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Systematic review of outpatient services for chronic pain control.

Author: EcclestonC, McQuayH J, MooreR A, MorleyS, WilliamsA C

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Overview

This review of research on chronic pain treatments found limited evidence for the effectiveness of many common interventions. Transcutaneous electrical nerve stimulation (TENS) and relaxation techniques lack strong evidence, and spinal cord stimulators have limited evidence from low-quality studies. Epidural corticosteroids are effective for short-term back pain and sciatica, but injections for shoulder pain have not been proven effective. Over-the-counter pain relievers are important for chronic pain, with ibuprofen showing the greatest effectiveness. Anticonvulsants and antidepressants are effective for nerve pain, but more research is needed to determine the best medications. Topical NSAIDs are effective for pain in joints, with fewer side effects than oral NSAIDs.
Paper Details　
Original Abstract of the Article :
AIM OF REPORT. This report reviews the evidence about the effectiveness of treatments for chronic pain. While treatment of chronic pain is usually seen as an integrated service, this report concentrates on the individual interventions that constitute the service. HOW THE RESEARCH WAS CONDUCTED. Sear...See full text at original site
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引用元：
https://pubmed.ncbi.nlm.nih.gov/9483161

データ提供：米国国立医学図書館（NLM）

Navigating the Desert of Chronic Pain

Chronic pain is a relentless desert that can wear down even the strongest camels. It's a complex and challenging condition that can significantly impact a person's quality of life. This review, like a trusty compass, aims to guide us through the vast landscape of chronic pain treatments, evaluating the evidence for their effectiveness. The researchers systematically reviewed numerous studies to identify the most effective interventions for chronic pain, searching for oases of relief in this arid terrain.

A Guide to the Oasis of Pain Relief

The researchers meticulously assessed the effectiveness of various interventions, including physical therapies, pharmacological treatments, and other approaches, to provide a comprehensive overview of current pain management strategies. They found that some interventions, like epidural corticosteroids for back pain and sciatica, offer short-term benefits. Others, like TENS and relaxation techniques, lack conclusive evidence for their effectiveness. The researchers also highlighted the importance of minor analgesics and the effectiveness of anticonvulsant and antidepressant drugs for neuropathic pain. They also discussed the potential benefits of topical NSAIDs for rheumatological conditions, noting their effectiveness and safety.

A Roadmap to a More Comfortable Journey

This review is like a roadmap through the desert of chronic pain. It provides valuable insights into the effectiveness of various treatment options, guiding patients and healthcare professionals towards the best paths to relief. The findings highlight the importance of individualized treatment approaches, considering each patient's unique needs and circumstances. It's a reminder that the search for pain relief is a continuous journey, and this review offers valuable guidance on navigating this complex terrain.

Dr. Camel's Conclusion

This systematic review offers a comprehensive overview of the evidence-based treatments for chronic pain. It serves as a valuable resource for both patients and healthcare professionals seeking effective pain management strategies. It's a reminder that chronic pain is a complex condition that requires a multifaceted approach, with careful consideration of each patient's individual needs and circumstances.

Date :
  1. Date Completed 1998-03-11
  2. Date Revised 2021-10-25
Further Info :

Pubmed ID

9483161

DOI: Digital Object Identifier

9483161

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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