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 'Schmerz' source. Sun, 05 Feb 2012 07:39:31 +0100 http://www.medworm.com/index.php?rid=5514633&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22147194%26dopt%3DAbstract CONCLUSION: If education level proves to be an intervening variable in further research, education adjusted treatment programs should be developed and evaluated. PMID: 22147194 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5514633 Thu, 08 Dec 2011 05:00:00 +0100 5514633 http://www.medworm.com/index.php?rid=5514634&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22138730%26dopt%3DAbstract CONCLUSIONS: While tiredness and weakness influenced QoL especially for outpatients, patient-specific factors may surpass them in patient perception. To improve the QoL of palliative care patients, individual factors must be assessed in addition to symptom control. PMID: 22138730 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5514634 Sun, 04 Dec 2011 05:00:00 +0100 5514634 http://www.medworm.com/index.php?rid=5514635&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22134376%26dopt%3DAbstract Authors: Hansen N, Obermann M, Uçeyler N, Zeller D, Mueller D, Yoon MS, Reiners K, Sommer C, Katsarava Z Abstract Pain-related evoked potentials (PREPs) represent a novel method for the evaluation of peripheral and central nociceptive pathways, e.g. in the diagnosis of small fiber neuropathy (SFN) or after therapeutic interventions for headache. Compared to contact heat-evoked and laser-evoked potentials, recording of PREPs is less stressful for the subjects and technically less demanding. The clinical usefulness of PREPs has been described for SFN associated with diabetes, HIV and hepatitis C infections as well as in headache and facial pain disorders. They have also been evaluated after interventional methods, such as direct current stimulation (tDCS). The article reviews and di... Schmerz journals http://www.medworm.com/rss/comments.php?id=5514635 Sat, 03 Dec 2011 05:00:00 +0100 5514635 http://www.medworm.com/index.php?rid=5457541&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22120914%26dopt%3DAbstract Authors: Koppert W PMID: 22120914 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5457541 Thu, 01 Dec 2011 03:37:35 +0100 5457541 http://www.medworm.com/index.php?rid=5457540&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22120915%26dopt%3DAbstract [Teaching, learning, testing : Think about the correlation!]. Schmerz. 2011 Dec;25(6):617-8 Authors: Kopf A, Breckwoldt J PMID: 22120915 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5457540 Thu, 01 Dec 2011 03:37:26 +0100 5457540 http://www.medworm.com/index.php?rid=5457539&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22120916%26dopt%3DAbstract CONCLUSION: The magnitude of responders to placebo in drug trials of FMS is substantial. The efficacy, safety, and costs of drugs recommended for FMS therapy and open-label placebo should be compared in large multinational trials sponsored by public institutions. The English full-text version of this article is available at SpringerLink (under "Supplemental"). PMID: 22120916 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5457539 Thu, 01 Dec 2011 03:37:17 +0100 5457539 http://www.medworm.com/index.php?rid=5457538&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22120917%26dopt%3DAbstract Authors: Egloff N, Maecker F, Landmann G, von Känel R Abstract Nondermatomal somatosensory deficits (NDSDs) are frequently found in chronic pain patients and allude to pain sensitization and pain centralization. In the clinical examination NDSDs are as a rule accompanied by hyposensitivity to touch and heat perception often with a quadrantal or hemibody distribution. The majority of NDSD patients show a trigger episode with a somatic nociceptive trauma in the case history. These somatic findings, however, never fully explain the pain disorder, analogue to the complex regional pain syndrome (CRPS). Most patients with chronic pain disorders as well as those with NDSD often report an antecedent period of high psychobiological stress. The data from functional imaging reveal a complex ... Schmerz journals http://www.medworm.com/rss/comments.php?id=5457538 Thu, 01 Dec 2011 03:37:08 +0100 5457538 http://www.medworm.com/index.php?rid=5457537&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22120918%26dopt%3DAbstract CONCLUSION: The BPW is the first standardized test instrument for palliative care in the German language. In comparison to the other tests it includes items from the psychosocial domain without demonstrating a ceiling effect for these items. Content and criterion validity were good. Additional tests with larger samples and with other groups of nurses working in other settings would be needed to improve the data on reliability and to extend the validation to other settings. PMID: 22120918 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5457537 Thu, 01 Dec 2011 03:37:00 +0100 5457537 http://www.medworm.com/index.php?rid=5457536&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22120920%26dopt%3DAbstract CONCLUSION: As an explanation for these unexpected results it can be hypothesized that in cases of back pain, patients' attention is focused on pain-relevant issues which enables a more realistic estimation of their lifting capacity. PMID: 22120920 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5457536 Thu, 01 Dec 2011 03:36:41 +0100 5457536 http://www.medworm.com/index.php?rid=5457535&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22120921%26dopt%3DAbstract DISCUSSION: The results of this evaluation can support the discussion about the development of palliative home care in Germany with particular focus on possible interrelations between structures, target groups and possible outcomes of care. PMID: 22120921 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5457535 Thu, 01 Dec 2011 03:36:31 +0100 5457535 http://www.medworm.com/index.php?rid=5457534&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22120922%26dopt%3DAbstract Authors: Göbel H, Göbel C, Heinze A Abstract Paroxysmal hemicrania is experienced as headache attacks with pain and accompanying symptoms similar to those of cluster headaches. Attacks are, however of shorter duration, occur more frequently, affect predominantly women and respond reliably to indomethacin. Paroxysmal hemicrania can also occur secondary to an identifiable cause. To exclude symptomatic, paroxysmal hemicrania, especially with an atypical clinical picture and poor response to indomethacin, a careful diagnostic approach is necessary. The SUNCT syndrome (short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing) is characterized by one-sided pain attacks of short duration, much shorter than other trigeminal autonomic cephalgias. Clas... Schmerz journals http://www.medworm.com/rss/comments.php?id=5457534 Thu, 01 Dec 2011 03:36:21 +0100 5457534 http://www.medworm.com/index.php?rid=5457533&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22120923%26dopt%3DAbstract Authors: PMID: 22120923 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5457533 Thu, 01 Dec 2011 03:36:12 +0100 5457533 http://www.medworm.com/index.php?rid=5381906&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22038275%26dopt%3DAbstract [Human beings in pain : A philosophical approach.] Schmerz. 2011 Oct 27; Authors: Jantzen A Abstract The philosophical discussion of the phenomenon of pain can help to increase the understanding of human beings in pain and to accompany them in such an experience.Pain affects a human being who has a body. The "I" of this human being cannot escape into painlessness. The pain imposes itself upon the human being who will try to withdraw from the pain but to withdraw from pain remains impossible because the human being cannot split himself up and therefore cannot establish a part of himself where his identity is not affected by pain.The pain shows how the experience of being in a body is connected to the experience of having an identity. Pain reduces the ability to act and narro... Schmerz journals http://www.medworm.com/rss/comments.php?id=5381906 Thu, 27 Oct 2011 04:00:00 +0100 5381906 http://www.medworm.com/index.php?rid=5330895&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21997184%26dopt%3DAbstract CONCLUSION: In cases of cancer pain patients with failed oral or transcutaneous opioid medication, sufficient pain reduction can be achieved with parenteral drug administration by PCA. Domestic PCA requires a lot of human and financial resources, with trained nursing services and regular house visits by physicians experienced in palliative medicine but this method is sufficient and safe to use. PMID: 21997184 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5330895 Sat, 15 Oct 2011 04:00:00 +0100 5330895 http://www.medworm.com/index.php?rid=5219627&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21909742%26dopt%3DAbstract CONCLUSIONS: The results of this study provide evidence of the reliability, validity and high acceptance of the PPPM-D as an assessment tool of postoperative pain among children aged 2 through to 12 years of age after orthopedic or trauma surgery. PMID: 21909742 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5219627 Sun, 11 Sep 2011 04:00:00 +0100 5219627 http://www.medworm.com/index.php?rid=5219626&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21909743%26dopt%3DAbstract CONCLUSION: Some of the NPTs are well established in hospitals. For nationwide use of NPT their systematic training and implementation is necessary. PMID: 21909743 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5219626 Sun, 11 Sep 2011 04:00:00 +0100 5219626 http://www.medworm.com/index.php?rid=5219625&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21909744%26dopt%3DAbstract Authors: Göbel H, Heinze A Abstract The first International classification of headache disorders (ICHD- I) described migraine as a recurring headache disorder manifesting in attacks lasting 4-72 h. The headache frequency was not considered in these first diagnostic criteria of migraine. Thus, a chronic migraine with at least 15 migraine days per month was only included in the ICHD-II in 2004. Meanwhile, the diagnosis of chronic daily headache and transformed migraine had been established in the USA. The term transformed migraine describes the transformation of an episodic migraine into a chronic one, whether medication overuse had been present or not. Up till now a widely accepted definition of chronic migraine and medication overuse headache has not been established due to diffe... Schmerz journals http://www.medworm.com/rss/comments.php?id=5219625 Sun, 11 Sep 2011 04:00:00 +0100 5219625 http://www.medworm.com/index.php?rid=5219629&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21901566%26dopt%3DAbstract Authors: Otti A, Noll-Hussong M Abstract Besides the responses to nociceptive stimuli other neural function modes of the brain are necessary to obtain a comprehensive understanding of pain processing in humans. During a resting state without extrinsic stimulation the human brain generates spontaneous low frequency fluctuations of neural activity. This intrinsic activity does not reflect random background noise but is highly organized in several networks. Based on the findings of recent functional imaging studies, the role of these resting state networks in acute and chronic pain is discussed. PMID: 21901566 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5219629 Fri, 09 Sep 2011 