Current Review of Pain
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Primary headaches: Diagnosis and treatment
Current Review of Pain - Tập 3 - Trang 100-108 - 1999
Headache is considered the most common pain condition, yet the varieties of headache have only recently been organized into a diagnostic system with operational rules. This review outlines the classification system established in 1988 by the International Headache Society as it relates to diagnosis and treatment of the three main types of primary headache: migraine, tension-type, and cluster heada......
Sex, gender, and pain: Women and men really are different
Current Review of Pain - Tập 4 - Trang 24-30 - 2000
Sex-related differences in the experience of both clinical and experimentally induced pain have been widely reported. Specifically, females are at greater risk for developing several chronic pain disorders, and women exhibit greater sensitivity to noxious stimuli in the laboratory compared with men. Several mechanisms have been proposed to account for these sex differences. Psychosocial factors su......
The development of a technique for radiofrequency lesioning of splanchnic nerves
Current Review of Pain - Tập 3 - Trang 377-387 - 1999
This article describes the development of a technique for radiofrequency lesioning of the splanchnic nerves. It features point neurolysis and improvement in safety from previously described techniques with the use of a curved, blunt needle. After extensive anatomic studies, the site of entry has been identified 4 cm lateral to the spinous process at the costovertebral angle of either the T11 or T1......
Visceral nociception
Current Review of Pain - Tập 4 - Trang 478-487 - 2000
Visceral pain is of great concern to the medical community because it remains particularly resistant to current clinical treatments. A serendipitous and initially unexplainable clinical finding that a punctate midline dorsal column lesion is effective in eliminating visceral pain, however, has initiated a resurgence of interest in the study of the basic mechanisms of visceral nociception. Clinical......
Discography
Current Review of Pain - Tập 4 - Trang 345-352 - 2000
Discography is a diagnostic tool that has been used for many years. Although controversial, it provides a physiologic test for evaluation of a disc with a volumetric, manometric, radiographic, and pain-provocative challenge. Although it has a controversial past, when the anatomy and pathophysiology are considered particularly in relation to intradiscal pressure and applied loads (that correlate wi......
Are pain disorder and somatization disorder valid diagnostic entities?
Current Review of Pain - Tập 4 Số 4 - Trang 309-312 - 2000
Characteristics and mode of action of radiofrequency lesions
Current Review of Pain - Tập 2 - Trang 143-150 - 1998
When making a radiofrequency (RF) lesion the temperature at the tip of the electrode is commonly measured, but the temperature gradients away from the electrode tip are determined by a number of variables. A computer model is described that calculates the influence of these variables in a plane perpendicular to the electrode.The computer model indicates that the duration of the initial phase of ri......
Do neurolytic blocks have a role in chronic nonmalignant pain?
Current Review of Pain - Tập 2 - Trang 181-186 - 1998
Neurolytic blockade and neural blockade in general have come under scrutiny as the evidence-based medicine revolution moves forward. Prognostic nerve blocks with local anesthetic have been shown to correlate poorly with relief of chronic pain following nerve resection [1]. Numerous reasons exist to explain the discrepancy [2]. The purpose of this chapter is to describe the role of neurolytic block......
Neurosurgical invasive techniques for cancer pain: A pain specialist’s view
Current Review of Pain - Tập 3 - Trang 190-197 - 1999
Neurosurgical techniques for management of cancer pain can be divided into two categories: reconstructive and ablative. For patients with pain from spinal metastatic disease, the newer surgical methods of anterior decompression and stabilization provide reliable pain control while preventing serious neurologic progression. Minimally invasive techniques for vertebral stabilization, such as vertebro......
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