Abstract:
:Patients with chronic non-malignant pain report impairments of physical, social, and psychological well-being. The goal of pain management should include reducing pain and improving quality of life. Patients with chronic pain require medications that are able to provide adequate pain relief, have minimum dosing intervals to maintain efficacy, and avoid breakthrough pain. Tramadol has proven efficacy and a favourable safety profile. The positive efficacy and safety profile has been demonstrated historically in numerous published clinical studies as well as from post-marketing experience. It is a World Health Organization "Step 2" opioid analgesic that has been shown to be effective, well-tolerated, and valuable, where treatment with strong opioids is not required. A number of extended release formulations of Tramadol are available in Canada and the United States. An optimal extended release Tramadol formulation would be expected to provide consistent pain control with once daily dosing, few sleep interruptions, flexible dosing schedules, and no limitation on taking with meals. Appropriate treatment options should be based on the above proposed attributes. A comparative review of available extended release Tramadol formulations shows that these medications are not equivalent in their pharmacokinetic profile and this may have implications for selecting the optimal therapy for patients with pain syndromes where Tramadol is an appropriate analgesic agent. Differences in pharmacokinetics amongst the formulations may also translate into varied clinical responses in patients. Selection of the appropriate formulation by the health care provider should therefore be based on the patient's chronic pain condition, needs, and lifestyle.
journal_name
J Pain Resjournal_title
Journal of pain researchauthors
Kizilbash A,Ngô-Minh CTdoi
10.2147/JPR.S49502subject
Has Abstractpub_date
2014-03-24 00:00:00pages
149-61issn
1178-7090pii
jpr-7-149journal_volume
7pub_type
杂志文章,评审abstract:Background:Suspecting carpal tunnel syndrome (CTS) in patients with hand pain is usual. Considering the variable rate of false-negative results in nerve conduction study (NCS), as a frequent reference confirmatory standard test, we aimed to evaluate the diagnostic accuracy of neuromuscular ultrasound in patients with c...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S164004
更新日期:2018-07-10 00:00:00
abstract::Ultrasound-guided cervical nerve root block is the technique of injecting local anesthetic or steroid into the intertubercular groove outside of the cervical foramen under real-time ultrasound guidance. It has established diagnostic and therapeutic employment for patients suffering symptoms caused by cervical disc dis...
journal_title:Journal of pain research
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doi:10.2147/JPR.S272829
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abstract::Objectives: To classify patients suffering from low back pain (LBP) into two different groups - patients with lumbar disc herniation (LDH) and patients without this disease based on simple questions and without magnetic resonance imaging (MRI) procedure - and to diagnose the most effective risk factors of LDH. Methods...
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pub_type: 杂志文章
doi:10.2147/JPR.S189927
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journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S25272
更新日期:2012-01-01 00:00:00
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journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S199950
更新日期:2019-07-16 00:00:00
abstract:BACKGROUND:Despite growing interest in the therapeutic use of cannabis to manage chronic pain, only limited data that address these issues are available. In recent years, a number of nations have introduced specific laws to allow patients to use cannabis preparations to treat a variety of medical conditions. In 2015, t...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S132814
更新日期:2017-05-22 00:00:00
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journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S195431
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journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S189064
更新日期:2019-05-15 00:00:00
abstract::Background: Chronic neuropathic pain (NP) is a complex disease that results from damage or presumed damage to the somatosensory nervous system. Current treatment regimens are often ineffective. The major impediment in developing effective treatments is our limited understanding of the underlying mechanisms. Preclinica...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S209657
更新日期:2019-08-02 00:00:00
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journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S129585
更新日期:2017-02-24 00:00:00
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journal_title:Journal of pain research
pub_type: 杂志文章,评审
doi:10.2147/JPR.S85183
更新日期:2016-06-17 00:00:00
abstract:INTRODUCTION:Pain is a common symptom presented in the emergency department (ED) although it is often underestimated, poorly evaluated and treated. The application of a protocol for timely pain management ensured by the nurse can avoid the delays in the analgesic treatment and improve the patient's quality of waiting. ...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S138850
更新日期:2017-10-16 00:00:00
abstract::The objective of this study was to evaluate the relationship between magnetic resonance imaging (MRI) findings and previous low back pain (LBP) in participants without current LBP. Current LBP was defined as LBP during the past month. Previous LBP was defined as a history of medical consultation for LBP. Ninety-one pa...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S122380
更新日期:2016-12-29 00:00:00
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journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S131104
更新日期:2017-05-11 00:00:00
abstract:BACKGROUND:Large interindividual differences in clinical responses to opioids and the variable susceptibility to abuse of this class of drugs make their use problematic. We lack a full understanding of the factors responsible for these differences. Dietary factors including methyl donor content have been noted to alter...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S42561
更新日期:2013-01-01 00:00:00
abstract::Purpose: It has been reported that neck pain is more prevalent in episodic migraineurs (EM) than in the general population. Subjects with episodic migraine exhibited widespread hypersensitivity in cranio-cervical region. Our objectives were to explore the potential factors associated with the presence of neck pain for...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S200606
更新日期:2019-05-20 00:00:00
abstract:OBJECTIVE:This systematic review aimed to assess the efficacy, effectiveness, safety, and tolerability of osteopathic manipulative treatment (OMT) in patients with headache. BACKGROUND:Migraine is one of the most common and disabling medical conditions. It affects more than 15% of the general population, causing high ...
