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Braverman, Debra L., Jeffery J. Ericksen, Rinoo V. Shah, and Deborah J. Franklin. "3. New frontiers in pain management: Complementary techniques." Archives of Physical Medicine and Rehabilitation 84 (March 2003): S45—S49. http://dx.doi.org/10.1053/apmr.2003.50049.
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Willmarth, Eric K. "Hypnotic techniques for chronic pain management: Favorite methods of master clinicians." American Journal of Clinical Hypnosis 63, no. 3 (2021): 277–78. http://dx.doi.org/10.1080/00029157.2020.1857164.
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Stadler, Jasmin, Wolfgang Raith, Lukas P. Mileder, Georg M. Schmölzer, and Berndt Urlesberger. "Invasive and non-invasive acupuncture techniques for pain management in neonates: a systematic review." Acupuncture in Medicine 37, no. 4 (2019): 201–10. http://dx.doi.org/10.1136/acupmed-2017-011549.
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Background: Neonatal pain is an extensive research field and there are many possibilities to treat pain in neonates. Acupuncture is one new and non-pharmacological option and a promising tool to reduce pain in neonates undergoing minor painful interventions during routine medical care. Objectives: This review summarises trials of acupuncture for pain reduction in neonates undergoing painful interventions during routine medical care. Data source: MEDLINE, Embase, CINAHL, electronic clinical trials registry platforms and reference lists were systematically screened for trials from their dates of inception to February 2017 (English language database search). Study selection: Inclusion criteria were (1) preterm or term neonates, (2) acupuncture for painful medical interventions and (3) formal pain assessment as a primary or secondary study outcome. We included only randomised controlled trials. Data extraction: Data were extracted using a standardised protocol and individual risk of bias was assessed. Results: The literature search revealed a total of 12 196 records. After application of inclusion criteria, five studies were included in this review. Two studies demonstrated significant pain reduction, one found equal outcomes in comparison to standard care, and two showed significantly higher pain scores with acupuncture alone. Limitations: The main limitation of the results is the heterogeneity across trials in acupuncture modality, acupuncture point selection, control groups and pain assessment (heterogeneity: I2=87%). Conclusion: The results of this review suggest that acupuncture may have a positive pain-relieving effect in neonates. However, due to the low number of available high-quality trials and heterogeneity across the studies it is not possible to state clear recommendations.
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Kelleher, Deirdre C., Meghan A. Kirksey, Christopher L. Wu, and Stephanie I. Cheng. "Integrating complementary medicine in the perioperative period: a simple, opioid-sparing addition to your multimodal analgesia strategy?" Regional Anesthesia & Pain Medicine 45, no. 6 (2020): 468–73. http://dx.doi.org/10.1136/rapm-2019-100947.
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The current US opioid health-related crisis underscores the importance for perioperative physicians to optimize various approaches to pain management. Multimodal techniques and enhanced recovery after surgery (ERAS) protocols are frequently cited as the most effective strategies for improving the experience of pain and reducing opioid exposure. Complementary medicine (CM) techniques, while frequently shown to be effective at reducing opioid and other pharmacologic agent use, are rarely discussed as part of these multimodal strategies. In general, CM therapies are low-cost with minimal associated risk, making them an ideal choice for incorporation into ERAS and other opioid-sparing protocols. In this Daring Discourse, we discuss the benefits and challenges of incorporating CM therapy into anesthetic practice. We hope that anesthesiologists can become more familiar with the current evidence regarding perioperative CM therapy, and begin incorporating these therapies as part of their comprehensive multimodal approach to perioperative pain management.
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Price, James W. "A mixed treatment comparison of selected osteopathic techniques used to treat acute nonspecific low back pain: a proof of concept and plan for further research." Journal of Osteopathic Medicine 121, no. 6 (2021): 571–82. http://dx.doi.org/10.1515/jom-2020-0268.
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Abstract Context Back injuries have a high prevalence in the United States and can be costly for both patients and the healthcare system at large. While previous guidelines from the American College of Physicians for the management of acute nonspecific low back pain (ANLBP) have encouraged nonpharmacologic management, those treatment recommendations involved only superficial heat, massage, acupuncture, and spinal manipulation. Investigation about the efficacy of spinal manipulation in the management of ANLBP is warranted. Objectives To compare the results in previously-published literature documenting the outcomes of osteopathic manipulative treatment (OMT) techniques used to treat ANLBP. The secondary objective of this study was to demonstrate the utility of using Bayesian network meta-analysis (NMA) to perform a mixed treatment comparison (MTC) of a variety of osteopathic techniques. Methods A literature search for randomized controlled trials (RCTs) of ANLBP treatments was performed in April 2020 according to PRISMA guidelines by searching MEDLINE/PubMed, OVID, Cochrane Central, PEDro, and OSTMED.Dr databases; scanning the reference lists of articles; and using the Canadian Agency for Drugs and Technologies in Health grey literature checklist. Each database was searched from inception to April 1, 2020. The following search terms were used: acute low back pain, acute low back pain plus physical therapy, acute low back pain plus spinal manipulation, and acute low back pain plus osteopathic manipulation. The validity of eligible trials was assessed by the single author using an adapted National Institute for Health and Care Excellence methodology checklist for randomized, controlled trials and an extraction form based on that checklist. The outcome measure chosen for this NMA was the Visual Analogue Scale of pain. The NMA were performed using the GeMTC user interface for automated NMA utilizing a Bayesian hierarchical model of random effects. Results The literature search initially found 483 unduplicated records. After screening and full text assessment, five RCTs were eligible for the MTC, yielding a total of 430 participants. Results of the MTC model suggested that there was no statistically significant decrease in reported pain when exercise, high-velocity low-amplitude (HVLA), counterstrain, muscle energy technique, or a mix of techniques were added to conventional treatment to treat ANLBP. However, the rank probabilities assessment determined that HVLA and the OMT mixed treatment protocol plus conventional care were ranked superior to conventional care alone for improving ANLBP. Conclusions While this study failed to provide definitive evidence upon which clinical recommendations can be based, it does demonstrate the utility of performing NMA for MTCs of osteopathic modalities used to treat ANLBP. However, to take full advantage of this statistical technique, future studies should be designed with consideration for the methodological shortcomings found in past osteopathic research.
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Giannitrapani, Karleen F., Jesse R. Holliday, Isomi M. Miake-Lye, Susanne Hempel, and Stephanie L. Taylor. "Synthesizing the Strength of the Evidence of Complementary and Integrative Health Therapies for Pain." Pain Medicine 20, no. 9 (2019): 1831–40. http://dx.doi.org/10.1093/pm/pnz068.
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Abstract Objective Pain and opioid use are highly prevalent, leading for calls to include nonpharmacological options in pain management, including complementary and integrative health (CIH) therapies. More than 2,000 randomized controlled trials (RCTs) and many systematic reviews have been conducted on CIH therapies, making it difficult to easily understand what type of CIH therapy might be effective for what type of pain. Here we synthesize the strength of the evidence for four types of CIH therapies on pain: acupuncture, therapeutic massage, mindfulness techniques, and tai chi. Design We conducted searches of English-language systematic reviews and RCTs in 11 electronic databases and previously published reviews for each type of CIH. To synthesize that large body of literature, we then created an “evidence map,” or a visual display, of the literature size and broad estimates of effectiveness for pain. Results Many systematic reviews met our inclusion criteria: acupuncture (86), massage (38), mindfulness techniques (11), and tai chi (21). The evidence for acupuncture was strongest, and largest for headache and chronic pain. Mindfulness, massage, and tai chi have statistically significant positive effects on some types of pain. However, firm conclusions cannot be drawn for many types of pain due to methodological limitations or lack of RCTs. Conclusions There is sufficient strength of evidence for acupuncture for various types of pain. Individual studies indicate that tai chi, mindfulness, and massage may be promising for multiple types of chronic pain. Additional sufficiently powered RCTs are warranted to indicate tai chi, mindfulness, and massage for other types of pain.
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Ali, Md Nasir, Kritika Sethi, and Majumi M. Noohu. "Comparison of two mobilization techniques in management of chronic non-specific low back pain." Journal of Bodywork and Movement Therapies 23, no. 4 (2019): 918–23. http://dx.doi.org/10.1016/j.jbmt.2019.02.020.
