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Therapy: Pain Management

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Total 12733 results found since Jan 2013.

Is combining gait retraining or an exercise programme with education better than education alone in treating runners with patellofemoral pain?A randomised clinical trial.
CONCLUSION: Even though gait retraining and exercises improved their targeted mechanisms, their addition to education did not provide additional benefits on symptoms and functional limitations. Appropriate education on symptoms and management of training loads should be included as a primary component of treatment in runners with PFP. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov (NCT02352909). PMID: 28476901 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - May 5, 2017 Category: Sports Medicine Authors: Esculier JF, Bouyer LJ, Dubois B, Fremont P, Moore L, McFadyen B, Roy JS Tags: Br J Sports Med Source Type: research

Rehabilitation and Prevention of Proximal Hamstring Tendinopathy.
Abstract Proximal hamstring tendinopathy (PHT) comprises a small but significant portion of hamstring injuries in athletes, especially runners. PHT is a chronic condition that is clinically diagnosed but can be supported with imaging. The main presenting complaint is pain in the lower gluteal or ischial region that may or may not radiate along the hamstrings in the posterior thigh. There is little scientific evidence on which to base the rehabilitation management of PHT. Treatment is almost always conservative, with a focus on activity modification, addressing contributing biomechanical deficiencies, effective ten...
Source: Current Sports Medicine Reports - May 1, 2017 Category: Sports Medicine Authors: Beatty NR, Félix I, Hettler J, Moley PJ, Wyss JF Tags: Curr Sports Med Rep Source Type: research

Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis.
CONCLUSION: Protocols using painful exercises offer a small but significant benefit over pain-free exercises in the short term, with moderate quality of evidence. In the medium and long term there is no clear superiority of one treatment over another. Pain during therapeutic exercise for chronic musculoskeletal pain need not be a barrier to successful outcomes. Further research is warranted to fully evaluate the effectiveness of loading and resistance programmes into pain for chronic musculoskeletal disorders. PROSPERO REGISTRATION: CRD42016038882. PMID: 28596288 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - June 8, 2017 Category: Sports Medicine Authors: Smith BE, Hendrick P, Smith TO, Bateman M, Moffatt F, Rathleff MS, Selfe J, Logan P Tags: Br J Sports Med Source Type: research

Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs.
CONCLUSION: Although there was only very low quality evidence, exercise should be considered for patients with shoulder impingement symptoms and tape, ECSWT, laser or manual therapy might be added. NSAIDS and corticosteroids are superior to placebo, but it is unclear how these treatments compare to exercise. PMID: 28630217 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - June 19, 2017 Category: Sports Medicine Authors: Steuri R, Sattelmayer M, Elsig S, Kolly C, Tal A, Taeymans J, Hilfiker R Tags: Br J Sports Med Source Type: research

Pain in elite athletes-neurophysiological, biomechanical and psychosocial considerations: a narrative review.
Abstract Pain is a common problem among elite athletes and is frequently associated with sport injury. Both injury and pain interfere with peak performance. Pain management should be based on the physiological, anatomical and psychosocial influences on the individual's pain and is not equivalent to injury management, which focuses on musculoskeletal recovery and return-to-play. This narrative review provides a foundation for understanding the differing causes and types of pain in elite athletes, thereby serving as a springboard for comprehensive pain management. PMID: 28827315 [PubMed - in process]
Source: British Journal of Sports Medicine - August 23, 2017 Category: Sports Medicine Authors: Hainline B, Turner JA, Caneiro JP, Stewart M, Lorimer Moseley G Tags: Br J Sports Med Source Type: research

International Olympic Committee consensus statement on pain management in elite athletes.
Abstract Pain is a common problem among elite athletes and is frequently associated with sport injury. Both pain and injury interfere with the performance of elite athletes. There are currently no evidence-based or consensus-based guidelines for the management of pain in elite athletes. Typically, pain management consists of the provision of analgesics, rest and physical therapy. More appropriately, a treatment strategy should address all contributors to pain including underlying pathophysiology, biomechanical abnormalities and psychosocial issues, and should employ therapies providing optimal benefit and minimal ...
Source: British Journal of Sports Medicine - August 23, 2017 Category: Sports Medicine Authors: Hainline B, Derman W, Vernec A, Budgett R, Deie M, Dvořák J, Harle C, Herring SA, McNamee M, Meeuwisse W, Lorimer Moseley G, Omololu B, Orchard J, Pipe A, Pluim BM, Ræder J, Siebert C, Stewart M, Stuart M, Turner JA, Ware M, Zideman D, Engebretsen L Tags: Br J Sports Med Source Type: research

