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Total 659 results found since Jan 2013.

Dancing around the hexaflex: Using ACT in practice 5
Acceptance and commitment therapy (ACT) can be slippery to describe. It’s an approach that doesn’t aim to change thought content, but instead to help us shift the way we relate to what our mind tells us. It’s also an approach focused on workability: pragmatic and context-specific analysis of how well a strategy is working to achieve being able to do what matters. Over the next few posts I want to give some examples of how non-psychologists can use ACT in session (remember ACT is open for anyone to use it!). Values: Qualities of living Oh so much has been written about values…Values bring meaning to what w...
Source: HealthSkills Weblog - September 17, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Coping strategies Occupational therapy Pain conditions Psychology Science in practice acceptance and commitment therapy Clinical reasoning Health pain management Therapeutic approach Source Type: blogs

Complex Regional Pain Syndrome: Evidence-Based Advances in Concepts and Treatments
AbstractPurpose of ReviewThis review presents the most current information about the epidemiology of complex regional pain syndrome (CRPS), classification and diagnostic criteria, childhood CRPS, subtypes, pathophysiology, conventional and less conventional treatments, and preventive strategies.Recent FindingsCRPS is a painful disorder with multifactorial pathophysiology. The data describe sensitization of the central and peripheral nervous systems, inflammation, possible genetic factors, sympatho-afferent coupling, autoimmunity, and mental health factors as contributors to the syndrome. In addition to conventional subtype...
Source: Current Pain and Headache Reports - July 8, 2023 Category: Neurology Source Type: research

Perspectives on the pharmacological management of complex regional pain syndrome
This article will review the literature on the pharmacologic management of CRPS. It is based on a systematic search of PubMed using key words, followed by evaluation of the bibliographies for relevant articles.EXPERT OPINION: No single drug has amassed enough evidence to suggest clear efficacy but a handful of agents with at least modest evidence are commonly used, including gabapentinoids, bisphosphonates, ketamine, and pulsed dose steroids. Meanwhile, other agents that lack significant evidence specifically in CRPS but have evidence in other neuropathic conditions are commonly prescribed, including tricyclic antidepressa...
Source: Expert Opinion on Pharmacotherapy - May 24, 2023 Category: Drugs & Pharmacology Authors: Kyle F Norton Timothy J Furnish Source Type: research

“ N-of-1 ” research – A clinically relevant research strategy!
I’ve been banging on about single case experimental research designs (SCED) ever since I studied with Prof Neville Blampied at University of Canterbury. Prof Blampied (now retired) was enthusiastic about this approach because it allows clinicians to scientifically test whether an intervention has an effect in an individual – but he took it further with a very cool graphical analysis that allows multiple cases to be studied and plotted using the modified Brinley Plot (Blampied, 2017), and I’ll be discussing it later in this series. Suffice to say, I love this approach to research because it allows clinicia...
Source: HealthSkills Weblog - February 12, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Coping Skills Occupational therapy Professional topics Psychology Research Science in practice healthcare pain management Source Type: blogs

First Experiences with peripheral Nerve Stimulation using an implantable System as a Treatment Method for the Complex Regional Pain Syndrome CRPS 2
CONCLUSION: Peripheral nerve stimulation appears to be a suitable therapy option for the treatment of CRPS 2 when conservative and conventional surgical treatment methods have failed. The experience with our patients shows that neuropathic pain could be successfully reduced by an average of about 4 points on the NRS. Arthrogenous symptoms, on the other hand, were not influenced by the PNS. Since CRPS is a psychosomatic illness, the integration of PNS into a multimodal therapy concept with physiotherapy and occupational therapy and psychology is essential for the success of the treatment.PMID:35318620 | DOI:10.1055/a-1687-9374
Source: Handchirurgie Mikrochirurgie Plastische Chirurgie - March 23, 2022 Category: Cosmetic Surgery Authors: Isabelle Sawetz Christian Smolle Werner Girsch Source Type: research

Physical therapy in the treatment of complex regional pain syndrome
Schmerz. 2021 Oct;35(5):363-372. doi: 10.1007/s00482-021-00577-y. Epub 2021 Sep 16.ABSTRACTThe treatment of patients with complex regional pain syndrome (CRPS) takes place in an interdisciplinary and multimodal setting. Physical therapies represent a major treatment focus along with physiotherapy, occupational therapy, and analgetic treatments. This review explains their importance in current clinical practice and gives an impression of the evidence on different treatments including electrotherapy, neuromodulating procedures, manual lymphatic drainage, CO2 applications and paraffin wax baths. As far as ascertainable from c...
Source: Schmerz - September 16, 2021 Category: Anesthesiology Authors: Eduard Kraft Claudia Storz Alexander Ranker Source Type: research