J D Loeser

..We call for increased pain educational experiences for all types of health care providers and the separation of business concepts from pain-related health care...

..To fully establish the role of surgery in the treatment of chronic neuropathic pain, further well-designed, prospective, controlled trials are essential...

..The common aspects of tic douloureux and some of the rarer variations are reviewed, and treatment options are presented...

..Understanding the components of pain facilitates this goal. Suffering is an emergent property of the human brain and is dependent upon consciousness. It too is worthy of study by scientists and of concern to clinicians...

..Despite improved knowledge of underlying mechanisms and better treatments, many people who have chronic pain receive inadequate care...

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..Timely adoption of clinical practice guidelines is more likely to happen when the guidelines are used in combination with adjuvant educational strategies that address social as well as rational influences...

..How good are the data? 4) Are differences in rates due to chance alone? 5) Are high rates too high? 6) How is geographic variation to be explained? 7) What is the role of "presentation style" in explaining geographic variation?..

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..We conducted a systematic review of the literature on the effectiveness and complications of programmable intrathecal opioid and ziconotide drug delivery systems (IDDS) for patients with chronic noncancer pain...

..Tertiary care university hospital and clinic. Patients. Adults of both sexes were included. Interventions. The intervention consisted of the implantation of intrathecal catheter and subcutaneous programmable pump to deliver opioids...

..To determine if opioids, both long and short acting, were widely available in pharmacies in Washington State, and to ascertain if availability was related to rural/urban location or socioeconomic factors...

..Baclofen-induced amnesia in rodents is a reliable model of memory impairment. In contrast, baclofen-induced memory impairment in humans is uncommon. Baclofen- associated transient global amnesia has not previously been reported...

..We describe a case of severe cancer pain refractory to conventional intrathecal medications and cordotomy that was successfully managed by the addition of meperidine to the intrathecal regimen...

..The hypothesis that "physician practice style factor" accounts for the major part is explored; potential properties of practice style factor are specified for further testing...

..Better outcome studies, however, are needed to determine whether Americans are being subjected to excessive surgery or if those in other developed countries are suffering because back surgery is underutilized...

..These findings do not support the use of amitriptyline in the treatment of chronic pain in this population, but we cannot rule out the possibility that certain subgroups may benefit...

..To describe the oral motor, communication, and nutritional status of children receiving intrathecal baclofen (ITB) therapy for spasticity of cerebral origin...

..In addition, the Nam-Powers Socioeconomic Index is significant for men. Wage compensation ratio cannot be shown to be a factor in chronicity...

..Postal survey...

..Indications for fusion among older patients require better definition, preferably based on outcomes from prospective controlled studies...

..We conclude that a comprehensive medical evaluation of disability applicant encompasses more than an impairment assessment...

..We conclude that an intrathecal catheter and subcutaneous pump to deliver baclofen should not preclude the use of an epidural catheter for perioperative analgesia...

..The authors have routinely performed primary autologous cranioplasty to repair skull defects after decompressive craniectomy. The high rates of subsequent bone resorption occurring in children prompted this study...

..However, pain-related catastrophizing may be a particular concern among veterans with SCI...

..Based on recent research into the neurobiology of CRPS, PTSD and conversion disorder, we propose a supraspinal mechanism which could explain how emotional stress can produce both symptoms and signs...

..There were four deaths unrelated to CITE, including one from acute pancreatitis. Our findings might assist in establishing patient selection criteria and treatment goals, improving patient follow-up, and monitoring adverse events...

..Long-term studies, head-to-head comparisons between medications, studies involving combinations of medications, and RCTs examining treatment of central NP are lacking and should be a priority for future research...

..Continued progress in basic and clinical research on the pathophysiologic mechanisms of neuropathic pain may make it possible to predict effective treatments for individual patients by application of a pain mechanism-based approach...