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Grekhov, Rostislav A., Galina P. Suleimanova, Andrei S. Trofimenko, and Liudmila N. Shilova. "Psychosomatic Features, Compliance and Complementary Therapies in Rheumatoid Arthritis." Current Rheumatology Reviews 16, no. 3 (2020): 215–23. http://dx.doi.org/10.2174/1573397115666191212114758.
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This review highlights the issue of psychosomatic conditions in rheumatoid arthritis, paying special attention to new researches and trends in this field. Emerging concepts in all the major parts of the problem are covered consecutively, from the impact of chronic musculoskeletal pain on the emotional state to disease influence over quality of life, socio-psychological, and interpersonal relationships. Chronic pain is closely related to emotional responses and coping ability, with a pronounced positive effect of psychotherapeutic interventions, family and social support on it. Psychosexual disorders, anxiety, depression also commonly coexist with rheumatoid arthritis, leading to further decrease in quality of life, low compliance, and high suicide risk. Influence of psychosomatic conditions on the overall treatment effect is usually underestimated by rheumatologists and general practitioners. Psychosomatic considerations are of great importance for up-to-date management of rheumatoid arthritis, as they strongly influence the quality of life, compliance, and thereby disease outcomes. Two major approaches of psychological rehabilitation exist, both coping with pain through the regulation of emotion and psychotherapeutic intervention, which not only helps patients in coping with the disease, but also aimed at improving the overall adaptation of the patient. It includes techniques of relaxation, cognitive-behavioral therapy, and biofeedback therapy. Current data about the efficacy of the additional correcting therapies for patients with rheumatoid arthritis, both emerging and common ones, are discussed in the review.
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Danazumi, Musa S., Abdulsalam M. Yakasai, Aminu A. Ibrahim, Usman T. Shehu, and Shehu U. Ibrahim. "Effect of integrated neuromuscular inhibition technique compared with positional release technique in the management of piriformis syndrome." Journal of Osteopathic Medicine 121, no. 8 (2021): 693–703. http://dx.doi.org/10.1515/jom-2020-0327.
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Abstract Context Studies have indicated that the muscle energy technique (MET) and the positional release technique (PRT) are effective in the management of piriformis syndrome (PS); however, evidence is scarce regarding the combination of these techniques in the form of an integrated neuromuscular inhibition technique (INIT) in the management of individuals with PS. Although a previous trial investigated the effect of INIT for PS, that study did not integrate Ruddy’s reciprocal antagonist facilitation (RRAF) method into the INIT protocol, nor did the authors diagnose PS according to established criteria. Objectives To examine the effects of INIT with integrated RRAF compared with PRT in the management of patients diagnosed with PS. Methods This study was designed as a single blind randomized clinical trial in which participants diagnosed with PS were randomly allocated into INIT and PRT groups. Each group attended two treatment sessions per week for 8 weeks. Patients in the INIT group received a protocol in which the patient’s tender point or trigger point was palpated in the belly of the piriformis approximately halfway between the inferior lateral angle of the sacrum and the greater trochanter, at which point the therapist applied an intermittent or sustained pressure and maintained the pressure for 20–60 seconds (depending on the participant’s response to pain reduction). For INIT patients, that protocol was also followed by RRAF, a method in which a patient introduces a series of tiny/miniature contractions or efforts (20 times per 10 seconds) against a therapist’s resistance. Patients in the PRT group were treated by palpating the same trigger point described in the INIT group, followed by application of light pressure at the location of the trigger point, which was maintained the pressure for 2 minutes or until the pain subsided (determined by asking the participant to report a pain score using a visual analog scale at 30 second intervals). For both groups, three repetitions of the INIT or PRT treatment were performed over 10 minutes at each clinical visit. Additionally, each group also received stretching exercises immediately after the INIT or PRT treatment session. Each participant was assessed at baseline, immediately posttreatment, and at 4 months posttreatment for pain, sciatica, functional mobility, quality of life, hip abduction, and internal rotation. A repeated measures analysis of variance (ANOVA) of within-between group interactions was used to analyze the treatment effect. Results Forty eight participants (age range, 25–47 years; mean age ± standard deviation, 32.81 ± 3.27 years) were randomized into the INIT and PRT groups, with 24 participants in each group. No significant between-group differences (p>0.05) were observed in the baseline demographic and clinical variables of the participants. A repeated-measures ANOVA indicated that there was a significant time effect for all outcomes, with a significant interaction between time and intervention (p<0.001). The Bonferroni post hoc analyses of time and intervention effects indicated that the INIT group improved significantly compared with the PRT group in all outcomes (p<0.05) immediately posttreatment and at the 4 months follow up period. Conclusions INIT was more effective than PRT in the management of individuals with PS. It should be noted the significant improvement achieved in both the groups may have also been contributed to by the stretching exercises that were used as adjunct therapies by both groups.
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Potié, Arnaud, Fabienne Roelants, Audrey Pospiech, Mona Momeni, and Christine Watremez. "Hypnosis in the Perioperative Management of Breast Cancer Surgery: Clinical Benefits and Potential Implications." Anesthesiology Research and Practice 2016 (2016): 1–8. http://dx.doi.org/10.1155/2016/2942416.
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The aim of this review is to summarize data published on the use of perioperative hypnosis in patients undergoing breast cancer surgery (BCS). Indeed, the majority of BCS patients experience stress, anxiety, nausea, vomiting, and pain. Correct management of the perioperative period and surgical removal of the primary tumor are clearly essential but can affect patients on different levels and hence have a negative impact on oncological outcomes. This review examines the effect of clinical hypnosis performed during the perioperative period. Thanks to its specific properties and techniques allowing it to be used as complementary treatment preoperatively, hypnosis has an impact most notably on distress and postoperative pain. During surgery, hypnosis may be applied to limit immunosuppression, while, in the postoperative period, it can reduce pain, anxiety, and fatigue and improve wound healing. Moreover, hypnosis is inexpensive, an important consideration given current financial concerns in healthcare. Of course, large randomized prospective studies are now needed to confirm the observed advantages of hypnosis in the field of oncology.
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Utami, Andinna Dwi, and Imelda Rahmayunia Kartika. "TERAPI KOMPLEMENTER TERHADAP PENURUNAN NYERI PADA PASIEN GASTRITIS: A LITERATUR REVIEW." Real in Nursing Journal 1, no. 3 (2018): 123. http://dx.doi.org/10.32883/rnj.v1i3.341.
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<p><em>Gastritis is inflammation that affects the gastric mucosa. This inflammation can cause swelling of the gastric mucosa until the release of the superficial mucosal epithelium is the most important cause of disorders in the digestive system. Pain is an unpleasant sensory and emotional experience due to actual and potential tissue damage. Pain Management using distraction, relaxation (Using deep breath) techniques, efflurage massage, guided imaginary, warm water compresses, progressive deep muscle relaxation techniques, hand held finger relaxation. The method used is used in review Literature review begins with the selection of topics, then the keyword is determined for searching journals using Indonesian and English through several databases including Google Scholar, Ebsco, and Pro Quest. This search is limited to journals from 2009 to 2019. Based on several explanations that have been stated, that the most commonly used complementary therapy is deep breath relaxation, because deep breath relaxation used for the therapeutic process greatly helps alleviate the pain experienced by patients because it facilitates the healing process and can be carried out independently by patients</em>.</p><p> </p><p><strong><em>Keywords:</em></strong><em> pain, gastritis patients, complementary therapy</em></p><br /><em> </em>
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Paiva, Sara, and Márcia Mendonça Carneiro. "Complementary and Alternative Medicine in the Treatment of Chronic Pelvic Pain in Women: What Is the Evidence?" ISRN Pain 2013 (November 28, 2013): 1–8. http://dx.doi.org/10.1155/2013/469575.
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Chronic pelvic pain (CPP) is defined as pain of at least 6 months’ duration that occurs in the lower abdomen or below the umbilicus and has resulted in functional or psychological disability or required intervention and treatment. Therapeutic interventions center around the treatment of CPP as a diagnosis in and of itself, and treatment of specific disorders that may be related to CPP. A multidisciplinary approach for diagnosis and treatment seems to be most effective for symptomatic relief. This paper reviews the evidence for such interventions as psychological treatments including the use of complementary and alternative medicine techniques for CPP in women. Unfortunately, finding the best evidence in this setting is difficult as only very few randomized controlled trials are available. A combination of treatments is usually required over time for the treatment of refractory CPP. The multifactorial nature of CPP needs to be discussed with the patient and a good rapport as well as a partnership needs to be developed to plan a management program with regular followup. Promotion of a multidisciplinary approach which includes complementary and alternative medicine techniques in managing CPP in women seems to yield the best results.
