Filtered By:
Condition: Pain
This page shows you your search results in order of date. This is page number 19.
Order by Relevance | Date
Total 151079 results found since Jan 2013.
Postoperative Pain Control Following Shoulder Arthroplasty: Rethinking the Need for Opioids
This article provides an in-depth review of the current evidence regarding efficacy, safety, and feasibility of a perioperative opioid-sparing clinical pathway for patients undergoing shoulder arthroplasty.PMID:37718084 | DOI:10.1016/j.ocl.2023.04.005
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: Robby Turk Nady Hamid Source Type: research
Evolution of Perioperative Pain Management in Shoulder Arthroplasty
Orthop Clin North Am. 2023 Oct;54(4):435-451. doi: 10.1016/j.ocl.2023.04.004. Epub 2023 Jun 20.ABSTRACTHistorically, opioids have been used as a primary conservative treatment for pain related to glenohumeral osteoarthritis (GHOA). However, this practice is concerning as it often leads to overuse, which has contributed to the current epidemic of addiction and overdoses in the United States. Studies have shown that preoperative opioid use is associated with higher complication rates and worse outcomes following surgery, particularly for shoulder arthroplasty. To address these concerns, perioperative pain management for shou...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: Vani Sabesan Hans Lapica Carlos Fernandez Clyde Fomunung Source Type: research
Accelerated Protocols in Adolescent Idiopathic Scoliosis Surgery
Orthop Clin North Am. 2023 Oct;54(4):427-433. doi: 10.1016/j.ocl.2023.04.003. Epub 2023 Jun 26.ABSTRACTAdolescent idiopathic scoliosis (AIS) is the most common form of scoliosis. Treatment depends on the degree of curvature, skeletal maturity, and age of the patient. Once the curve reaches 50 degrees, posterior spinal fusion (PSF) is necessary to stabilize the spine and prevent further progression of the curve. PSF causes significant trauma to the tissues and often results in significant pain postoperatively. The purpose of this article is to provide the audience with a review of preoperative, intraoperative, and postopera...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: Lindsey L Locke Leslie N Rhodes Benjamin W Sheffer Source Type: research
Lower Extremity Peripheral Nerve Blocks for Patients at Risk for Acute Compartment Syndrome
Orthop Clin North Am. 2023 Oct;54(4):417-425. doi: 10.1016/j.ocl.2023.06.003.ABSTRACTA delayed acute compartment syndrome (ACS) diagnosis often results in devastating complications; however, the sensitivity of the classic signs and symptoms is very low. All analgesic modalities have been implicated in delaying the diagnosis, but there is very little evidence linking peripheral nerve blocks (PNBs) with delays in diagnosis. In fact, there is evidence that PNBs may facilitate an early diagnosis; this may be in part due to differences in how ischemic and inflammatory pain is transmitted through unique nociceptive pathways. Col...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: Jerry Jones Kevin Lee Madeline Jones Jeff Gadsden Source Type: research
Cannabis and Pain Control After Total Hip and Knee Arthroplasty
Orthop Clin North Am. 2023 Oct;54(4):407-415. doi: 10.1016/j.ocl.2023.04.002. Epub 2023 Jun 5.ABSTRACTCannabis use among the elderly has increased over the previous 2 decades. This has translated to a greater proportion of orthopedic procedures being undertaken on these patients. This review provides clinicians with evidence-based information on the effects of cannabis on pain control in THA and TKA, to help counsel these patients and facilitate their perioperative management. The review specifically focuses on the following: origins of cannabis; biochemistry of cannabis; medical versus recreational cannabis; pharmacology ...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: Babar Kayani Lisa C Howard Michael E Neufeld Donald S Garbuz Bassam A Masri Source Type: research
Treating Sleep Disorders After Total Hip and Total Knee Arthroplasty
Orthop Clin North Am. 2023 Oct;54(4):397-405. doi: 10.1016/j.ocl.2023.05.008. Epub 2023 Jul 11.ABSTRACTDisorders of sleep are common after total hip and knee arthroplasty and may contribute to patient dissatisfaction and poorer outcomes in the early postoperative period. Multiple factors contribute to sleep disorders, including poorly controlled pain, opioid medication, perioperative stress, and anxiety. Both pharmacologic and nonpharmacologic methods have been used for perioperative sleep disorders, but there is no consensus on the optimal treatment.PMID:37718079 | DOI:10.1016/j.ocl.2023.05.008
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: Kevin F Purcell Nicholas Scarcella Danielle Chun Christopher Holland Taylor P Stauffer Michael Bolognesi Paul Lachiewicz Source Type: research
The Influence of Tourniquet and Adductor Canal Block Use on Pain and Opioid Consumption after Total Knee Arthroplasty
This study evaluated inpatient opioid consumption and pain between patients with TKA based on tourniquet and/or ACB use. Pain and opioid consumption were highest when a tourniquet, but no ACB was used, and lowest when an ACB, but no tourniquet was used - though absolute differences in pain scores were not clinically significant. Tourniquet and ACB use should be considered as part of TKA opioid-sparing protocols.PMID:37718078 | DOI:10.1016/j.ocl.2023.05.005
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: Kyle W Lawrence Weston Buehring Akram A Habibi David L Furgiuele Ran Schwarzkopf Joshua C Rozell Source Type: research
Decreasing Post-Operative Narcotic Usage Following Total Knee Arthroplasty Requires More than Simple Education: A Blinded Randomized Controlled Trial
