... our program include (1) guidelines for managing patients who are opioid tolerant and/or have a substance abuse disorder; (2) education programs for patients, emphasizing the role of opioids in recovery after elective orthopedic surgery; (3) education programs for prescribers of controlled substances, including ... aspects; (4) the development of surgery-specific prescribing recommendations for opioid-naive patients; and (5) mechanisms to modify prescribing habits to ...
Muscular and Skeletal Diseases (5) Opioid-Related Disorders (1), Substance Abuse (1), more mentions
AbstractText: The purpose of this retrospective study was to identify opioid prescribing practices, determine the number of morphine milliequivalents (MMEs) prescribed by orthopaedic/non-orthopaedic members to narcotic naive and previously exposed patients and provide ... Outliers and patients without prescriptions from orthopaedic providers were excluded to eliminate skewing of data.
DescriptorName: Fractures, Bone... At closure, the surgeons injected 0.75% ropivacaine into the subcutaneous tissue of the incision wound for postoperative analgesia. Soon after injection, subcutaneous emphysema at the injection site and a sudden decrease in end-tidal CO2 tension with crude oscillatory ripples during the alveolar plateau phase were observed.
Muscular and Skeletal Diseases (1) Embolism (3), Emphysema (2), Pulmonary Embolism (1), more mentions
Orthopaedic surgeons are some of the top prescribers of opioids in the complex setting of chronic use, abuse, and diversion ... The literature regarding the basic science of pharmacologic options for painmanagement (e.g., opioids and nonsteroidal anti-inflammatory drugs), the impact of strategies on bone and soft-tissue healing, and painrelief are summarized as they relate to the management of ...
... no significant difference in secondary outcomes, including the incidence of opioid-related side effects AbstractText: IV acetaminophen, as adjunctive therapy for craniotomy procedures, did not show an opioid-sparing effect in patients for the 24 hours after craniotomy ... however, it was associated with improved patient satisfaction regarding overall paincontrol.
Pain Management (3), Muscular and Skeletal Diseases (1), more mentions
... of pain intensity on the NRS and a five-point painrelief scale... The most common surgeries were abdominal (59%) and orthopedic (20... pain intensity decreased significantly starting 30 minutes postdose, and mean painrelief increased significantly starting 15 minutes postdose, remaining relatively stable through ... Four (3%) patients discontinued due to inadequate analgesia, and 45 (32%) patients had one or more adverse events ...
Anti-Obesity and Weight Loss (1), Muscular and Skeletal Diseases (1), more mentions
... visits involving 49 physicians and 86 patients taking long-term opioids for chronic musculoskeletal pain, systematically coded all pain-related utterances during these visits ... imparting communication skills that assist physicians in negotiating disagreements about painmanagement, including responding to patient requests for more opioids, likely have potential to improve visit experience ratings for both ...
... inverse dynamics with rigid body models, 2) forward dynamics and EMG-driven models, 3) normalized EMG, and 4) inverse dynamics with point mass models ... Forward dynamics and EMG-driven models estimate muscle force as well as determine the effect ... Data from studies employing rigid body models, normalized EMG, and musculoskeletal modelling should be combined to develop hypotheses regarding muscle effort ...
DescriptorName: PainManagement... visual analogue scale (VAS), Foot and Ankle Disability Index (FADI), American Orthopedic Foot and Ankle Society (AOFAS) scale, and the Roles and Maudsley ... conclusion that PRP is superior to steroid treatments for long-term painrelief; however, significant differences were not observed between short and intermediate effects ...
Pain Management (1), Muscular and Skeletal Diseases (1) Plantar Fasciitis (2), Fasciitis (1), more mentions
... compare the gluteus maximus (GM) and hamstring group (HG) electromyographic (EMG) activation levels among selected weight-bearing resistance exercises... Surface EMG was collected after 48 hours of rest using wireless Trigno ... Gluteus maximus EMG was significantly greater than HG EMG on the BS (40.3 vs. 24.4%, p < 0.001), MSLS (65.6 ...
... all randomized controlled trials measuring PC in adults with chronic non-cancer pain. Two authors independently screened studies and assessed bias risk using the Cochrane tool. Quality of evidence was rated according to GRADE criteria. We included 79 studies (N=9914), which mostly recruited participants with musculoskeletal pain and had low risk of bias... Keyword: painmanagement. Keyword: systematic review.
... rapidly expanding and many of these patients experience pain as a sequelae of their disease and its treatment. The features, pathophysiology and natural history of some painful conditions observed in cancer survivors, such as direct tumour effects, cancer induced bone pain (CIBP) or chronic post-surgical pain have received extensive exposure elsewhere in the literature... Keyword: painmanagement. Keyword: therapy.
Abstract: Nontraumatic musculoskeletal disorders are the main reason for presentation to the emergency ... also generates the highest demand for reassessments due to poor paincontrol or onset of adverse reactions to the treatment prescribed in ... clear advantages over the other analgesics analyzed, in terms of paincontrol and less need for reassessments.
Men's Health (4), Muscular and Skeletal Diseases (1) Back Pain (5), more mentions
For this purpose, we acquired high-density EMG signals from the biceps brachii in 5 male trans-humeral amputees who underwent targeted reinnervation of this muscle by the ulnar nerve and from the first dorsal interosseous muscle of ... The EMG signals were decomposed into discharges of motor unit action potentials.
... M: 6 (9%) patients versus -M: 16 (19%) patients; P=0.04. This resulted in reduced plerixafor administrations (+M: 7 (11%) patients versus -M: 18 (21%) patients; P=0.03) and less costs. Our data suggest that meloxicam enhances the mobilization of hematopoietic CD34(+) blood cells in MM patients.Bone Marrow Transplantation advance online publication, 23 October 2017; doi:10.1038/bmt.2017.234.
Stem Cell Research (2), Oncology (1) Multiple Myeloma (1), more mentions
Besides STS, he was treated with narcotics, gabapentin, topical lidocaine on intact skin, and oral steroids for paincontrol... We believe that this is due to a decreased PTH level and decreasing bone turnover which resulted in more circulating calcium facilitating vascular and soft tissue calcification. The exact mechanism of developing calciphylaxis after parathyroidectomy is unknown.
Cardiovascular Diseases (2), Wound Care (2), Kidney Disease (2) Calciphylaxis (7), Deep Vein Thrombosis (1), Diabetes Mellitus, Type 2 (1), more mentions
... decreased below baseline more in response to another person's direct than averted gaze. Replicating previous research, the skin conductance responses were greater to another person's direct than averted gaze. The results provide evidence that, in a neutral context, another individual's direct gaze is an affiliative, positive signal Keyword: Affect. Keyword: Eye contact. Keyword: Facial EMG. Keyword: Facial expression. Keyword: SCR.