Showing posts with label Joint. Show all posts
Showing posts with label Joint. Show all posts

Friday, November 5, 2010

Efficacy of Diclofenac Sodium in Pain Relief after Conventional Radiofrequency Denervation for Chronic Facet Joint Pain: A Double‐Blind Randomized Controlled Trial

Efficacy of Diclofenac Sodium in Pain Relief after Conventional Radiofrequency Denervation for Chronic Facet Joint Pain: A Double?Blind Randomized Controlled Trial - Ma - 2010 - Pain Medicine - Wiley Online LibrarySkip to Main Content

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PUBLICATIONSBROWSE BY SUBJECTRESOURCESABOUT US LOGIN Enter e-mail address Enter password REMEMBER ME NOT REGISTERED ?FORGOTTEN PASSWORD ?INSTITUTIONAL LOGIN > JOURNAL TOOLS Get New Content Alerts Get RSS feed Save to My Profile Get Sample Copy JOURNAL MENU Journal Home FIND ISSUES Current IssueAll IssuesVirtual Issues FIND ARTICLES Early View GET ACCESS Subscribe / Renew FOR CONTRIBUTORS Author GuidelinesSubmit an Article ABOUT THIS JOURNAL Society InformationNewsOverviewEditorial BoardPermissionsAdvertiseContact SPECIAL FEATURES Professional OpportunitiesPainPoints Blog Efficacy of Diclofenac Sodium in Pain Relief after Conventional Radiofrequency Denervation for Chronic Facet Joint Pain: A Double?Blind Randomized Controlled TrialKe Ma PhD1, Mi Yiqun MS2, Tao Wu MS1, Wenhao Wang MS1, Xiaoming Liu PhD1, Xiaohui Huang PhD3, Yingwei Wang PhD1,*Article first published online: 28 OCT 2010

DOI: 10.1111/j.1526-4637.2010.00978.x

Wiley Periodicals, Inc.

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Pain MedicinePain MedicineEarly View (Articles online in advance of print)

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How to CiteMa, K., Yiqun, M., Wu, T., Wang, W., Liu, X., Huang, X. and Wang, Y. , Efficacy of Diclofenac Sodium in Pain Relief after Conventional Radiofrequency Denervation for Chronic Facet Joint Pain: A Double?Blind Randomized Controlled Trial. Pain Medicine, no. doi: 10.1111/j.1526-4637.2010.00978.x

Author Information1

Department of Anesthesiology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai

2

Department of Acupuncture Massage and Traumatology, The Shanghai Sixth People's Hospital, Shanghai JiaoTong University, Shanghai

3

College of Pharmacy, Anhui Medical University, Hefei, China

*Correspondence: Yingwei Wang PhD,

*Correspondence: Yingwei Wang, PhD, Department of Anesthesiology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China. Tel: 86?21?65790000 ext 7951; Fax: 86?21?65153984; E?mail: wangyingwei@yahoo.com.

Publication HistoryArticle first published online: 28 OCT 2010 SEARCH Search Scope All contentPublication titlesIn this journalIn this issue Search String Advanced >Saved Searches > SEARCH BY CITATION Volume: Issue: Page: ARTICLE TOOLSGet PDF (456K)Save to My ProfileE-mail Link to this ArticleExport Citation for this ArticleRequest Permissions AbstractArticleReferencesCited By View Full Article (HTML) Get PDF (456K) Keywords:Low Facet Pain;Radiofrequency;Diclofenac Sodium;Visual Analgesia Score;Oswestry Disability IndexAbstract

Objectives.? Many patients experience pain for a short duration after conventional radiofrequency (CRF) denervation for lumbar facet pain. The aim of the present study was to evaluate the efficacy and cost of administering diclofenac sodium for the relief of pain after CRF denervation.

Methods.? After denervation, 66 patients were randomly allocated into three groups to receive either placebo for 7 days (group A), diclofenac sodium for 3 days (group B), or diclofenac sodium for 7 days (Group C). The patients' pain visual analgesia score (VAS) and side effect were recorded at baseline 1, 7, 14, 30, and 60 days after treatment. Oswestry Disability Index (ODI), Patients' Satisfaction Score (PSS), and dosage and cost of the drugs used for pain management were recorded at baseline, 30 and 60 days after treatment.

Results.? VAS in groups B and C both was less than that in group A at 1 and 7 days after treatment (P???>?0.05). The cost of analgesic administration in group B was significantly less than in groups A and C (P?

Conclusion.? Diclofenac sodium administration improves analgesia and the PSS after CRF denervation. Compared to a 7?day dosage, a 3?day diclofenac sodium therapy has similar efficacy and less cost for the treatment of pain after CRF neurotomy. [ISRCTN68542008].

