Chronic Pain [Working Title]最新文献

Chronic Pain Associated with Lateral Epicondylitis: Treatment with Radiofrequency 慢性疼痛与外上髁炎:射频治疗

Chronic Pain [Working Title] Pub Date : 2019-12-12 DOI: 10.5772/intechopen.90479

V. Vanaclocha-Vanaclocha, N. Saiz-Sapena, J. Ortiz-Criado, Leyre Vanaclocha

引用次数: 0

Uterosacral Nerve Ablation and Presacral Neurectomy in the Treatment of Chronic Pelvic Pain in Women 子宫骶神经消融术和骶前神经切除术治疗女性慢性盆腔疼痛

Chronic Pain [Working Title] Pub Date : 2019-10-23 DOI: 10.5772/intechopen.82165

F. G. Ugurlucan, C. Yaşa

{"title":"Uterosacral Nerve Ablation and Presacral Neurectomy in the Treatment of Chronic Pelvic Pain in Women","authors":"F. G. Ugurlucan, C. Yaşa","doi":"10.5772/intechopen.82165","DOIUrl":"https://doi.org/10.5772/intechopen.82165","url":null,"abstract":"Chronic pelvic pain affects 2–24% of women in the reproductive period. There are various causes of chronic pelvic pain in women including gynecologic, urologic, gastrointestinal, and musculoskeletal problems. The treatment of pain is directed toward the underlying pathology. However, in some cases, no pathology can be found, and sometimes, more than one underlying pathology may be found in the same patient. Surgical denervation methods may be used in the treatment of chronic pelvic pain in women including uterosacral nerve ablation and presacral neurectomy. Uterosacral nerve ablation has been used as a treatment method for uterine causes of pelvic pain. It has been used widely in the treatment of dysmenorrhea- and endometriosis-related pain. But recent randomized studies and meta-analysis have questioned the effect of uterosacral nerve ablation in the treatment of chronic pelvic pain. Presacral neurectomy involves damage of the uterine sympathetic innervation at the level of superior hypogastric plexus. It is effective in the treatment of midline pelvic pain. It has been found to be more effective than laparoscopic uterosacral nerve ablation in a randomized study. The method, effect, and studies evaluating uterosacral nerve ablation and presacral neurectomy will be discussed in this chapter.","PeriodicalId":422274,"journal":{"name":"Chronic Pain [Working Title]","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130968250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Where We Come From and Are We Aware of Where We Are Going To? 我们从哪里来，我们知道我们要去哪里吗?

Chronic Pain [Working Title] Pub Date : 2019-02-21 DOI: 10.5772/INTECHOPEN.84700

V. Vanaclocha, N. Saiz-Sapena, J. Ortiz-Criado, Leyre Vanaclocha

{"title":"Where We Come From and Are We Aware of Where We Are Going To?","authors":"V. Vanaclocha, N. Saiz-Sapena, J. Ortiz-Criado, Leyre Vanaclocha","doi":"10.5772/INTECHOPEN.84700","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.84700","url":null,"abstract":"Chronic pain is a pathological condition that requests specific medical attention. Its treatment has been imperative since the origin of our species, taking advantage of herbs and natural remedies available in the primitive environment. Morphine has stood the test of time as has been continuously used for the past 8 millennia. The anatomical knowledge of the nociceptive sensation pathways led to the introduction of some surgical techniques directed to stop this pain transmission. Due to their aggressiveness and to the fact that they are irreversible, these techniques were soon replaced by neurostimulation procedures. Being reversible and allowing a change in stimulation parameters soon became the preferred treatment strategy. Over the years a small subset of patients continues to suffer from chronic pain refractory to the usual neurostimulation and pain-controlling medications. These patients can perhaps benefit from one of the surgical ablative procedures. Some of these techniques have been proven particularly effective throughout the years. For some limited income patients in underdeveloped countries, these techniques may be their only accessible option. Doctors have to keep in mind these surgical techniques to put them at the service of our patients in the very few cases in which they are needed. Letting these ablative techniques to die in oblivion would be a disservice to our patients.","PeriodicalId":422274,"journal":{"name":"Chronic Pain [Working Title]","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131357321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chronic Pain, Dopamine and Depression: Insights from Research on Fibromyalgia 慢性疼痛、多巴胺和抑郁:来自纤维肌痛研究的见解

Chronic Pain [Working Title] Pub Date : 2018-12-19 DOI: 10.5772/INTECHOPEN.82576

K. Ledermann, C. Martin-Sölch

{"title":"Chronic Pain, Dopamine and Depression: Insights from Research on Fibromyalgia","authors":"K. Ledermann, C. Martin-Sölch","doi":"10.5772/INTECHOPEN.82576","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.82576","url":null,"abstract":"There have been several indications that pain and reward are partly mediated by similar neural pathways in the central nervous system, and that these common pathways are related to both the dopamine (DA) and the opioid systems. Several studies have demonstrated the analgesic effects of rewarding stimuli or activities on positive affective states. On the other hand, chronic pain was shown to impair several aspects of reward processing by possibly altering pain-reward interac-tions. However, the precise mechanisms of the mutual pain-reward interaction are unclear and few studies have investigated the influence of pain on rewards and vice versa in humans. Therefore, we aim to summarize recent findings on the neuroana-tomical and molecular chances associated with chronic pain conditions, particularly fibromyalgia syndrome (FMS) with a focus on the dopamine system. Recent findings on the mechanisms involved in the alterations of the brain reward circuit in chronic pain and FMS as well as the role of DA in the pathophysiology of FMS and other chronic pain conditions will be discussed. Furthermore, we aim to discuss the interplay between the dopaminergic reward system and depression in chronic pain, as the prevalence of co-morbid depression in chronic pain is quite high.","PeriodicalId":422274,"journal":{"name":"Chronic Pain [Working Title]","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121566112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Radio Frequency in the Treatment of Lumbar Facet Joint Arthropathy: Indications and Technical Notes 射频治疗腰椎关节突关节病:适应症和技术要点

Chronic Pain [Working Title] Pub Date : 2018-11-05 DOI: 10.5772/INTECHOPEN.81133

Antonios El Helou, Charbel Fawaz, R. Adams, D. Charest

引用次数: 0