04:00:00 +0100 5219629 http://www.medworm.com/index.php?rid=5219628&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21901567%26dopt%3DAbstract CONCLUSIONS: Until 2005 many university palliative care activities had their origins in cancer pain services. These were often integrated into anesthesiology departments. Currently, anesthesiology departments work as an integrative part of palliative medicine. However, it appears from the present results that there is a domination of internal medicine (especially hematology and oncology) in palliative activities in German hospitals. This allows the focus of palliative activities to be formed by subjective specialist interests. Such a state seems to be reduced by the integration of anesthesiology departments because of their neutrality with respect to faculty-specific medical interests. Advantages or disadvantages of these circumstances are not considered by the present investigation. P... Schmerz journals http://www.medworm.com/rss/comments.php?id=5219628 Fri, 09 Sep 2011 04:00:00 +0100 5219628 http://www.medworm.com/index.php?rid=5106464&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21818716%26dopt%3DAbstract Authors: Petzke F, Pfingsten M, Casser HR, Tölle T, Koppert W PMID: 21818716 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5106464 Sun, 31 Jul 2011 23:00:00 +0100 5106464 http://www.medworm.com/index.php?rid=5106463&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21818717%26dopt%3DAbstract Authors: Sabatowski R, Maier C, Willweber-Strumpf A, Thomm M, Nilges P, Kayser H, Casser R On behalf of the German chapter of the International Association for the Study of Pain (IASP) recommendations for German pain treatment services have been developed for the first time. The criteria were based on the IASP recommendations but adapted to the specific German situation. According to the structure and process criteria four different levels of pain treatment services can be distinguished. The aim of the recommendations is to serve as a guide for future development and implementation of pain therapy and quality assurance. PMID: 21818717 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5106463 Sun, 31 Jul 2011 23:00:00 +0100 5106463 http://www.medworm.com/index.php?rid=5106462&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21818718%26dopt%3DAbstract Authors: Messlinger K, Fischer MJ, Lennerz JK Neuropeptides, such as calcitonin gene-related peptide (CGRP), substance P and vasoactive intestinal polypeptide (VIP) are considered important mediators in primary headaches. Increased concentrations of CGRP have been found in jugular venous plasma during attacks of migraine and, concomitant with VIP elevation, during cluster headache. Substance P and CGRP are produced from subsets of trigeminal afferents whereas VIP derives from parasympathetic efferents. Release of these neuropeptides in the meninges causes arterial vasodilatation, mast cell degranulation and plasma extravasation in animal experiments. Particularly CGRP seems to be important, as receptor antagonists have recently been shown to have a therapeutic effect on migraine. Ani... Schmerz journals http://www.medworm.com/rss/comments.php?id=5106462 Sun, 31 Jul 2011 23:00:00 +0100 5106462 http://www.medworm.com/index.php?rid=5106461&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21818719%26dopt%3DAbstract Authors: Marschall U, Arnold B, Häuser W The data available on the types of treatment delivered and healthcare costs of fibromyalgia syndrome (FMS) patients in Germany are currently not representative. PMID: 21818719 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5106461 Sun, 31 Jul 2011 23:00:00 +0100 5106461 http://www.medworm.com/index.php?rid=5106460&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21818720%26dopt%3DAbstract In this study we therefore investigated nurses' knowledge of pediatric pain management strategies. PMID: 21818720 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5106460 Sun, 31 Jul 2011 23:00:00 +0100 5106460 http://www.medworm.com/index.php?rid=5106459&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21818721%26dopt%3DAbstract We report on the intrathecal use of ziconotide in three patients with idiopathic facial pain after surgery of the mouth, jaw or face and one patient with neuropathic pain after damage of the lingual nerve. The therapy was successful in three patients but one patient with idiopathic facial pain had pain relief only during the test phase of ziconotide with an external pump and not after implanting the Synchromed® pump. With intrathecal morphine therapy this patient achieved good pain relief. We recommend that patients with neuropathic facial pain should be treated with ziconotide after implementation of guideline-based therapy. In the test phase the ziconotide dose should be increased by 0.6 µg/day per week after an initial dose of 0.6-1.2 µg/day to avoid side-effects. PMID: 2181872... Schmerz journals http://www.medworm.com/rss/comments.php?id=5106459 Sun, 31 Jul 2011 23:00:00 +0100 5106459 http://www.medworm.com/index.php?rid=5106458&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21818722%26dopt%3DAbstract Authors: Krummenacher P Expectations and beliefs modulate the experience of pain, which is particularly evident in placebo analgesia. The dorsolateral prefrontal cortex (DLPFC) has been associated with pain regulation and with the generation, maintenance and manipulation of cognitive representations. In a heat-pain paradigm, we employed non-invasive low-frequency repetitive transcranial magnetic stimulation (rTMS) to transiently disrupt left and right DLPFC function or used the TMS device itself as a placebo, before applying an expectation-induced placebo analgesia. The results demonstrated that placebo significantly increased pain threshold and pain tolerance. While rTMS did not affect pain experience, it completely blocked placebo analgesia. These findings suggest that expectation-in... Schmerz journals http://www.medworm.com/rss/comments.php?id=5106458 Sun, 31 Jul 2011 23:00:00 +0100 5106458 http://www.medworm.com/index.php?rid=5106457&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21818723%26dopt%3DAbstract Authors: Bertram L, Stiel S, Elsner F, Radbruch L, Davies A, Nauck F, Alt-Epping B PMID: 21818723 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5106457 Sun, 31 Jul 2011 23:00:00 +0100 5106457 http://www.medworm.com/index.php?rid=5106456&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21818724%26dopt%3DAbstract Authors: Diezemann A Relaxation techniques are an integral part of the psychological therapy of chronic pain and follow very different objectives. These techniques lead to muscular and vegetative stabilization, serve as distraction from pain, to build up the internal focus of control and thus to improve self-efficacy. Additional targets are improvement of body awareness and stress management, shielding from sensory stimuli and recurrence prevention of migraine as well a sleeping aid. The most commonly used and best studied method is progressive muscle relaxation which has a good compliance because it is easy to learn and has a high plausibility for patients. PMID: 21818724 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5106456 Sun, 31 Jul 2011 23:00:00 +0100 5106456 http://www.medworm.com/index.php?rid=5106455&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21818725%26dopt%3DAbstract Authors: PMID: 21818725 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5106455 Sun, 31 Jul 2011 23:00:00 +0100 5106455 http://www.medworm.com/index.php?rid=5106465&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21786029%26dopt%3DAbstract CONCLUSIONS: The main objective of the certification concept quality management acute pain as a tool for the successful implementation of the S3 guidelines on treatment of acute perioperative and posttraumatic pain, led to a significant improvement in patient outcome. Participation in QUIPS is an ideal supplement to TÜV Rheinland certification and can be recommended as a benchmarking tool to evaluate outcome. PMID: 21786029 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5106465 Sat, 23 Jul 2011 23:00:00 +0100 5106465 http://www.medworm.com/index.php?rid=5011314&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21739258%26dopt%3DAbstract In this study an equal disruption of the body schema was found in both CRPS and PLP patients which cannot be accounted for by attentional processes. For CRPS patients this disorder cannot be fully reversed by isolated limb laterality recognition training. PMID: 21739258 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5011314 Fri, 08 Jul 2011 23:00:00 +0100 5011314 http://www.medworm.com/index.php?rid=5058941&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21717211%26dopt%3DAbstract Authors: Hornyak M, Stiasny-Kolster K, Evers S, Happe S Pain in the legs belongs to the five most frequent regional pain symptoms. Restless legs syndrome (RLS) presents a particular differential diagnosis for pain in the legs, which is characterized by a nocturnal urge to move the legs often associated with painful sensations in the legs. It is one of the most common neurological disorders and probably the leading cause of nocturnal pain in the legs. In this overview, the diagnosis and therapy of RLS as well as aspects of pain therapy of the disorder are presented. In addition, the differential diagnoses for exclusion of other specific causes of nocturnal pain in the legs are discussed. PMID: 21717211 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=5058941 Thu, 30 Jun 2011 23:00:00 +0100 5058941 http://www.medworm.com/index.php?rid=4963165&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21698434%26dopt%3DAbstract Authors: Zenz M, Rissing-van Saan R Medical principles of pain treatment are generally in line with the judicial principles. To relieve pain is one of the fundamentals of medicine and this has also been acknowledged by the Federal Court in Germany. It is criminal bodily harm, when a physician denies a possible pain treatment. Whereas courts clearly see an obligation to basic and continuing education in pain diagnosis and therapy, pain is still not represented in the German licensing regulations for physicians. Only palliative medicine has been added to the obligatory curriculum. Very similar pain is not mandatory in many clinical disciplines leaving physicians without the needed knowledge to treat pain. The need for interdisciplinary treatment is not yet acknowledged sufficiently, alth... Schmerz journals http://www.medworm.com/rss/comments.php?id=4963165 Thu, 23 Jun 2011 23:00:00 +0100 4963165 http://www.medworm.com/index.php?rid=4963174&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21692005%26dopt%3DAbstract Authors: Becker A PMID: 21692005 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4963174 Tue, 31 May 2011 23:00:00 +0100 4963174 http://www.medworm.com/index.php?rid=4963173&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21692006%26dopt%3DAbstract Authors: Messerer B, Gutmann A, Vittinghoff M, Weinberg AM, Meissner W, Sandner-Kiesling A The intensity of pain cannot be measured directly but can only be described subjectively. This obviously complicates the assessment especially in the younger age group. Pain evaluation and documentation are essential for good results in pain therapy. Pain can be measured by pain scales which should fulfill the requirements of practicability, reliability and validity. In neonates and children up to 4 years of age, standardized