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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Randomized Controlled Trial
Pain drawing in the assessment of neurogenic pain and dysfunction in the neck/shoulder region: inter-examiner reliability and concordance with clinical examination.
The pain drawing (PD) has proven to have good inter-examiner reliability and high sensitivity in assessing neurogenic pain and dysfunction (NP) originating from the lower back. Studies on its use in the neck/shoulder region have not been found. ⋯ First impression assessment of the PD seems to be a reliable, easily learned, and sensitive diagnostic method for assessing NP in the neck/shoulder region. NP may be greatly underestimated, especially as patients withhold symptoms of discomfort when they fill in the PD.
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Randomized Controlled Trial Clinical Trial
Effect of local administration of transdermal fentanyl on peripheral opioid analgesia.
Transdermal fentanyl is a commonly used analgesic for the treatment of severe chronic pain. Recent investigations have shown the presence of mu-opioid receptors in the skin and opioid analgesic efficacy with alternative routes of administration of narcotics. This placebo-controlled, double-blind prospective study assessed whether transdermal fentanyl administration produces local peripheral opioid analgesia at the site of application. ⋯ These results suggest that the application of transdermal fentanyl patch for a period of 2 h does not produce local peripheral opioid analgesia at the site of patch application.
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Randomized Controlled Trial
Can patient coaching reduce racial/ethnic disparities in cancer pain control? Secondary analysis of a randomized controlled trial.
Minority patients with cancer experience worse control of their pain than do their white counterparts. This disparity may, in part, reflect more miscommunication between minority patients and their physicians. Therefore, we examined whether patient coaching could reduce disparities in pain control in a secondary analysis of a randomized controlled trial. ⋯ Patient coaching offers promise as a means of reducing racial/ethnic disparities in pain control. Larger studies are needed to validate these findings and to explore possible mechanisms.
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Letter Randomized Controlled Trial
Intraperitoneal bupivacaine for postoperative pain relief after laparoscopic cholecystectomy.