Pain medicine : the official journal of the American Academy of Pain Medicine
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Randomized Controlled Trial
Client-centered therapy vs exercise therapy for chronic low back pain: a pilot randomized controlled trial in Brazil.
Psychological interventions targeting maladaptive pain behaviors and depressive symptoms are commonly used in the management of chronic pain. ⋯ This was the first study to investigate the effects of client-centered therapy and exercise for patients with chronic LBP. Our results showed that client-centered therapy is less effective than exercise in reducing disability at short term.
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Comparative Study
Postoperative pain intensity assessment: a comparison of four scales in Chinese adults.
To determine the psychometric properties and applicability of four pain scales in Chinese postoperative adults. ⋯ These findings demonstrate that although all four scales can be options for Chinese adults to report pain intensity, the FPS-R appears to be the best one. Providing tool options to address individual needs or preferences is suggested.
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Neuropathic pain is a common problem in later life. It remains relatively refractory to treatment and in terms of social consequences may be particularly problematic for older people. ⋯ The study raises important questions concerning the relationship between neuropathic pain, its physical and emotional consequences and social outcomes. The results highlight the importance of viewing neuropathic pain as a social phenomenon in which treatment and management should pay closer attention to the interpersonal and social needs and quality of life outcomes for the spouse or partner and family as well as the patient.
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Intrathecal inflammatory masses or granuloma have been described extensively in the literature in patients receiving chronic spinal infusions for pain. After an extensive literature review, no reported cases of baclofen causing this disorder when administered as a sole agent were identified. Intrathecal baclofen has been used to treat spasticity secondary to stroke, multiple sclerosis, cerebral palsy, spinal cord injury, and other neurological disease. ⋯ We report two cases of inflammatory mass in patients receiving baclofen as a sole intrathecal agent. The authors would recommend vigilance in any patient receiving intrathecal baclofen. If the suspicion arises of this problem, a magnetic resonance imaging or computerized tomography myelogram should be obtained with a focus on the catheter tip.