View Full Article (HTML) Get PDF (456K) More content like this Find more content: like this article Find more content written by:Ke MaMi YiqunTao WuWenhao WangXiaoming LiuXiaohui HuangYingwei WangAll Authors ABOUT USHELPCONTACT USAGENTSADVERTISERSMEDIAPRIVACYTERMS & CONDITIONSSITE MAP

Copyright ? 1999-2010 John Wiley & Sons, Inc. All Rights Reserved.

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Monday, November 1, 2010

Is It Useful to Repeat Sacroiliac Joint Provocative Tests Post‐Block?

Is It Useful to Repeat Sacroiliac Joint Provocative Tests Post?Block? - Stanford - 2010 - Pain Medicine - Wiley Online LibrarySkip to Main Content

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PUBLICATIONSBROWSE BY SUBJECTRESOURCESABOUT US LOGIN Enter e-mail address Enter password REMEMBER ME NOT REGISTERED ?FORGOTTEN PASSWORD ?INSTITUTIONAL LOGIN > JOURNAL TOOLS Get New Content Alerts Get RSS feed Save to My Profile Get Sample Copy JOURNAL MENU Journal Home FIND ISSUES Current IssueAll IssuesVirtual Issues FIND ARTICLES Early View GET ACCESS Subscribe / Renew FOR CONTRIBUTORS Author GuidelinesSubmit an Article ABOUT THIS JOURNAL Society InformationNewsOverviewEditorial BoardPermissionsAdvertiseContact SPECIAL FEATURES Professional OpportunitiesPainPoints Blog Is It Useful to Repeat Sacroiliac Joint Provocative Tests Post?Block?Gordon Stanford DC1, Robert S. Burnham MD1,2,*Article first published online: 28 OCT 2010

DOI: 10.1111/j.1526-4637.2010.00968.x

Wiley Periodicals, Inc.

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Pain MedicinePain MedicineEarly View (Articles online in advance of print)

Additional Information

How to CiteStanford, G. and Burnham, R. S. , Is It Useful to Repeat Sacroiliac Joint Provocative Tests Post?Block?. Pain Medicine, no. doi: 10.1111/j.1526-4637.2010.00968.x

Author Information1

Central Alberta Pain and Rehabilitation Institute, Lacombe Alberta

2

Division of Physical Medicine and Rehabilitation, University of Alberta, Edmonton Alberta, Canada

*Correspondence: Robert S. Burnham MD,

*Correspondence: Robert Burnham MD, 1, 6220—Highway 2A Lacombe Alberta, T4L 2G5, Canada. Tel: 403?782?6555; Fax: 403?782?6511; E?mail: rburnham@telusplanet.net.

Publication HistoryArticle first published online: 28 OCT 2010 SEARCH Search Scope All contentPublication titlesIn this journalIn this issue Search String Advanced >Saved Searches > SEARCH BY CITATION Volume: Issue: Page: ARTICLE TOOLSGet PDF (132K)Save to My ProfileE-mail Link to this ArticleExport Citation for this ArticleRequest Permissions AbstractArticleReferencesCited By View Full Article (HTML) Get PDF (132K) Keywords:Back Pain;Sacroiliac JointAbstract

Objective.? To evaluate the diagnostic usefulness of repeating sacroiliac joint (SIJ) provocative tests post?block.

Design.? Thirty?four patients with suspected unilateral mechanical SIJ pain participated. Eleven had confirmed SIJ origin pain (>79% pain relief with fluoroscopically guided comparative local anesthetic intra?articular blocks), whereas 23 were confirmed not to have SIJ origin pain (<80% pain relief with a single local anesthetic intra?articular block). Six SIJ provocative tests were performed 30 minutes prior to and following the blocks. Sensitivity, specificity, and likelihood ratios were calculated for subjects who had three or more positive pre?block SIJ provocative tests and for subjects in whom the majority of the SIJ provocative tests converted from positive to negative (normalized) post?block.

Results.? The sensitivity, specificity, and likelihood ratios for subjects with three or more positive pre?block SIJ provocative tests were 0.82, 0.57, and 1.9, respectively (P?=?0.04). For subjects in whom the majority of the SIJ provocative tests normalized, the sensitivity was 0.89, specificity 0.30, and likelihood ratio 1.3 (P?=?0.3).

Conclusion.? Multiple positive pre?block SIJ provocative tests have diagnostic utility however post?block normalization of SIJ provocative tests does not.

View Full Article (HTML) Get PDF (132K) More content like this Find more content: like this article Find more content written by:Gordon StanfordRobert S. BurnhamAll Authors ABOUT USHELPCONTACT USAGENTSADVERTISERSMEDIAPRIVACYTERMS & CONDITIONSSITE MAP

Copyright ? 1999-2010 John Wiley & Sons, Inc. All Rights Reserved.

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