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Therapy: Pain Management
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Total 26632 results found since Jan 2013.
Cryotherapy following total knee replacement
CONCLUSIONS: The certainty of evidence was low for blood loss, pain and range of motion, and very low for transfusion rate, function, total adverse events and withdrawals from adverse events. We are uncertain whether cryotherapy improves transfusion rate, function, total adverse events or withdrawals from adverse events. We downgraded evidence for bias, indirectness, imprecision and inconsistency. Hence, the potential benefits of cryotherapy on blood loss, pain and range of motion may be too small to justify its use. More well-designed randomised controlled trials focusing especially on clinically meaningful outcomes, such...
Source: Cochrane Database of Systematic Reviews - September 14, 2023 Category: General Medicine Authors: Ashwin Aggarwal Sam Adie Ian A Harris Justine Naylor Source Type: research
Stepped collaborative care for pain and posttraumatic stress disorder after major trauma: a randomized controlled feasibility trial
CONCLUSIONS: Stepped collaborative care was low-cost, feasible, and acceptable to people at risk of PTSD or pain after major trauma.IMPLICATIONS FOR REHABILITATIONAfter hospitalization for injury, people can experience difficulty accessing timely support to manage posttraumatic stress, pain and other concerns.Stepped case management-based interventions that provide individualized support and collaborative care have reduced posttraumatic stress symptom severity for patients admitted to American trauma centers.We showed that this model of care could be adapted to target pain and mental health in the trauma system in Victoria...
Source: Disability and Rehabilitation - September 14, 2023 Category: Rehabilitation Authors: Melita J Giummarra Sandra Reeder Scott Williams Anna Devlin Rose Knol Jennie Ponsford Carolyn A Arnold Alex Konstantatos Belinda J Gabbe Hance Clarke Joel Katz Fiona Mitchell Elizabeth Robinson Douglas Zatzick Source Type: research
Cryotherapy following total knee replacement
CONCLUSIONS: The certainty of evidence was low for blood loss, pain and range of motion, and very low for transfusion rate, function, total adverse events and withdrawals from adverse events. We are uncertain whether cryotherapy improves transfusion rate, function, total adverse events or withdrawals from adverse events. We downgraded evidence for bias, indirectness, imprecision and inconsistency. Hence, the potential benefits of cryotherapy on blood loss, pain and range of motion may be too small to justify its use. More well-designed randomised controlled trials focusing especially on clinically meaningful outcomes, such...
Source: Cochrane Database of Systematic Reviews - September 14, 2023 Category: General Medicine Authors: Ashwin Aggarwal Sam Adie Ian A Harris Justine Naylor Source Type: research
Management of Chronic Postoperative Inguinal Pain
Surg Clin North Am. 2023 Oct;103(5):889-900. doi: 10.1016/j.suc.2023.04.003. Epub 2023 May 11.ABSTRACTChronic postoperative inguinal pain, CPIP, afflicts 10% to 15% of the nearly 700,000 Americans who have inguinal hernia surgery every year. CPIP is challenging to manage because it poses many diagnostic dilemmas that can be overcome with a thorough history, examination, differential diagnosis, and imaging. The initial treatment of CPIP should explore all nonsurgical therapies including medications, physical therapy, interventional pain management and cognitive therapy. When nonoperative methods fail, surgical interventions...
Source: The Surgical Clinics of North America - September 14, 2023 Category: Surgery Authors: David M Krpata Source Type: research
Radiocarpal arthrodesis revision with a pyrocarbon implant
We report the case of a patient who was dissatisfied with the outcome of radiocarpal arthrodesis, due to lack of motion despite complete absence of pain. We replaced arthrodesis by a pyrocarbon interposition implant. At 20 months' follow-up, the results showed complete absence of pain, partially restored range of motion and the implant in good position on radiographs. We believe that pyrocarbon implants may be a solution for patients dissatisfied with palliative treatment by arthrodesis.PMID:37709254 | DOI:10.1016/j.hansur.2023.08.010
Source: Hand Surgery - September 14, 2023 Category: Surgery Authors: Thomas Daoulas Dominique Le Nen Marie Fernandez Christophe Andro Francois Ducournau Ho ël Letissier Source Type: research
Patient characteristics, surgical treatment, and outcomes in spinal gout: a systematic review of 315 cases
ConclusionPublished cases of spinal gout have increased over the last decades. Patient characteristics of spinal gout were similar to findings in systemic gout. Trends identified in patient characteristics and treatment outcomes may help guide patient management and improve our understanding of spinal gout.