scales have been developed for observation of their activities. Children in the age group 4-6 years old are able to communicate about pain. At this age self-report scales can be used to assess pain sensations."Quality Improvement in Postoperative Pain Management in Infants"... Schmerz journals http://www.medworm.com/rss/comments.php?id=4963173 Tue, 31 May 2011 23:00:00 +0100 4963173 http://www.medworm.com/index.php?rid=4963172&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21692007%26dopt%3DAbstract Authors: Messerer B, Meschik J, Gutmann A, Vittinghoff M, Sandner-Kiesling A Postoperative pain assessment in children with cognitive impairment poses major challenges to healthcare professionals.Children with moderate to severe cognitive impairment are generally unable to communicate effectively and to self-report the level of pain. Difficulties assessing pain have led to their exclusion from clinical trials and rendered them vulnerable to insufficient treatment of pain.The realization of pain is a particularly important step forward for a better care of children with cognitive impairment.Scales based on a child's own perception of pain and its severity play a limited role in this vulnerable population and pain assessment tools which rely on observing pain behavior are essential. The ... Schmerz journals http://www.medworm.com/rss/comments.php?id=4963172 Tue, 31 May 2011 23:00:00 +0100 4963172 http://www.medworm.com/index.php?rid=4963171&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21692008%26dopt%3DAbstract Authors: Richter M, Miltner W, Weiss T Previous studies suggested that areas of the neural"pain matrix" are activated by the processing of pain-related environmental cues such as pain-related pictures or descriptors of pain. However, it is still sketchy whether these activations are specific to the pain-relevant content of the stimuli or simply reflect a general effect of negative emotional valence or increased arousal. The present study addressed this question by investigating the neural mechanisms underlying the processing of pain-related, negative (non-pain-related), positive and neutral words. When subjects were instructed to image a situation associated with the word presented (imagination task), we found increased activation within the dorsolateral prefrontal cortex (DLPFC) and i... Schmerz journals http://www.medworm.com/rss/comments.php?id=4963171 Tue, 31 May 2011 23:00:00 +0100 4963171 http://www.medworm.com/index.php?rid=4963170&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21692009%26dopt%3DAbstract Authors: Weimer K, Horing B, Klosterhalfen S, Enck P This contribution compares unexplained essential questions regarding the placebo response with current empirical evidence: (1) Are the placebo response rates equivalent in the groups treated with medication or placebo? Very little evidence has been gathered to support this generally accepted additivity while some findings negate its validity. (2) Is the placebo response a function of the probability of receiving medication or placebo? There are indications that the number of study groups included in a trial determines the level of placebo and medication response. (3) How great is the placebo response in trials that directly compare a (new) medication with one that for example is already on the market? There are indications that such ... Schmerz journals http://www.medworm.com/rss/comments.php?id=4963170 Tue, 31 May 2011 23:00:00 +0100 4963170 http://www.medworm.com/index.php?rid=4963169&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21692010%26dopt%3DAbstract Schmerz. 2011 Jun;25(3):336-338 Authors: Schneider N, Engeser P, Behmann M, Kühne F, Wiese B PMID: 21692010 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4963169 Tue, 31 May 2011 23:00:00 +0100 4963169 http://www.medworm.com/index.php?rid=4872532&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21614601%26dopt%3DAbstract CONCLUSION: In spite of analgesic effects, many osteoarthritis patients prefer to stop chronic opioid use, because of adverse events. Therefore, opioids are not generally recommended in osteoarthritis. PMID: 21614601 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4872532 Thu, 26 May 2011 23:00:00 +0100 4872532 http://www.medworm.com/index.php?rid=4872535&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21594659%26dopt%3DAbstract CONCLUSION: An early single dose of 150 µg of clonidine did not reduce the postoperative morphine consumption and pain scores in patients undergoing elective surgery of the shoulder with remifentanil/propofol-based anaesthesia. After the effect of clonidine has presumably subsided the pain can even increase, therefore further studies with repetitive doses of clonidine should be carried out. PMID: 21594659 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4872535 Thu, 19 May 2011 23:00:00 +0100 4872535 http://www.medworm.com/index.php?rid=4872534&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21594660%26dopt%3DAbstract CONCLUSION: An inpatient pain therapy can help children and adolescents severely disabled due to chronic pain not only in the short term but also in the long term. PMID: 21594660 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4872534 Thu, 19 May 2011 23:00:00 +0100 4872534 http://www.medworm.com/index.php?rid=4872533&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21594661%26dopt%3DAbstract This study therefore systematically evaluated associations between different indicators of social status and back pain. METHODS: In total 4,412 employed adults, aged 18 to 65 years participated in a postal survey in 5 regions of Germany. The point prevalence and 1-year prevalence of back pain were assessed as well as the level of disabling back pain. Educational level, professional category and household income served as measures of social status. Associations between social status and back pain have been assessed cross-sectionally using Poisson regression. RESULTS: Educational level was the best predictor for back pain among the assessed social status indicators. Adults with a low educational level had almost a 4-fold risk of reporting disabling back pain compared to subjects with a hi... Schmerz journals http://www.medworm.com/rss/comments.php?id=4872533 Thu, 19 May 2011 23:00:00 +0100 4872533 http://www.medworm.com/index.php?rid=4816473&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21523420%26dopt%3DAbstract Authors: Weh L, Marnitz U The effect of interdisciplinary multimodal therapy of chronic back pain is well documented. With elapsing time changing diagnostic focuses, therapeutic strategies and objectives have to be considered. The chronicity leads to a modification of the relevance of structure-related diagnosis and therapy and changes the significance of the classic orthopedic instruments. The requirement of a rational causal therapy in chronic back pain still remains but the focal points shift to the consideration of somatic, psychological and social disposing and supporting factors.The aim of this paper is to reflect the necessary orthopedic expertise in the context of the pathomechanics of chronic back pain and the interdisciplinary teamwork. PMID: 21523420 [PubMed - as supplie... Schmerz journals http://www.medworm.com/rss/comments.php?id=4816473 Wed, 27 Apr 2011 23:00:00 +0100 4816473 http://www.medworm.com/index.php?rid=4816474&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21499860%26dopt%3DAbstract Authors: Manzke T, Niebert M, Koch UR, Caley A, Vogelgesang S, Bischoff AM, Hülsmann S, Ponimaskin E, Müller U, Smart TG, Harvey RJ, Richter DW To control the breathing rhythm the medullary respiratory network generates periodic salvo activities for inspiration, post-inspiration and expiration. These are under permanent modulatory control by serotonergic neurons of the raphe which governs the degree of phosphorylation of the inhibitory glycine receptor α3. The specific activation of serotonin receptor type 1A (5-HTR(1A)), which is strongly expressed in the respiratory neurons, functions via inhibition of adenylate cyclase and the resulting reduction of the intracellular cAMP level and a gradual dephosphorylation of the glycine receptor type α3 (GlyRα3). This 5-HTR(1A)-GlyRα3 sign... Schmerz journals http://www.medworm.com/rss/comments.php?id=4816474 Sat, 16 Apr 2011 23:00:00 +0100 4816474 http://www.medworm.com/index.php?rid=4711162&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21484294%26dopt%3DAbstract CONCLUSION: As shown in this study the CAS-D-65+ is a reliable and a valid instrument for the assessment of FAB in older patients with CLBP. PMID: 21484294 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4711162 Sat, 09 Apr 2011 23:00:00 +0100 4711162 http://www.medworm.com/index.php?rid=4711164&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21472531%26dopt%3DAbstract This article will focus on chronic itching and pain with particular consideration of psychological factors. PMID: 21472531 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4711164 Thu, 31 Mar 2011 23:00:00 +0100 4711164 http://www.medworm.com/index.php?rid=4711163&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21472532%26dopt%3DAbstract Schmerz. 2011 Apr;25(2):221-227 Authors: PMID: 21472532 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4711163 Thu, 31 Mar 2011 23:00:00 +0100 4711163 http://www.medworm.com/index.php?rid=4657331&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21431964%26dopt%3DAbstract Authors: Gaul C, Kraya T, Holle D, Benkel-Herrenbrück I, Schara U, Ebinger F Migraine is a frequent primary headache disorder in children and adolescents. Most of the young sufferers of migraine describe typical migraine symptoms but sometimes rare forms of migraine variants and unusual types of migraine occur in children and adolescents. These childhood periodic syndromes are common precursors of migraine. Phenotypes are alternating hemiplegia of childhood, benign paroxysmal torticollis, benign paroxysmal vertigo of childhood, alternating hemiplegia in childhood, Alice in Wonderland syndrome, cyclic vomiting syndrome, acute confusional migraine and abdominal migraine. PMID: 21431964 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4657331 Fri, 25 Mar 2011 00:00:00 +0100 4657331 http://www.medworm.com/index.php?rid=4657339&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424329%26dopt%3DAbstract CONCLUSIONS: The perception of patients in specialized palliative care with its current focus on cancer patients is different from the perception in general practice with its focus on geriatric and multimorbid patients. This may be a reason for the skepticism showed in this study whether SAPV will actually improve healthcare in the community. However, with respect to the concept and framework SAPV has the potential to fulfill GPs expectations and should be focused on counseling and collaborative services. The knowledge about physician and practice-related factors shaping GPs attitudes towards SAPV can be helpful to further implement SAPV into practice. PMID: 21424329 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4657339 Sun, 20 Mar 2011 00:00:00 +0100 4657339 http://www.medworm.com/index.php?rid=4657338&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424330%26dopt%3DAbstract [Illustrations of visceral referred pain : "Head-less" Head's zones.] Schmerz. 