Pain

Collar and rest best

12/10/2009 | For patients in the early stages of cervical radiculopathy, a semi-hard cervical collar works better than the 'wait and see' approach for neck and arm pain, if combined with rest or exercise for six weeks, a study in the BMJ shows.


Better pain services key to cutting opioid scripts

28/10/2008 | Doctors will have to improve their management of chronic non-malignant pain to halt the “disturbing” increase in prescription opioid use, the Royal Australasian College of Physicians has suggested.


Management of diabetic painful neuropathy: a review of the evidence

05/10/2007 | Tricyclic antidepressants are the first-line treatment for diabetic painful neuropathy, according to a recent review of the evidence. Source: McKeage, K. Current Opinion in Neurology 2007; 20: 553-557.


EULAR publishes fibromyalgia treatment guidelines

27/09/2007 | The European League Against Rheumatism has published its first guidelines for the treatment of fibromyalgia syndrome. Source: Carville, S. et al. Annals of the Rheumatic Diseases 2007, published online.


Review advocates skin biopsy for diagnosing peripheral neuropathy

05/06/2007 | A recent clinical review advocates skin biopsy as a simple, sensitive and effective tool for detecting small fibre neuropathy and evaluating the efficacy of treatment.Source: Lauria, G. and Lombardi, R. British Medical journal 2007; 334: 1159-1162.


Multidisciplinary approach needed for fibromyalgia

29/05/2007 | Fibromyalgia, a condition that challenges and frustrates many doctors, is most likely to result from dysfunctional processing of pain in the central nervous system and requires a multidisciplinary approach to its management, a review has claimed.Source: Abeles, A. et al. Annals of Internal Medicine 2007; 146: 726-734.


Trigeminal neuralgia and its management

26/02/2007 | A recent clinical review on the management of trigeminal neuralgia discusses prevalence and diagnosis through to drug and surgical treatment options.Source: Bennetto, L. et al. British Medical Journal 2007; 334:201-205.


Mirror-like spread of chronic pain linked to CNS changes

27/09/2005 | Evidence of altered interhemispheric conduction in a patient with mirror-like spread of chronic pain supports the theory that the spread of symptoms reflects a neurologic disease progression. Source: Forss, N. et al. Neurology 2005; 65:748-750.


Single-dose gabapentin for herpes zoster acute pain

19/08/2005 | A single dose of gabapentin reduces acute pain and allodynia in patients with herpes zoster and thus may prevent the development of postherpetic neuralgia, according to a recent report.Source: Berry, J. et al. Neurology 2005, 65:444-447.


Diagnosing and treating facial pain

05/08/2005 | Authors reviewing the evaluation and treatment of facial pain say it's unfortunate that atypical facial pain has "taken on a pejorative connotation and become a diagnosis unto itself instead of one of exclusion".Source: Hentschel, K. et al. The Neurologist 2005; 11:244-249.


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