Current review of pain最新文献_第4页

Diabetic neuropathy: diagnosis and treatment for the pain management specialist. 糖尿病神经病变:疼痛管理专家的诊断和治疗。

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0022-6

S D Waldman

引用次数: 6

Web alert Web警报

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0065-8

Mauricio Orbegozo

引用次数: 0

Breakthrough pain in cancer patients: new therapeutic approaches to an old challenge. 癌症患者疼痛的突破性进展:新的治疗方法应对旧的挑战。

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0086-3

S K Reddy, P Nguyen

{"title":"Breakthrough pain in cancer patients: new therapeutic approaches to an old challenge.","authors":"S K Reddy, P Nguyen","doi":"10.1007/s11916-000-0086-3","DOIUrl":"https://doi.org/10.1007/s11916-000-0086-3","url":null,"abstract":"Breakthrough pain is a well recognized but ill-defined phenomenon that occurs commonly in the presence of otherwise stable, persistent pain. It is defined now as a \"transient pain episode that occurs, or breaks through from the otherwise stable background pain.\" Breakthrough pain is usually associated with moderate to severe pain and may form a predictor of poor response to treatment with routine pharmacotherapy. Breakthrough pain is also associated with functional impairment and psychological distress. The assessment and treatment should be multidimensional. Although primary therapies such as chemotherapy, radiation treatment, and surgical options are explored, the mainstay of treatment is pharmacotherapy. Nonpharmacologic methods, such as orthotic devices and joint stabilizations along with behavioral methods, should be explored. Anesthetic and neurosurgical procedures are performed on a limited number of patients based on the prognosis, intractable nature of pain, and favorable risk/benefit ratio. Newer oral transmucosal fentanyl offers a favorable pharmacokinetic and pharmacodynamic profile and ease of administration.","PeriodicalId":80271,"journal":{"name":"Current review of pain","volume":"4 3","pages":"242-7"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11916-000-0086-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21831202","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: 13

The cancer patient with severe mucositis. 患有严重粘膜炎的癌症患者。

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0079-2

W Carl, J Havens

引用次数: 16

The role of radiofrequency in failed back surgery patients. 射频在背部手术失败患者中的作用。

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0009-3

M E Sluijter

{"title":"The role of radiofrequency in failed back surgery patients.","authors":"M E Sluijter","doi":"10.1007/s11916-000-0009-3","DOIUrl":"https://doi.org/10.1007/s11916-000-0009-3","url":null,"abstract":"There are a multitude of potential causes for both residual leg pain and residual back pain following surgery. In a minority of patients there may be pathology from an adjoining segment or recurrence of the preoperatively existent anatomic abnormality. In many others surgery fails because the damage was already irreparable by the time the anatomic abnormality was corrected. In residual leg pain this is due to radiculopathy, with or without centralization into the dorsal horn. In residual back pain inflammation or scar formation in the anterior epidural space plays a major role. The role of radiofrequency (RF) has been limited for two reasons. First, because RF is destructive in nature, it is contraindicated in the treatment of neuropathic pain. Second, the anterior epidural space is innervated by the sinuvertebral nerve, which runs too close to the main segmental nerve to apply RF safely. Recently the concept of heat as being the primary active factor in RF lesions has come under discussion and has led to the development of pulsed RF (PRF), which is a nondestructive method of exposing tissue to RF electric fields. Because PRF is nondestructive, it is potentially suitable for the treatment of neuropathic pain and it can also be applied at the origin of the sinuvertebral nerve. The initial clinical results have been promising, but controlled studies are still lacking.","PeriodicalId":80271,"journal":{"name":"Current review of pain","volume":"4 1","pages":"49-53"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11916-000-0009-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21833166","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: 61

Exploring the pain "neuromatrix". 探索疼痛“神经基质”。

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0071-x

S W Derbyshire

引用次数: 184

Visceral nociception. 内脏伤害感受。

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0072-9

K N Westlund

引用次数: 12

Complex regional pain syndrome type I in cancer patients. 癌症患者的复杂区域疼痛综合征I型。

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0084-5

N Mekhail, L Kapural