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Aswitami, Ni Gusti Ayu Pramita, Ni Putu Mirah Yunita Udayani, and I. G. A. Manik Karuniadi. "Pelatihan Massage Akupressur pada Kelompok Bidan sebagai Asuhan Komplementer pada Ibu Hamil Trimester III." jurnalempathy.com 1, no. 1 (2020): 26–34. http://dx.doi.org/10.37341/jurnalempathy.v1i1.4.
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Background: Pregnant women in third trimester 85% have complain with lower back pain. Management of back pain in pregnant women can be done by nonpharmacology, one of them with acupressure therapy. Acupressure therapy is one of complementary midwifery care services. The purpose of this activity is that midwives are able to provide complementary care in the form of acupressure therapy to improve health and reduce complaints of back pain in pregnant women. Methods: The acupressure therapy training activity was attended by 20 midwives who were held at STIKES Bina Usada Bali. This activity is carried out in 3 stages, namely the planning stage, the implementation phase and the evaluation phase. Evaluation is done by measuring knowledge using a questionnaire and acupressure practice skills using a checklist. Results: The results of community service activities indicate an increase in knowledge of midwives about acupressure therapy and an increase in the skills of midwives in conducting acupressure techniques. Conclution: It is recommended that community service providers provide training with a greater area coverage and midwives are expected to implement the results of this training to pregnant women especially those with back pain.
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Donatone, Brooke. "Focused Suggestion With Somatic Anchoring Technique: Rapid Self-Hypnosis for Pain Management." American Journal of Clinical Hypnosis 55, no. 4 (2013): 325–42. http://dx.doi.org/10.1080/00029157.2012.688896.
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Chapman, Emma J., Zoe Edwards, Jason W. Boland, et al. "Practice review: Evidence-based and effective management of pain in patients with advanced cancer." Palliative Medicine 34, no. 4 (2020): 444–53. http://dx.doi.org/10.1177/0269216319896955.
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Background: Pain of a moderate or severe intensity affects over half of patients with advanced cancer and remains undertreated in at least one-third of these patients. Aim: The aim of this study was to provide a pragmatic overview of the evidence supporting the use of interventions in pain management in advanced cancer and to identify where encouraging preliminary results are demonstrated but further research is required. Design: A scoping review approach was used to examine the evidence supporting the use of guideline-recommended interventions in pain management practice. Data sources: National or international guidelines were selected if they described pain management in adult cancer patients and were written within the last 5 years in English. The Cochrane Database of Systematic Reviews (January 2014 to January 2019) was searched for ‘cancer’ AND ‘pain’ in the title, abstract or keywords. A MEDLINE search was also made. Results: A strong opioid remains the drug of choice for treating moderate or severe pain. Bisphosphonates and radiotherapy are also effective for cancer-related bone pain. Optimal management requires a tailored approach, support for self-management and review of treatment outcomes. There is likely a role for non-pharmacological approaches. Paracetamol should not be used in patients taking a strong opioid to treat pain. Cannabis-based medicines are not recommended. Weak opioids, ketamine and lidocaine are indicated in specific situations only. Conclusion: Interventions commonly recommended by guidelines are not always supported by a robust evidence base. Research is required to evaluate the efficacy of non-steroidal anti-inflammatory drugs, anti-convulsants, anti-depressants, corticosteroids, some invasive anaesthetic techniques, complementary therapies and transcutaneous electrical nerve stimulation.
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Hoffman, Patricia, Dimitry Belogorodsky, and Lauren Noto-Bell. "Single Osteopathic Manipulative Treatment Session Eliminates Percutaneous Coronary Intervention-Induced Upper Thoracic Pain in Elderly Male." AAO Journal 31, no. 3 (2021): 5–8. http://dx.doi.org/10.53702/2375-5717-31.3.5.
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Abstract Restoration of blood flow is critical to a blocked coronary blood vessel. With respect to the heart, two main procedures, coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) revascularize the area to prevent future blockages. Post-procedurally, bed rest iatrogenically produces non-life-threatening back pain.1,2 No exact guideline for the duration of post-procedural bed rest exists but recommendations range from 2 to 24 hours.1 However, research has shown that bed rest beyond 4 hours significantly increased the presence of post-procedural back pain.1,2 Osteopathic manipulative treatment (OMT) is the term ascribed to a number of categories of manual techniques used by osteopathic physicians to treat somatic dysfunctions, to complement conventional management in patient care. In this case report, we discuss a patient with post-procedural upper thoracic pain that resolves with OMT, demonstrating that OMT may play a useful post-PCI role in the care of patients who undergo stent procedures.
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Milakovic, B., M. Dostanic, and S. Ivanovic. "Strategies for postoperative pain relief in neurosurgical intensive care unit." Acta chirurgica Iugoslavica 51, no. 4 (2004): 93–100. http://dx.doi.org/10.2298/aci0404093m.
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Despite advances in neurosurgical and neuroanesthesiological practice, postoperative pain continues to be under treated. There are many modalities that may provide safe and effective postoperative analgesia. We discuss mainly systemic (e.g. opioids, nonsteroidal antiinflammatory agents) analgesic options. They still remain the most widely used method for providing pain relief in acute surgical situations. The exact choice or combination of analgesics utilized for a particular patient will depend on the riskbenefit profile and patient preferences. Especially is crucial to promptly involve the analgesics when an opioidtolerant patient requires aggressive pain treatment. But, opioid analgesia alone may not fully relieve all aspects of acute postoperative pain. Combinations of drugs acting on different mechanisms of nociceptive modulation will decrease the incidence of adverse effects and offer additive and/or sinergistic effects. Analgesic concentrations of ketamine infusions remain a valuable addition to opioid administration. Complementary medicine techniques used as adjuvant therapies have the potential to improve pain management and improve postoperative distress. Neuromuscular blocking agents (NMB) in the intensive care unit (ICU) patient facilitate intubation and ventilatory support, decrease oxygen consumption, facilitate bedside procedures and diagnostics, and potentially decrease intracranial pressure. Ideally, analgesics, sedatives and/or muscle relaxants should be combined into a multimodal approach to facilitate patient recovery after surgery. Although a great deal is known about specific drugs and dosage requirements, further research is needed that clearly examines optimal scheduling regimens if we are to maximize patient care. The most important rule of pain management is that pain is what the patient says it is.
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Shah, Lubdha M., and Jeffrey S. Ross. "Imaging of Degenerative and Infectious Conditions of the Spine." Neurosurgery 79, no. 3 (2016): 315–35. http://dx.doi.org/10.1227/neu.0000000000001323.
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Abstract Imaging is important in the evaluation of patients with degenerative disease and infectious processes. There are numerous conditions that can manifest as low back pain (LBP) or neck pain in a patient, and in many cases, the cause may be multifactorial. Clinical history and physical examination are key components in the evaluation of such patients; however, physical examination has variable sensitivity and specificity. Although studies have demonstrated that uncomplicated acute LBP and/or radiculopathy are self-limited conditions that do not warrant any imaging, neuroimaging can provide clear anatomic delineation of potential causes of the patient's clinical presentation. Various professional organizations have recommendations for imaging of LBP, which generally agree that an imaging study is not indicated for patients with uncomplicated LBP or radiculopathy without a red flag (eg, neurological deficit such as major weakness or numbness in lower extremities, bowel or bladder dysfunction, saddle anesthesia, fever, history of cancer, intravenous drug use, immunosuppression, trauma, or worsening symptoms). Different imaging modalities have a complementary role in the diagnosis of pathologies affecting the spine. In this review, we discuss the standard nomenclature for lumbar disk pathology and the utility of various clinical imaging techniques in the evaluation of LBP/neck pain for potential neurosurgical management. The imaging appearance of spinal infections and potential mimics also is reviewed. Finally, we discuss advanced neuroradiological techniques that offer greater microstructural and functional information.
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Chang, Wen-Dien, Fu-Chen Chen, Chia-Lun Lee, Hung-Yu Lin, and Ping-Tung Lai. "Effects of Kinesio Taping versus McConnell Taping for Patellofemoral Pain Syndrome: A Systematic Review and Meta-Analysis." Evidence-Based Complementary and Alternative Medicine 2015 (2015): 1–11. http://dx.doi.org/10.1155/2015/471208.
