An approach to chronic pain of non-malignant origin

Crue, Benjamin L.; Pinsky, J

doi:10.1136/pgmj.60.710.858

Cited by 7 publications

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Outpatients with tension-type cervicalgia who were undergoing treatment at the Physical Medicine and Rehabilitation Clinic of the University Hospital "P. Giaccone", Palermo, were included in the study. Patients were consecutively enrolled from March 2016 to April 2017 and were included in the study if they were aged between 20 and 70 years, affected by cervicalgia due to subcutis tension in the temporal muscle (from 4 weeks to 12 weeks temporal classification according to Crue and Pinsky) (14), had a positive trigger point, and had undergone a 7-day wash-out period from nonsteroidal anti-inflammatory drugs (NSAIDs) and myorelaxants. Exclusion criteria included: radiculopathy, rheumatic disease, presence of fracture, epilepsy, pace maker, chronic renal insufficiency and hepatic insufficiency, pregnancy, and neoplasm.…”

Section: Patientsmentioning

confidence: 99%

Synergistic Effect of Physical Therapy Plus Pharmacological Therapy with Eperisone in Tension-Type Cervicalgia

Asaro

Scaturro

Tomasello

et al. 2019

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

Background. This study assessed the effect of eperisone + physical therapy compared with physical therapy alone on the alleviation of pain and disability experienced by patients with tension-type cervicalgia. Methods. Patients with tension-type cervicalgia were randomized to eperisone + physical therapy (Group A) or physical therapy alone (Group B). Patients were assessed at baseline (T 0 ), after 4-weeks' treatment (T 1 ), and at 2 months' follow-up (T 2 ). Outcome measures included the Numerical Rating Scale, the Italian version of the Neck Pain and Disability Scale, the Short Form-McGill Pain Questionnaire, and the Italian version of the Neck Disability Index. Results. Ninety-eight patients (50 patients in Group A and 48 patients in Group B) completed the study. Pain and disability scores for all outcome measures were significantly lower at both T 1 and T 2 for patients in Group A compared with Group B (all p<0.001). A small, improvement between T 1 and T 2 was observed in Group A patients but not in Group B patients, and significantly more Group B than Group A patients were worse at 2 months' follow-up (all p<0.001). Conclusions. Eperisone in synergy with physical therapy can be a valuable tool in the therapeutic management of patients suffering from tension-type cervicalgia.

show abstract

Section: Patientsmentioning

confidence: 99%

Synergistic Effect of Physical Therapy Plus Pharmacological Therapy with Eperisone in Tension-Type Cervicalgia

Asaro

Scaturro

Tomasello

et al. 2019

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

show abstract

Physical findings in patients with chronic intractable benign pain of the neck and/or back

Rosomoff

Fishbain

Goldberg

et al. 1989

Pain

View full text Add to dashboard Cite

Chronic intractable benign pain (CIBP) is defined as non-neoplastic pain of greater than 6 months duration without objective physical findings and known nociceptive peripheral input. To test the CIBP concept, 283 consecutive chronic pain patients were examined independently by a neurosurgeon and physiatrist and only congruent physical findings were coded. Because they did not fit the CIBP definition, patients with the following primary treatment diagnoses were eliminated: degenerative disease of the spine and spinal stenosis; degenerative disease of the hips; radiculopathy; malignancy; deafferentation pain; and miscellaneous. Eliminated, also, were patients with any one finding indicative of a root compression syndrome, leaving 90 low back and 34 neck patients. These patients had abnormal physical findings in 7 categories: tender points/trigger points; decreased ranges of motion in back or neck; non-anatomical sensory loss; rigid musculature; decreased range of hip motion; gait disturbance; and miscellaneous non-neurologic signs. Low back CIBP patients had the following distribution among the 7 categories: 0% had findings of all 7; 1.1% had 6; 13.3% had 5; 24.4% had 4; 25.6% had 3; 26.7% had 2; 8.9% had 1; and 0% had none. Neck CIBP patients, in which only the first 4 categories of physical findings were applicable had the following distribution: 2.9% had 4; 41.2% had 3; 35.3% had 2; 20.6% had 1; and 0% had none. It was concluded that CIBP patients do have abnormal physical findings indicative of musculoskeletal disease: possibly fibrositis and/or specific myofascial syndromes, as sources of peripheral nociception. These findings question the validity of the CIBP concept and point to the need for a careful, all-inclusive physical examination as a basic initial requirement in the classification of chronic pain patients.

show abstract

Pain behavior in industrial subacute low back pain. part I. Reliability: concurrent and predictive validity of pain behavior assessments

Öhlund

Lindström

Areskoug

et al. 1994

Pain

View full text Add to dashboard Cite

The reproducibility of overt pain behavior ratings was shown to be reliable between independent observers. In the clinical evaluation of 103 blue collar workers with subacute low back pain (LBP), concurrent validity was high between Behavioural Signs (Waddell et al. 1980) and UAB Pain Behavior Rating scale (Richards et al. 1982). Correlations with pain rated on visual analogue scales (Scott and Huskisson 1976) were generally lower. Behavioural Signs correlated separately with covert pain behavior (general convictions concerning back strength and general health). It seems that subacute LBP patients do not behave as a homogenous group since pain behaviors predicted occupational handicap (absenteeism) in a non-linear fashion. Return to work was best predicted by UAB and covert pain behavior, absenteeism up to 2 years by covert pain behavior. The findings emphasize the potential social implications of overt pain behaviors and the importance of covert pain behavior in maintaining the sick role. The conclusion is that, in secondary prevention, where the main targets are to interfere with somatic deconditioning and sick-role development, a more diversified primary approach may be possible, based on supplementary use of relatively easy observational tests and quick self-reports.

show abstract

An approach to chronic pain of non-malignant origin

Cited by 7 publications

References 13 publications

Synergistic Effect of Physical Therapy Plus Pharmacological Therapy with Eperisone in Tension-Type Cervicalgia

Synergistic Effect of Physical Therapy Plus Pharmacological Therapy with Eperisone in Tension-Type Cervicalgia

Physical findings in patients with chronic intractable benign pain of the neck and/or back

Pain behavior in industrial subacute low back pain. part I. Reliability: concurrent and predictive validity of pain behavior assessments

Contact Info

Product

Resources

About