2011 Mar 20; Authors: Henke C, Beissner F Reviewing anatomical, physiological and neurological standard literature for illustrations of referred visceral pain only one type of illustration can frequently be found, which is referred to as Treves and Keith. In fact, the original illustration as a model for most current pictures stems from the German edition of Sir Frederick Treves' famous book "Surgical Applied Anatomy" from 1914, which was reillustrated for didactical reasons for the German readership. While neither Treves and Keith nor the German illustrator Otto Kleinschmidt ever published any work on referred pain this illustration must have been adapted or copied from older sources by the illustra... Schmerz journals http://www.medworm.com/rss/comments.php?id=4657338 Sun, 20 Mar 2011 00:00:00 +0100 4657338 http://www.medworm.com/index.php?rid=4657337&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424331%26dopt%3DAbstract Authors: Sitte T PMID: 21424331 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4657337 Sun, 20 Mar 2011 00:00:00 +0100 4657337 http://www.medworm.com/index.php?rid=4657336&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424332%26dopt%3DAbstract The objective of this study was to analyze the relevance of psychosocial and pain-related variables for therapeutic outcome in an unselected sample of patients with chronic non-specific back pain (CBP). METHODS: Included were 681 patients with CBP referred to an outpatient-based multidisciplinary pain rehabilitation program and 320 took part in a survey 12 months later. Before, directly after and 12 months after the program the patients received a questionnaire which contained pain-related items on pain intensity, disability, self-reported functional capacity which were defined as outcome variables, psychological items (anxiety, depression) and work-related items which represented probable predictor variables. Multivariable regression analyses were calculated to estimate the contributi... Schmerz journals http://www.medworm.com/rss/comments.php?id=4657336 Sun, 20 Mar 2011 00:00:00 +0100 4657336 http://www.medworm.com/index.php?rid=4657335&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424333%26dopt%3DAbstract This study features an analysis of the analgesic therapy of patients with back pain focusing on opioid administration. Using claims data of a German statutory health insurance fund the analysis focuses on prescription patterns, the association between opioids and antiemetics as well as between opioid therapy and work disability. Based on typical diagnosis patterns three types of back pain could be identified: (other) specific back pain (46.0%), pain due to spinal disc diseases (23.5%) and non-specific back pain. The proportion of patients receiving continuous opioid therapy ranged between 24.3% and 48.8%. The prescription of antiemetics was associated with a higher chance of continuous opioid therapy (odds ratio [OR] 1.93; 95% confidence interval [CI] 1.79-2.08). The chance of continuous o... Schmerz journals http://www.medworm.com/rss/comments.php?id=4657335 Sun, 20 Mar 2011 00:00:00 +0100 4657335 http://www.medworm.com/index.php?rid=4657334&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424334%26dopt%3DAbstract CONCLUSION: The results show differences in the level and process of SI, DS and QoL between the subgroups. An AEM-based classification of subgroups is also reasonable for CLPB patients. PMID: 21424334 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4657334 Sun, 20 Mar 2011 00:00:00 +0100 4657334 http://www.medworm.com/index.php?rid=4657333&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424335%26dopt%3DAbstract CONCLUSIONS: Pain therapy after ambulatory surgery significantly varied with respect to the methods, drugs and measures of quality assurance used by anaesthesiologists in private praxis. This survey demonstrated that the national guidelines of acute pain therapy have only been partially implemented. PMID: 21424335 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4657333 Sun, 20 Mar 2011 00:00:00 +0100 4657333 http://www.medworm.com/index.php?rid=4657332&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424336%26dopt%3DAbstract CONCLUSION: Patients showed an altered reflex response of the gluteus medius muscle which could be associated with reduced hip stability. PMID: 21424336 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4657332 Sun, 20 Mar 2011 00:00:00 +0100 4657332 http://www.medworm.com/index.php?rid=4534819&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21350971%26dopt%3DAbstract Authors: Agarwal-Kozlowski K, Schumacher T, Goerig M, Beck H Burning pain and autonomic disorders, such as change of skin color, hyperhidrosis, edema and stiffness in joints of extremities were first described in 1864 by Silas W. Mitchell. The German expression "Morbus Sudeck" takes its name from the surgeon Paul Sudeck from Hamburg who described spotty decalcification in x-rays in 1900. In the Anglo-Saxon world, the theory that the sympathetic nervous system was involved in the generation and sustention of these alterations was based on the observations of the French surgeon René Leriche and in 1846 James A. Evans introduced the expression sympathetic reflex dystrophy. As doubts arose that the sympathetic nervous system could not be the sole culprit, the descriptive phrase of comple... Schmerz journals http://www.medworm.com/rss/comments.php?id=4534819 Sat, 26 Feb 2011 00:00:00 +0100 4534819 http://www.medworm.com/index.php?rid=4481262&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21305384%26dopt%3DAbstract Authors: Mense S The article describes and compares the characteristics of myofascial trigger points (MTrPs) of the myofascial pain syndrome and the tender points (TePs) of the fibromyalgia syndrome. Many statements are hypothetical, because not all aspects of the disorders have been clarified in solid studies. Signs and symptoms of MTrPs: (1) palpable nodule, often located close to the muscle belly, (2) often single, (3) allodynia and hyperalgesia at the MTrP, (4) referral of the MTrP pain, (5) normal pain sensitivity outside the MTrPs, (6) local twitch response, (7) local contracture in biopsy material, (8) peripheral mechanism probable. Signs and symptoms of TePs: (1) no palpable nodule, (2) location often close to the muscle attachments, (3) multiple by definition, (4) allodynia an... Schmerz journals http://www.medworm.com/rss/comments.php?id=4481262 Thu, 10 Feb 2011 00:00:00 +0100 4481262 http://www.medworm.com/index.php?rid=4481263&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21305383%26dopt%3DAbstract Authors: Junker U, Wirz S PMID: 21305383 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4481263 Wed, 09 Feb 2011 00:00:00 +0100 4481263 http://www.medworm.com/index.php?rid=4350518&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21181417%26dopt%3DAbstract Authors: Lederer AJ, Bornemann-Cimenti H, Wejbora M, Kern-Pirsch C, Michaeli K, Sandner-Kiesling A Numerous studies support the theory that pregabalin causes an antihyperalgesic effect, which could be potentially beneficial in a perioperative setting. By binding to calcium channels pregabalin reduces the release of excitatory neurotransmitters and therefore inhibits central sensitization. Animal studies clearly demonstrated the antihyperalgesic potency of pregabalin but human experiments are, however, inconclusive. Clinical studies with quantitative sensory testing have not yet been published.Although strongly supported by theoretical considerations the routine preoperative application of pregabalin for the prevention of hyperalgesia cannot be recommended due to the lack of clinical st... Schmerz journals http://www.medworm.com/rss/comments.php?id=4350518 Thu, 23 Dec 2010 00:00:00 +0100 4350518 http://www.medworm.com/index.php?rid=4350517&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21181418%26dopt%3DAbstract We report the case of a 28-year-old patient who developed glossopharyngeal neuralgia after resection of a glossopharyngeal schwannoma, which is an extremely rare tumor. Treatment consisted of orally administered pregabalin and a series of injections of buprenorphine in the superior cervical ganglion (ganglionic local opioid application/analgesia, GLOA) which led to a substantial decrease in the frequency of pain attacks. This improvement was maintained at 1-year follow-up. This is the first report of development of glossopharyngeal neuralgia after resection of a glossopharyngeal schwannoma. PMID: 21181418 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4350517 Thu, 23 Dec 2010 00:00:00 +0100 4350517 http://www.medworm.com/index.php?rid=4350519&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21161549%26dopt%3DAbstract CONCLUSION: Every emergency physician can be confronted with an emergency involving a patient with a progressive incurable disease. The condition of each patient must be assessed for each medical decision. Not only medical, but also psychosocial, ethical and legal aspects have to be considered. PMID: 21161549 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4350519 Thu, 16 Dec 2010 00:00:00 +0100 4350519 http://www.medworm.com/index.php?rid=4350520&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153423%26dopt%3DAbstract CONCLUSION: The "pain week" is intended to be a constant part of the medical curriculum at the University of Witten/Herdecke in the future. It will be integrated into the new cross-sectional subject of palliative care and be assessed by examinations. PMID: 21153423 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4350520 Sat, 11 Dec 2010 00:00:00 +0100 4350520 http://www.medworm.com/index.php?rid=4254144&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21128130%26dopt%3DAbstract Schmerz. 2010 Dec;24(6):642-647 Authors: PMID: 21128130 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4254144 Wed, 01 Dec 2010 00:00:00 +0100 4254144 http://www.medworm.com/index.php?rid=4170805&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21057818%26dopt%3DAbstract Authors: Schaible HG PMID: 21057818 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4170805 Sat, 06 Nov 2010 00:00:00 +0100 4170805 http://www.medworm.com/index.php?rid=4140278&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21052732%26dopt%3DAbstract Authors: Sprenger C, May A, Büchel C "Diffuse noxious inhibitory controls" (DNIC) refer to the observation that the activity of multi-receptive neurons of the spinal cord and trigeminal system can be strongly suppressed by an intensive pain stimulus outside their peripheral receptive field. This effect represents a neurophysiologically well-established animal model of endogenous pain modulation that has been consistently demonstrated across different species. Electrophysiological and anatomical data support the view that DNIC are sustained by a largely independent spino-bulbo-spinal loop that critically involves the caudal medulla. It is assumed that, corresponding to the animal model, the perceptive effects of 'heterotopic noxious conditioning stimulations' (HNCS) in humans are predo... Schmerz journals http://www.medworm.com/rss/comments.php?id=4140278 Sat, 06 Nov 2010 00:00:00 +0100 4140278 http://www.medworm.com/index.php?rid=4140280&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21052730%26dopt%3DAbstract Authors: Göbel H PMID: 21052730 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4140280 Sun, 31 Oct 2010 00:00:00 +0100 4140280 http://www.medworm.com/index.php?rid=4140279&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21052731%26dopt%3DAbstract CONCLUSIONS: Preoperative patient information has positive effects on the postoperative development of