journal_title:Journal of pain research
pub_type: 杂志文章,评审
doi:10.2147/JPR.S130501
更新日期:2017-03-14 00:00:00
abstract:Background:Erector spinae plane block (ESPB) as a new trunk fascia block technique was proposed in 2016. ESPB has aroused the interest of many nerve block experts. However, there are few clinical studies on ESPB for lumbar surgery, and its effectiveness and safety are controversial. The goal of this review is to summar...
journal_title:Journal of pain research
pub_type: 杂志文章,评审
doi:10.2147/JPR.S256205
更新日期:2020-07-01 00:00:00
abstract:Background:Thoracoscopic surgery (TS) has been performed as a minimally invasive procedure since the beginning of the 1990s. This has led to a dramatic change in the postoperative condition of these patients, facilitating early ambulation and easier management of postoperative pain. However, empirical evidence on posto...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S147691
更新日期:2017-11-15 00:00:00
abstract:Introduction:Cannabidiol (CBD) is reported to produce pain relief, but the clinically relevant cellular and molecular mechanisms remain uncertain. The TRPV1 receptor integrates noxious stimuli and plays a key role in pain signaling. Hence, we conducted in vitro studies, to elucidate the efficacy and mechanisms of CBD f...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S258433
更新日期:2020-09-11 00:00:00
abstract::Livedoid vasculopathy (LV) is a chronic prothrombotic disease of cutaneous micro-circulation resulting in cutaneous ischemia and infarction. As a rare disease, LV has an estimated incidence of ten cases per million. Not only correct diagnosis but also effective treatments are very difficult for patients with LV. Due t...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S133462
更新日期:2017-03-17 00:00:00
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journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S284874
更新日期:2020-12-30 00:00:00
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journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S55201
更新日期:2013-12-17 00:00:00
abstract:BACKGROUND:Opioid analgesics are effective for postsurgical pain but are associated with opioid-related adverse events, creating a significant clinical and economic burden. Gastrointestinal surgery patients are at high risk for opioid-related adverse events. We conducted a study to assess the impact of an opioid-sparin...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S46467
更新日期:2013-07-18 00:00:00
abstract:Purposes:To investigate the prevalence of pain-related diagnoses in patients with dementia and evaluate the association of pain-related diagnoses with demographic characteristics and dementia subtypes. Patients and methods:In this population-based retrospective cohort study, participants were recruited from a cohort o...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S172875
更新日期:2018-09-03 00:00:00
abstract:Objective:Chronic pain is a highly prevalent and costly condition with few proven treatment options. Since 2014, Geisinger's Department of Pain Medicine has implemented the Multidisciplinary Pain Program (MPP), which consists of a 3-day educational seminar followed by 12 months of comprehensive care. This study examine...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S177231
更新日期:2018-10-18 00:00:00
abstract:Background:Many aspects of study conduct impact the observed effect size of treatment. Data were utilized from a recently published meta-analysis of randomized, double-blind, placebo-controlled, clinical trials performed for the United States Food and Drug Administration (FDA) approval of full mu-agonist opioids for th...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S201751
更新日期:2019-11-20 00:00:00
abstract:Purpose:The aim of this prospective study was to assess the behavior of emergency department (ED) nurses with regard to pain and their role in pain management in a real-life clinical setting. Methods:A total of 509 consecutive patients were enrolled during a 6-week period. A case-report form was used to collect data o...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S266087
更新日期:2020-09-22 00:00:00
abstract:Purpose:Premonitory symptoms (PSs) of migraine are those that precede pain in a migraine attack. Previous studies suggest that treatment during this phase may prevent the onset of pain; however, this approach requires that patients be able to recognize their PSs. Our objectives were to evaluate patients' actual ability...
journal_title:Journal of pain research
pub_type: 杂志文章
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更新日期:2018-09-27 00:00:00
abstract:Background:The objective of this study was to compare the efficacy of calcitonin with diclofenac sodium in the treatment of patients with nonspecific low back pain (LBP) and type I Modic changes (MC1). Patients and methods:The study was a retrospective observational study with 109 patients who had nonspecific LBP and ...
journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S158718
更新日期:2018-07-17 00:00:00