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Pain Medicine

Review: The routes of administration for acute postoperative pain medication.

22 Jul, 2021 | 10:46h | UTC

The Routes of Administration for Acute Postoperative Pain Medication – Pain and Therapy

 

RCT: Progressive exercise compared with best practice advice, with or without corticosteroid injection, for the treatment of patients with rotator cuff disorders.

22 Jul, 2021 | 10:42h | UTC

Progressive exercise compared with best practice advice, with or without corticosteroid injection, for the treatment of patients with rotator cuff disorders (GRASP): a multicentre, pragmatic, 2 × 2 factorial, randomised controlled trial – The Lancet

Commentaries: Optimising treatment for patients with rotator cuff disorders – The Lancet (free registration required)

 

Commentary on Twitter (thread – click for more)

 

Tramadol: Where do we go from here? – “Tramadol’s unpredictability, unique potential harms, and lack of advantage over other opioids or NSAIDs are now well recognized”.

15 Jul, 2021 | 09:14h | UTC

[131] Tramadol: Where do we go from here? – Therapeutic Initiative

 

RCT: Comparison of nebulized ketamine at three different dosing regimens for treating painful conditions in the emergency department.

13 Jul, 2021 | 09:22h | UTC

Comparison of Nebulized Ketamine at Three Different Dosing Regimens for Treating Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind Clinical Trial – Annals of Emergency Medicine (link to abstract – $ for full-text)

 

Commentary on Twitter

 

M-A: Little benefit from muscle relaxants for adults with non-specific low back pain.

9 Jul, 2021 | 10:02h | UTC

Efficacy, acceptability, and safety of muscle relaxants for adults with non-specific low back pain: systematic review and meta-analysis – The BMJ

Commentary: New analysis finds muscle relaxant drugs to be largely ineffective for low back pain – News Medical

Related studies: M-A: Effectiveness of treatments for acute and subacute mechanical non-specific low back pain AND RCT: Little benefit from osteopathic manipulative treatment on activity limitations in patients with nonspecific subacute and chronic low back pain AND M-A: Little benefit from antidepressants for low back pain AND Meta-analysis: Little benefit from antidepressants for the treatment of back pain and osteoarthritis AND ACP/AAFP Guideline: Nonpharmacologic and pharmacologic management of acute pain from non–low back, musculoskeletal injuries in adults

 

Commentaries on Twitter

 

Systematic Review: Pre‐emptive and preventive NSAIDs for postoperative pain in adults undergoing all types of surgery.

9 Jul, 2021 | 09:50h | UTC

Pre‐emptive and preventive NSAIDs for postoperative pain in adults undergoing all types of surgery – Cochrane Library

Summary: Ibuprofen-like painkillers given before cutting the skin in surgery compared with given after cutting the skin in adults undergoing all types of surgery – Cochrane Library

 

RCT: Pectoral nerve blocks for breast augmentation surgery.

7 Jul, 2021 | 08:41h | UTC

Pectoral Nerve Blocks for Breast Augmentation Surgery: A Randomized, Double-blind, Dual-centered Controlled Trial – Anesthesiology (link to abstract – $ for full-text)

 

Commentary on Twitter

 

M-A: The efficacy of systemic glucocorticosteroids for pain in rheumatoid arthritis.

6 Jul, 2021 | 09:54h | UTC

The efficacy of systemic glucocorticosteroids for pain in rheumatoid arthritis: a systematic literature review and meta-analysis – Rheumatology

 

RCT: Consuming a diet with more fish fats, less vegetable oils can reduce migraine headaches.

5 Jul, 2021 | 01:51h | UTC

News release: Consuming a diet with more fish fats, less vegetable oils can reduce migraine headaches – NIH News Releases

Original study: Dietary alteration of n-3 and n-6 fatty acids for headache reduction in adults with migraine: randomized controlled trial – The BMJ

Editorial: Dietary omega 3 fatty acids for migraine

Commentary: Expert reaction to a study looking at diets rich in omega 3 fatty acids and headache in adults with migraine – Science Media Centre

 

RCT: Safety and efficacy of occipital nerve stimulation for attack prevention in medically intractable chronic cluster headache.

5 Jul, 2021 | 01:24h | UTC

Safety and efficacy of occipital nerve stimulation for attack prevention in medically intractable chronic cluster headache (ICON): a randomised, double-blind, multicentre, phase 3, electrical dose-controlled trial – The Lancet Neurology (link to abstract – $ for full-text)

Commentary: Nerve stimulation effective in patients with untreatable cluster headaches – Leiden University

 

Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations.

