient selection remains the most challenging aspect of developing an NDC program, with selection often being based on physician insti... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5141990 Sat, 20 Aug 2011 03:34:04 +0100 5141990 http://www.medworm.com/index.php?rid=5141988&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846846%26dopt%3DAbstract Authors: Slomski A PMID: 21846846 [PubMed - indexed for MEDLINE] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5141988 Tue, 16 Aug 2011 23:00:00 +0100 5141988 http://www.medworm.com/index.php?rid=5141989&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21846733%26dopt%3DAbstract CONCLUSION: /st> To address low-pain screening among cancer patients, an oncology pain screening measure may be most efficiently evaluated with data from a sample of patients and visits. This approach may be valid for visit-level quality measures in other settings. PMID: 21846733 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5141989 Mon, 15 Aug 2011 23:00:00 +0100 5141989 http://www.medworm.com/index.php?rid=5141991&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21827628%26dopt%3DAbstract Authors: Fraccalvieri M, Ruka E, Bocchiotti MA, Zingarelli E, Bruschi S Abstract Wounds can be caused by different mechanisms and have a significant morbidity and mortality. Negative pressure wound therapy (NPWT) is one of the most successful treatment modalities for wound healing. We have been using both foam and gauze-based NPWT. During application of NPWT, we noticed that the patient's pain was of varying intensity depending on the filler used. The aim of our work was to compare the level of pain and feedback before, during the treatment and at the dressing change after treatment with NPWT with two different fillers. For this study, we compared a pool of 13 gauze-treated patients with a pool of 18 foam-treated patients regarding the level of pain and feedback before, during the ... Pain Physician journals http://www.medworm.com/rss/comments.php?id=5141991 Mon, 08 Aug 2011 23:00:00 +0100 5141991 http://www.medworm.com/index.php?rid=5141992&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21820258%26dopt%3DAbstract CONCLUSION: In the hands of an experienced emergency physician ultrasonographer, ED focused bedside echocardiography provides a safe, rapid, and non-invasive diagnostic adjunct for evaluation of the patient suspected of having massive PE. PMID: 21820258 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5141992 Tue, 02 Aug 2011 23:00:00 +0100 5141992 http://www.medworm.com/index.php?rid=5106345&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21813441%26dopt%3DAbstract Conclusion: The beneficial short-term effect of the exercise program used in the primary randomized clinical trial for treating long-standing adductor-related groin pain in athletes was found to be lasting, both for the whole group and even more for the large subgroup of soccer players. This is the first time an exercise treatment for overuse injuries to the musculoskeletal system has been shown to have a long-lasting effect (8-12 years). PMID: 21813441 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5106345 Tue, 02 Aug 2011 23:00:00 +0100 5106345 http://www.medworm.com/index.php?rid=5106347&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21796597%26dopt%3DAbstract Authors: Fahrner R, Güller U Abdominal pain without any identifiable cause represents a frequent phenomenon in clinical practice and a challenge for the physician. Prior to establishing the diagnosis of non-specific abdominal pain it is crucial to exclude a variety of potential causes. The differential diagnosis is long and includes functional problems but also extra-intestinal pathologies including thoracic, neurogenic, and metabolic causes as well as intoxications. Moreover, an intra-abdominal pathology, particularly a malignancy, must be ruled out systematically prior to labeling a patient as having "non specific" abdominal pain. PMID: 21796597 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5106347 Sun, 31 Jul 2011 23:00:00 +0100 5106347 http://www.medworm.com/index.php?rid=5106346&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21804466%26dopt%3DAbstract Conclusions: While it is once more shown that nucleoplasty is a safe method, it is also shown that its effectiveness continues at the end of 2 years.<br /> PMID: 21804466 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5106346 Sun, 31 Jul 2011 23:00:00 +0100 5106346 http://www.medworm.com/index.php?rid=5106344&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21816353%26dopt%3DAbstract This study represents an empirical examination of analgesic placebo acceptability among lay individuals. This article is the first to systematically manipulate deception, treatment outcome, and disease severity to determine how these factors interact to differentially determine placebo acceptability-a highly relevant finding that informs the clinical use of placebo. PMID: 21816353 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5106344 Sun, 31 Jul 2011 23:00:00 +0100 5106344 http://www.medworm.com/index.php?rid=5058886&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21753259%26dopt%3DAbstract CONCLUSIONS:: Influenza B caused a large BACM outbreak in Germany. Onset of BACM symptoms followed shortly after the onset of influenza symptoms. The course of this disease was almost exclusively mild and self-limiting. Diagnosis of this rare but distinct clinical entity by the alert physician can spare the patient potentially unneeded invasive testing and hospital admission. PMID: 21753259 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5058886 Mon, 25 Jul 2011 11:45:24 +0100 5058886 http://www.medworm.com/index.php?rid=5058888&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21740567%26dopt%3DAbstract Authors: Hwang SW, Wilkins E, Chambers C, Estrabillo E, Berends J, Macdonald A ABSTRACT: PMID: 21740567 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5058888 Mon, 25 Jul 2011 11:45:05 +0100 5058888 http://www.medworm.com/index.php?rid=5058884&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21776874%26dopt%3DAbstract Authors: Sejdinovic R, Salihefendic N, Pandza H, Zildzic M Pain in the lower abdomen is one of the leading reasons that lead the patient in surgery. Although appendicitis is the most common cause in about two thirds of patients the other causes must be taken into account. PMID: 21776874 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5058884 Mon, 25 Jul 2011 11:45:05 +0100 5058884 http://www.medworm.com/index.php?rid=5058885&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21757243%26dopt%3DAbstract CONCLUSION: Understanding prognostic factors for door to balloon time can likely lead to improved quality of care for STEMI. PMID: 21757243 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5058885 Mon, 11 Jul 2011 23:00:00 +0100 5058885 http://www.medworm.com/index.php?rid=5058887&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21745113%26dopt%3DAbstract Conclusion: Real-time visualization of flexible cystoscopy with simultaneous explanation improves male patients' comfort. PMID: 21745113 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5058887 Sun, 10 Jul 2011 23:00:00 +0100 5058887 