A Randomized, Double-blind, Placebo-Controlled Crossover Trial of Oxymorphone Hydrochloride and Propoxyphene/Acetaminophen Combination for the Treatment of Neurogenic Claudication Associated With Lumbar Spinal Stenosis.

Author: ChowdhryAmit K, DworkinRobert H, FrazerMaria E, GewandterJennifer S, MarkmanJohn D, McDermottMichael P, MurrayNicole M, PilcherWebster H, RastShirley A, TomkinsonEmilie J, WalterKevin A

Paper Details 
Original Abstract of the Article :
STUDY DESIGN: Randomized, double-blind, placebo-controlled, single-dose crossover study. OBJECTIVE: To test the analgesic efficacy of oxymorphone hydrochloride (OH) and propoxyphene/acetaminophen (PA) for patients with neurogenic claudication associated with lumbar spinal stenosis. SUMMARY OF BACK...See full text at original site
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引用元:
https://doi.org/10.1097/BRS.0000000000000837

データ提供:米国国立医学図書館(NLM)

Opioids for Neurogenic Claudication: A Mixed Verdict

This randomized, double-blind, placebo-controlled crossover trial investigates the efficacy of oxymorphone hydrochloride (OH) and propoxyphene/acetaminophen (PA) for treating neurogenic claudication, a condition characterized by pain in the legs caused by spinal stenosis. The study aimed to determine if these opioid medications provided significant pain relief for patients with this debilitating condition. The results, however, did not show a clear benefit of either OH or PA, leaving the researchers with a desert of unanswered questions about the effectiveness of these medications for this specific condition.

Navigating the Desert of Pain Management

While this study did not demonstrate the efficacy of these opioids for neurogenic claudication, it highlights the need for further research into alternative treatment options for this condition. It's crucial to find effective ways to manage pain without resorting to medications with potentially harmful side effects, like a camel searching for a sustainable source of water in a harsh desert.

Finding Relief in the Shifting Sands of Neurogenic Claudication

This research, like a shimmering mirage in the desert, underscores the complexities of pain management. While it may not offer definitive answers, it emphasizes the importance of exploring alternative therapies and tailoring treatment approaches to meet the unique needs of each individual. The quest for effective pain management is a continuous journey, requiring careful navigation through the shifting sands of research and clinical practice.

Dr.Camel's Conclusion

This study reminds us that the desert of pain management is full of challenges. While it might not offer definitive answers, it underscores the need for continued research into safe and effective treatments for neurogenic claudication. The journey toward better pain management requires a persistent pursuit of solutions, like a camel seeking a life-giving oasis.

Date :
  1. Date Completed 2015-12-30
  2. Date Revised 2022-03-30
Further Info :

Pubmed ID

25705958

DOI: Digital Object Identifier

10.1097/BRS.0000000000000837

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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