OBJECTIVES To explore the feasibility of intravenous magnesium administration as a potential candidate intervention for a large size trial in Complex Regional Pain Syndrome Type 1 (CRPS 1). DESIGN Randomized clinical trial. SETTING Outpatient pain clinic. PATIENTS Ten CRPS 1 patients. INTERVENTIONS Eight patients received 70 mg/kg magnesium sulphate infusions in 4 hours for 5 days. For ...

A study on the impact of pain in patients with temporomandibular joint disorder (TMD) was carried out. Twenty two patients (20 women, two men, 28 years of age on average) with TMD who looked for specialized physiotherapy care were submitted to a brazilian version of McGill Pain Questionnaire (Br-MPQ), which includes questions about life quality, as follows: 1) social loss; 2) daily life activit...

The present study tested the hypothesis that patients receiving epidural bupivacaine before surgery would require less morphine postoperatively and/or report less intense pain than patients receiving epidural bupivacaine after incision but before the end of surgery. Forty-two patients (ASA class I-III) scheduled for lower abdominal surgery were randomly assigned to 1 of 2 groups of equal size a...

Pain is an understudied problem in frail elderly patients, especially those with cognitive impairment, delirium, or dementia. The focus of this study was to describe the pain experienced by patients in skilled nursing homes, which have a high prevalence of cognitive impairment. A random sample of 325 subjects was selected from ten community skilled nursing homes. Subjects underwent a cross-sect...

Patients who receive worker's compensation or are awaiting litigation after an accident have long been regarded as neurotics or malingerers who are exaggerating their pain for financial gain. However, there is a growing body of evidence that patients who receive worker's compensation are no different from patients who do not. In particular, a recent study found no differences between compensati...

OBJECTIVE To describe the pharmacokinetics of hydromorphone (HM) and its primary metabolite hydromorphone-3-glucuronide (H3G) both on and off dialysis in relation to the pharmacodynamic measurements of pain. DESIGN Prospective, open-label, observational study. SETTING Canadian, university-based renal program. PARTICIPANTS Twelve anuric hemodialysis patients with chronic pain, established ...

BACKGROUND Neck pain caused by cervical spondylosis (CS) has become one of the most common health problems around the world. Electroacupuncture (EA) has been employed to relieve CS neck pain, but there is limited clinical evidence for its effectiveness. METHODS/DESIGN This study consists of a randomized controlled trial (RCT) with two parallel arms: an acupuncture group and an EA group. Both ...

background: dysmenorrhea is one of the common problems during reproductive ages, with prevalence rate of 60–90%. this study aimed to compare the effects of acupressure at guan yuan (rn-4) and qu gu (rn-2) acupoints, self-care behaviors training, and ibuprofen on the intensity of primary dysmenorrhea based on mcgill pain questionnaire. materials and methods: in the randomized clinical trial, 120...

BACKGROUND There is a lack of effective systemic or adequate symptomatic treatment for pain associated with fibromyalgia syndrome (FMS). Anecdotes suggest ultraviolet (UV) light may be of some benefit. PURPOSE The purpose of the present study was to determine if UV is effective in ameliorating chronic pain in persons with FMS. METHODS Nineteen subjects with FMS were enrolled in a controlled...