Journal of Back and Musculoskeletal Rehabilitation - Volume 9, issue 3

Authors: Rucker, Karen S.

Article Type: Editorial

DOI: 10.3233/BMR-1997-9301

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 199-199, 1997

Article Type: Editorial

DOI: 10.3233/BMR-1997-9302

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 199-199, 1997

Authors: Rosomoff, Hubert L. | Rosomoff, Renee Steele | Fishbain, David

Article Type: Research Article

DOI: 10.3233/BMR-1997-9303

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 201-208, 1997

Authors: Krames, Elliot S.

Article Type: Research Article

Abstract: Pain due to terminal illness such as AIDS and cancer-related pain should be managed according to the guidelines set forth by the World Health Organization. These guidelines suggest a pharmacologic tailoring approach to the level and intensity of the patient's pain. These guidelines obey the KISS principal (keep it simple) suggesting the use of less potent analgesic agents before utilizing more potent agents. Likewise, the treatment of non-malignant pain should be based on the same KISS principal utilizing least costly and least invasive therapies either in series or in parallel until the patient's pain is well managed. Interventional strategies and …certainly implantable technologies for pain control have a place as ‘tools’ for the management of cancer, AIDS, and non-malignant-related pain syndromes. Since these therapies are costly and invasive, they should be used only after the failure of more conservative, less invasive and less costly therapies. This paper outlines a rational place for the use of implantable modalities for the treatment of cancer, AIDS and non-malignant pain. Show more

Keywords: Implantable technologies, Spinal cord stimulation, Spinal opioids, Therapeutic failure, Therapeutic rationale, Treatment continuum

DOI: 10.3233/BMR-1997-9304

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 209-222, 1997

Authors: King, Steven A.

Article Type: Research Article

Abstract: Many patients with pain also suffer from depression. The exact relationship between these two problems is unclear but it appears that, in many patients, the depression may not simply be secondary to the pain. When these problems coexist, successful management requires the proper assessment and treatment of both. This paper discusses depressive disorders associated with pain and their treatment, with special focus on medication management.

Keywords: Depression, Pain, Psychiatric diagnosis, Antidepressant medications, benzodiazepines

DOI: 10.3233/BMR-1997-9305

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 223-231, 1997

Authors: Panchal, Sunil | Staats, Peter S.

Article Type: Research Article

DOI: 10.3233/BMR-1997-9306

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 233-245, 1997

Authors: Tewari, Rajiv | Boswell, Mark V. | Rosenberg, Samuel K.

Article Type: Research Article

Abstract: Neuropathic pain is common and may be resistant to usual doses of analgesic medications. However, an improved understanding of the pathophysiology of neuropathic pain and a growing number of adjuvant medications that are useful for the treatment of neuropathic pain provide renewed hope for clinicians and their patients. It is useful to classify adjuvant analgesic drugs into two broad categories. Membrane stabilizing agents, which include the anticonvulsants, antiarrhythmics and probably corticosteroids, may act by blocking sodium channels on damaged neural membranes. Medications that enhance dorsal horn inhibition, which include the antidepressants and some anticonvulsants, may augment biogenic amine or GABAergic …mechanisms in the dorsal horn of the spinal cord. Current evidence regarding efficacy generally does not support the use of one agent over another and selection of a particular agent may depend in part on the expected side effects or experience with a given drug. For maximum analgesic effect, more than one agent may be necessary and to improve therapy and minimize side effects, medications generally should be started at lower doses and titrated slowly to effect. Although labor-intensive, this strategy may improve compliance and optimize patient care. Show more

Keywords: Neuropathic pain, Membrane stabilizing agents, Anticonvulsants, Antidepressants, Antiarrhythmics, Corticosteroids

DOI: 10.3233/BMR-1997-9307

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 247-254, 1997

Authors: Herman, Richard M. | D'Luzansky, Stephen C.

Article Type: Research Article

DOI: 10.3233/BMR-1997-9308

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 255-263, 1997

Authors: Houck, Constance S.

Article Type: Research Article

DOI: 10.3233/BMR-1997-9309

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 265-278, 1997

Authors: Long, Stephen P.

Article Type: Research Article

DOI: 10.3233/BMR-1997-9310

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 279-297, 1997

Authors: Pavelis, K.W.

Article Type: Research Article

DOI: 10.3233/BMR-1997-9311

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 299-302, 1997

Article Type: Other

DOI: 10.3233/BMR-1997-9312

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 303-303, 1997

Article Type: Other

DOI: 10.3233/BMR-1997-9313

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 305-305, 1997

Article Type: Other

DOI: 10.3233/BMR-1997-9314

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 307-308, 1997

Article Type: Other

DOI: 10.3233/BMR-1997-9315

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 9, no. 3, pp. 309-311, 1997