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Therapy: Pain Management

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Total 12733 results found since Jan 2013.

Acupuncture applied as a sensory discrimination training tool decreases movement-related pain in patients with chronic low back pain more than acupuncture alone: a randomised cross-over experiment.
CONCLUSIONS: Our findings are consistent with the idea that acupuncture may offer specific benefit that is not dependent on precisely where the needles are inserted so much as that the patient attends to where they are inserted. If so, the location of the needles might be better focused on the painful area and the need for penetration of the skin may be mitigated. PMID: 24021562 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - September 10, 2013 Category: Sports Medicine Authors: Wand BM, Abbaszadeh S, Smith AJ, Catley MJ, Moseley GL Tags: Br J Sports Med Source Type: research

The 3rd International Patellofemoral Research Retreat: An international expert consensus meeting to improve the scientific understanding and clinical management of patellofemoral pain
Patellofemoral pain (PFP) is a common and often chronic musculoskeletal condition, affecting young and physically active adults. It is a particularly common diagnosis of patients seen at sports medicine practices, with the incidence rates varying from 2% to 30%. Despite its high prevalence, the exact aetiology of PFP remains unclear, although evidence suggests a multifactorial origin. It is likely that the underlying cause of PFP is not the same for all patients. Because of the diverse origin of PFP, many rehabilitation programmes with various approaches have been proposed to treat this disorder. Several studies have demon...
Source: British Journal of Sports Medicine - February 25, 2014 Category: Sports Medicine Authors: Witvrouw, E., Crossley, K., Davis, I., McConnell, J., Powers, C. M. Tags: Editorial Source Type: research

Is patellofemoral osteoarthritis a common sequela of patellofemoral pain?
Patellofemoral pain (PFP) remains one of the most common conditions encountered in sports medicine. Characterised by anterior knee pain that is aggravated by activities such as running, squatting and stair ambulation; PFP generally reduces or restricts physical activity. While PFP may subside with activity reduction, the natural history of this common condition is not one of spontaneous recovery. Indeed, PFP is often recalcitrant and can persist for many years. In a prospective study of people with PFP, symptoms persisted in 25% of people up to 20 years.1 Despite considerable evidence for the efficacy of conservative ...
Source: British Journal of Sports Medicine - February 25, 2014 Category: Sports Medicine Authors: Crossley, K. M. Tags: Editorial Source Type: research

The 3rd International Patellofemoral Research Retreat: An international expert consensus meeting to improve the scientific understanding and clinical management of patellofemoral pain.
PMID: 24569143 [PubMed - in process]
Source: British Journal of Sports Medicine - February 28, 2014 Category: Sports Medicine Authors: Witvrouw E, Crossley K, Davis I, McConnell J, Powers CM Tags: Br J Sports Med Source Type: research

The challenge of managing tendinopathy in competing athletes
Managing tendinopathy in season is a challenge for all sports medicine practitioners. Many of the strategies employed to treat tendinopathy in a rehabilitation setting are not suitable because of the time taken to recover. Management strategies that control pain and maintain performance are required. These include load management, both reducing aggravating loads and introducing pain-relieving loads, medications and adequate monitoring to detect a deteriorating tendon. Other interventions such as intratendinous injection therapies and other direct tendon modalities can be provocative at worst and without effect at best. Res...
Source: British Journal of Sports Medicine - March 11, 2014 Category: Sports Medicine Authors: Cook, J. L., Purdam, C. R. Tags: Review Source Type: research

Setting Standards for Medically-Based Running Analysis.
Abstract Setting standards for medically based running analyses is necessary to ensure that runners receive a high-quality service from practitioners. Medical and training history, physical and functional tests, and motion analysis of running at self-selected and faster speeds are key features of a comprehensive analysis. Self-reported history and movement symmetry are critical factors that require follow-up therapy or long-term management. Pain or injury is typically the result of a functional deficit above or below the site along the kinematic chain. PMID: 25014394 [PubMed - as supplied by publisher]
Source: Current Sports Medicine Reports - July 1, 2014 Category: Sports Medicine Authors: Vincent HK, Herman DC, Lear-Barnes L, Barnes R, Chen C, Greenberg S, Vincent KR Tags: Curr Sports Med Rep Source Type: research

Republished research: Impact of autologous blood injections in treatment of mid-portion Achilles tendinopathy: double blind randomised controlled trial.
Abstract STUDY QUESTION: Do peritendinous autologous blood injections improve pain and function in people with mid-portion Achilles tendinopathy? SUMMARY ANSWER: The administration of two unguided peritendinous autologous blood injections one month apart, in addition to a standardised eccentric training programme, provides no additional benefit in the treatment of mid-portion Achilles tendinopathy. WHAT IS KNOWN AND WHAT THIS PAPER ADDS: Several studies have suggested that injection of autologous blood can help in the treatment of various tendinopathies. There is a lack of high quality evidence showing r...
Source: British Journal of Sports Medicine - August 15, 2014 Category: Sports Medicine Authors: Bell KJ, Fulcher ML, Rowlands DS, Kerse N Tags: Br J Sports Med Source Type: research