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Objectives. To conduct a systematic review comparing the effects of Kinesio taping with McConnell taping as a method of conservative management of patients with patellofemoral pain syndrome (PFPS).Methods. MEDLINE, PUBMED, EMBASE, AMED, and the Cochrane Central Register of Control Trials electronic databases were searched through July 2014. Controlled studies evaluating the effects of Kinesio or McConnell taping in PFPS patients were retrieved.Results. Ninety-one articles were selected from the articles that were retrieved from the databases, and 11 articles were included in the analysis. The methods, evaluations, and results of the articles were collected, and the outcomes of patellar tapings were analyzed. Kinesio taping can reduce pain and increase the muscular flexibility of PFPS patients, and McConnell taping also had effect in pain relief and patellar alignment. Meta-analysis showed small effect in pain reduction and motor function improvement and moderate effect in muscle activity change among PFPS patients using Kinesio taping.Conclusions. Kinesio taping technique used for muscles can relieve pain but cannot change patellar alignment, unlike McConnell taping. Both patellar tapings are used differently for PFPS patients and substantially improve muscle activity, motor function, and quality of life.
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Vas, Jorge, Emilio Perea-Milla, and Camila Méndez. "Acupuncture and Moxibustion as An Adjunctive Treatment for Osteoarthritis of the Knee - a Large Case Series." Acupuncture in Medicine 22, no. 1 (2004): 23–28. http://dx.doi.org/10.1136/aim.22.1.23.
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Background In 1997, the first Pain Management Unit, which was set up as part of primary health care within the Andalusian Public Health System, offered acupuncture among other therapies. This observational study was conducted in preparation for a randomised controlled trial. Methods We conducted a descriptive study of patients who had been diagnosed with osteoarthritis of the knee. The patients received weekly acupuncture treatment, and related techniques, from November 1997 to November 2000. We recorded: socio-demographic data; measures of effectiveness, including intensity and frequency of pain; the daily dose of analgesic and anti-inflammatory medication; the degree of incapacity; and sleep disorders caused by pain in the knee. Results The 563 patients who presented were mainly female (88%) with an average age of 65 years (±10.7); the average age of the male patients was 67 years (±11.8). The condition in most patients (95%) was chronic: 54% had the condition for 5-10 years and a further 23% for more than 10 years. Of the total, 85 (15%) abandoned treatment and were excluded from the evaluation, while 75% of the remainder achieved a reduction in pain of 45% or more. This study is intended to form the basis for a subsequent controlled clinical trial of the effectiveness of acupuncture as a treatment for osteoarthritis of the knee. Conclusion The degree of pain relief experienced by patients from acupuncture justifies a more rigorous study.
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Evangelista, Arturo, Giuliana Maldonado, Domenico Gruosso, et al. "The current role of echocardiography in acute aortic syndrome." Echo Research and Practice 6, no. 2 (2019): R53—R63. http://dx.doi.org/10.1530/erp-18-0058.
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Acute aortic syndrome (AAS) comprises a range of interrelated conditions caused by disruption of the medial layer of the aortic wall, including aortic dissection, intramural haematoma and penetrating aortic ulcer. Since mortality from AAS is high, a prompt and accurate diagnosis using imaging techniques is paramount. Both transthoracic (TTE) and transoesophageal echocardiography (TEE) are useful in the diagnosis of AAS. TTE should be the first imaging technique to evaluate patients with thoracic pain in the emergency room. Should AAS be suspected, contrast administration is recommended when images are not definitive. TEE allows high-quality images in thoracic aorta. The main drawback of this technique is that it is semi-invasive and the presence of a blind area that limits visualisation of the distal ascending aorta near. TEE identifies the location and size of the entry tear, secondary communications, true lumen compression and the dynamic flow pattern of false lumen. Although computed tomography (CT) is the most used imaging technique in the diagnosis of AAS, echocardiography offers complementary information relevant for its management. The best imaging strategy for appropriately diagnosing and assessing AAS is to combine CT, mainly ECG-gated contrast-enhanced CT, and TTE. Currently, TEE tends to be carried out in the operating theatre immediately before surgical or endovascular therapy and in monitoring their results. The aims of this review are to establish the current role of echocardiography in the diagnosis and management of AAS based on its advantages and limitations.
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McClymont, Hoda, Jeff Gow, Margee Hume, and Chad Perry. "Factors influencing back pain treatment behaviour change." Journal of Service Theory and Practice 25, no. 5 (2015): 592–620. http://dx.doi.org/10.1108/jstp-04-2014-0065.
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Purpose – The authors seek to better understand the critical incidents and factors that influence the switching behaviours of back pain sufferers who use mainstream and/or complementary and alternative medicine (Edvardsson, 1998). That is, the purpose of this paper is to uncover how they switch between treatments and treatment providers; in particular, this research investigates two issues: the triggers of their switching and their switching paths, and how their emotions are involved in that switching. The contribution is the first empirical foundation for an understanding of these two issues in the context of back pain. Design/methodology/approach – The qualitative technique of convergent interviewing was used. It involved conducting a series of long, initially rather unstructured interviews to converge on the important topic areas to the back pain sufferers and why they engage in their treatment behaviour. Findings – This study investigated the triggers and categories of triggers that impact upon switching behaviours between bio-medical and CAT healthcare. Four main areas of findings were identified. First, although the literature identified four categories of triggers for switching, namely, situational, reactional, influential and personal characteristics, the findings of this research confirmed only two of these: reactional and situational triggers. The influential category of triggers was found to be more of a moderating factor between switching triggers and switching behaviours rather than a trigger factor on its own. Further, no evidence came to light that could confirm or disconfirm the roles of personal characteristics on switching behaviour and so this issue remains unresolved. Research limitations/implications – The methodology used in this research was an exploratory one and so the findings must be used with caution. Further research, using a more quantitative methodology, is warranted to confirm the findings of this research. Also, this research focused on a subset of switching issues and so might not provide a holistic framework. Future investigations should therefore consider and clarify the role of emotion, time and voice in the switching model devised from this study. Originality/value – This paper provides new evidence on the reasons for back pain sufferers consuming different treatment modes and the reasons for their switching and includes an exploratory investigation of the role of emotions in this decision making.
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O’Laughlin, Danielle J., Brittany Strelow, Nicole Fellows, et al. "Addressing Anxiety and Fear during the Female Pelvic Examination." Journal of Primary Care & Community Health 12 (January 2021): 215013272199219. http://dx.doi.org/10.1177/2150132721992195.
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To review the anxiety and fear risk factors, pathophysiology, symptoms, screening and diagnosis while highlighting treatment considerations for women undergoing a pelvic examination. Methods: We reviewed the literature pertaining to anxiety and fear surrounding the pelvic examination to help guide health care providers’ on available screening options and to review options for individualized patient management. Results: Anxiety and fear are common before and during the pelvic examination. In fact, the pelvic exam is one of the most common anxiety-provoking medical procedures. This exam can provoke negative physical and emotional symptoms such as pain, discomfort, anxiety, fear, embarrassment, and irritability. These negative symptoms can interfere with preventative health screening compliance resulting in delayed or avoided care and significant health consequences. Conclusion: Assessing women for anxiety related to pelvic examinations may help decrease a delay or avoidance of examinations. Risk factor and symptom identification is also a key component in this. General anxiety questionnaires can help identify women with anxiety related to pelvic examinations. Strategies to reduce anxiety, fear and pain during a pelvic examination should routinely be implemented, particularly in women with high-risk factors or those identified with screening techniques as having anxiety, fear or pain with examinations. Treatment options should be targeted at understanding the patient’s concerns, starting conversations about pelvic examinations early, educating patient’s about the examination and offering the presence of a chaperone or support person. During an examination providers should ensure the patient is comfortable, negative phrases are avoided, the correct speculum size is utilized and proper lubrication, draping, dressing and positioning are performed. Treating underlying gynecologic or mental health conditions, consideration of cognitive behavioral therapy and complementary techniques such as lavender aromatherapy and music therapy should also be considered when appropriate.
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Cheung, Denise Shuk Ting, Wing-Fai Yeung, Lorna Kwai-Ping Suen, et al. "Self-administered acupressure for knee osteoarthritis in middle-aged and older adults: a pilot randomized controlled trial." Acupuncture in Medicine 38, no. 2 (2019): 75–85. http://dx.doi.org/10.1177/0964528419883269.