pain. Patient information is a valuable addition to the drug pain treatment. The application can be recommended regardless of the level of the patients' negative coping style. PMID: 21052731 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4140279 Sun, 31 Oct 2010 00:00:00 +0100 4140279 http://www.medworm.com/index.php?rid=4140282&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21046170%26dopt%3DAbstract CONCLUSION: The diagnosis and treatment of breakthrough pain seems to be conducted in a suboptimal manner, and standard recommendations on breakthrough pain relief are not implemented consistently. Possible causes of pain should be taken into account as well as multi-professional treatment interventions and alternative routes of administration of fast onset, effective drugs should be considered. PMID: 21046170 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4140282 Sat, 30 Oct 2010 00:00:00 +0100 4140282 http://www.medworm.com/index.php?rid=4140281&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21046171%26dopt%3DAbstract CONCLUSION: Modafinil improved alertness and cognitive skills in patients receiving cancer pain treatment by enhancing vigilance and cognitive performance. Although confirmation of this preliminary result is needed, these findings suggest that modafinil may improve quality of life in this patient population. However, in Germany the use of modafinil for fatigue is off-label and careful assessment of fatigue is needed prior to treatment. Randomized controlled trials are needed to confirm this evidence. PMID: 21046171 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4140281 Sat, 30 Oct 2010 00:00:00 +0100 4140281 http://www.medworm.com/index.php?rid=4108595&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20972689%26dopt%3DAbstract Authors: Gaus P, Grabener M, Höche W, Saur P The value of percutaneous chemical lumbar sympathectomy (LSE) for the treatment of peripheral arterial disease (PAD) is still being discussed controversially. In particular, a benefit for Fontaine stage II PAD could not yet be shown. This case report is about a patient suffering from Fontaine stage II PAD. By applying five LSE in regular intervals good symptom control could be achieved and maintained for more than 5 years. The case is an occasion to call for larger controlled studies designed to find out the efficacy of LSE for the treatment of stage II PAD. Mechanisms and available data are discussed. PMID: 20972689 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4108595 Sat, 23 Oct 2010 23:00:00 +0100 4108595 http://www.medworm.com/index.php?rid=4092554&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20963612%26dopt%3DAbstract Authors: Poels M, Joppich R, Gerbershagen K, Wappler F Calciphylaxis, or calcific uremic arteriopathy, is a rare complication of end-stage renal impairment. It is characterized by calcification of arterioles and development of intensely painful subcutaneous ischemic ulcerations. While symptomatic management is the mainstay of treatment, particular emphasis is placed on adequate analgesia. Conventional analgesic concepts have mostly proved to be insufficient which increases the extreme suffering of patients. This case report describes the successful analgesic treatment of calciphylaxis with levomethadone. PMID: 20963612 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4092554 Thu, 21 Oct 2010 23:00:00 +0100 4092554 http://www.medworm.com/index.php?rid=4092555&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20957393%26dopt%3DAbstract [Health services research project "Action Alliance Pain-free City Münster" : Objectives and methods.] Schmerz. 2010 Oct 20; Authors: Osterbrink J, Ewers A, Nestler N, Pogatzki-Zahn E, Bauer Z, Gnass I, Sirsch E, Krüger C, Mitterlehner B, Kutschar P, Hemling S, Fischer B, Marschall U, Aschauer W, Weichbold M, van Aken H Inadequate pain care in health care facilities is still a major concern. Due to structural and organizational shortcomings the potential of modern analgesia is far from being exhausted. The project "Action Alliance Pain-free City Münster" is designed to analyze the multiprofessional pain management in health care facilities in the model City of Münster in an epidemiologic study and aims to optimize pain management in accordance with nursing standards and medi... Schmerz journals http://www.medworm.com/rss/comments.php?id=4092555 Tue, 19 Oct 2010 23:00:00 +0100 4092555 http://www.medworm.com/index.php?rid=4046021&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20922547%26dopt%3DAbstract Authors: Leonhardt C, Laekeman M According to evidence-based guidelines a physically activating therapy approach in older chronic pain patients is necessary for the preservation of autonomy. Often the elderly are not easy to motivate for this because of inappropriate attitudes, low self-efficacy, fear of pain and fear of falling. The latter might be more important for self-induced restriction of activity in older pain patients than fear avoidance beliefs known from pain research. The fear of caregivers concerning pain and falls can also lead to physical restrictions in the elderly. The underlying diseases and drug effects have to be borne in mind in exercise-oriented therapy. It seems necessary to design special therapy elements for all national care sectors using age-specific motivati... Schmerz journals http://www.medworm.com/rss/comments.php?id=4046021 Tue, 05 Oct 2010 23:00:00 +0100 4046021 http://www.medworm.com/index.php?rid=4028184&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20882299%26dopt%3DAbstract Authors: Zschaler S PMID: 20882299 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4028184 Thu, 30 Sep 2010 23:00:00 +0100 4028184 http://www.medworm.com/index.php?rid=4028183&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20882300%26dopt%3DAbstract CONCLUSION: MIDOS(2) can be recommended for routine daily documentation in palliative care because of low burden, little expenditure of time and high participation of patients. Statistical evaluation indicated good external validity and reliability. PMID: 20882300 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=4028183 Thu, 30 Sep 2010 23:00:00 +0100 4028183 http://www.medworm.com/index.php?rid=4028182&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20882301%26dopt%3DAbstract Authors: Alt-Epping B, Nauck F In modern oncology, paradigmatic developments can be witnessed with respect to conceptual strategies and to individualized diagnostics and treatment approaches, but foremost with respect to the amazing number of new anticancer substances available. These developments will certainly influence the care of patients suffering from incurable and advanced cancer, where pain therapy and symptom control, quality of life and other intentions of palliative care are urgent. For cancer pain therapy and palliative care, knowledge about these developments may be helpful not only with respect to interdisciplinary decision making, but also for thoroughly balancing risks, side effects and benefits of oncological interventions that have the potential to stabilize disease p... Schmerz journals http://www.medworm.com/rss/comments.php?id=4028182 Thu, 30 Sep 2010 23:00:00 +0100 4028182 http://www.medworm.com/index.php?rid=3943311&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20821234%26dopt%3DAbstract CONCLUSIONS: An individualized personal outpatient therapy program has only marginal effects on pain and health-related quality of life in patients with chronic pain. PMID: 20821234 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3943311 Tue, 07 Sep 2010 23:00:00 +0100 3943311 http://www.medworm.com/index.php?rid=3943312&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20811752%26dopt%3DAbstract CONCLUSIONS: More efforts have to be made to educate and inform chronic pain patients adequately from the doctor's side. PMID: 20811752 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3943312 Wed, 01 Sep 2010 23:00:00 +0100 3943312 http://www.medworm.com/index.php?rid=3912803&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20798959%26dopt%3DAbstract Authors: Schnabel A, Pogatzki-Zahn E Chronic postoperative pain is known to be a significant clinical and economic problem. The estimated mean incidence is high and varies between 10 and 50%, with variations mostly related to procedure-specific conditions. High-risk types of surgeries are e.g. thoracotomy, breast or inguinal hernia surgery and amputations. Although there is increasing knowledge about the incidence of chronic postoperative pain after certain types of surgical procedures, there are only limited data related to the mechanisms and pathophysiology leading to chronic pain after surgery. Neuropathic pain components have been discussed, especially following operations with a high incidence of nerve damage (for example axillary lymphadenectomy). Besides surgical factors it seem... Schmerz journals http://www.medworm.com/rss/comments.php?id=3912803 Fri, 27 Aug 2010 23:00:00 +0100 3912803 http://www.medworm.com/index.php?rid=3865699&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20706740%26dopt%3DAbstract CONCLUSION: TENS therapy with HAN stimulation resulted in pain relief in patients with gonarthrosis during the therapy period with TENS, but the pain relief did not last beyond the end of the TENS therapy. There was an improvement in the Lysholm score and the WOMAC score during the therapy. This improvement remained over the following 2-week period of observation without further TENS therapy. TENS therapy is a simple and effective method to treat gonarthrosis with very few side effects. PMID: 20706740 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3865699 Fri, 13 Aug 2010 23:00:00 +0100 3865699 http://www.medworm.com/index.php?rid=3827491&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20686791%26dopt%3DAbstract CONCLUSIONS: The results of this study verify that emergency physicians in training have insufficient knowledge of pain therapy and end-of-life decisions. The data of this investigation suggest that more attention should be paid to education on pain therapy and end-of-life care in medical curricula. Prehospital emergency physicians may thus be better prepared to provide quality care for palliative patients. PMID: 20686791 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3827491 Thu, 05 Aug 2010 23:00:00 +0100 3827491 http://www.medworm.com/index.php?rid=3827492&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20683732%26dopt%3DAbstract CONCLUSION: Chronic pain is a major problem in primary care. The high level of suffering and the enormous socioeconomic impact on public health demand consequences. Improvements in undergraduate and postgraduate training are urgently required for both an adequate pain treatment and the prevention of chronic pain. PMID: 20683732 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3827492 Wed, 04 Aug 2010 23:00:00 +0100 3827492 http://www.medworm.com/index.php?rid=3827493&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20680647%26dopt%3DAbstract Authors: Blankenburg M, Boekens H, Hechler T, Maier C, Krumova E, Scherens A, Magerl W, Aksu F, Zernikow B PMID: 20680647 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3827493 Tue, 03 Aug 2010 23:00:00 +0100 3827493 http://www.medworm.com/index.php?rid=3813525&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20676899%26dopt%3DAbstract Authors: Somborski K, Bingel U Functional brain imaging techniques allow to noninvasively visualize neuronal activity and