Articles: pain-management-methods.
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Complement Ther Med · Aug 2013
Randomized Controlled TrialClinically meaningful differences in pain, disability and quality of life for chronic nonspecific neck pain - a reanalysis of 4 randomized controlled trials of cupping therapy.
The assessment of clinically meaningful differences in patients' self-reported outcomes has become increasingly important when interpreting the results of clinical studies. Although these assessments have become quite common there are hardly any data for nonspecific neck pain, especially in the context of complementary and alternative medicine. The aim of this analysis is the determination of minimal clinically important differences (MCID) and substantial clinical benefits (SCB) in patients with chronic nonspecific neck pain after cupping treatment. ⋯ The results support the assumption that patients' perceptions of treatment benefits measured by VAS in these trials might be comparable to others in conventional therapies. For NDI and SF-36-PCS the estimated differences were smaller than in previous reports indicating that context factors such as patient characteristics and specific treatment conditions might play an important role. Further studies on MCIDS and SCBs for chronic nonspecific neck pain seem warranted.
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Randomized Controlled Trial
Effect of brief mindfulness intervention on tolerance and distress of pain induced by cold-pressor task.
A number of studies have demonstrated that short-term meditation intervention can lead to greater tolerance and lower pain or distress ratings of experimentally induced pain. However, few attempts have been made to examine the effects of short-term mindfulness-based intervention on the tolerance and distress of pain, when delivered in a therapist-free form. The present research explored the effect of brief mindfulness intervention using pre-recorded instruction on pain experimentally induced by the cold-pressor task. ⋯ The distraction strategy also significantly improved the participants' pain tolerance. However, it did not have a significant effect on the participants' level of distress during the immersion period. Our results suggest that brief mindfulness intervention without a therapist's personal involvement is capable of helping people cope with pain induced by the cold-pressor task.
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Arch. Gynecol. Obstet. · Jul 2013
Randomized Controlled TrialUltrasound-guided transversus abdominal plane block with multimodal analgesia for pain management after total abdominal hysterectomy.
Transversus abdominis plane (TAP) block has been shown to provide pain relief after abdominal procedures. However, TAP block combined with multimodal analgesia technique have not been assessed in a randomized controlled trial. This randomized, controlled, observer-blinded study was designed to evaluate the analgesic efficacy of bilateral ultrasound-guided TAP blocks with or without acetaminophen and non-steroidal anti-inflammatory drug (NSAID) combination. ⋯ The combination of TAP block and acetaminophen and NSAID provided less variability in dynamic pain compared with either treatment alone.
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Journal of endourology · Jul 2013
Randomized Controlled TrialPrilocaine irrigation for pain relief after transurethral resection of the prostate.
This study aimed to examine the effect of postoperative addition of a local anesthetic agent to irrigation fluid on the alleviation or prevention of pain after transurethral resection of the prostate (TURP). ⋯ Prilocaine solution safely alleviated postoperative pain in the patients who underwent TURP. The use of continuous bladder irrigation with a diluted prilocaine solution consistently decreased the need for parenteral analgesics.