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Objective: To test the acceptability and feasibility of self-administered acupressure as an intervention for knee pain among middle-aged and older adults with knee osteoarthritis (KOA). Methods: In this pilot randomized controlled trial, 35 participants with KOA were randomized to receive self-administered acupressure (n = 17, two self-administered acupressure training sessions followed by self-practice for 6 weeks) or knee health education (n = 18, two health education sessions about KOA management followed by self-care for 6 weeks). Current pain intensity (primary outcome) was measured using a Numeric Rating Scale (NRS) at baseline and weeks 1, 2, 4 and 6 (post-intervention). Secondary outcome measures included worst and least pain intensity, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), range of motion (ROM) of the knee joints and Short-Form Six-Dimension (SF-6D) scores for health-related quality of life. Results: Participants in both groups attended all training sessions. In the self-administered acupressure group, all subjects mastered the acupressure technique and passed a consistency check. Both groups showed a decreasing trend in current knee pain intensity measured using NRS post-intervention. A medium between-group effect size (0.40) was found, but between-group differences were not statistically significant. The other secondary outcome measures were also comparable between both groups post-intervention (all p > 0.05). Conclusion: A two-session self-administered acupressure training was acceptable to and feasible in participants with KOA. The data generated allowed for calculation of a sample size for a definitive randomized controlled trial (RCT) to confirm whether self-acupressure is effective for pain management in KOA. Furthermore trials with adequate power and longer follow-up periods are warranted.
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Witt, Claudia M. "Komplementäre Therapien: Verlässliche Informationen richtig vermitteln." Kompass Onkologie 7, no. 4 (2020): 208–9. http://dx.doi.org/10.1159/000513171.
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<b>Purpose:</b> To develop an evidence-based decision aid for parents of children with cancer and to help guide them in the use of complementary and alternative medicine (CAM) for cancer care. <b>Methods:</b> This study had a mixed research design. The needs of parents were investigated by survey and focus group. A systematic review and meta-analysis were performed on the effectiveness of CAM using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Clinical experts were interviewed and a decision aid on CAM treatment for pain was developed. <b>Results:</b> Parents emphasized the importance of reliable information on CAM, focusing primarily on communication and a broad spectrum of complaints related to cancer treatment. The decision aid on CAM for pain included five modalities based on 11 randomized control trials (RCTs): hypnotherapy, mind-body techniques, massage, healing touch, and music therapy. Meta-analysis could be performed on hypnotherapy, which significantly reduced cancer-related procedural pain compared with standard care (MD, – 1.37; 95% CI, – 1.60, – 1.15; P &#x3c; 0.00001) and attention control (MD, – 1.13; 95% CI, – 1.34, – 0.94; P &#x3c; 0.00001), and massage, demonstrating no effect on pain compared with standard care (MD, – 0.77; 95% CI, – 1.82, 0.28; P = 0.15). Research evidence and supplementary information from clinical practice and patient were incorporated in a website-based decision aid. <b>Conclusions:</b> An evidence-based decision aid was developed to support parents of children with cancer in making decisions about CAM for pain management. Next steps will be to expand the website to include additional childhood cancer-related complaints and to evaluate its use in practice.
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Viti, James A., and Jason M. Beneciuk. "Management of acute neck pain: A case series describing immediate and short term clinical outcomes following use of the Multifidus Isometric Technique." Journal of Bodywork and Movement Therapies 23, no. 4 (2019): 888–93. http://dx.doi.org/10.1016/j.jbmt.2019.02.008.
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Phuong, Thao Nguyen Thi, Seon Hui Jang, Santosh Rijal, et al. "GABA- and Glycine-Mimetic Responses of Linalool on the Substantia Gelatinosa of the Trigeminal Subnucleus Caudalis in Juvenile Mice: Pain Management through Linalool-Mediated Inhibitory Neurotransmission." American Journal of Chinese Medicine 49, no. 06 (2021): 1437–48. http://dx.doi.org/10.1142/s0192415x21500671.
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Linalool, a major odorous constituent in essential oils extracted from lavender, is known to have a wide range of physiological effects on humans including pain management. The substantia gelatinosa (SG) of the trigeminal subnucleus caudalis (Vc) is involved in transmission of orofacial nociceptive responses through thin myelinated A[Formula: see text] and unmyelinated C primary afferent fibers. Up to date, the orofacial antinociceptive mechanism of linalool concerning SG neurons of the Vc has not been completely clarified yet. To fill this knowledge gap, whole-cell patch-clamp technique was used in this study to examine how linalool acted on SG neurons of the Vc in mice. Under a high chloride pipette solution, non-desensitizing and repeatable linalool-induced inward currents were preserved in the presence of tetrodotoxin (a voltage-gated Na[Formula: see text]channel blocker), CNQX (a non-NMDA glutamate receptor antagonist), and DL-AP5 (an NMDA receptor antagonist). However, linalool-induced inward currents were partially suppressed by picrotoxin (a GABA[Formula: see text] receptor antagonist) or strychnine (a glycine receptor antagonist). These responses were almost blocked in the presence of picrotoxin and strychnine. It was also found that linalool exhibited potentiation with GABA- and glycine-induced responses. Taken together, these data show that linalool has GABA- and glycine-mimetic effects, suggesting that it can be a promising target molecule for orofacial pain management by activating inhibitory neurotransmission in the SG area of the Vc.
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Juana María Peláez Peláez, Jean Marc Benhaiem, Marcelino Sánchez Casado, and Filadelfo Fustos Molina. "Interés de la hipnosis médica en cirugía." Revista Electrónica AnestesiaR 11, no. 7 (2019): 3. http://dx.doi.org/10.30445/rear.v11i7.785.
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El propósito de este artículo es dar a conocer la aplicación de la hipnosis médica como complemento a nuestro ámbito de trabajo. Desde su primer avatar conocido como magnetismo animal gracias a los trabajos de Mesmer en el siglo XVIII, ha cambiado su nombre su práctica y sus indicaciones. Históricamente la hipnosis ha evolucionado con altibajos, hasta finalmente ocupar los servicios hospitalarios en el mundo entero, gracias a los trabajos de Milton Erickson. La hipnosis dentro del contexto de las estructuras hospitalarias ha sido aplicada como terapia por psicoterapeutas. Actualmente otros profesionales de la salud pueden ejercer la hipnosis médica dentro de su especialidad, desde que tengan dicha formación complementaria. El empleo de la hipnosis como complemento a nuestra práctica anestésica, no es una novedad aunque en España no es una práctica difundida a diferencia del norte de Europa. Rigurosos estudios en neurociencias han investigado las modificaciones cerebrales bajo hipnosis a fin de explicar la vivencia del paciente. Las aplicaciones de la hipnosis en anestesia son múltiples; hipnosedación como complemento en técnicas anestésicas, gestión del stress, ansiedad, dolor, trabajo de parto y parto, estudios complementares de imagen etc. El beneficio y la eficacia que conseguimos no solo repercuten en mejorar el confort y la comunicación en el paciente sino también en el resto del equipo quirúrgico. ABSTRACT Medical hypnosis in surgery growing interest The purpose of this article is to report the application of medical hypnosis as a complement to our field of work. From its first incarnation, known as animal magnetism thanks to the works of Mesmer in the 18th century, its name, its practice and its indications have changed. Historically, hypnosis has evolved with ups and downs, until finally coming to occupy hospital services worldwide, thanks to the work of Milton Erickson. Within the context of hospital structures, hypnosis has been applied as a therapy by psychotherapists. Other health professionals can now practise medical hypnosis within their speciality, after they have had complementary training. The use of hypnosis as a complement to our anaesthesia practice is not novel, although it is not a widespread practice in Spain, unlike in northern Europe. Rigorous studies in neurosciences have investigated the brain modifications under hypnosis to explain the patient’s experience. There are various applications of hypnosis in anaesthesia: hypnosedation as a complement to anaesthetic techniques, management of stress, anxiety, pain, labour and delivery, complementary imaging studies, etc. The benefits and efficacy obtained not only result in improved comfort and communication for the patient, but also for the rest of the surgical team.
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Fadholi, Kirnawan, and Akhmad Mustofa. "The Effectiveness Of Murottal Al-Qur'an Therapy And Virtual Reality To Reduce Pain Intensity In Post Operating Patients." South East Asia Nursing Research 2, no. 2 (2020): 74. http://dx.doi.org/10.26714/seanr.2.2.2020.74-81.