http://www.medworm.com/index.php?rid=5011315&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21738095%26dopt%3DAbstract Conclusion: Trends in cost effectiveness are visible, but need to be confirmed in future studies. Researchers performing cost evaluation studies should test for baseline imbalances of health care utilization data instead of judging on the randomisation success by reviewing non cost parameters like clinical data alone. PMID: 21738095 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=5011315 Mon, 04 Jul 2011 23:00:00 +0100 5011315 http://www.medworm.com/index.php?rid=4963150&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21676675%26dopt%3DAbstract Conclusions: Hungarian patients prefer to receive end of life care in their home. Our data support the need for improvement in three primary areas, physician communication skills, pain and symptom management, and expansion of home hospice care. Orv. Hetil., 2011, 152, 1082-1092. PMID: 21676675 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4963150 Sat, 25 Jun 2011 11:04:20 +0100 4963150 http://www.medworm.com/index.php?rid=4871917&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21576149%26dopt%3DAbstract Authors: Vase L, Nørskov KN, Petersen GL, Price DD Placebo analgesic effects appear to be related to patients' perception of the therapeutic intervention. In this paper, we review quantitative findings of how the relationship with the physician and the verbal suggestions given for relief may influence patients' perception of a treatment and how patients' expectations and emotional feelings may affect treatment outcome. We also present qualitative data from interviews with patients who have experienced pain relief following a placebo or an active treatment. A special focus is given to the temporal development of placebo analgesia at psychological and neurophysiological levels. Finally, we discuss the extent to which the quantitative and qualitative findings supplement or contrast with ... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4871917 Sat, 28 May 2011 03:15:16 +0100 4871917 http://www.medworm.com/index.php?rid=4871916&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21600363%26dopt%3DAbstract Authors: Bateman E, Keefe D Traditionally, anticancer therapy has focused on eradication of neoplastic tissue, predominantly by invasive and/or toxic treatments. In modern studies, patient-reported outcomes (PROs) have become more common, and give a true picture of toxicity. Increased consideration of subjective patient perspectives of anticancer treatments has allowed a notable shift within supportive oncology. Disparity exists between physician and patient perspectives of symptom severity, despite several common scoring methods. PROs are vital tools in the overall assessment of chronic illnesses, including cancer and associated treatments. Synergistic assessments of objective and subjective observations of symptoms and function are most accurate. PROs include information collected ei... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4871916 Sat, 28 May 2011 03:15:12 +0100 4871916 http://www.medworm.com/index.php?rid=4871915&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21605239%26dopt%3DAbstract CONCLUSIONS Both fractionated CO(2) resurfacing devices used in the study were safe and effective for the treatment of photodamaged facial skin, but the modality using a stamping handpiece was associated with longer operative times and greater intraoperative pain. The authors have indicated no significant interest with commercial supporters. PMID: 21605239 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4871915 Sat, 28 May 2011 03:15:07 +0100 4871915 http://www.medworm.com/index.php?rid=4815922&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21540706%26dopt%3DAbstract Authors: Merritt AL, Wahl C Multiple-ligament injured knees resulting from knee dislocations are uncommon but serious injuries. These injuries can present to the emergency room acutely or in clinic on a delayed basis, but regardless of the setting they require a complete and detailed assessment to evaluate the extent of the injury. Complicating the diagnosis of a knee dislocation is the fact that acute knee dislocations often spontaneously reduce or are reduced by paramedics in the field before evaluation by a physician. In most cases, pain in the knee, a large knee effusion, and swelling of the effected limb are the only signs and symptoms of a knee dislocation. Quick and accurate assessment of these injuries is required to determine the presence of any limb threatening arterial injur... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4815922 Fri, 13 May 2011 13:30:23 +0100 4815922 http://www.medworm.com/index.php?rid=4815921&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21541247%26dopt%3DAbstract Authors: Pergolizzi JV, Gan TJ, Plavin S, Labhsetwar S, Taylor R Monitored anesthesia care (MAC) is a safe, effective, and appropriate form of anesthesia for many minor surgical procedures. The proliferation of outpatient procedures has heightened interest in MAC sedation agents. Among the most commonly used MAC sedation agents today are benzodiazepines, including midazolam, and propofol. Recently approved in the United States is fospropofol, a prodrug of propofol which hydrolyzes in the body by alkaline phosphatase to liberate propofol. Propofol liberated from fospropofol has unique pharmacological properties, but recently retracted pharmacokinetic (PK) and pharmacodynamic (PD) evaluations make it difficult to formulate clear conclusions with respect to fospropofol's PK/PD properties.... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4815921 Fri, 13 May 2011 13:30:03 +0100 4815921 http://www.medworm.com/index.php?rid=4815918&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551937%26dopt%3DAbstract Authors: Johnston V, Bao Y Abstract:Our study objectives were to examine race/ethnicity-related and insurance-related differences in the timeliness of emergency care for a nationally representative sample of adults and to explore the role of uncertainty and location of care in explaining overall differences. We estimated a logistic regression model with hospital fixed effects to derive estimates of within-hospital group differences in the likelihood of waiting for more than 60 minutes to see a physician for several presenting conditions. We further estimated a model without hospital fixed effects to derive overall group differences. We observed race/ethnicity-related and payer-related differences in the timeliness of a medical screening exam for abdominal pain and chest pain visits but... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4815918 Fri, 13 May 2011 13:30:03 +0100 4815918 http://www.medworm.com/index.php?rid=4815920&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21547447%26dopt%3DAbstract Authors: Brook I This manuscript presents my personal experiences as a physician undergoing radiation therapy for throat cancer. I describe the physical and emotional effects of the radiation treatment and how I coped with them. The side effects that emerged during of the radiation treatment included: fatigue, mental cloudiness, pain and dryness in my throat, food aversion, inability to taste, and skin burning around the neck. It is my hope that both patients and health care providers will benefit from reading my personal story. I hope that my perspectives will assist individuals who undergo radiation treatment cope better with them. It is also my hope that health care professionals who care for these patients will gain insight into what their patients experience and feel so that they ... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4815920 Thu, 05 May 2011 23:00:00 +0100 4815920 http://www.medworm.com/index.php?rid=4815919&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21547556%26dopt%3DAbstract Authors: Doggweiler R, Stewart AF Chronic pelvic pain syndrome is a poorly understood clinical entity associated with urinary symptoms, pelvic floor dysfunction, and multisystem disorders. Treatment of pelvic floor dysfunction is difficult and often frustrating for the patient as well as for the involved physician. The purpose of this review is to update clinicians on the latest research for the treatment of pelvic floor dysfunction in relation to chronic pelvic pain syndrome. PMID: 21547556 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4815919 Thu, 05 May 2011 23:00:00 +0100 4815919 http://www.medworm.com/index.php?rid=4815925&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21538065%26dopt%3DAbstract Authors: Gerbaud E, Harcaut E, Coste P, Erickson M, Lederlin M, Labèque JN, Perron JM, Cochet H, Santos PD, Durrieu-Jaïs C, Laurent F, Montaudon M To evaluate the incremental diagnostic and prognostic value of cardiac magnetic resonance (CMR) in patients with chest pain, raised troponin and unobstructed coronary arteries, and to compare subsequent event rates between diagnostic groups. 130 patients (mean age: 54 ± 17) presenting with troponin-positive acute chest pain and unobstructed coronary arteries were included. All patients were managed according to European Society of Cardiology guidelines, including echocardiography, and had CMR within 6.2 ± 5.3 days of presentation. During follow-up, major adverse cardiovascular events (MACE) were recorded. CMR provided a diagnosis in... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4815925 Mon, 02 May 2011 23:00:00 +0100 4815925 http://www.medworm.com/index.php?rid=4815924&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21539697%26dopt%3DAbstract Conclusions  Research suggests that efficient FM care delivery during diagnosis and treatment can be associated with improved practice economics. PMID: 21539697 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4815924 Mon, 02 May 2011 23:00:00 +0100 4815924 http://www.medworm.com/index.php?rid=4815923&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21539698%26dopt%3DAbstract Conclusions.  Further research is needed to better understand the relationship between adherence and diversion. If these findings are replicated, physicians who are involved in pain management for acute conditions among young adults should take steps to monitor adherence and reduce diversion of prescription analgesics. PMID: 21539698 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4815923 Mon, 02 May 2011 23:00:00 +0100 4815923 http://www.medworm.com/index.php?rid=4815926&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21534920%26dopt%3DAbstract Authors: Ziegler D Approximately one in three people with diabetes is affected by diabetic distal symmetric sensorimotor polyneuropathy (DSPN), which represents a major health problem as it may present with excruciating neuropathic pain and is responsible for substantial morbidity, increased mortality and impaired quality of life. Neuropathic pain causes considerable interference with sleep, daily activities, and enjoyment of life. Treatment is based on four cornerstones: (1) intensive diabetes therapy and multifactorial risk intervention; (2) treatment based on pathogenetic mechanisms; (3) symptomatic treatment; and (4) avoidance of risk factors and complications. Recent experimental studies suggest a multifactorial pathogenesis of diabetic neuropathy. From the clinical point of view,... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4815926 Sun, 01 May 2011 23:00:00 +0100 4815926 http://www.medworm.com/index.php?rid=4593196&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21370416%26dopt%3DAbstract Authors: Boran P, Horsman J, Tokuc G, Furlong W, Muradoglu PU, Vagas E This is a report on the translation and cultural adaptation from English to Turkish languages of a standard HEALTH UTILITIES INDEX® (HUI®) questionnaire for interviewer-administration and proxy assessment of patients' health status, and its use for assessing 50 consecutive pediatric oncology patients during periods of and subsequent recovery from neutropenia. PMID: 21370416 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4593196 Wed, 16 Mar 2011 11:46:33 +0100 4593196 http://www.medworm.com/index.php?rid=4593194&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21372456%26dopt%3DAbstract We present this case as a rare example of a condition mimicking Lemierre syndrome that was caused by dermal infection, and we include a review of the literature. PMID: 21372456 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4593194 Wed, 16 Mar 2011 11:45:04 +0100 4593194 http://www.medworm.com/index.php?rid=4593188&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21394422%26dopt%3DAbstract CONCLUSION: In a socially marginalized cohort, non-white patients were trusted less than white patients by their PCPs, despite similar rates of illicit drug use and opioid analgesic misuse. The effect was independent of illicit drug use. This finding may reflect unconscious stereotypes by PCPs and may underlie disparities in chronic pain management. PMID: 21394422 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4593188 Fri, 11 Mar 2011 00:00:00 +0100 4593188 http://www.medworm.com/index.php?rid=4593190&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21392252%26dopt%3DAbstract Conclusions.  Fluoroscopically guided epidural steroid injections are a safe and well-tolerated intervention for cervical or lumbar pain and radiculopathy. Minor complications are uncommon, and most involve increases in pain. Transforaminal injections may result in fewer minor complications than interlaminar injections. PMID: 21392252 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4593190 Thu, 10 Mar 2011 00:00:00 +0100 4593190 http://www.medworm.com/index.php?rid=4593186&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21399505%26dopt%3DAbstract CONCLUSION: IBS is a common syndrome among German university students and goes along with impaired health-related QoL. According to our data, students reporting recurrent abdominal pain in childhood are especially at risk for IBS. PMID: 21399505 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4593186 Thu, 10 Mar 2011 00:00:00 +0100 4593186 http://www.medworm.com/index.php?rid=4593187&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21396683%26dopt%3DAbstract CONCLUSION: Wells' rule and the revised Geneva score are more useful in diagnosing PE in respiratory emergencies. A newly devised prediction tool can be of even greater accuracy in this patient population. PMID: 21396683 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4593187 Wed, 09 Mar 2011 00:00:00 +0100 4593187 http://www.medworm.com/index.php?rid=4593189&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21392850%26dopt%3DAbstract Authors: Rosenberg H, Beck J Blunt abdominal trauma is a common presentation to the emergency department. Ischemic colitis is a rare complication of this and its possible sequelae are important for an emergency physician to recognize. A 21-year-old man presented to the emergency department with abdominal pain and hourly episodes of bright red blood per rectum shortly after being kicked in the stomach at his jujitsu class. He had no significant medical history, and results of his systems review were otherwise unremarkable. On examination, he appeared well, with normal vital signs. He had mild lower abdominal tenderness, but there were no peritoneal signs present. There was blood on the digital rectal examination. His hemoglobin, platelet, and international normalized ratio levels were n... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4593189 Tue, 08 Mar 2011 00:00:00 +0100 4593189 http://www.medworm.com/index.php?rid=4593192&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21382181%26dopt%3DAbstract Conclusion:  At our institution, transport of blood samples by pneumatic delivery does not influence ROTEM(®) parameters. Blood samples can be analysed centrally, and results transmitted live via virtual network computing to emergency or operating rooms. Prior to analyse blood samples centrally, the type of sample transport should be tested to exclude in vitro blood activation by local pneumatic transport system. PMID: 21382181 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4593192 Mon, 07 Mar 2011 00:00:00 +0100 4593192 http://www.medworm.com/index.php?rid=4593195&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21371130%26dopt%3DAbstract Conclusion  Extradigital glomus tumours do not have specific clinical features such as pain, leading to frequent misdiagnosis. To prevent delay in diagnosis or misdiagnosis, it is important to increase awareness of these tumours. PMID: 21371130 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4593195 Fri, 04 Mar 2011 00:00:00 +0100 4593195 http://www.medworm.com/index.php?rid=4593193&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21373954%26dopt%3DAbstract CONCLUSION: RT is a feasible and safe procedure that may facilitate radical cervical lymph node dissection. Moreover, for surgeons, the RT resulted in less musculoskeletal discomfort than did OT or ET. A larger prospective study, with a longer follow-up, is needed to determine whether RT offers real benefits for both patients and surgeons. PMID: 21373954 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4593193 Fri, 04 Mar 2011 00:00:00 +0100 4593193 http://www.medworm.com/index.php?rid=4593191&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21383615%26dopt%3DAbstract CONCLUSIONS:: By dissociating the effects of network structure and connection strength, both continuous and discrete elements of anesthetic state transitions were identified. The study also supports a critical role of parietal networks as a target of general anesthetics. PMID: 21383615 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4593191 Fri, 04 Mar 2011 00:00:00 +0100 4593191 http://www.medworm.com/index.php?rid=4534546&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21324249%26dopt%3DAbstract Authors: Hoffman RM, Rhyne RL, Helitzer DL, Stone SN, Sussman AL, Bruggeman EE, Viera R, Warner TD Colorectal cancer (CRC) screening rates are low in New Mexico. We used statewide surveys of primary care physicians and the general population to characterize CRC screening practices and compare perceptions about screening barriers. PMID: 21324249 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4534546 Tue, 01 Mar 2011 00:00:00 +0100 4534546 http://www.medworm.com/index.php?rid=4534545&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21332254%26dopt%3DAbstract Conclusions: FM imposes a significant economic burden on society. Consistent with other studies, FM subjects were found to have substantial costs, over 75% of which were driven by indirect costs from lost productivity. These costs increased as FM severity increased, resulting in a more than 200% difference in cost between mild and severe FM. Overall FM costs were similar between France and Germany; although lost productivity accounted for a higher proportion of costs in France. PMID: 21332254 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4534545 Tue, 01 Mar 2011 00:00:00 +0100 4534545 http://www.medworm.com/index.php?rid=4534544&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21353823%26dopt%3DAbstract Authors: Hoffman JM, Bombardier CH, Graves DE, Kalpakjian CZ, Krause JS Hoffman JM, Bombardier CH, Graves DE, Kalpakjian CZ, Krause JS. A longitudinal study of depression from 1 to 5 years after spinal cord injury. PMID: 21353823 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4534544 Tue, 01 Mar 2011 00:00:00 +0100 4534544 http://www.medworm.com/index.php?rid=4481165&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21293233%26dopt%3DAbstract Authors: Gurd DP Back pain in the young athlete is a common finding. There are many different problems that can cause back pain in active children. It is important for the treating physician to obtain a thorough history and physical examination to help in establishing the underlying cause for the discomfort. Appropriate imaging can be determined by these findings and further help to define the pathology. Depending upon the specific pathology, appropriate treatment may help the patient to safely return to the activities that they enjoy. PMID: 21293233 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481165 Wed, 16 Feb 2011 03:01:44 +0100 4481165 http://www.medworm.com/index.php?rid=4481161&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21297322%26dopt%3DAbstract Conclusion Carnett's test may be useful for ruling in and ruling out psychogenic abdominal pain in addition to distinguishing between abdominal wall pain and intra-abdominal pain. PMID: 21297322 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481161 Wed, 16 Feb 2011 03:00:03 +0100 4481161 http://www.medworm.com/index.php?rid=4481156&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21311968%26dopt%3DAbstract Authors: Oberguggenberger A, Hubalek M, Sztankay M, Meraner V, Beer B, Oberacher H, Giesinger J, Kemmler G, Egle D, Gamper EM, Sperner-Unterweger B, Holzner B Adjuvant endocrine treatment-related adverse effects have a strong impact on patients' quality of life and thereby limit therapy's risk benefit ratio resulting in morbidity and treatment discontinuation. Still, many AI adverse effects remain untreated given that they are unrecognized by conservative methods (e.g., proxy ratings). The ability of complementary patient-reported outcomes (PROs) to provide a more comprehensive assessment of side-effects is to be explored. A cross-sectional study sample of 280 postmenopausal, early stage breast cancer patients was subjected to a comprehensive PRO assessment (FACT-B/+ES) at their after-... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481156 Fri, 11 Feb 2011 00:00:00 +0100 4481156 http://www.medworm.com/index.php?rid=4481154&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21315515%26dopt%3DAbstract Authors: Lumley MA, Leisen JC, Partridge RT, Meyer TM, Radcliffe AM, Macklem DJ, Naoum LA, Cohen JL, Lasichak LM, Lubetsky MR, Mosley-Williams AD, Granda JL Studies of the effects of disclosing stressful experiences among patients with rheumatoid arthritis (RA) have yielded inconsistent findings, perhaps due to different disclosure methods - writing or speaking - and various methodological limitations. We randomized adults with RA to a writing (n=88) or speaking (to a recorder) sample (n=93), and within each sample, to either disclosure or 1 of 2 control groups (positive or neutral events), which conducted four 20-minute, at-home sessions. Follow-up evaluations at 1, 3, and 6months included self-reported, behavioral, physiological, and blinded physician-assessed outcomes. In both writi... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481154 Wed, 09 Feb 2011 00:00:00 +0100 4481154 http://www.medworm.com/index.php?rid=4481160&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21298560%26dopt%3DAbstract Authors: Tavee J, Culver D Chronic pain is one of the most commonly reported symptoms among sarcoidosis patients. Not only does it significantly affect quality of life, but it also is a source of frustration for both the patient and physician because the etiology for pain often is unknown. Although patients typically complain of neuropathic-type pain, nerve conduction studies and other conventional diagnostic procedures frequently fail to reveal objective evidence of neurologic disease. However, in recent years, the growing use of specialized tests such as skin biopsy and sudomotor testing has helped to establish the diagnosis of small-fiber neuropathy as the cause of pain in these patients via objective and quantifiable means. Management of sarcoidosis small-fiber neuropathy should co... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481160 Tue, 08 Feb 2011 00:00:00 +0100 4481160 http://www.medworm.com/index.php?rid=4481157&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21307765%26dopt%3DAbstract CONCLUSIONS:: In this model of abdominal surgery in which clinical conditions were imitated as close as possible, treatment of perioperative hypotension with norepinephrine had no adverse effects on microcirculatory blood flow or tissue oxygen tension in the intestinal tract. PMID: 21307765 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481157 Tue, 08 Feb 2011 00:00:00 +0100 4481157 http://www.medworm.com/index.php?rid=4481164&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21294700%26dopt%3DAbstract Conclusions: Patient characteristics were similar across specialties, except with regards to comorbidity burden. This study noted significant differences among physician specialties in HRU and treatment patterns among medications, diagnostics, and outpatient visits. Consistent with other studies, this study did not identify a dominant strategy for FM management across physician specialties as overall per patient medical costs and subject-reported treatment satisfaction were similar. Future research to better characterize differences among physician specialties in FM management, as well as the reasons for these differences, would be useful. PMID: 21294700 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481164 Mon, 07 Feb 2011 00:00:00 +0100 4481164 http://www.medworm.com/index.php?rid=4481159&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21299613%26dopt%3DAbstract Conclusion:  Many pediatric benign and surgical conditions present with similar clinical symptoms; the physician in the emergency department should try to narrow the differential diagnosis and recognize surgical emergencies to avoid any delay in intervention that could be life threatening. PMID: 21299613 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481159 Mon, 07 Feb 2011 00:00:00 +0100 4481159 http://www.medworm.com/index.php?rid=4481162&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21296521%26dopt%3DAbstract CONCLUSION: Seventy percent of women diagnosed with a yolk sac IUP in the ED carried their pregnancy to at least 20 weeks. The remaining women (30%) experienced fetal loss. Vaginal bleeding (with or without pain) increased the rate of fetal loss compared with women with pain only. These data will assist the emergency physician in counseling women with symptomatic first-trimester pregnancies. PMID: 21296521 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481162 Fri, 04 Feb 2011 00:00:00 +0100 4481162 http://www.medworm.com/index.php?rid=4481168&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21282953%26dopt%3DAbstract Conclusions: At least in our referral center, follow-up of children diagnosed with CD is far from satisfactory. Initiatives aimed at improving adherence to regular follow-up are needed as this intervention is associated with a significant increase in patient compliance with a long-term GFD. PMID: 21282953 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481168 Tue, 01 Feb 2011 00:00:00 +0100 4481168 http://www.medworm.com/index.php?rid=4481167&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21286948%26dopt%3DAbstract Authors: Schenone A, Nobbio L, Monti Bragadin M, Ursino G, Grandis M OPINION STATEMENT: Inherited peripheral neuropathies are among the most common hereditary diseases of the nervous system. Charcot-Marie-Tooth (CMT) disease, also known from previous classifications as hereditary motor and sensory neuropathy (HMSN), is certainly the most common inherited neuropathy. In the past several years, various treatments for CMT have been proposed, although specific therapies are not yet available. In clinical practice, rehabilitative strategies remain the most helpful therapeutic approach to these patients. There is still a lack of consensus on the best way to rehabilitate patients affected by CMT. Based on our personal experience and on a review of the literature, we first recommend the prescr... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481167 Tue, 01 Feb 2011 00:00:00 +0100 4481167 http://www.medworm.com/index.php?rid=4481166&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21289556%26dopt%3DAbstract Conclusions: All three assessed non-clinical factors influenced physician decisions regarding diagnostic and treatment recommendations for acute nonspecific low back pain. Patient presentation, suggestive of a patient's emotional state, was shown to be the most influential. PMID: 21289556 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481166 Tue, 01 Feb 2011 00:00:00 +0100 4481166 http://www.medworm.com/index.php?rid=4481163&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21296268%26dopt%3DAbstract Authors: Brinkhaus B, Lewith G, Rehberg B, Heusser P, Cummings M, Michalsen A, Teut M, Willich SN, Irnich D Complementary and alternative medicine (CAM) is frequently used in patients in industrialised countries. Despite this popularity, there remains a considerable deficit of discourse and cooperation between physicians practicing CAM and conventional medicine. The aim is to present the methodology and results of the first international case conference on integrative medicine (IM) dealing with a patient with low back pain. In this paper the methodological tool "case conference on IM" is also described. PMID: 21296268 