associated metabolic consequences. In combination with elegant experimental paradigms in both healthy volunteers and, increasingly, in patients, functional brain imaging has led to a vast accumulation of knowledge concerning the CNS mechanisms involved in pain perception and pain modulation in humans. The so-called "pain matrix" represents a dynamic network of cortical and subcortical brain regions regularly activated by acute pain. This includes the somatosensory cortices (SI, SII), insular cortex, the cingulate cortex, prefrontal areas, amygdala, thalamus, brainstem and cerebellum. The subjective perception of pain is substantially influenced by context-dependent ... Schmerz journals http://www.medworm.com/rss/comments.php?id=3813525 Fri, 30 Jul 2010 23:00:00 +0100 3813525 http://www.medworm.com/index.php?rid=3813546&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20665220%26dopt%3DAbstract Authors: Lucius H, Treede RD PMID: 20665220 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3813546 Wed, 28 Jul 2010 23:00:00 +0100 3813546 http://www.medworm.com/index.php?rid=3813534&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20665221%26dopt%3DAbstract Authors: Radbruch L, Nauck F PMID: 20665221 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3813534 Wed, 28 Jul 2010 23:00:00 +0100 3813534 http://www.medworm.com/index.php?rid=3795792&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20661593%26dopt%3DAbstract Authors: Alt-Epping B, Sitte T, Nauck F, Radbruch L The European Association for Palliative Care (EAPC) considers sedation to be an important and necessary therapy option in the care of selected palliative care patients with otherwise refractory distress. Prudent application of this approach requires due caution and good clinical practice. Inattention to potential risks and problematic practices can lead to harmful and unethical practice which may undermine the credibility and reputation of the responsible clinicians and institutions as well as the discipline of palliative medicine more generally. Procedural guidelines are helpful to educate medical providers, set standards for best practice, promote optimal care and convey the important message to staff, patients and families that pal... Schmerz journals http://www.medworm.com/rss/comments.php?id=3795792 Tue, 27 Jul 2010 23:00:00 +0100 3795792 http://www.medworm.com/index.php?rid=3795791&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20661594%26dopt%3DAbstract Authors: Sorgatz H, Maier C PMID: 20661594 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3795791 Tue, 27 Jul 2010 23:00:00 +0100 3795791 http://www.medworm.com/index.php?rid=3795790&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20661595%26dopt%3DAbstract Authors: Meißner W PMID: 20661595 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3795790 Tue, 27 Jul 2010 23:00:00 +0100 3795790 http://www.medworm.com/index.php?rid=3795795&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20658250%26dopt%3DAbstract Authors: Neitzke G PMID: 20658250 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3795795 Sat, 24 Jul 2010 23:00:00 +0100 3795795 http://www.medworm.com/index.php?rid=3795794&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20658251%26dopt%3DAbstract CONCLUSION: The study contributes to the methodological stability of two postulated groups. Thus further research should foster the development of risk-based interventions to evaluate if these groups offer an appropriate differentiation in rehabilitation. PMID: 20658251 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3795794 Sat, 24 Jul 2010 23:00:00 +0100 3795794 http://www.medworm.com/index.php?rid=3795793&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20658252%26dopt%3DAbstract CONCLUSIONS: Different values of the religious variables can be explained by different characteristics of the strain: Due to the threat to life experienced by the patients, the breast cancer group is more likely to turn to religiousness for help. Specific characteristics of chronic pain (e.g. longer illness duration, a stronger impairment in everyday activities) lead to higher resignation, also concerning religious efforts. PMID: 20658252 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3795793 Sat, 24 Jul 2010 23:00:00 +0100 3795793 http://www.medworm.com/index.php?rid=3761952&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20628765%26dopt%3DAbstract Authors: Mahn F, Baron R The term "peripheral neuropathic pain syndromes" summarizes several chronic pain syndromes, which can occur focally or generalized in the peripheral nervous system in the course of an impairment of afferent neurons. Controlled clinical trials gave distinct indications for systemic treatments with antidepressants, anticonvulsants and opioid analgesics in several neuropathic pain syndromes. In addition to these systemic therapies, there are also two topical treatment options: topical application of lidocaine and capsaicin. An important cause of sensitization phenomena of afferent nociceptors is the upregulation of sodium channels and thermosensor channels. In the context of a partial nerve lesion that leaves behind partially preserved or regenerated afferent nerv... Schmerz journals http://www.medworm.com/rss/comments.php?id=3761952 Wed, 14 Jul 2010 23:00:00 +0100 3761952 http://www.medworm.com/index.php?rid=3737355&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20607304%26dopt%3DAbstract CONCLUSIONS: Despite the fact that the need for unrestricted opioid provision in specialised community palliative care is indisputable and recognised, the implementation is nevertheless hindered by a multitude of legal red tape. One solution to the problem would be the legalisation of emergency supplies of narcotics to be held by specialised facilities, such as hospices or specialised palliative care teams. This could, for instance, be implemented via the narcotics requisition form currently used for inpatient supplies in hospitals or for emergency services. Hospices and care homes must be enabled to receive their supplies directly without bureaucratic hindrance and without the need for renewed narcotic prescription. PMID: 20607304 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3737355 Wed, 07 Jul 2010 23:00:00 +0100 3737355 http://www.medworm.com/index.php?rid=3727024&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20602119%26dopt%3DAbstract CONCLUSIONS: Fibromyalgia patients with depressive symptoms show more sleep disturbances, sexual dysfunction, loss of physical function level and lower quality of life. Patients with fibromyalgia and comorbid depression showed poorer outcomes of multimodal rehabilitation than patients with fibromyalgia without depression. Therefore the assessment of depression should be included in the routine diagnostics of fibromyalgia. Furthermore, patients with fibromyalgia and comorbid depression should be motivated to seek therapy and get better support in coping with depression. PMID: 20602119 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3727024 Sat, 03 Jul 2010 23:00:00 +0100 3727024 http://www.medworm.com/index.php?rid=3684091&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20563685%26dopt%3DAbstract Authors: Kropp P, Niederberger U Biofeedback is a direct feedback of a physiological function. The aim of biofeedback is to change the physiological function into a required direction. To manage this, the physiological function has to be fed back visually or acoustically and it has to be perceived consciously. Biofeedback as a therapeutic practice derives from behavioural therapy and can be used in the context of behavioural interventions. Biofeedback has proved to be successful in non-medical treatment of pain. According to more recent meta-analyses biofeedback reveals high evidence in the treatment of migraine or tension-type headache. In these headaches biofeedback procedures are considered highly effective. PMID: 20563685 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3684091 Mon, 31 May 2010 23:00:00 +0100 3684091 http://www.medworm.com/index.php?rid=3684090&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20563686%26dopt%3DAbstract Authors: PMID: 20563686 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3684090 Mon, 31 May 2010 23:00:00 +0100 3684090 http://www.medworm.com/index.php?rid=3590926&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20490569%26dopt%3DAbstract CONCLUSION: The RPS has good reliability and convergent validity, but limited discriminant validity. The RPS is suited as a screening instrument for the diagnosis of FMS in clinical practice. PMID: 20490569 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3590926 Wed, 19 May 2010 23:00:00 +0100 3590926 http://www.medworm.com/index.php?rid=3590924&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20490571%26dopt%3DAbstract CONCLUSION: It is necessary to improve the medical students' education and the physicians' postgraduate training regarding principles of pain management such as the WHO guidelines for the treatment of cancer pain. A better knowledge of important pharmacological aspects of opioids should help to reduce physicians' concerns about the use of strong opioids. Nevertheless, improvement of physicians' skills in pain therapy is only one aim in a multidisciplinary concept in order to improve patients' pain therapy. PMID: 20490571 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3590924 Wed, 19 May 2010 23:00:00 +0100 3590924 http://www.medworm.com/index.php?rid=3590925&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20490570%26dopt%3DAbstract CONCLUSION: With no contraindications given the combination diclofenac + morphine is more cost-effective for postoperative pain management after major surgery compared to paracetamol + morphine. PMID: 20490570 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3590925 Tue, 18 May 2010 23:00:00 +0100 3590925 http://www.medworm.com/index.php?rid=3585944&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20480377%26dopt%3DAbstract CONCLUSIONS: No gender differences were found in pain measures. Differences were found regarding psychological measures and coping strategies. Women showed more psychological strains and used more adaptive coping strategies on the scales "cognitive restructuring", "perceived self-competence", "mental diversion" and "counterbalancing activities" than men. This implies that women need more treatment for psychological aspects and men need assistance in pain management. PMID: 20480377 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3585944 Tue, 18 May 2010 23:00:00 +0100 3585944 http://www.medworm.com/index.php?rid=3566555&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20461415%26dopt%3DAbstract CONCLUSION: With this questionnaire there is now a validated German assessment tool to measure pain perception in adolescents with chronic pain (Pain Perception Scale for Adolescents, SES-J). Due to its practicability it is suitable for clinical application. PMID: 20461415 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3566555 Wed, 12 May 2010 23:00:00 +0100 3566555 http://www.medworm.com/index.php?rid=3557080&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20458501%26dopt%3DAbstract We describe a patient with a secondary chronic cluster headache who over the course of 10 years prospectively recorded every single attack as well as all expenses for his condition. In these 10 years he suffered a total of 5,447 attacks and the overall medical expenses amounted to 60,667 EUR, the predominant