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Pain management in postoperative patients so far in the Shofa Room of PKU Muhammadiyah Hospital in Temanggung is still limited to pharmacotherapy in the form of 1 gram injection metamizole or 30mg ketorolac injection and the provision of deep breath therapy. Giving this therapy is not optimal in dealing with patient pain. Therefore other therapies need to be given for example non-pharmacology, one of them is a combination of murottal Al-Qur'an therapy and virtual reality when the pharmacotherapy reaction is finished and the complementary therapy has never been done in the room. The purpose of this study was to determine the effect of a combination of Murottal Al-Qur'an therapy and virtual reality on pain intensity in postoperative patients. The research design used in this study was quasi-experimental with a pre-posttest with a control group design approach. The subjects of this study were 32 post-operative patients at PKU Muhammadiyah Temanggung Hospital. The sampling technique used was purposive sampling. The instrument used in obtaining data is the Numeric Rating Scale. The results showed that: 1) there were differences in the average pretest and posttest intensity of postoperative pain in the intervention group with a p-value of 0,000; 2) there is a difference in the average pretest and posttest intensity of postoperative pain in the control group with a p-value of 0.003; and 3) there is a significant difference in the decrease in intensity of postoperative pain in the intervention group and the control group with a p-value of 0.009 where the experimental group showed a decrease in intensity more effectively than the control group. The results of this study indicate that the combination of Murottal Al-Qur'an therapy and virtual reality is effective in reducing pain intensity in postoperative patients.
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Rosted, Palle, Mads Bundgaard, and Anne Marie Lynge Pedersen. "The Use of Acupuncture in the Treatment of Temporomandibular Dysfunction – An Audit." Acupuncture in Medicine 24, no. 1 (2006): 16–22. http://dx.doi.org/10.1136/aim.24.1.16.
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Objective Temporomandibular dysfunction often represents a major therapeutic problem in a dental practice. Evidence from clinical studies suggests that acupuncture may be useful in the treatment of temporomandibular dysfunction. However, most studies have been performed in university settings. The aims of this study were to determine if the results of acupuncture treatment of temporomandibular dysfunction in general dental practice are comparable to the results obtained in previous studies in university clinics, and whether the treatment approach differs from that used in previous studies. Methods The case reports submitted by 15 dentists applying for the diploma of the British Dental Acupuncture Society were combined into one audit. All dentists were informed before submitting the forms that the data might be used for scientific purposes. The criteria for Pain Syndrome Dysfunction were used as inclusion criteria. A visual analogue scale (VAS) was used to assess the pain intensity before and after acupuncture treatment. The acupuncture points and technique used were recorded for each treatment. Results A total number of 70 case reports were received. Ten patients were excluded, as they did not fulfil the criteria. The remaining 60 patients (50 female) fulfilled an average of 3.2 of the Pain Syndrome Dysfunction criteria, out of a possible five. Their mean age was 40.6 years (range 14–68). The average duration of temporomandibular dysfunction was 32 months (range 1–180). The patients received a mean of 3.4 treatments, each treatment lasting on average 12 minutes. The dentists used only manual stimulation, and mainly acupuncture points over the temporomandibular joint and in the masticatory muscles, points on the neck, and additional relaxing points. The mean pain scores were 7.35 (SD 1.52) before treatment and 2.67 (SD 0.58) after treatment (P<0.001). A beneficial effect was observed in 85% with an average reduction in the pain intensity of 75%. Conclusion This audit shows that the results of using acupuncture in the treatment of temporomandibular dysfunction in a general dental practice are comparable to those obtained in clinical studies in university settings. Also the therapeutic approach of using acupuncture is similar. Thus, acupuncture is a simple, relatively safe and potentially efficacious and useful technique in the management of temporomandibular dysfunction in a general dental practice.
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De Freitas, Maisa Oliveira, Carmen Vládia Soares De Sousa, Francisco Felipe De Guimarães, João Marcelo Azevedo de Paula Antunes, and Gislayne Cristianne Xavier Peixoto. "Partial Gastric Obstruction Caused by Cajarana (Spondias cytherea Sonn) in Puppies - Imaging Techniques for Diagnosis." Acta Scientiae Veterinariae 46 (August 21, 2018): 4. http://dx.doi.org/10.22456/1679-9216.87480.
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Background: Ingestion of foreign bodies is one of the most common cases seen among puppies of dogs in the medical clinics of small animals which may be related to their curious behavior. The diagnosis is based on the patient’s history, clinical signs, and complementary diagnostic imaging tests. The present case report describes the use of complementary imaging tests, showing a partial gastric obstruction caused by cajarana (Spondias cytherea Sonn) in a puppy.Case: At the Veterinary Hospital of the Federal Rural University of the Semi-Arid Region, a 4-month-old male Yorkshire dog was treated. The guardian reported having witnessed the ingestion of a cajarana stone by the animal. During the physical examination, the animal was active, with good nutritional status, normocorated mucosae, and a moderate degree of dehydration, besides a slight pain on palpation in the epigastric region. Hematological examinations included blood counts, blood urea, creatinine, and alkaline phosphatase. A moderate degree of polycythemia was observed, which may be explained by the dehydration caused by the episodes of vomiting. The patient had frequent episodes of vomiting after the reported event and was then referred to the diagnostic imaging sector. During the sonographic examination, a concave echogenic interface associated with a posterior acoustic shadowing was observed in the region of the stomach. The animal was sent for simple radiographs and positive contrast based on barium sulfate due to the suspicion of the presence of a foreign body. On simple radiography, in the left laterolateral view, a little radiopaque structure of circular format with poor definition was observed in the pyloric region. After the simple radiography, approximately 10 mL of barium sulfate contrast was administered orally followed by a new left lateral radiographic imaging. On performing sequenced radiographs, a discrete barium contrast contour, oval in structure, located in the pyloric region was observed, even after gastric emptying for about 1 h, reinforcing the clinical suspicion of cajarana stone ingestion. In view of these results, the animal underwent a gastrostomy for the removal of cajarana, which measured about 2.5 cm in diameter. After the surgical procedure, the animal had a good clinical recovery.Discussion: The history of the animal along with clinical signs and imaging tests are of great assistance in the investigation of gastric foreign bodies. The most common type of foreign bodies found in the gastrointestinal tract of small animals are bones, but other atypical structures may also be found, as shown in this report. Radiography (simple and with contrast) is an imaging method widely used in veterinary medicine because of its low cost and clinical accessibility. It is important for the investigation of gastrointestinal obstructions, being of fundamental importance in the management of this case. Ultrasound examination also provides crucial information when foreign bodies are suspected since the formation of intense posterior acoustic shadow (described in this case) is one of the characteristic findings of this condition. Finally, the associated radiography and ultrasonography as diagnostic imaging for the investigation of foreign bodies in the gastrointestinal tract complement each other. Depending on the nature of the foreign body, a single imaging examination may not be satisfactory to suggest the presence of a foreign body with certainty.
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Chan, Edmund, Ryan Howle, Desire Onwochei, and Neel Desai. "Infiltration between the popliteal artery and the capsule of the knee (IPACK) block in knee surgery: a narrative review." Regional Anesthesia & Pain Medicine 46, no. 9 (2021): 784–805. http://dx.doi.org/10.1136/rapm-2021-102681.
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BackgroundThe infiltration between the popliteal artery and the capsule of the knee (IPACK) block has been described as an alternative analgesic strategy for knee pain.ObjectiveOur aim was to perform a narrative review to examine the place and value that the IPACK block has in comparison to and in conjunction with other regional anesthesia modalities.Evidence reviewFollowing an extensive search of electronic databases, we included anatomical studies, letters, comparative observational studies, and non-randomized and randomized controlled trials that examined the IPACK block in relation to surgery on the knee under general or neuraxial anesthesia.FindingsIn all, 35 articles were included. Cadaveric studies demonstrated the potential for injected dye to spread to the nerves responsible for the innervation of the posterior as well as anteromedial and anterolateral aspects of the knee. Of the comparative observational studies (n=15) and non-randomized (n=1) and randomized controlled trials (n=13), 2 and 27 were conducted in the context of anterior cruciate ligament reconstruction and knee replacement surgery, respectively. The role of the IPACK block with each different permutation of regional anesthesia techniques was investigated by a small number of studies. Clinical studies, in the setting of knee replacement surgery, revealed variation in the manner in which the IPACK block was performed, and indicated the possible superiority of distal injection at the level of the femoral condyles for the management of posterior knee pain. Evidence suggested the following: the IPACK block in combination with single shot adductor canal block (ACB) may be beneficial for analgesic and functional outcomes; in conjunction with single shot or continuous ACB, the IPACK block might be superior to local infiltration analgesia (LIA); and functional outcomes may be improved with the supplementation of continuous ACB and LIA with the IPACK block. The IPACK block did not commonly result in the occurrence of foot drop. Relative to tibial nerve block (TNB), the IPACK block reduced the occurrence of foot drop and increased the proportion of patients who were able to be discharged on the third postoperative day.ConclusionsThe IPACK block was potentially complementary to the ACB and might be preferable to the TNB as a motor-sparing regional anesthesia technique in knee surgery. Definitive recommendations were not reached in the presence of the heterogeneous and limited evidence base.
