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January 20, 2017

Opioids are commonly prescribed because they are effective in relieving many types of pain. These medications are classified as narcotics and can be dangerous when abused. When used properly, they have been known to help in severe pain that follows surgery and to alleviate cancer patients suffering.

The guardian
12min read    
January 19, 2017

Every year, millions of people go through major depression. Out of people seeking treatment, 30% to 40% do not get better or fully recovery with standard antidepressants. That puts them at greater risk of alcohol, drug abuse, hospitalization and suicide attempts. Now, research has found that there may be new hope for such sufferers, i.e., ketamine, an anesthetic drug.

FDA
4min read    
January 18, 2017

Food and Drug Administration (FDA) has granted a tentative approval to the company’s supplemental New Drug Application (sNDA) for a label expansion for Trokendi XR (topiramate) to include prophylaxis of migraine headache in adults.

FDA
5min read    
January 17, 2017

Troxyca ER (oxycodone hydrochloride and naltrexone hydrochloride) is an extended release, abuse-deterrent, narcotic analgesic formulation for the management of pain severe enough to require daily, around-the-clock, long term opioid treatment.

FDA
9min read    
January 4, 2017

Back pain is an unavoidable part of a physiotherapist‘s day, be it in the clinic or advice for a friend. But, do most treatment recommendations are up-to-date?

NICE
6min read    

A 79-year-old Caucasian retired physician presented to the clinic with a severe complaint of bilateral hip pain that had been persisting since last 2 years with unbearable episodes of pain over the previous three months. His pain was dull and achy, and started anteriorly in both the hips with occasional radiation to the groin. The pain ratings at its most severe point were 7 and 5 on a ten-point scale in the left and the right hip, respectively. The pain was most severe in the morning, when the patient woke up and in the evening after completion of all day to day activities. Acetaminophen 650mg bid as well as tid was no longer effective in relieving his pain. However, Ibuprofen 400 mg tid did show some improvement. The patient was unwilling to begin NSAIDs because of the fear of having gastrointestinal (GI) adverse events. Tramadol, hydrocodone, and oxycodone in the past lead to troublesome lightheadedness.

What will most likely explain the symptoms reported by the patient in this case?

  • Bilateral Hip Osteoarthritis
  • Spinal Stenosis
  • Greater Trochanteric Bursitis
  • Osteonecrosis

23min read    
Key Take-Away:
  • New drug levetiracetam shows comparable efficacy to currently used drugs such as valproate in migraine prophylaxis

  • Levetiracetam significantly reduces headache frequency in patients with migraine

Migraine is a common neurological disorder. It is categorized as migraine with aura (classic migraine) and migraine without aura (common migraine). Pharmacological treatment of migraine consists of prophylactic (preventive) treatment and symptomatic (abortive) treatment.

Ann Indian Acad Neurol. 2015 Jan-Mar; 18(1): 45–48
12min read    
Key Take-Away:

This study puts light on how high-frequency rTMS on the contralateral primary motor cortex of traumatic amputees induced a clinically significant pain reduction up to 15 days after treatment without any major secondary effect.

Land mines, one of the world’s most disabling public health hazards, results in approximately 15,000 to 25,000 victims each year.

The Journal of Pain 2016;17 (8): 911-918
24min read    
Key Take-Away:

The study revealed that adult patients with osteoporosis had a considerably greater risk of developing subsequent migraine compared to the patients without osteoporosis.

Both osteoporosis and migraine are common conditions that can affect quality of life and can impose large social and economic burdens. The National Institutes of Health Consensus Development Conference Statement defines osteoporosis as a skeletal disorder characterized by diminished bone strength resulting in increased fracture risk.

SpringerPlus20165:1378
16min read    

A 17-year old male athlete participating in a fall league ice hockey game reported that he and an opponent, who had the puck, skated towards each other at high speed. The athlete tripped over a teammate's stick, fell forward, and the top of his helmet forcefully impacted the opponent’s leg at approximately mid-thigh.

39min read    
Education

Fibromyalgia syndrome is a common disorder characterized by multiple tender points, widespread deep muscle pain, sleep disturbance, fatigue and depression.

14min read    
Education

Gout involves problem with the purine metabolism. In this disease, the uric acid levels are increased (hyperuricemia) and urate crystals accumulates in joints and tissues of the body.

NICE
6 min read    
Education

Syndesmotic injuries at the ankle joint are injuries to the ligaments that connect the tibia and fibula.

NICE
10 min read    
Education

Fibromyalgia is a syndrome which is indicated by chronic widespread pain.

ACSAP
10 min read    
Education

This guideline is an updated version on the drug treatment options for post-shingles pain. It was based on the review of the recent litrature and the modified by the author.

The Shingles Support Society
3min read    
January 20, 2017

Opioids are commonly prescribed because they are effective in relieving many types of pain. These medications are classified as narcotics and can be dangerous when abused. When used properly, they have been known to help in severe pain that follows surgery and to alleviate cancer patients suffering.

The guardian

A 79-year-old Caucasian retired physician presented to the clinic with a severe complaint of bilateral hip pain that had been persisting since last 2 years with unbearable episodes of pain over the previous three months. His pain was dull and achy, and started anteriorly in both the hips with occasional radiation to the groin. The pain ratings at its most severe point were 7 and 5 on a ten-point scale in the left and the right hip, respectively. The pain was most severe in the morning, when the patient woke up and in the evening after completion of all day to day activities. Acetaminophen 650mg bid as well as tid was no longer effective in relieving his pain. However, Ibuprofen 400 mg tid did show some improvement. The patient was unwilling to begin NSAIDs because of the fear of having gastrointestinal (GI) adverse events. Tramadol, hydrocodone, and oxycodone in the past lead to troublesome lightheadedness.

What will most likely explain the symptoms reported by the patient in this case?

  • Bilateral Hip Osteoarthritis
  • Spinal Stenosis
  • Greater Trochanteric Bursitis
  • Osteonecrosis

23min read    
Education

Fibromyalgia syndrome is a common disorder characterized by multiple tender points, widespread deep muscle pain, sleep disturbance, fatigue and depression. The cause and cure for fibromyalgia is unknown, but medications and other treatments can helps to reduce the symptoms. Although, people experience pain and tenderness all over the body, they are often diagnosed by the doctors based on the tender spots or points in certain places of the body.

What are tender points?

14min read