Source: European Spine Journal - September 14, 2023 Category: Orthopaedics Source Type: research
Surgical treatment of kyphosis in children and adolescents
Oper Orthop Traumatol. 2023 Sep 13. doi: 10.1007/s00064-023-00828-4. Online ahead of print.ABSTRACTOBJECTIVE: Correction of a pathological kyphosis to restore a balanced, low-pain or pain-free and load-bearing spine.INDICATIONS: Pronounced sagittal imbalance, progressive kyphosis despite conservative therapy, and neurological deficits are indications for surgery. Further surgical indications are severe therapy-resistant complaints and/or psychologically burdening cosmetic impairment. The guidelines for surgical indications are kyphosis angles of 75-80° thoracic and 30-50° lumbar.CONTRAINDICATIONS: No specific, but genera...
Source: Operative Orthopadie und Traumatologie - September 13, 2023 Category: Orthopaedics Authors: C E Heyde N von der H öh A V ölker Source Type: research
Horizontal mattress uterine closure compared to single layered lock suture in cesarean section - A retrospective cohort study
CONCLUSIONS: Using the K uterine closure technique for post-cesarean section uterine closure was a reasonable alternative for closure of hysterotomy. It led to decreased duration of hospital stay and no significant difference in quantitative blood loss. The greater difference in hemoglobin and hematocrit for the K uterine closure technique group could be explained due to the significantly greater total operation time. Although the single-layered running lock suture closure is what has been more historically performed by obstetricians for cesarean sections, this data supports the viability and efficacy of the K uterine clos...
Source: Reproductive Biology - September 13, 2023 Category: Reproduction Medicine Authors: Peter Khamvongsa Chitra Gotluru Sarah Stavros Jordana Borges Sabrina Bonnice Source Type: research
Surgical treatment of kyphosis in children and adolescents
Oper Orthop Traumatol. 2023 Sep 13. doi: 10.1007/s00064-023-00828-4. Online ahead of print.ABSTRACTOBJECTIVE: Correction of a pathological kyphosis to restore a balanced, low-pain or pain-free and load-bearing spine.INDICATIONS: Pronounced sagittal imbalance, progressive kyphosis despite conservative therapy, and neurological deficits are indications for surgery. Further surgical indications are severe therapy-resistant complaints and/or psychologically burdening cosmetic impairment. The guidelines for surgical indications are kyphosis angles of 75-80° thoracic and 30-50° lumbar.CONTRAINDICATIONS: No specific, but genera...
Source: Operative Orthopadie und Traumatologie - September 13, 2023 Category: Orthopaedics Authors: C E Heyde N von der H öh A V ölker Source Type: research
Horizontal mattress uterine closure compared to single layered lock suture in cesarean section - A retrospective cohort study
CONCLUSIONS: Using the K uterine closure technique for post-cesarean section uterine closure was a reasonable alternative for closure of hysterotomy. It led to decreased duration of hospital stay and no significant difference in quantitative blood loss. The greater difference in hemoglobin and hematocrit for the K uterine closure technique group could be explained due to the significantly greater total operation time. Although the single-layered running lock suture closure is what has been more historically performed by obstetricians for cesarean sections, this data supports the viability and efficacy of the K uterine clos...
Source: Reproductive Biology - September 13, 2023 Category: Reproduction Medicine Authors: Peter Khamvongsa Chitra Gotluru Sarah Stavros Jordana Borges Sabrina Bonnice Source Type: research
Surgical treatment of kyphosis in children and adolescents
Oper Orthop Traumatol. 2023 Sep 13. doi: 10.1007/s00064-023-00828-4. Online ahead of print.ABSTRACTOBJECTIVE: Correction of a pathological kyphosis to restore a balanced, low-pain or pain-free and load-bearing spine.INDICATIONS: Pronounced sagittal imbalance, progressive kyphosis despite conservative therapy, and neurological deficits are indications for surgery. Further surgical indications are severe therapy-resistant complaints and/or psychologically burdening cosmetic impairment. The guidelines for surgical indications are kyphosis angles of 75-80° thoracic and 30-50° lumbar.CONTRAINDICATIONS: No specific, but genera...
Source: Operative Orthopadie und Traumatologie - September 13, 2023 Category: Orthopaedics Authors: C E Heyde N von der H öh A V ölker Source Type: research