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Widayani, Wiwin. "Aromaterapi Lavender dapat Menurunkan Intensitas Nyeri Perineum pada Ibu Post Partum." Jurnal Ners dan Kebidanan Indonesia 4, no. 3 (2017): 123. http://dx.doi.org/10.21927/jnki.2016.4(3).123-128.
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<p><em>Perineal</em><em>s pain affects woman ability to mobilize so that it can cause complications such as post-partum haemoragik</em><em>. T</em><em>rauma to the perineum also cause discomfort and </em><em>dyspareunia</em><em>, therefore, perineal pain management is important. Currently the handling used to relieve pain is complementary therapy aromatherapy with essential oils of lavender, because lavender has the properties of anticonvulsant, antidepressant, anxiolytic, and </em><em>also</em><em> soothing. Aromatherapy stimulates the hypothalamus to secrete chemical mediators that serve as pain relievers and give rise to feelings of happiness. The purpose of this study was to determine the effect of lavender aromatherapy </em><em>to the</em><em> </em><em>perineal pain</em><em> </em><em>intensity in post partum</em><em> women.</em><em> </em><em>This study is a quasy experiment pre and post non random control </em><em>in </em><em>postpartum </em><em>women at</em><em> Bidan Praktik Mandiri in Bandung. Sampling this study using consecutive sampling technique. </em><em>The d</em><em>ata taken using the instrument in the adaptation of a Visual Analog Scale (VAS) </em><em>and </em><em>analy</em><em>zed by using</em><em> the</em><em> wilcoxon signed rank test</em><em>. The result is</em><em> there was a decrease in pain intensity before and after the administration of inhaled lavender aromatherapy</em><em> (</em><em>Z=-3.77</em><em>)</em><em> with p-value 0.001.</em><em> Lavender aromatherapy can be a complementary alternative therap</em><em>y</em><em> to reduce pain in postpartum </em><em>women</em><em> but more research </em><em>necessary </em><em>is needed with </em><em>more </em><em>respondents.</em><strong></strong></p>
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Martinato, M., R. I. Comoretto, A. Zampieri, et al. "N11 Complementary and alternative methods to improve quality of life in patients with inflammatory bowel diseases: a systematic literature review." Journal of Crohn's and Colitis 15, Supplement_1 (2021): S613—S614. http://dx.doi.org/10.1093/ecco-jcc/jjab074.825.
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Abstract Background Inflammatory Bowel Diseases (IBD) shoved an increasing incidence in the last decade. They can occur at any age, but especially between 15 and 30. They have multifactorial aetiology, including genetic, intestinal bacterial, immunological and environmental causes. These diseases present invasive and often disabling symptoms. Typically, patients complained of abdominal pain, diarrhoea and rectal bleeding, and frequently they present complications such as malabsorption, malnutrition, water and electrolyte imbalances accompanied by nausea and vomiting, and intestinal obstruction or stricture. Moreover, the effects of IBD extend to the systemic level, with extraintestinal manifestations generally located at the musculoskeletal apparatus, skin or eyes, as well as psychiatric complications, including depression and anxiety. There is no definitive cure for IBD, and the severity of symptoms affect patients’ well-being, compromising their quality of life (QoL) which is, in fact, generally lower as compared to healthy population. This leads patients to search for self-care methods that allow them to achieve greater control and management of the disease, i.e., complementary and alternative methods (CAMs). Methods The purpose of the paper is to investigate the efficacy of mind-body CAMs in improving the QoL of patients suffering from IBD. Therefore, we focused on CAMs’ impact on the psychological and physical spheres of the subjects, considering outcomes such as anxiety, depression, stress, gastrointestinal symptoms and QoL. A systematic literature review was performed consulting the online databases PubMed, Cinahl, Cochrane, and Google Scholar regarding interventional studies performed in the last twenty years. Results 312 papers were identified and 21 of them were selected according to inclusion criteria applied to title and abstract. 8 of them were then excluded after full-text assessment according to exclusion criteria. The interventions described in the 13 papers included fell within the dimension of mind-body techniques in the sphere of mindfulness and relaxation. A quantitative synthesis was not performed because, among the identified evidence, the treatment effect is never reported for more than two studies. Overall, time-correlated positive developments were recorded in all the outcomes considered in patients with a greater degree of psychological stressors at the initial assessment, guaranteed an increase in the QoL or an avoidance of impairment of QoL during flare-ups. Conclusion Mind-body CAMs have the potential to allow patients suffering from IBD to improve their compromised QoL. However, this area needs further investigation, carrying out more homogeneous studies, with larger samples and longer intervention and follow-up periods.
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Maddox, Dondee, Bob Deschner, Dottie Goodsun, and M. Danet Lapiz-Bluhm. "Veterans Team Recovery Integrative Immersion Process (Vet TRIIP): A Qualitative Evaluation of Participation and Impact." Military Medicine 185, no. 7-8 (2020): e1284-e1289. http://dx.doi.org/10.1093/milmed/usaa053.
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Abstract Introduction The Veterans Team Recovery Integrative Immersion Process (Vet TRIIP) is a short-term multi-modality complementary, integrative immersion program for veterans with chronic pain, post-traumatic stress, and related symptoms. Geared toward Veterans, active duty servicemembers, family members, and caregivers, Vet TRIIP aims to honor and empower them to create healthy, happy, and productive civilian lives. This study evaluates the program to determine its impact on the quality of life and ways to improve and develop Vet TRIIP. Materials and Methods In total, 14 clients participated in the qualitative review of the Vet TRIIP program in San Antonio. The participants were interviewed related to their reason for participating, their most bothersome symptoms and the effects of Vet TRIIP on those symptoms, service provided that is most and least appreciated, suggestions for improvement, and things learned from Vet TRIIP that helped them daily. Responses were analyzed for emerging themes. Results The main reasons for participating were physiological and psychological needs, social support, and curiosity to address their reported symptoms such as pain, stress/anxiety, and depression. Vet TRIIP reportedly improved their quality of life and decreased stress. The participants liked most the support of the Vet TRIIP staff and the interventions such as reiki and massage. Other participants did not like acupuncture. Participants suggested the addition of professional psychological services could be helpful. They reported that emotional freedom technique (EFT/tapping) and guided breathing were most useful in their daily lives. Each participant reported that Vet TRIIP was a positive experience that helped with their pain, anxiety, and stress management, providing an improvement in their quality of life. It also imparted an eye-opening experience to nontraditional non-pharmacological interventions for pain, anxiety, and stress. Conclusions Evaluative studies on organizations that support Veterans are useful to gauge the effectiveness and impact. Through this study, Veterans expressed perceived strengths and weaknesses of the program so further development and appropriate services will be provided. Similar studies on the impact of non-profit organizations are encouraged. Vet TRIIP significantly impacts the lives of many through stress and pain reduction, potentially preventing suicide.
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Olela, Ben, James Mbaria, Timothy Wachira, and Gervason Moriasi. "Acute Oral Toxicity and Anti-inflammatory and Analgesic Effects of Aqueous and Methanolic Stem Bark Extracts of Piliostigma thonningii (Schumach.)." Evidence-Based Complementary and Alternative Medicine 2020 (August 7, 2020): 1–10. http://dx.doi.org/10.1155/2020/5651390.