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481163 Tue, 01 Feb 2011 00:00:00 +0100 4481163 http://www.medworm.com/index.php?rid=4481158&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21307733%26dopt%3DAbstract Authors: Como JJ, Leukhardt WH, Anderson JS, Wilczewski PA, Samia H, Claridge JA : Cervical spine (CS) clearance in obtunded blunt trauma patients (OBTPs) remains controversial. When computed tomography (CT) of the CS is negative for injury, debate continues over the role of magnetic resonance imaging (MRI). Use of MRI in OBTPs is costly, time-consuming, and potentially dangerous. Our study evaluated the safety of a protocol to discontinue the cervical collar in OBTPs based on CT scan alone. PMID: 21307733 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481158 Tue, 01 Feb 2011 00:00:00 +0100 4481158 http://www.medworm.com/index.php?rid=4481155&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21314772%26dopt%3DAbstract Conclusions:  Provider beliefs regarding infant pain are associated with variation in anesthesia and analgesia use during infant LP in the ED. Although the majority of physicians hold the belief that pain intervention is worthwhile in this patient group, self-reported pharmacologic interventions to reduce pain associated with infant LP are used regularly by less than one-third. Strategies targeting physician beliefs on infant pain should be developed to improve pain intervention use in the ED for infant LPs. PMID: 21314772 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4481155 Tue, 01 Feb 2011 00:00:00 +0100 4481155 http://www.medworm.com/index.php?rid=4414297&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21245738%26dopt%3DAbstract Authors: Williams BS, Wong D, Amin S PMID: 21245738 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4414297 Sun, 30 Jan 2011 08:00:59 +0100 4414297 http://www.medworm.com/index.php?rid=4350026&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153720%26dopt%3DAbstract Authors: Yiadom MY, Kosowsky JM OPINION STATEMENT: There is abundant evidence to guide the management of chest pain patients with a confirmed or reasonably suspected diagnosis of acute coronary syndrome (ACS). But when it comes to the low-risk chest pain patient in the emergency department, there is limited evidence to support one approach over another. As a result, the evaluation of low-risk chest pain represents a distinct challenge for the emergency physician. Missing a diagnosis of ACS is certainly undesirable. However, the overuse of technology can result in misleading test results in populations with a low incidence of coronary disease. In this article, we dispel several myths surrounding low-risk chest pain and put forward a number of common-sense recommendations. We endorse tak... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350026 Sat, 15 Jan 2011 11:46:11 +0100 4350026 http://www.medworm.com/index.php?rid=4350022&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21194393%26dopt%3DAbstract Authors: Müller-Schwefe G, Jaksch W, Morlion B, Kalso E, Schäfer M, Coluzzi F, Huygen F, Kocot-Kepska M, Mangas AC, Margarit C, Ahlbeck K, Mavrocordatos P, Alon E, Collett B, Aldington D, Nicolaou A, Pergolizzi J, Varrassi G Abstract The major objectives of the CHANGE PAIN International Advisory Board are to enhance understanding of chronic pain and to develop strategies for improving pain management. At its second meeting, in November 2009, evidence was presented that around one person in five in Europe and the USA experiences chronic pain, and the delay before referral to a pain specialist is often several years. Moreover, physicians' pharmacological approach to chronic pain is inconsistent, as evidenced by the huge variation in treatment between different European countries. It wa... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350022 Sat, 15 Jan 2011 11:45:57 +0100 4350022 http://www.medworm.com/index.php?rid=4350011&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21234759%26dopt%3DAbstract CONCLUSIONS: In this retrospective analysis, Doppler-ultrasound examination performed by a specialist was not associated with higher accuracy of the preoperative diagnosis in women undergoing emergent laparoscopy for acute abdominal pain. These data should be further validated in future prospective cohorts. Doppler-ultrasound examination performed by a specialist does not add to the accuracy of the preoperative diagnosis in women undergoing emergent gynecological laparoscopy for acute abdominal pain. PMID: 21234759 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350011 Fri, 14 Jan 2011 00:00:00 +0100 4350011 http://www.medworm.com/index.php?rid=4350013&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21229373%26dopt%3DAbstract Authors: Ishaq M, Muhammad JS, Hameed K, Mirza AI In order to compare the efficacy and toxicity of methotrexate and leflunomide for the treatment of rheumatoid arthritis, a double-blind randomized clinical trial was carried out at the Department of Medicine, Jinnah Medical College Hospital, Korangi, Karachi. The sample size was 240 patients and the duration of the study was 1 year. The patients enrolled were randomly divided into two groups (methotrexate and leflunomide). RA activity was clinically assessed by noting changes in the four primary (tender joint count, swollen joint count, physician and patient global assessment score) and three secondary (morning stiffness, pain intensity, HAQ) clinical efficacy end-points. Data were expressed as the mean ± SD. A P value of <0.05, ... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350013 Thu, 13 Jan 2011 00:00:00 +0100 4350013 http://www.medworm.com/index.php?rid=4350015&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21226917%26dopt%3DAbstract CONCLUSIONS: A high proportion of women diagnosed with osteoporosis had been evaluated by densitometry, in agreement with national guidelines. Treatment choice varied between physician groups. PMID: 21226917 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350015 Wed, 12 Jan 2011 00:00:00 +0100 4350015 http://www.medworm.com/index.php?rid=4350012&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21232912%26dopt%3DAbstract CONCLUSION: Cancer patients with ADs can respond to psychiatric treatment, but a few cases develop major depressive disorders. Several predictors of treatment response were identified. PMID: 21232912 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350012 Wed, 12 Jan 2011 00:00:00 +0100 4350012 http://www.medworm.com/index.php?rid=4350016&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21226035%26dopt%3DAbstract CONCLUSIONS: The study results provide evidence that the Turkish-language questionnaire is acceptable, valid and useful for collecting parental assessments of health-status among young cancer patients in Turkey. Neutropenia was associated with important deficits in overall HRQL and disabilities in ambulation/mobility, emotion, self-care, and pain. Treatment plans should include strategies for addressing emotion and pain problems to improve the HRQL of neutropenic patients. Pediatr Blood Cancer © 2011 Wiley-Liss, Inc. PMID: 21226035 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350016 Tue, 11 Jan 2011 00:00:00 +0100 4350016 http://www.medworm.com/index.php?rid=4350018&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21213082%26dopt%3DAbstract We examined sex and gender disparities in TJA. METHODS: Through Medline/PubMed searches, we identified 632 articles and from these selected 61 for our review. WHERE ARE WE NOW?: A number of factors might explain sex and gender disparities in TJA: underrepresentation in clinical trials, differences in willingness to undergo surgery, pain responses to underlying disease and treatment, patient-physician relationships, treatment preferences, provider-level factors such as physician-patient communication style, and system-level factors such as access to specialist care. Since women have a higher prevalence of arthritis and degenerative joint diseases and overall demand for these procedures will continue to grow, the need to understand why there is a gap in utilization based on gender is imperat... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350018 Fri, 07 Jan 2011 00:00:00 +0100 4350018 http://www.medworm.com/index.php?rid=4350020&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21210309%26dopt%3DAbstract Authors: Leresche L BACKGROUND: Prevalence rates of most musculoskeletal pain conditions are higher among women than men. Reasons for these prevalence disparities likely include sex differences in basic pain mechanisms and gender differences in psychosocial factors. QUESTIONS/PURPOSES: The purposes of this review were to (1) identify reasons for differences in pain prevalence between men and women, (2) assess whether musculoskeletal pain conditions are differently treated in men and women, and (3) identify reasons for sex/gender disparities in pain treatment. METHODS: A MEDLINE search was conducted using the terms "pain" or "musculoskeletal pain" and "gender differences" or "sex differences" with "health care," "health services," and "physician, attitude." Articles judged relevant were... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350020 Thu, 06 Jan 2011 00:00:00 +0100 4350020 http://www.medworm.com/index.php?rid=4350017&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21217425%26dopt%3DAbstract Conclusions. Based on the results of this study in which only minor complications were encountered, it can be said that the frequency of major complications is pretty rare in transforaminal lumbar epidural steroid injections in expert hands and in the conditions in which safety precautions are taken. PMID: 21217425 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350017 Wed, 05 Jan 2011 00:00:00 +0100 4350017 http://www.medworm.com/index.php?rid=4350021&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21204888%26dopt%3DAbstract Conclusion  Although few studies have assessed functional abdominal pain syndrome or its treatment specifically, the treatment strategies outlined in this paper appear to be effective. PMID: 21204888 [PubMed - as supplied by publisher] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350021 Tue, 04 Jan 2011 00:00:00 +0100 4350021 http://www.medworm.com/index.php?rid=4350025&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21168101%26dopt%3DAbstract Authors: Benny BV, Nagpal AS, Singh P, Smuck M Vascular etiologies are a significant source of radiculopathy. The entities that are reviewed here include epidural spinal hematoma, subdural spinal hematoma, spinal arteriovenous malformation, vertebral hemangioma, spinal epidural cavernous hemangioma, vertebral artery anomalies (both tortuosity and dissection), aortic aneurysm, hemorrhagic synovial cysts, ligamentum flavum hematoma, and venous varices. The incidence, pathophysiology, typical clinical presentation, appropriate diagnostic workup, and management are summarized. PMID: 21168101 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350025 Sat, 01 Jan 2011 00:00:00 +0100 4350025 http://www.medworm.com/index.php?rid=4350024&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21175240%26dopt%3DAbstract Authors: Reginster JY Osteoporosis is a systemic bone disease characterized by low bone mass and bone mineral density, and deterioration of the underlying structure of bone tissue. These changes lead to an increase in bone fragility and an increased risk for fracture, which are the clinical consequences of osteoporosis. The classical triad for consideration in osteoporosis is morbidity, mortality and cost. Vertebral fracture is an important source of morbidity in terms of pain and spinal deformity. On the other hand, hip fracture is associated with the worst outcomes and is widely regarded as a life-threatening event in the elderly; it is the source of the bulk of the cost of the disease in contemporary healthcare. The prevention of osteoporosis-associated fracture should include fall ... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350024 Sat, 01 Jan 2011 00:00:00 +0100 4350024 http://www.medworm.com/index.php?rid=4350023&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21178573%26dopt%3DAbstract Authors: Carter J, Raviv L, Sonoda Y, Chi DS, Abu-Rustum NR : To present a qualitative data analysis of items exploring the treatment, adjustment, and recovery of 33 patients who underwent radical trachelectomy (RT), and to determine the feasibility of using a physician checklist (PCL) as a model for survivorship assessment. PMID: 21178573 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350023 Sat, 01 Jan 2011 00:00:00 +0100 4350023 http://www.medworm.com/index.php?rid=4350019&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21210614%26dopt%3DAbstract This article presents a case of herpes zoster infection with initial presentation of hip pain in a 13-year-old boy. This case highlights the difficulty in diagnosing atraumatic joint pain in the pediatric population. The clinical importance of a thoughtful differential diagnosis, and the necessity of close follow-up by a pediatrician and/or orthopedic surgeon until there is a confirmed diagnosis cannot be overstated. PMID: 21210614 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350019 Sat, 01 Jan 2011 00:00:00 +0100 4350019 http://www.medworm.com/index.php?rid=4350014&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21228650%26dopt%3DAbstract This article reviews these causes of low back pain with a focus on dance-related presentation and treatment issues. PMID: 21228650 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4350014 Sat, 01 Jan 2011 00:00:00 +0100 4350014 http://www.medworm.com/index.php?rid=4203487&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21089143%26dopt%3DAbstract CONCLUSIONS:: Decision making in serious illness unfolds differently than in less serious problems. The conventional model does not fit this patient population, and reliance on trust of the physician figures prominently. Decision support should be aimed at physician decision making, promoting explicit incorporation of patient-specific data into the process. PMID: 21089143 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203487 Fri, 26 Nov 2010 23:36:55 +0100 4203487 http://www.medworm.com/index.php?rid=4203486&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21095412%26dopt%3DAbstract Authors: Touma NJ, Nickel JC Primary care physicians can and should diagnose, classify, and treat patients presenting with acute and chronic prostatitis