Pain medicine : the official journal of the American Academy of Pain Medicine
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Randomized Controlled Trial Multicenter Study
Efficacy of acupuncture for acute migraine attack: a multicenter single blinded, randomized controlled trial.
We aim to investigate the efficacy of acupuncture for acute migraine attacks comparing with sham acupuncture. ⋯ This trial suggested that verum acupuncture group was superior to sham acupuncture group on relieving pain and reducing the usage of acute medication.
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Randomized Controlled Trial
Pain ratings by patients and their providers of radionucleotide injection for breast cancer lymphatic mapping.
Disparity between patient report and physician perception of pain from radiotracer injection for sentinel node biopsy is thought to center on the severity of the intervention, ethnic composition of population queried, and socioeconomic factors. ⋯ Patient-physician pain assessment congruence over the less painful injections and their statistically similar scores with the more painful methods suggests the importance of utilizing the least painful method possible. Providers tended to underestimate patients with the highest pain ratings-those in the greatest analgesic need. Lack of statistical difference between African American and physician scores may reflect the equal-access-to-care over the entire patient cohort, supporting the conclusion that socioeconomic factors may lie at the heart of previously reported discrepancies.
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Randomized Controlled Trial
Management of neuropathic pain with methylprednisolone at the site of nerve injury.
Peripheral nerve blocks with methylprednisolone may provide effective pain therapy by decreasing ectopic neuronal discharge and the release of local inflammatory mediators at the site of nerve injury. In this study, we aimed to compare the efficacy of lidocaine alone with a combination of depo-methylprednisolone plus lidocaine in the management of neuropathic pain due to peripheral nerve damage. ⋯ Our results suggest that peripheral nerve block with 80 mg depo-methylprednisolone plus 0.5% lidocaine provides effective management in the treatment of neuropathic pain due to peripheral nerve damage.
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Randomized Controlled Trial
Addressing both depression and pain in late life: the methodology of the ADAPT study.
To describe the methodology of the first NIH-funded clinical trial for seniors with comorbid depression and chronic low back pain. ⋯ The results of this trial will inform the care of these complex patients and further understanding of comorbid pain and depression in late life.
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Randomized Controlled Trial
Beneficial effect of amantadine on postoperative pain reduction and consumption of morphine in patients subjected to elective spine surgery.
To analyze the effect of coadministration of morphine and amantadine on postoperative pain reduction and morphine consumption in patients after elective spine surgery. ⋯ Pre- and postoperative administration of amantadine significantly reduced fentanyl use during operation, as well as reduced the postoperative pain and decreased morphine consumption in young patients undergoing orthopedic surgery.