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One of a convincing meta-analysis explaining that lidocaine-prilocaine cream gives comparable results in reducing pain during perineal repair after vaginal delivery was published in 'The Journal of Maternal-Fetal & Neonatal Medicine'.

Perineal trauma is a common problem that affects women during vaginal delivery which can either be spontaneous (tear) or intentional (episiotomy). Suitable analgesics provide relief when the repair of perineal trauma is required. Amongst these, topical products such as lidocaine-prilocaine cream found effective in relieving pain, but still, there were unanswered questions regarding its efficacy and safety.

9min read    

The analysis of the PRECISION (Prospective Randomized Evaluation of Celecoxib Integrated Safety Versus Ibuprofen or Naproxen) trial revealed that Celecoxib has a more favourable overall safety profile as compared to naproxen or ibuprofen if administered without aspirin, as per a study issued in 'Journal of the American College of Cardiology'.

8min read    

A study published in the journal of 'Physiotherapy Research International' described that higher the neck pain intensity and catastrophizing, lower is the functional performance and lateral rotation range of motion of the shoulder.

The study focused on understanding the range of motion and functional performance of the shoulder with pain measures in inactive individuals with and without neck pain.

7min read    

A team of researchers from Psychology and Communication Technology (PaCT) Lab in Northumbria University, Newcastle worked on a new robotic walking frame that could help older people in early recovery after a fall or injury, decreasing the length of time they need to stay in a hospital.

11min read    

The findings from a randomised clinical trial published in 'BMJ' explained that percutaneous vertebroplasty did not lead to statistically significantly greater pain relief as compared to a sham procedure during 12 months' follow-up among the patients with acute osteoporotic vertebral compression fractures.

The researchers examined whether the percutaneous vertebroplasty results in more pain relief as compared to the sham procedure in patients suffering from acute osteoporotic compression fractures of the vertebral body.

8min read    
Key Take-Away:

Chronic pain is the most prevalent cause of functional disability, and has a negative impact on work-related outcomes. One approach that can counter severe chronic pain and help to rehab of subjects on their work is Spinal Cord Stimulation. The following study results affirms that Spinal Cord Stimulation is an effective approach which can make patients with specific chronic pain syndromes to improve work-related outcomes.

Introduction

Chronic pain negatively impacts work-related outcomes, which means that to overcome this burden treatment approaches should be assessed. Spinal cord stimulation (SCS) provides significant relief from pain in specific chronic pain syndromes. This review aimed to recognize and compile evidence on returning to work among patients with chronic pain managed with SCS.

7min read    
Key Take-Away:

Previous studies indicate that patients with ankle sprains can develop osteoarthritis in the future. This study focused on determining the correlation between patient history, physical examination and early osteoarthritis (OA) and estimated that there exists an association between patients physical examination characteristics like pain at the end of plantar flexion, reduced range of motion (ROM) in talocrural joint (TCJ) and talonavicular joint (TNJ), swelling and osteoarthritis.

Introduction:

After an ankle sprain, the structural abnormalities are frequent on MRI. This study determined the association of patient history, physical examination with early osteoarthritis (OA) in patients after an ankle sprain.

7min read    
Key Take-Away:

Median Nerve Neural Mobilization (MNNM) refers to non-invasive physical therapy technique in which pain relief is achieved by mechanical stimulation of the Median Nerve and the brachial plexus. This study relies on approximating effects of MNNM on cervicobrachial pain (CP) as there exists limited data in this context. It was estimated that MNNM technique exhibits superiority over other treatment methods in improving CP.

Introduction:

There is a lack of adequately high-quality randomized controlled clinical studies that estimate the efficacy of neural tissue mobilization approaches such as median nerve neural mobilization (MNNM) and their particular impacts on cervicobrachial pain (CP). This study evaluates the efficacy of MNNM among individuals with CP as compared to the waiting list control group (WLCG).

7min read    
Key Take-Away:

The administration of pre or postoperative medication during dental practices has a great significance to obliterate dental pain. Diclofenac is widely used analgesic, and the study interprets that trans-dermal route of Diclofenac delivery was found to be the safer approach with similar efficacy to that of oral diclofenac in postoperative dental pain.

Introduction:

Examining the safety and effectiveness of oral and transdermal and routes of Diclofenac to manage postoperative pain among individuals going through dental implant placement.

7min read    
Key Take-Away:

A 71-year-old female patient suffered from a chronic migraine for two decades. She never experienced insomnia problems before the first onset of a migraine. A migraine occurred 3-4 times per week, and each episode persisted around 4-8 hours. The pulsating pain was localised at right half of the head. The precipitating factors were the stress, increase in physical activities and sudden cold weather. The relieving factors included warm temperature, slower pacing of life and comfortable environment. The moderate or severe pain intensity was aggravated by or causing avoidance of increased physical activity. The residual symptom between the migraine episodes was the head tense feeling, but not achieving headache severity. The function remained well except avoiding exercise during and between the migraine episodes.

 

After going through the above case presentation, what do you think, could ramelteon alleviate a migraine?

  • Yes
  • No
15min read    
Education
Presentations

Vitamins are organic compounds essential for normal physiological functions.

15 min read    
Education
Presentations

The World Health Organization (WHO) describes the rational use of medicines as, “patients receive medications appropriate to their clinical needs, in doses that meet their own individual requiremen

5 min read    
Education
Smart Guidelines

The guidelines for clinical practice are focused on the preferred approaches to medical problems exhibited by scientifically valid research.

15 min read    
Education
Smart Guidelines

Sinusitis affects about 1 in 8 adults in the United States, resulting in over 30 million annual diagnoses.

American Academy of Otolaryngology-Head and Neck Surgery Foundation
15 min read    
Education
Smart Guidelines

Chronic pain can be a serious consequence of surviving cancer. The prevalence of pain in cancer survivors has been reported to be as high as 40%.

American Society of Clinical Oncology
10 min read    
January 23, 2019

One of a convincing meta-analysis explaining that lidocaine-prilocaine cream gives comparable results in reducing pain during perineal repair after vaginal delivery was published in 'The Journal of Maternal-Fetal & Neonatal Medicine'.

Perineal trauma is a common problem that affects women during vaginal delivery which can either be spontaneous (tear) or intentional (episiotomy). Suitable analgesics provide relief when the repair of perineal trauma is required. Amongst these, topical products such as lidocaine-prilocaine cream found effective in relieving pain, but still, there were unanswered questions regarding its efficacy and safety.

Key Take-Away:

Chronic pain is the most prevalent cause of functional disability, and has a negative impact on work-related outcomes. One approach that can counter severe chronic pain and help to rehab of subjects on their work is Spinal Cord Stimulation. The following study results affirms that Spinal Cord Stimulation is an effective approach which can make patients with specific chronic pain syndromes to improve work-related outcomes.

Introduction

Chronic pain negatively impacts work-related outcomes, which means that to overcome this burden treatment approaches should be assessed. Spinal cord stimulation (SCS) provides significant relief from pain in specific chronic pain syndromes. This review aimed to recognize and compile evidence on returning to work among patients with chronic pain managed with SCS.

7min read    
Education
Presentations

Vitamins are organic compounds essential for normal physiological functions. However, some of them are not synthesized endogenously by the body and therefore have to be sequestered in small quantities from the diet.

15 min read