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Inflammation and pain are devastating conditions characterizing many diseases. Their manifestation ranges from mild body discomfort, to a debilitating experience, which may culminate in organ failure or death. In conventional medicine, corticosteroids, nonsteroidal anti-inflammatory drugs, opioids, and adjuvants are utilized to manage symptoms related to pain and inflammation. Despite their reported successes, these agents are only palliative, debatably inaccessible, unaffordable, and cause many undesirable side effects. As a result, the search for alternative and complementary therapies is warranted. Medicinal plants have been intensively utilized by humans for a long time to treat various ailments. In spite of their reported efficacies, empirical scientific data supporting their healing claims is scanty. P. thonningii (Schumach.) has been used in African traditional medicine, especially by traditional herbalists in Nigeria and Kenya, to treat conditions associated with inflammation. Even though analgesic, anti-inflammatory, and toxicity studies have been performed on leaf extracts, and some of their isolated compounds in Nigeria, there is scanty data supporting the use of stem bark extracts, which are commonly utilized in Kenya for pain, and inflammation management. Moreover, scientific data regarding safety and toxicity of the stem bark extracts of P. thonningii utilized in Kenya by traditional herbalists are inadequate. Based on this background, acute oral toxicity evaluation of the aqueous and methanolic stem bark extracts of P. thonningii, in Swiss albino mice, was performed according to the OECD/OCDE (2008) guidelines. Anti-inflammatory activities were investigated using the xylene-induced ear oedema in mice, whereas analgesic activities were examined following the acetic acid-induced writhing technique. The acute oral toxicity data was analyzed, and interpreted according to the OECDE (2008) guidelines. Anti-inflammatory and analgesic activities data were tabulated on MS Excel, and exported to GraphPad Prism (v8.3). Descriptive statistics were computed, and expressed as mean ± SEM. Thereafter, One-Way ANOVA followed by Tukey’s test was performed. p<0.05 was considered statistically significant. All the studied plant extracts had LD50 values > 2000 mg/kg bw, and were hence deemed to be nontoxic according to OECD/OCDE document no. 425. The results showed that the acetic acid-induced writhing frequency in mice administered the aqueous stem bark extract of P. thonningii, at a dose of 500 mg/kg bw, was not significantly different from that recorded for mice which received the reference drug (acetylsalicylic acid 75 mg) (p>0.05). Additionally, at all the studied extract doses, significantly lower acetic acid-induced writhing frequencies were recorded in mice that received the aqueous stem bark extract of P. thonningii, compared with the writhing frequencies in mice that received the methanolic extract of the same plant (p<0.05). On the other hand, the aqueous stem bark extract of P. thonningii, at doses of 100 mg/kg bw and 500 mg/kg bw, and the methanolic stem bark extract of the same plant, at a dose level of 500 mg/kg bw, exhibited significantly higher percentage inhibitions of xylene-induced oedema than the percentage inhibitions shown by the reference drug (dexamethasone 1 mg/kg bw) (p<0.05). Generally, the aqueous stem bark extract of P. thonningii, at all the studied dose levels, caused significantly higher inhibitions of xylene-induced ear oedema in mice, compared with the percentage inhibitions shown by methanolic stem bark (p<0.05). Therefore, the aqueous, and methanolic stem bark extracts of P. thonningii, grown in Kenya, possess peripheral analgesic and anti-inflammatory activities in Swiss albino mice. Hence, they have a potential of offering safe analgesic, and anti-inflammatory compounds. Further studies aimed at isolating, elucidating, and characterizing bioactive components from the studied extracts are recommended. Moreover, specific mode(s) through which these extracts exert the reported bioactivities should be established. Further toxicological investigations involving the studied plant extracts are encouraged to fully establish their safety.
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Foster, N. "Complementary Therapies for Pain Management." Focus on Alternative and Complementary Therapies 14, no. 1 (2009): 69–70. http://dx.doi.org/10.1111/j.2042-7166.2009.tb01924.x.
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Downs, C. S., and M. G. Cooper. "Continuous Extrapleural Intercostal Nerve Block for Post Thoracotomy Analgesia in Children." Anaesthesia and Intensive Care 25, no. 4 (1997): 390–97. http://dx.doi.org/10.1177/0310057x9702500412.
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The safety and efficacy of continuous extrapleural intercostal nerve block has been well established in adults. This review of our initial paediatric experience suggests a role for this technique in children and discusses risks and benefits relative to other forms of regional analgesia for thoracotomy. Nine children aged one to twelve years received extrapleural infusions of bupivacaine 0.1-0.2% following lateral thoracotomy for lung resection. An extrapleural catheter was placed by the surgeon prior to thoracotomy closure, and correctly positioned under direct vision external to the parietal pleura alongside the vertebral column. An intraoperative loading dose of bupivacaine, 0.25-0.5% (0.28±0.1 ml/kg, mean±SD) was injected so as to raise a bleb under the parietal pleura which spread longitudinally to bathe several intercostal nerves in the paravertebral gutter. The chest wall was then closed. Infusions of bupivacaine were commenced in the recovery room and continued at a constant rate of 0.21±0.09 ml/kg/h for 72±15 hours. The mean dose of bupivacaine was 284±97 μg/kg/h. Patients also received standard analgesia as an intravenous morphine infusion (10-50 μg/kg/h), or patient-controlled analgesia. Nursing staff were specifically instructed not to alter their usual management of variable rate morphine infusions which are titrated to adequate analgesia. Morphine requirements in the first 48 postoperative hours remained less than 30 μg/kg/h, oral fluids were well tolerated after 31.2±19.1 hours, nasogastric tubes were removed at 16.7±11.2 hours. Postoperative nausea and vomiting and respiratory depression were not observed in any patient and all were able to comply with physiotherapy. There were no complications of catheter placement or bupivacaine administration. Our initial experience suggests that this is a safe technique which minimizes complementary opioid administration and provides adequate analgesia for children postthoracotomy for lung resection.
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Hart, Jane. "Complementary Therapies for Chronic Pain Management." Alternative and Complementary Therapies 14, no. 2 (2008): 64–68. http://dx.doi.org/10.1089/act.2008.14202.
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Jackson, Heather J., and Marcelaine Reneau. "Complementary therapies for acute pain management." Nurse Practitioner 44, no. 12 (2019): 8–11. http://dx.doi.org/10.1097/01.npr.0000605532.19434.61.
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Rowlingson, John C., and Robin J. Hamill. "Interventional techniques for pain management." Current Opinion in Anaesthesiology 4, no. 5 (1991): 722–27. http://dx.doi.org/10.1097/00001503-199110000-00021.
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DeGood, Douglas E. "Psychological techniques for pain management." Current Opinion in Anaesthesiology 4, no. 5 (1991): 728–33. http://dx.doi.org/10.1097/00001503-199110000-00022.
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Chaudhari, Mahesh. "Radiofrequency techniques in pain management." Anaesthesia & Intensive Care Medicine 12, no. 2 (2011): 63–65. http://dx.doi.org/10.1016/j.mpaic.2010.10.020.
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Kanakarajan, Saravanakumar. "Radiofrequency techniques in pain management." Anaesthesia & Intensive Care Medicine 14, no. 12 (2013): 543–45. http://dx.doi.org/10.1016/j.mpaic.2013.09.011.
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Mendis, Victor, Ramy Mottaleb, and Ming Fung. "Radiofrequency techniques in pain management." Anaesthesia & Intensive Care Medicine 17, no. 11 (2016): 564–67. http://dx.doi.org/10.1016/j.mpaic.2016.08.007.
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Mendis, Victor, Ramy Mottaleb, and Sahiba Sethi. "Radiofrequency techniques in pain management." Anaesthesia & Intensive Care Medicine 20, no. 10 (2019): 572–75. http://dx.doi.org/10.1016/j.mpaic.2019.07.012.
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Hume, Anne L. "Complementary health techniques may lessen pain in some conditions." Pharmacy Today 22, no. 11 (2016): 22. http://dx.doi.org/10.1016/j.ptdy.2016.10.011.
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Carter, Bernadette. "Complementary therapies and management of chronic pain." Paediatric Nursing 7, no. 3 (1995): 18–22. http://dx.doi.org/10.7748/paed.7.3.18.s22.
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Rusy, Lynn M., and Steven J. Weisman. "COMPLEMENTARY THERAPIES FOR ACUTE PEDIATRIC PAIN MANAGEMENT." Pediatric Clinics of North America 47, no. 3 (2000): 589–99. http://dx.doi.org/10.1016/s0031-3955(05)70227-3.
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Foster, N. "Complementary and Integrative Medicine in Pain Management." Focus on Alternative and Complementary Therapies 14, no. 1 (2009): 67–68. http://dx.doi.org/10.1111/j.2042-7166.2009.tb01922.x.
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