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When Does Intervention End and Surgery Begin? The Role of Interventional Pain Management in the Treatment of Spine Pathology
AbstractPurpose of ReviewRecent advances in the field of interventional pain management (IPM) involve minimally invasive procedures such as percutaneous lumbar decompression, interspinous spacer placement, interspinous-interlaminar fusion and sacroiliac joint fusion. These developments have received pushback from surgical professional societies, who state spinal instrumentation and arthrodesis should only be performed by spine surgeons. The purpose of this review is to evaluate the validity of this claim. A literature search was conducted on Google Scholar and PubMed databases. Articles were included which examined IPM in ...
Source: Current Pain and Headache Reports - September 15, 2023 Category: Neurology Source Type: research

A mixed methods study to uncover impediments to accurate diagnosis of nonradiographic axial spondyloarthritis in the USA
ConclusionsDelayed nr-axSpA diagnosis is common and reflects HCP knowledge gaps and frequent patient presentation with dominant nonaxial symptoms. Targeted HCP education, research into early disease patterns, and interventions sensitive to the broader spectrum of nr-axSpA manifestations are needed to improve timely diagnosis.Key Points• Patients with nr-axSpA often see multiple types of HCPs, and multiple rheumatologists, before receiving a diagnosis.• Both patients and HCPs are unfamiliar with nr-axSpA and its symptoms, lacking understanding that nr-axSpA can occur in young people, females, and those presenting with n...
Source: Clinical Rheumatology - September 14, 2023 Category: Rheumatology Source Type: research

Optimizing Pain Self-Management in Total Knee Arthroplasty
Conditions:   Osteo Arthritis Knee;   Knee Pain Chronic;   Surgery Interventions:   Behavioral: Savoring Meditation;   Behavioral: Pain Self-Management and Education Sponsor:   University of Virginia Not yet recruiting
Source: ClinicalTrials.gov - September 14, 2023 Category: Research Source Type: clinical trials

The effect of a psychologically informed video series to treat adolescents' patellofemoral pain: A randomized controlled trial
CONCLUSION: Incorporating psychologically-informed education into physical therapy care improved function, pain, and psychological beliefs to a greater extent than the control group.PMID:37706686 | DOI:10.2519/jospt.2023.12041
Source: Health Physics - September 14, 2023 Category: Physics Authors: Mitchell Selhorst Jessica Hoehn Laura Schmitt Jason Benedict Alicia Fernandez-Fernandez Source Type: research

The Tailored Opioid Reduction Strategy (TORS): A Quality Improvement Initiative to Reduce Opioid Prescription Following Hysterectomy
CONCLUSION: TORS implementation was successful in reducing the rate of discharge opioid prescriptions and the total amount of opiates prescribed in patients undergoing hysterectomy with no decrease in patient satisfaction or change in postoperative pain scores. We believe it can be applied more broadly across different surgical patient populations to prevent opioid abuse.PMID:37709142 | DOI:10.1016/j.jogc.2023.102214
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - September 14, 2023 Category: OBGYN Authors: Samantha Benlolo Alysha Nensi Anna Shishkina Deborah Robertson Sari Kives Source Type: research

The effect of a psychologically informed video series to treat adolescents' patellofemoral pain: A randomized controlled trial
CONCLUSION: Incorporating psychologically-informed education into physical therapy care improved function, pain, and psychological beliefs to a greater extent than the control group.PMID:37706686 | DOI:10.2519/jospt.2023.12041
Source: Physical Therapy - September 14, 2023 Category: Physiotherapy Authors: Mitchell Selhorst Jessica Hoehn Laura Schmitt Jason Benedict Alicia Fernandez-Fernandez Source Type: research