Orthop Clin North Am. 2023 Oct;54(4):377-382. doi: 10.1016/j.ocl.2023.06.001. Epub 2023 Jul 21.ABSTRACTThe purpose of this study was to understand if including a patient opioid education document would decrease opioid consumption following TKA. Patients were balanced between the control and intervention group based on age, sex, and date of surgery. At 5 weeks following surgery, there were significantly fewer patients driving in the education cohort as compared to the control cohort. There was not a significant difference in mean 2-week post-operative VAS pain score, mean 5 weeks post-operative VAS pain score, mean number o...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: William H Cusma Benjamin J Davis Ryan A Mak Nicholas M Brown Source Type: research
Analgesic Trends in the Management of Pain Following Total Knee Arthroplasty: A Comparison of Peri-Articular Infiltration, Adductor Canal Block, and Adjuvant Treatment for Posterior Knee Pain
Orthop Clin North Am. 2023 Oct;54(4):369-376. doi: 10.1016/j.ocl.2023.05.004. Epub 2023 Jul 5.ABSTRACTThe rising number of total knee arthroplasties (TKA's) in the United States increases demand for perioperative pain modalities, which can promote early mobilization and discharge. Over the decades, a focus has shifted from opioid-dominant regimens to motor-sparing multimodal protocols, which have not only improved pain scores and reduced opioid consumption but also improved overall patient outcomes. In this article, we briefly review the evolution of post-operative pain management in patients undergoing TKA and summarize t...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: Rutuja R Sikachi Brett Campbell Ezra Kassin Giles R Scuderi Joseph Marino Source Type: research
Modern Perioperative Pain Management Strategies to Minimize Opioids after Total Knee Arthroplasty
Orthop Clin North Am. 2023 Oct;54(4):359-368. doi: 10.1016/j.ocl.2023.05.002. Epub 2023 Jun 20.ABSTRACTTotal Knee Arthroplasty is associated with significant postoperative pain that can limit functional outcomes and patient satisfaction. In recent years, the standard of care for postoperative pain management has reduced reliance on opioids in favor of multimodal analgesia. These regimens consist of systemic medications such as COX-2 inhibitors, acetaminophen, corticosteroids, and gabapentinoids, as well as regional and local approaches such as peripheral nerve blocks and local infiltrative analgesics. Newer therapies, such...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: Charles W Hansen Elizabeth K Carlino Lauren A Saunee Vinod Dasa Amit K Bhandutia Source Type: research
Forearm muscles activity of harp players
This study first emphasized the noteworthy recruitment of the flexor and extensor muscles (42% and 29% of MVC, respectively). Findings outlined further that the fingering choice, the adopted playing dynamics and the string's material govern the muscular activity level and the playing control. Such results are a first step to better understand how the harp ergonomics may affect the player's integrity and help them decide the most suitable stringing for their practice.PMID:37715665 | DOI:10.1080/10255842.2023.2258252
Source: Computer Methods in Biomechanics and Biomedical Engineering - September 16, 2023 Category: Biomedical Engineering Authors: D Chadefaux C Pothrat S Shayegan J-L Le Carrou Source Type: research
Additional intraoperative subpectoral plane block vs conventional pain control: A comparison of shoulder movement in patients with mastectomy
CONCLUSIONS: Compared to conventional analgesia, intraoperative pectoral nerve block under direct vision enhances shoulder mobility in forward elevation, external rotation, and arm abduction after mastectomy in breast cancer patients.PMID:37716023 | DOI:10.1016/j.breast.2023.103579
Source: Cancer Control - September 16, 2023 Category: Cancer & Oncology Authors: Sivaporn Pondeenana Chao Saenghirunvattana Patcharin Intarakhao Sorasit Inchan Panuwat Chuemor Atthakorn Jarusriwanna Source Type: research
Imaging manifestations of wandering spleen with torsion
We present a case of a male patient admitted to the emergency department with vomiting, nausea, and persistent lower abdominal pain. Computed tomography and ultrasound were performed and were used to diagnose a wandering spleen with torsion leading to splenic infarctions. Subsequently, laparoscopic surgery and pathology confirmed this diagnosis. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Ultrasound and computed tomography scans play a significant role in diagnosing WS and its complications, allowing an emergency physician to establish treatment options for WS.PMID:37716902 | DOI:10.1016/j.jemermed.2023.06.003
Source: Pain Physician - September 16, 2023 Category: Anesthesiology Authors: Tangna Wu Shaopiao Chen Lingling Qin Min Zhang Source Type: research
Evaluating hs-cTnI serum levels and cTnI gene expression compared with cardiac nuclear scan in patients with angina pectoris
Cell Mol Biol (Noisy-le-grand). 2023 Jul 31;69(7):98-103. doi: 10.14715/cmb/2023.69.7.16.ABSTRACTExercise stress can cause reversible myocardial ischemia in people with coronary artery disease (CAD). On the other hand, the new troponin biomarker with high sensitivity can detect faster and small amounts of troponin in blood circulation. The present study aimed to investigate the serum troponin level following exercise stress and the result of nuclear heart scans as the gold standard. For this purpose, 93 patients with stable angina and no history of known CAD and organic disease were included in this cross-sectional study. ...
Source: Mol Biol Cell - September 16, 2023 Category: Molecular Biology Authors: Guifang Zhang Jiang Zhan Hong Lei HaiYan Zhu Xiaowei He Source Type: research
