Current Review of Pain
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Does a herniated lumbar disk with nerve root entrapment require surgical intervention: Are alternative treatments as effective?
Current Review of Pain - Tập 2 - Trang 115-119 - 1998
The usefulness of surgery versus nonoperative measures in managing the patient with a herniated lumbar disk presenting with sciatica is somewhat controversial. Although most patients improve with nonoperative measures and time, some continue to have symptoms that impact on their ability to work and perform daily activities. Lumbar diskectomy, although widely used, remains problematic for surgeons ......
A review of functional imaging of the brain and pain
Current Review of Pain - Tập 3 - Trang 249-255 - 1999
Functional imaging of the brain is a current reality using positron emission tomography and functional magnetic imaging. This article reviews many of the reports that have emerged in the past several years using these techniques in the analysis of pain experience. The areas of the brain that appear to be functioning during the experience of pain are discussed, and the variances in findings between......
Sympathetically maintained pain
Current Review of Pain - Tập 4 - Trang 99-104 - 2000
Reflex sympathetic dystrophy (RSD) is a controversial condition, redefined in 1996 by an ad hoc International Association for the Study of Pain (IASP) task force. One of the strongest critiques against the entire concept of sympathetic-dependent pain is that patients labeled as having RSD harbor in reality a somatoform disorder. Here clinical cases are described to prove that other organic medical......
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
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