Wrist Pain in Gymnasts: A Review of Common Overuse Wrist Pathology in the Gymnastics Athlete.
This article will review the most common overuse wrist injuries seen in gymnasts. Prompt evaluation and management is necessary to avoid the negative sequelae that can often accompany these injuries. Little is known about effective sport-specific injury prevention strategies, but general guidelines for overuse injury prevention including limiting excessive loading of the wrist, maintaining wrist joint flexibility, an emphasis on proper technique, and incorporating wrist and general core strengthening seem beneficial. General return to play principles are similar for all gymnast-related wrist injuries, including resolution ...
Source: Current Sports Medicine Reports - September 1, 2017 Category: Sports Medicine Authors: Benjamin HJ, Engel SC, Chudzik D Tags: Curr Sports Med Rep Source Type: research

Red flag screening for low back pain: nothing to see here, move along: a narrative review.
Abstract Screening for red flags in individuals with low back pain (LBP) has been a historical hallmark of musculoskeletal management. Red flag screening is endorsed by most LBP clinical practice guidelines, despite a lack of support for their diagnostic capacity. We share four major reasons why red flag screening is not consistent with best practice in LBP management: (1) clinicians do not actually screen for red flags, they manage the findings; (2) red flag symptomology negates the utility of clinical findings; (3) the tests lack the negative likelihood ratio to serve as a screen; and (4) clinical practice guide...
Source: British Journal of Sports Medicine - September 18, 2017 Category: Sports Medicine Authors: Cook CE, George SZ, Reiman MP Tags: Br J Sports Med Source Type: research

Lower back pain app: an exercise programme for the management of low back pain.
PMID: 28942423 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - September 23, 2017 Category: Sports Medicine Authors: Pinheiro MB, Machado GC Tags: Br J Sports Med Source Type: research

The interaction of hip and foot biomechanics in the presentation and management of patellofemoral pain.
PMID: 28942422 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - September 23, 2017 Category: Sports Medicine Authors: Lack S Tags: Br J Sports Med Source Type: research

Functional outcomes of kinesio taping versus standard orthotics in the management of shin splint.
CONCLUSIONS: Kinesio taping played a vital role in improving functional outcomes compared to orthotics by reducing pain and improving functional activity in patients with shin splint; however, navicular drop correction did not occur using either intervention. PMID: 29072026 [PubMed - as supplied by publisher]
Source: Journal of Sports Medicine and Physical Fitness - October 28, 2017 Category: Sports Medicine Tags: J Sports Med Phys Fitness Source Type: research

Use of the painDETECT questionnaire to differentiate the nature of hip pain associated with a labrum tear
This report aimed to describe the use of the painDETECT questionnaire as a screening tool in order to classify the nature of the pain in three patients who presented with pain that was atypical for a labrum tear. The painDETECT questionnaire was an effective tool to identify appropriate pain management strategies in each case.
Source: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology - November 21, 2017 Category: Sports Medicine Source Type: research

Correction: International Olympic Committee consensus statement on pain management in elite athletes.
Authors: PMID: 29298754 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - January 3, 2018 Category: Sports Medicine Tags: Br J Sports Med Source Type: research

Are corticosteroid injections more beneficial than anaesthetic injections alone in the management of rotator cuff-related shoulder pain? A systematic review.
CONCLUSION: Corticosteroid injections may have a short-term benefit (up to 8 weeks) over local anaesthetic injections alone in the management of RCRSP. Beyond 8 weeks, there was no evidence to suggest a benefit of corticosteroid over local anaesthetic injections. TRIAL REGISTRATION NUMBER: PROSPERO CRD42016033161. PMID: 29305377 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - January 5, 2018 Category: Sports Medicine Authors: Cook T, Minns Lowe C, Maybury M, Lewis JS Tags: Br J Sports Med Source Type: research

What is the prevalence of imaging-defined intra-articular hip pathologies in people with and without pain? A systematic review and meta-analysis.
CONCLUSION: The prevalence of intra-articular hip pathologies is highly variable in both symptomatic and asymptomatic populations. The prevalence of intra-articular hip pathologies appears to be higher in symptomatic individuals. However, imaging-defined intra-articular hip pathologies are also frequently seen in asymptomatic individuals, highlighting a potential discordant relationship between imaging pathology and pain. PROSPERO REGISTRATION NUMBER: CRD42016035444. PMID: 29540366 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - March 14, 2018 Category: Sports Medicine Authors: Heerey JJ, Kemp JL, Mosler AB, Jones DM, Pizzari T, Souza RB, Crossley KM Tags: Br J Sports Med Source Type: research