part of which was caused by costs due to the cluster headache itself (47,030 EUR, 77.5%). The inhalation of oxygen accounted for the lion's share. PMID: 20458501 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3557080 Tue, 11 May 2010 23:00:00 +0100 3557080 http://www.medworm.com/index.php?rid=3557079&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20458502%26dopt%3DAbstract Authors: Ahrens C, Schiltenwolf M, Wang H The purpose is to clarify if comorbidity of depression reduces health-related quality of life (SF-36) in patients with chronic low back pain (CR) and if those comorbid patients (CR+DE) benefit from multimodal pain treatment. Two groups (CR and CR+DE) each with 29 patients are compared over 6 months on study days 0, 21 (inpatient) and 180 (outpatient). Differences exist only at days 0 and 21, not at day 180, with group CR exhibiting higher SF-36 values in each case. Group CR+DE improves in the inpatient phase and especially in the outpatient phase and therefore over the entire study period more than group CR which increases solely in the inpatient phase. The comorbid group is more severely affected by their illness, but improves very constantly.... Schmerz journals http://www.medworm.com/rss/comments.php?id=3557079 Tue, 11 May 2010 23:00:00 +0100 3557079 http://www.medworm.com/index.php?rid=3557078&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20458503%26dopt%3DAbstract CONCLUSION: Deriving valid and pragmatic QI from LBP guidelines for evaluating care for LBP is difficult. The core messages of guidelines are only recommendations with limited precision and transferability to individual patients. For pragmatic reasons definition of an upper or lower proportion of patients receiving a given health care service is recommended instead of tedious individual evaluation. Reasonable estimates can be based on data from research on health care services. Because of this uncertainty QIs should be evaluated before they are used as a steering instrument. PMID: 20458503 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3557078 Tue, 11 May 2010 23:00:00 +0100 3557078 http://www.medworm.com/index.php?rid=3523000&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20428897%26dopt%3DAbstract Authors: Treede RD, Müller-Schwefe G, Thoma R PMID: 20428897 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3523000 Thu, 29 Apr 2010 23:00:00 +0100 3523000 http://www.medworm.com/index.php?rid=3476337&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20390304%26dopt%3DAbstract Authors: Wang H, Schiltenwolf M PMID: 20390304 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3476337 Wed, 14 Apr 2010 23:00:00 +0100 3476337 http://www.medworm.com/index.php?rid=3476336&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20390305%26dopt%3DAbstract CONCLUSION: Our findings suggest that long-term use of opioids intensifies the peripheral sensitisation of cLBP. The MDPT can counteract this process. PMID: 20390305 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3476336 Wed, 14 Apr 2010 23:00:00 +0100 3476336 http://www.medworm.com/index.php?rid=3450277&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20372936%26dopt%3DAbstract Authors: Nilges P, Rief W In 2009, the German version of ICD-10 (ICD-10 GM version 2009) introduced the diagnosis of "chronic pain disorder with somatic and psychological factors", because current ICD-10 diagnoses did not address the biopsychosocial character of chronic pain adequately. For most patients, a dichotomous classification into psychologically versus biomedically caused pain is inappropriate and does not reflect current knowledge on pain. The new code F45.41 addresses the relevance of psychological factors for chronic pain persistence and chronic pain treatment, even in those conditions with a clear biomedical cause at the beginning. This guideline describes how to use this new diagnosis, which boundaries have to be considered, and how comorbid and associated conditions can ... Schmerz journals http://www.medworm.com/rss/comments.php?id=3450277 Wed, 07 Apr 2010 23:00:00 +0100 3450277 http://www.medworm.com/index.php?rid=3450276&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376597%26dopt%3DAbstract Authors: Flor H, Petzke F PMID: 20376597 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3450276 Wed, 31 Mar 2010 23:00:00 +0100 3450276 http://www.medworm.com/index.php?rid=3450275&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376598%26dopt%3DAbstract Authors: Baumgärtner U In order to transform a nociceptive stimulus into a painful perception, a highly specialized chain of structural and functional elements is necessary. This system comprises nociceptors in the periphery with specific molecular properties for differential coding of noxious submodalities, ascending and descending tracts that can control the input into the dorsal horn of the spinal cord as well as supraspinal processing that regulates the integration of nociceptive information with other sensory modalities and autonomic function. In this article, structures involved in nociceptive signal processing starting from the periphery up to spinal and cerebral structures are discussed in the order of their spatio-temporal activation sequence - as far as these are known. ... Schmerz journals http://www.medworm.com/rss/comments.php?id=3450275 Wed, 31 Mar 2010 23:00:00 +0100 3450275 http://www.medworm.com/index.php?rid=3450274&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376599%26dopt%3DAbstract Authors: Valet M, Sprenger T, Tölle TR Functional neuroimaging methods such as positron emission tomography (PET) or functional magnetic resonance imaging (fMRI) provide fascinating insights into the cerebral processing of pain. Neuroimaging studies have shown that no clearly defined "pain centre" exists. Rather, an entire network of brain regions is involved in the processing of nociceptive information, which leads to the subjective impression of "pain". Sophisticated study designs nowadays permit the characterisation of different components of pain processing. In this review, we summarise neuroimaging studies, which contributed to the characterisation of these different aspects of cerebral pain processing, such as somatosensory (discrimination of different stimulus modalities, n... Schmerz journals http://www.medworm.com/rss/comments.php?id=3450274 Wed, 31 Mar 2010 23:00:00 +0100 3450274 http://www.medworm.com/index.php?rid=3450273&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376600%26dopt%3DAbstract Authors: Bingel U Nociceptive information processing and related pain perception are subject to substantial pro- and antinociceptive modulation. Research on the involved circuitry and the implemented mechanisms is a major focus of contemporary neuroscientific studies in the field of pain and will provide new insights into the prevention and treatment of chronic pain states. Placebo analgesia is a powerful clinical example of the cognitive modulation of pain perception. In placebo analgesia the administration of an inert substance will produce an analgesic effect if the subject is convinced that the substance is a potent analgesic. Recent neuroimaging studies have started to characterize the neural circuitry supporting the placebo analgesic effect. The converging evidence from these stu... Schmerz journals http://www.medworm.com/rss/comments.php?id=3450273 Wed, 31 Mar 2010 23:00:00 +0100 3450273 http://www.medworm.com/index.php?rid=3450272&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376601%26dopt%3DAbstract Authors: May A Current functional neuroimaging studies in headache patients have demonstrated that changes in vascular function are not the primary cause for the pain in migraine. Especially in headache research, functional imaging revealed for the first time important information on the pathophysiology of idiopathic syndromes beyond mere anatomical attribution. Several independent studies have reinforced the crucial role of the brainstem in migraine resulting in primary dysfunction of the endogenous antinociceptive systems, including the periaqueductal grey and the dorsal raphe nucleus (DRN) in the midbrain as well as areas involved in the neuronal regulation of cerebral blood flow (DRN and locus coeruleus). The hypothalamus on the other hand is involved in the fundamental processes l... Schmerz journals http://www.medworm.com/rss/comments.php?id=3450272 Wed, 31 Mar 2010 23:00:00 +0100 3450272 http://www.medworm.com/index.php?rid=3450271&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376602%26dopt%3DAbstract Authors: Maihöfner C, Nickel FT, Seifert F Neuropathic pain syndromes are characterised by the occurrence of spontaneous ongoing and stimulus-induced pain. Stimulus-induced pain (hyperalgesia and allodynia) may result from sensitisation processes in the peripheral (primary hyperalgesia) or central (secondary hyperalgesia) nervous system. The underlying pathophysiological mechanisms at the nociceptor itself and at spinal synapses have become better understood. However, the cerebral processing of hyperalgesia and allodynia is still controversially discussed. In recent years, neuroimaging methods (functional magnetic resonance imaging, fMRI; magnetoencephalography, MEG; positron emission tomography, PET) have provided new insights into the aberrant cerebral processing of neuropathic ... Schmerz journals http://www.medworm.com/rss/comments.php?id=3450271 Wed, 31 Mar 2010 23:00:00 +0100 3450271 http://www.medworm.com/index.php?rid=3450270&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376603%26dopt%3DAbstract Authors: Petzke F Functional pain syndromes usually are characterized by a local or generalized increase in pain sensitivity, spontaneous ongoing pain, and a variety of other common symptoms. Classification or definition of a syndrome is usually somewhat arbitrarily based on the predominantly affected body region or a main symptom, resulting in significant overlap between conditions. Support for the involvement of the central nervous system (CNS) comes from the frequent comorbidity of affective disorders and symptomatology, disturbances in cognitive function, changes in neuroendocrine function, and dysregulation of the autonomic nervous system, although only subgroups of patients are affected. Findings of neuroimaging studies in functional pain syndromes typically reveal plausible corr... Schmerz journals http://www.medworm.com/rss/comments.php?id=3450270 Wed, 31 Mar 2010 23:00:00 +0100 3450270 http://www.medworm.com/index.php?rid=3450269&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376604%26dopt%3DAbstract Authors: Lorenz J, Auffermann W Pain is a complex subjective phenomenon that so far cannot be objectively quantified by any standardized procedure. This fact renders it also difficult to measure the efficacy of analgesic drugs. In recent years the application of functional magnetic resonance imaging (fMRI) has significantly increased our current knowledge about the brain physiological correlates of pain in humans. The technique is non-invasive and detects the increased blood flow into neuronally active brain regions based on the so-called BOLD (blood oxygenation level dependent) effect of T2-weighted MRI. This paper gives an overview of the application of pharmacological fMRI (phfMRI) as an approach to evaluate the efficacy of analgesics. In contrast to EEG- and MEG-based methods phfMR... Schmerz journals http://www.medworm.com/rss/comments.php?id=3450269 Wed, 31 Mar 2010 23:00:00 +0100 3450269 