Lower extremity nerve entrapments in athletes.
This article discusses the diagnosis and treatment of common lower extremity nerve entrapments in athletes. A high index of suspicion for nerve entrapments enables the clinician to identify these conditions in a timely manner and institute an appropriate management program, thus improving patient outcomes. PMID: 25211617 [PubMed - in process]
Source: Current Sports Medicine Reports - September 1, 2014 Category: Sports Medicine Authors: Meadows JR, Finnoff JT Tags: Curr Sports Med Rep Source Type: research

Transcutaneous electrical nerve stimulation as adjunct to primary care management for tennis elbow: pragmatic randomised controlled trial (TATE trial).
Abstract STUDY QUESTION: Can transcutaneous electrical nerve stimulation (TENS), as a patient controlled adjunct to primary care management for tennis elbow, provide superior pain relief to primary care management alone. SUMMARY ANSWER: TENS conferred no additional clinical benefit over primary care management consisting of information and advice on analgesia and exercise for patients with tennis elbow, probably partly owing to poor adherence to treatment recommendations. WHAT IS KNOWN AND WHAT THIS PAPER ADDS: A need exists for safe, self administered interventions to provide pain relief for patients wi...
Source: British Journal of Sports Medicine - September 15, 2014 Category: Sports Medicine Authors: Chesterton LS, Lewis AM, Sim J, Mallen CD, Mason EE, Hay EM, van der Windt DA Tags: Br J Sports Med Source Type: research

Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis.
Abstract STUDY QUESTION: Which types of exercise intervention are most effective in relieving pain and improving function in people with lower limb osteoarthritis? SUMMARY ANSWER: As of 2002 sufficient evidence had accumulated to show significant benefit of exercise over no exercise. An approach combining exercises to increase strength, flexibility, and aerobic capacity is most likely to be effective for relieving pain and improving function. WHAT IS KNOWN AND WHAT THIS PAPER ADDS: Current international guidelines recommend therapeutic exercise (land or water based) as "core" and effective management of ...
Source: British Journal of Sports Medicine - October 17, 2014 Category: Sports Medicine Authors: Uthman OA, van der Windt DA, Jordan JL, Dziedzic KS, Healey EL, Peat GM, Foster NE Tags: Br J Sports Med Source Type: research

Exercise during school hours when added to patient education improves outcome for 2 years in adolescent patellofemoral pain: a cluster randomised trial.
CONCLUSIONS: In adolescent PFP, the addition of exercise therapy for 3 months was more effective than patient education alone. The effect was apparent at 3 months and increased up to 2 years. Adherence to exercises was important and improved the odds of recovery. TRIAL REGISTRATION NUMBER: clinicaltrials.gov reference: NCT01438762. PMID: 25388552 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - November 11, 2014 Category: Sports Medicine Authors: Rathleff MS, Roos EM, Olesen JL, Rasmussen S Tags: Br J Sports Med Source Type: research

Thousand mile journey (part II): collaborative steps to advance the management of groin pain in athletes.
PMID: 26031639 [PubMed - in process]
Source: British Journal of Sports Medicine - June 1, 2015 Category: Sports Medicine Authors: Weir A Tags: Br J Sports Med Source Type: research

Proximal muscle rehabilitation is effective for patellofemoral pain: a systematic review with meta-analysis.
CONCLUSIONS: A robust body of work shows proximal rehabilitation for PFP should be included in conservative management. Importantly, greater pain reduction and improved function at 1 year highlight the long-term value of proximal combined with quadriceps rehabilitation for PFP. PMID: 26175019 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - July 14, 2015 Category: Sports Medicine Authors: Lack S, Barton C, Sohan O, Crossley K, Morrissey D Tags: Br J Sports Med Source Type: research

Core Muscle Injury/Sports Hernia/Athletic Pubalgia, and Femoroacetabular Impingement
Core muscle injury/sports hernia/athletic pubalgia is an increasingly recognized source of pain, disability, and time lost from athletics. Groin pain among athletes, however, may be secondary to various etiologies. A thorough history and comprehensive physical examination, coupled with appropriate diagnostic imaging, may improve the diagnostic accuracy for patients who present with core muscular injuries. Outcomes of nonoperative management have not been well delineated, and multiple operative procedures have been discussed with varying return-to-athletic activity rates. In this review, we outline the clinical entity and t...
Source: Sports Medicine and Arthroscopy Review - November 4, 2015 Category: Sports Medicine Tags: Review Articles Source Type: research

A 28-year-old snowboarder presents with chronic ankle pain
Case An active, 28-year-old female snowboarder presented to the sports medicine clinic with a history of chronic right ankle pain. The pain was localised to the medial ankle, dull in character and exacerbated with prolonged weight bearing. Examination revealed generalised pain deep to the medial malleolus, the anteromedial talus and the tarsal tunnel. There was no swelling and no instability. Owing to the absence of any recollection of acute trauma, the patient was treated conservatively with rest and antiinflammatory medications and an MRI consultation was requested (figure 1). Following the MRI, conservative management o...
Source: British Journal of Sports Medicine - December 1, 2015 Category: Sports Medicine Authors: Josey, L. B., Kirkpatrick, C., Andrews, G., Forster, B. B. Tags: I-test Source Type: research