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Effects of IV morphine in central pain: a randomized placebo-controlled study.
Author: AttalN, BouhassiraD, BrasseurL, ChauvinM, GaudeV, GuirimandF
Original Abstract of the Article :
OBJECTIVE: To investigate the effects of IV morphine on central pain syndromes through quantitative sensory testing and to assess the long-term benefit of oral morphine. METHODS: After an initial open titration phase aiming to determine the maximal tolerated dosage of IV morphine, the efficacy of m...See full text at original site
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引用元:
https://doi.org/10.1212/wnl.58.4.554
データ提供:米国国立医学図書館(NLM)
Effects of IV Morphine in Central Pain: A Randomized Placebo-Controlled Study
Pain is a complex and often debilitating experience. This research explores the effects of intravenous (IV) morphine on central pain syndromes, a type of chronic pain that originates from the nervous system. The study aimed to determine the analgesic effects of morphine and assess its long-term benefit. Researchers conducted a randomized placebo-controlled study on patients with post-stroke or spinal cord injury-related pain. They found that morphine effectively reduced brush-induced allodynia, a type of pain sensitivity, but did not significantly impact other types of pain. The researchers also observed a correlation between the effects of morphine on spontaneous pain and the decrease in responses to thermal stimuli on the contralateral side, suggesting a broader antinociceptive effect. However, only a small proportion of patients experienced long-term benefit from oral morphine therapy.
The Complexity of Pain Management
This study sheds light on the complex nature of central pain syndromes and the challenges associated with managing chronic pain. The researchers found that IV morphine provided some analgesic benefits, particularly for brush-induced allodynia, but the effects were not consistent across all patients. This highlights the need for individualized pain management strategies and further research to understand the underlying mechanisms of central pain.
Navigating the Landscape of Pain Relief
This study underscores the need for a multidisciplinary approach to pain management. While morphine can be a valuable tool, it's not a one-size-fits-all solution. Understanding the specific type of pain, its underlying cause, and individual patient factors is crucial for developing effective pain relief strategies. It's like navigating a vast desert, where different paths lead to different destinations.
Dr. Camel's Conclusion
This research provides valuable insights into the treatment of central pain syndromes. The findings emphasize the need for continued research to develop more effective pain relief strategies. It's like searching for a hidden spring in the desert, a source of comfort and relief for those suffering from chronic pain.
Date :
- Date Completed 2002-04-15
- Date Revised 2022-03-18
Further Info :
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