5 Jul, 2021 | 01:19h | UTC

Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations: Executive Summary –

Otolaryngology–Head and Neck Surgery

Commentary: AAO/HNS Issue Guideline for Opioid Use After Otolaryngologic Surgery – HealthDay

 

Complex Regional Pain Syndrome: A Comprehensive Review

2 Jul, 2021 | 11:13h | UTC

Complex Regional Pain Syndrome: A Comprehensive Review – Pain and Therapy

 

Editorial | Physiotherapists can reduce overuse by Choosing Wisely.

23 Jun, 2021 | 10:11h | UTC

Physiotherapists can reduce overuse by Choosing Wisely – Journal of Physiotherapy

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

 

M-A: Acute treatments for episodic migraine in adults.

18 Jun, 2021 | 08:18h | UTC

Acute Treatments for Episodic Migraine in Adults: A Systematic Review and Meta-analysis – JAMA (free for a limited period)

Editorial: Acute Treatment for Migraine: Contemporary Treatments and Future Directions (free for a limited period)

 

Commentary on Twitter (thread – click for more)

 

RCT: Effects of intravenous Eptinezumab vs. placebo on headache pain and most bothersome symptom when initiated during a migraine attack.

18 Jun, 2021 | 08:16h | UTC

Effects of Intraven.ous Eptinezumab vs Placebo on Headache Pain and Most Bothersome Symptom When Initiated During a Migraine Attack: A Randomized Clinical Trial – JAMA (free for a limited period)

Editorial: Acute Treatment for Migraine: Contemporary Treatments and Future Directions (free for a limited period)

Commentary: Migraine Prevention Drug Eptinezumab Shows Efficacy in Treating Acute Attacks – Physician’s Weekly

 

Commentary on Twitter (thread – click for more)

 

Randomized, sham-controlled pilot study: percutaneous peripheral nerve stimulation (neuromodulation) for postoperative pain.

16 Jun, 2021 | 08:17h | UTC

Percutaneous Peripheral Nerve Stimulation (Neuromodulation) for Postoperative Pain: A Randomized, Sham-controlled Pilot Study – Anesthesiology

Commentary: Peripheral Nerve Stimulation May Cut Pain After Orthopedic Surgery – HealthDay

 

M-A: Ibuprofen and other NSAIDs superior to codeine for managing outpatient postoperative pain.

15 Jun, 2021 | 08:55h | UTC

News release: Ibuprofen and other NSAIDs superior to codeine for managing outpatient postoperative pain – Canadian Medical Association Journal

Original Article: Managing postoperative pain in adult outpatients: a systematic review and meta-analysis comparing codeine with NSAIDs – Canadian Medical Association Journal

 

M-A: Effectiveness of telerehabilitation in physical therapist practice.

10 Jun, 2021 | 09:29h | UTC

Effectiveness of Telerehabilitation in Physical Therapist Practice: An Umbrella and Mapping Review With Meta–Meta-Analysis – Physical Therapy & Rehabilitation Journal

 

RCT: No benefit from posterior quadratus lumborum block in total hip arthroplasty.

6 Jun, 2021 | 23:35h | UTC

Posterior Quadratus Lumborum Block in Total Hip Arthroplasty: A Randomized Controlled Trial – Anesthesiology

 

Commentary on Twitter

 

EULAR recommendations for intra-articular therapies.

28 May, 2021 | 08:16h | UTC

EULAR recommendations for intra-articular therapies – Annals of Rheumatic Diseases

 

Systematic review: Prognostic factors for pain chronicity in low back pain – “Higher pain intensity, higher body weight, carrying heavy loads at work, difficult working positions, and depression were the most frequently observed risk factors for chronic low back pain”

20 May, 2021 | 08:32h | UTC

Prognostic factors for pain chronicity in low back pain: a systematic review – Pain Reports

 

The catastrophization effects of an MRI report on the patient and surgeon and the benefits of ‘clinical reporting’: results from an RCT and blinded trials.

19 May, 2021 | 08:25h | UTC

The catastrophization effects of an MRI report on the patient and surgeon and the benefits of ‘clinical reporting’: results from an RCT and blinded trials – European Spine Journal

Related: You cannot unsee your MRI report AND Direct communication between radiologists and patients improves the quality of imaging reports – European Radiology

 

Commentary on Twitter

 

NICE Guideline Update | Headaches in over 12s: diagnosis and management.

18 May, 2021 | 07:14h | UTC

Headaches in over 12s: diagnosis and management – National Institute for Health and Care Excellence

 

Simplified decision aid: neuropathic pain treatment options in primary care.

14 May, 2021 | 08:17h | UTC

PEER simplified decision aid: neuropathic pain treatment options in primary care – Canadian Family Physician

 

2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis

13 May, 2021 | 05:49h | UTC

2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis – Annals of Rheumatic Diseases

Commentary: EULAR issues recommendations on self-management strategies for inflammatory arthritis – MedwireNews

 

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