syndromes. Although the chronic syndromes are a challenge to manage, this review article provides the necessary background to allow primary care physicians to take on this task. Patients who are unfortunate to be diagnosed with a prostatitis syndrome have the best chance for successful therapy at initial presentation. Those patients will ultimately benefit from an informed and educated physician. PMID: 21095412 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203486 Fri, 26 Nov 2010 23:36:49 +0100 4203486 http://www.medworm.com/index.php?rid=4203485&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21102962%26dopt%3DAbstract We present a case of L4/5 radiculitis in an above-knee amputee presenting as phantom radiculitis. Our patient is a 67 year old gentleman with new onset 10/10 pain in a phantom extremity superimposed upon a 40 year history of previously stable phantom limb pain. MRI showed a central disc herniation at L4/5 with compression of the traversing left L4 nerve root. Two fluoroscopically guided left transforaminal epidural steroid injections at the level of the L4 and L5 spinal nerve roots totally alleviated his new onset pain. At one year post injection, his phantom radiculitis pain was completely gone, though his underlying phantom limb pain remained. Lumbar radiculitis in lower extremity amputee patients may be difficult to differentiate from baseline phantom limb pain. When conservative techni... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203485 Fri, 26 Nov 2010 23:36:44 +0100 4203485 http://www.medworm.com/index.php?rid=4203484&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21102963%26dopt%3DAbstract CONCLUSION: Caudal epidural injections in chronic function-limiting low back pain in post surgery syndrome without facet joint pain may be effective in a significant proportion of patients with improvement in functional status and significant pain relief. CLINICAL TRIAL: NCT00370799. PMID: 21102963 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203484 Fri, 26 Nov 2010 23:36:37 +0100 4203484 http://www.medworm.com/index.php?rid=4203483&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21102964%26dopt%3DAbstract CONCLUSION: Pregnancy following implantation of a spinal cord stimulator might result in lead breakage as abdominal girth increases. The present case exemplifies how pregnancy following implantation of a spinal cord stimulator might cause lead breakage as abdominal girth increases. Extra care is required to prevent lead breakage when anchors are fixed. PMID: 21102964 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203483 Fri, 26 Nov 2010 23:36:29 +0100 4203483 http://www.medworm.com/index.php?rid=4203482&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21102965%26dopt%3DAbstract CONCLUSION: For persistent postsurgical neck pain only limited therapy recommendations exist. This study suggests treating these patients in a first instance with therapeutic medial branch blocks. The success rate is 52.9 %. PMID: 21102965 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203482 Fri, 26 Nov 2010 23:36:14 +0100 4203482 http://www.medworm.com/index.php?rid=4203481&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21102966%26dopt%3DAbstract CONCLUSIONS: Therapeutic thoracic medial branch blocks, with or without steroid, may provide a management option for chronic function-limiting mid back or upper back pain of facet joint origin. CLINICAL TRIAL: NCT00355706. PMID: 21102966 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203481 Fri, 26 Nov 2010 23:36:02 +0100 4203481 http://www.medworm.com/index.php?rid=4203480&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21102967%26dopt%3DAbstract CONCLUSION: Surgical treatment of osteoid osteoma and osteoblastoma of the spine has been standardized. The most common symptom of osteoid osteoma and osteoblastoma of the cervical spine is local persistent neck pain in the region of the tumor. This symptom can be significant in the diagnosis of these tumors. PMID: 21102967 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203480 Fri, 26 Nov 2010 23:35:57 +0100 4203480 http://www.medworm.com/index.php?rid=4203479&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21102968%26dopt%3DAbstract CONCLUSION: The mild procedure appears to be a safe and likely effective option for treatment of neruogenic claudication in patients who have failed conservative therapy and have ligamentum flavum hypertrophy as the primary distinguishing component of the stenosis. PMID: 21102968 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203479 Fri, 26 Nov 2010 23:35:51 +0100 4203479 http://www.medworm.com/index.php?rid=4203478&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21102969%26dopt%3DAbstract CONCLUSION: Single oral intact low and high doses of OM-ER produced less cognitive and psychomotor impairment plus less sedation than equianalgesic OC-CR in this exploratory study. ClinicalTrials.gov registration NCT00955110. PMID: 21102969 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203478 Fri, 26 Nov 2010 23:35:43 +0100 4203478 http://www.medworm.com/index.php?rid=4203477&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21102970%26dopt%3DAbstract Authors: PMID: 21102970 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203477 Fri, 26 Nov 2010 23:35:39 +0100 4203477 http://www.medworm.com/index.php?rid=4203476&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21102971%26dopt%3DAbstract Authors: Smith HS PMID: 21102971 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203476 Fri, 26 Nov 2010 23:35:36 +0100 4203476 http://www.medworm.com/index.php?rid=4203475&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21102972%26dopt%3DAbstract CONCLUSION: Lower back pain in older adults with degenerative lumbar spinal stenosis might be clinically significantly alleviated after injection treatment. Pain relief varies by a patients personal and clinical characteristics. Healthier emotional status and obesity appears to be associated with more pain relief experienced over 3 months following injection. PMID: 21102972 [PubMed - in process] (Source: Pain Physician) Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203475 Fri, 26 Nov 2010 23:35:33 +0100 4203475 http://www.medworm.com/index.php?rid=4203474&cid=s_28802_5_f&fid=28802&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21102973%26dopt%3DAbstract Authors: Manchikanti L, Cash KA, McManus CD, Pampati V, Benyamin RM BACKGROUND: The proportion of patients suffering from thoracic pain secondary to thoracic disorders is relatively small compared to low back and neck pain. Furthermore, thoracic interventions are not performed as often as in cervical and lumbar regions. In addition, there is a paucity of literature regarding thoracic intervertebral discs and thoracic disc herniation as causative structures of thoracic pain. STUDY DESIGN: A randomized, double-blind, active controlled trial. SETTING: A private practice, interventional pain management and specialty referral center in the United States. OBJECTIVES: To evaluate the effectiveness of thoracic interlaminar epidural injections in providing effective pain relief in managing chro... Pain Physician journals http://www.medworm.com/rss/comments.php?id=4203474 Fri, 26 Nov 2010 23:35:29 +0100 4203474