http://www.medworm.com/index.php?rid=3450268&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376605%26dopt%3DAbstract Authors: Antal A, Paulus W Neuroplasticity is the ability of the central nervous system to induce functional and microstructural changes in order to adapt to a new environment. However, so-called maladaptive neuroplasticity can also bring disadvantages, such as reduced inhibition of input signals, one of the suspected causes of chronic pain. With the method of repetitive transcranial magnetic stimulation (rTMS) a technique has been developed that makes it possible to study cortical excitability changes in the human brain non-invasively over a long time. Electrophysiological studies have shown that the application of rTMS over the primary motor cortex induces a facilitatory or inhibitory effect on the corticospinal and cortico-cortical excitability depending on the protocol used. The re... Schmerz journals http://www.medworm.com/rss/comments.php?id=3450268 Wed, 31 Mar 2010 23:00:00 +0100 3450268 http://www.medworm.com/index.php?rid=3450267&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376606%26dopt%3DAbstract Authors: Stamer U PMID: 20376606 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3450267 Wed, 31 Mar 2010 23:00:00 +0100 3450267 http://www.medworm.com/index.php?rid=3450266&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376607%26dopt%3DAbstract Authors: Sabatowski R, Schubert B, Schuler U PMID: 20376607 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3450266 Wed, 31 Mar 2010 23:00:00 +0100 3450266 http://www.medworm.com/index.php?rid=3450265&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376608%26dopt%3DAbstract Authors: PMID: 20376608 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3450265 Wed, 31 Mar 2010 23:00:00 +0100 3450265 http://www.medworm.com/index.php?rid=3450264&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376609%26dopt%3DAbstract This article presents differences in international legislation on euthanasia and summarises the ethical background. The current results from the literature according to motivations for the wish for hastened death, communicative functions of the request, attitudes and practices of physicians and their willingness to accompany the patient in euthanasia as well as practical implications for clinical practice are discussed. PMID: 20376609 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3450264 Wed, 31 Mar 2010 23:00:00 +0100 3450264 http://www.medworm.com/index.php?rid=3450263&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20376610%26dopt%3DAbstract Authors: PMID: 20376610 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3450263 Wed, 31 Mar 2010 23:00:00 +0100 3450263 http://www.medworm.com/index.php?rid=3270172&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20151310%26dopt%3DAbstract Authors: Heinze A, Heinze-Kuhn K, Göbel H With the introduction of the highly effective triptans in the treatment of acute migraine attacks, the significance of migraine prevention temporarily lost ground in the awareness of doctors and, even more so, patients. This was unjustified, as the increasing numbers of patients with triptan-overuse headache clearly demonstrated. Recent years have seen this trend reversed with a resurgence of migraine prevention. In daily practice the first question is whether migraine prevention is indeed indicated for the patient. If answered affirmatively, the next step is the intricate selection of the most promising agent for the patient. Treatment guidelines regularly updated by the relevant medical societies provide a general overview of the agents ... Schmerz journals http://www.medworm.com/rss/comments.php?id=3270172 Sat, 13 Feb 2010 00:00:00 +0100 3270172 http://www.medworm.com/index.php?rid=3263464&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20143100%26dopt%3DAbstract Authors: Goebel S, Baumann B, Steinert A, Reppenhagen S, Faller H The aim of this study was to examine whether depression is a strong predictor of elevated postoperative pain levels following orthopedic surgery and whether the implementation of standardized pain management is more beneficial for patients with depression. We performed a non-randomized, prospective study with two different groups of patients who underwent orthopedic surgery. Group 1 (n=249) received non-standardized pain therapy whereas group 2 (n = 243) was treated with a standardized pain management concept. Effects of the treatment were monitored with a VAS-based pain assessment protocol. Depression was measured preoperatively with the self-reported Patient Health Questionnaire (PHQ-9). Patients with the probable diag... Schmerz journals http://www.medworm.com/rss/comments.php?id=3263464 Wed, 10 Feb 2010 00:00:00 +0100 3263464 http://www.medworm.com/index.php?rid=3263463&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20143101%26dopt%3DAbstract CONCLUSION: Patients with SPD show a remarkably reduced QoL and alexithymia appears to play a significant role for low QoL. Clinicians need to pay careful attention to alexithymia with regard to diagnosis and treatment planning in SPD patients. PMID: 20143101 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3263463 Wed, 10 Feb 2010 00:00:00 +0100 3263463 http://www.medworm.com/index.php?rid=3221185&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20108100%26dopt%3DAbstract Authors: Hagenacker T PMID: 20108100 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3221185 Fri, 29 Jan 2010 00:00:00 +0100 3221185 http://www.medworm.com/index.php?rid=3221184&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20108101%26dopt%3DAbstract Authors: PMID: 20108101 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3221184 Fri, 29 Jan 2010 00:00:00 +0100 3221184 http://www.medworm.com/index.php?rid=3221183&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20108102%26dopt%3DAbstract Authors: Schmidt-Wilcke T, Wood P, Lürding R The primary symptom of fibromyalgia (FM) is chronic, widespread pain accompanied by diffuse tenderness to light palpation. However, many patients report a multitude of additional complaints and symptoms. Besides fatigue, exhaustibility and stiffness, a decrease in concentration and memory are further complaints that add significantly to the degree of suffering. This complaint, often termed "fibrofog", is increasingly recognised as an independent symptom that has made its way into the medical literature under the term "dyscognition". Nonetheless there are only a few studies that have specifically investigated neuropsychological deficits in FM patients in order to further specify clinical complaints. The studies performed so far have prov... Schmerz journals http://www.medworm.com/rss/comments.php?id=3221183 Fri, 29 Jan 2010 00:00:00 +0100 3221183 http://www.medworm.com/index.php?rid=3221182&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20108103%26dopt%3DAbstract CONCLUSION: The DSF-KJ provides a standardized assessment and comprehensive description of paediatric chronic pain problems and facilitates medical and psychological diagnostic and therapeutic decisions. The preliminary results suggest that the questionnaire is a clinically useful and practical assessment tool for children and adolescents with chronic pain. PMID: 20108103 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3221182 Fri, 29 Jan 2010 00:00:00 +0100 3221182 http://www.medworm.com/index.php?rid=3221181&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20108104%26dopt%3DAbstract CONCLUSION: Palliative symptom control in outpatients should be performed by qualified and interdisciplinary palliative-care teams, so that patients can receive more psychosocial support and hospital stays can be prevented. PMID: 20108104 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3221181 Fri, 29 Jan 2010 00:00:00 +0100 3221181 http://www.medworm.com/index.php?rid=3197993&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20091321%26dopt%3DAbstract Authors: Zernikow B, Hechler T, Schroeder S PMID: 20091321 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3197993 Fri, 22 Jan 2010 00:00:00 +0100 3197993 http://www.medworm.com/index.php?rid=3189653&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20082204%26dopt%3DAbstract Authors: Freytag A, Schiffhorst G, Thoma R, Strick K, Gries C, Becker A, Treede RD, Müller-Schwefe G, Casser HR, Luley C, Höer A, Ujeyl M, Gothe H, Kugler J, Glaeske G, Häussler B The ICD classification does not provide the opportunity to adequately identify pain patients. Therefore we developed an alternative method for the identification and classification of pain patients which is based on prescription and diagnoses data from the year 2006 of one nationwide sickness fund (DAK) and which is led by two main assumptions: (1) Beneficiaries without prescription of an analgetic drug but with a diagnosis pattern that is characteristic of patients who are treated with opioids are also likely to be pain patients. 2. Each combination of diagnosis groups can be traced back to on... Schmerz journals http://www.medworm.com/rss/comments.php?id=3189653 Sun, 17 Jan 2010 00:00:00 +0100 3189653 http://www.medworm.com/index.php?rid=3105783&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20020309%26dopt%3DAbstract Authors: Arnold B PMID: 20020309 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3105783 Sat, 19 Dec 2009 00:00:00 +0100 3105783 http://www.medworm.com/index.php?rid=3051684&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19953361%26dopt%3DAbstract Authors: PMID: 19953361 [PubMed - in process] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3051684 Tue, 01 Dec 2009 00:00:00 +0100 3051684 http://www.medworm.com/index.php?rid=3012681&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19921280%26dopt%3DAbstract Authors: Göbel H, Heinze A, Heinze-Kuhn K, Henkel K, Roth A, Rüschmann HH Integrated care builds interdisciplinary networks across the different healthcare sectors. A conjoint effort toward clearly defined treatment goals is crucial for medically effective and economically efficient care. Allowing creativity in the implementation of integrated care triggers competition for more effective ideas and better solutions. Based on a summary of the development of integrated care and the example of the nationwide German headache treatment network, the successful organization and implementation of this cross-sectoral care within pain medicine is illustrated. An interdisciplinary nationwide network of pain therapists working hand in hand across the sectors, both in the outpatient and in... Schmerz journals http://www.medworm.com/rss/comments.php?id=3012681 Wed, 18 Nov 2009 00:00:00 +0100 3012681 http://www.medworm.com/index.php?rid=3004351&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19915873%26dopt%3DAbstract Authors: Radbruch L, Schaible HG PMID: 19915873 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3004351 Sun, 15 Nov 2009 00:00:00 +0100 3004351 http://www.medworm.com/index.php?rid=3004350&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19915874%26dopt%3DAbstract Authors: Gaus P, Hyhlik-Dürr A PMID: 19915874 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3004350 Sun, 15 Nov 2009 00:00:00 +0100 3004350 http://www.medworm.com/index.php?rid=3004349&cid=s_36251_5_f&fid=36251&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19915875%26dopt%3DAbstract Authors: Tölle TR PMID: 19915875 [PubMed - as supplied by publisher] (Source: Schmerz) Schmerz journals http://www.medworm.com/rss/comments.php?id=3004349 Sun, 15 Nov 2009 00:00:00 +0100 3004349