Analgesics

Publication Title: 
European Journal of Pain (London, England)

AIM: We investigated the literature of randomised placebo-controlled trials to find out if transcutaneous electrical nerve stimulation (TENS) or acupuncture-like transcutaneous electrical nerve stimulation (ALTENS) can reduce analgesic consumption after surgery. RESULTS: Subgroup analysis for adequate treatment (pulse frequency: 1-8Hz [ALTENS] or 25-150Hz [TENS], current intensity: "strong, definite, subnoxious, maximal tolerable" or above 15mA, and electrode placement in the incision area) were performed.

Author(s): 
Bjordal, Jan Magnus
Johnson, Mark I.
Ljunggreen, Anne Elisabeth
Publication Title: 
PLoS medicine

BACKGROUND: Postherpetic neuralgia (PHN) is a complication of acute herpes zoster, which is emerging as a preferred clinical trial model for chronic neuropathic pain. Although there are published meta-analyses of analgesic therapy in PHN, and neuropathic pain in general, the evidence base has been substantially enhanced by the recent publication of several major trials. Therefore, we have conducted a systematic review and meta-analysis for both efficacy and adverse events of analgesic therapy for PHN.

Author(s): 
Hempenstall, Kathleen
Nurmikko, Turo J.
Johnson, Robert W.
A'Hern, Roger P.
Rice, Andrew S. C.
Publication Title: 
Spine

STUDY DESIGN: Best evidence synthesis. OBJECTIVE: To provide evidence-based guidance to primary care clinicians about how to best assess and treat patients with neck pain. SUMMARY OF BACKGROUND DATA: There is a need to translate the results of clinical and epidemiologic studies into meaningful and practical information for clinicians.

Author(s): 
Guzman, Jaime
Haldeman, Scott
Carroll, Linda J.
Carragee, Eugene J.
Hurwitz, Eric L.
Peloso, Paul
Nordin, Margareta
Cassidy, J. David
Holm, Lena W.
Côté, Pierre
van der Velde, Gabrielle
Hogg-Johnson, Sheilah
Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: The pain that women experience during labour is affected by multiple physiological and psychosocial factors and its intensity can vary greatly.  Most women in labour require pain relief. Pain management strategies include non-pharmacological interventions (that aim to help women cope with pain in labour) and pharmacological interventions (that aim to relieve the pain of labour). OBJECTIVES: To summarise the evidence from Cochrane systematic reviews on the efficacy and safety of non-pharmacological and pharmacological interventions to manage pain in labour.

Author(s): 
Jones, Leanne
Othman, Mohammad
Dowswell, Therese
Alfirevic, Zarko
Gates, Simon
Newburn, Mary
Jordan, Susan
Lavender, Tina
Neilson, James P.
Publication Title: 
Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer

PURPOSE: Controlling cancer-related pain is an important component in the palliative care of cancer patients. The objective of this review was to assess the effectiveness of acupuncture for treating cancer pain. METHODS: Fourteen databases were searched from their inception through April 2011. Randomised clinical trials (RCTs) were included if acupuncture was used as the sole treatment or as a part of a combination therapy for cancer pain. Studies were included if they were controlled with a placebo or controlled against a drug-therapy or no-treatment group.

Author(s): 
Choi, Tae-Young
Lee, Myeong Soo
Kim, Tae-Hun
Zaslawski, Christopher
Ernst, Edzard
Publication Title: 
Age and Ageing

This guidance document reviews the epidemiology and management of pain in older people via a literature review of published research. The aim of this document is to inform health professionals in any care setting who work with older adults on best practice for the management of pain and to identify where there are gaps in the evidence that require further research.

Author(s): 
Abdulla, Aza
Adams, Nicola
Bone, Margaret
Elliott, Alison M.
Gaffin, Jean
Jones, Derek
Knaggs, Roger
Martin, Denis
Sampson, Liz
Schofield, Pat
British Geriatric Society
Publication Title: 
Obstetrics and Gynecology

Labor causes severe pain for many women. There is no other circumstance in which it is considered acceptable for an individual to experience untreated severe pain that is amenable to safe intervention while the individual is under a physician's care. Many women desire pain management during labor and delivery, and there are many medical indications for analgesia and anesthesia during labor and delivery. In the absence of a medical contraindication, maternal request is a sufficient medical indication for pain relief during labor.

Publication Title: 
Obstetrics and Gynecology

Labor causes severe pain for many women. There is no other circumstance in which it is considered acceptable for an individual to experience untreated severe pain that is amenable to safe intervention while the individual is under a physician's care. Many women desire pain management during labor and delivery, and there are many medical indications for analgesia and anesthesia during labor and delivery. In the absence of a medical contraindication, maternal request is a sufficient medical indication for pain relief during labor.

Author(s): 
Committee on Practice Bulletins—Obstetrics
Publication Title: 
Annals of Internal Medicine

Description: The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on noninvasive treatment of low back pain. Methods: Using the ACP grading system, the committee based these recommendations on a systematic review of randomized, controlled trials and systematic reviews published through April 2015 on noninvasive pharmacologic and nonpharmacologic treatments for low back pain. Updated searches were performed through November 2016.

Author(s): 
Qaseem, Amir
Wilt, Timothy J.
McLean, Robert M.
Forciea, Mary Ann
Clinical Guidelines Committee of the American College of Physicians
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Administration of oral sucrose with and without non-nutritive sucking is the most frequently studied non-pharmacological intervention for procedural pain relief in neonates.

Author(s): 
Stevens, Bonnie
Yamada, Janet
Ohlsson, Arne
Haliburton, Sarah
Shorkey, Allyson

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