Recent advances: Control of chronic pain

Nurmikko, Turo; Nash, Tim; Wiles, J. R.

doi:10.1136/bmj.317.7170.1438

Cited by 28 publications

(10 citation statements)

References 35 publications

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“…In refractory cases, multidisciplinary approaches may be required, such as those offered by pain clinics [33]. These provide highly sophisticated treatment methods, such as spinal cord stimulation [34] or cognitive behavioural treatments which help the patients to cope more effectively with their pain [35].…”

Section: Discussionmentioning

confidence: 99%

Chronic painful peripheral neuropathy in an urban community: a controlled comparison of people with and without diabetes

et al. 2004

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Section: Discussionmentioning

confidence: 99%

Chronic painful peripheral neuropathy in an urban community: a controlled comparison of people with and without diabetes

et al. 2004

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“…Sensory loss as a result of skull-base tumors often goes un noticed by the patient [28,29]. It may be found in only one of the modalities tested, as suggested by Nurmikko [30]. Loss of vibratory sense (128-Hz fork) is equated with loss of A-b fibers, loss of pinprick sensation is related to loss of A-d fibers, and vasomotor and sudomotor abnormalities are seen in C-fiber dysfunction.…”

Section: Cardiac Changesmentioning

confidence: 95%

The trigemino-cardiac reflex in adults: own experience

Cornelius

Sadr-Eshkevari²,

Arasho

et al. 2010

Expert Review of Cardiovascular Therapy

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“…8 Chronic pain limits physical and functional mobility and ambulation, which leads to muscle atrophy, causing falls and injury. 9 As a result of chronic pain, mobility and levels of physical activity are significantly impaired. 10,11 Chronic pain and mobility difficulties interact in the older person, causing a negative feedback loop, in which reducing physical activity to avoid pain usually ends up further increasing pain when activity is undertaken.…”

Section: Introductionmentioning

confidence: 99%

Affective Images: Relieving Chronic Pain and Enhancing Quality of Life for Older Persons

Tse

Pun

Benzie

2005

CyberPsychology & Behavior

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With increasing life expectancy, the incidence of chronic illness and chronic pain also increase. Chronic pain robs older people of their quality of life, and limits functional mobility and ambulation, which leads to muscle atrophy. Older people are often reluctant to request pain relief, attempting to endure pain as a "normal" part of ageing. Innovative non-pharmacological interventions in pain management are appealing. In this study, affective images and pictures were used in 15 elderly patients (12 female and three male) in chronic pain who needed to perform stretching and standing exercises in their physiotherapy sessions. Pain scores were measured by the Visual Analogue Scale (VAS), and health-related quality of life was measured by the Medical Outcomes Study Short Form 36 (SF-36). VAS and SF-36 were administered in weeks 1 and in 6. Pain scores were measured during physiotherapy session in the following weeks. There was a significant decreased in VAS from week 1 to week 6 (t = 3.607; df = 14; p < 0.05). Also, a significant decrease in VAS occurred when the patients were watching affective pictures while performing the physiotherapy exercise in weeks 2 and 3, but not in weeks 4 and 5. SF-36 increased in week 6, which indicated an increase in health-related quality of life, though not statistically significant. Affective images and pictures appear to be an effective non-pharmacological intervention in pain management for the older person.

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Recent advances: Control of chronic pain

Cited by 28 publications

References 35 publications

Chronic painful peripheral neuropathy in an urban community: a controlled comparison of people with and without diabetes

Chronic painful peripheral neuropathy in an urban community: a controlled comparison of people with and without diabetes

The trigemino-cardiac reflex in adults: own experience

Affective Images: Relieving Chronic Pain and Enhancing Quality of Life for Older Persons

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