Injection therapies play a major role in the treatment of low back pain and radiculopathy and are becoming integral parts of a multidisciplinary approach in treatment and rehabilitation of patients with pain. Pararadicular- and facet-joint injections in the lumbar spine are preferentially performed with computed tomography (CT) or fluoroscopy-guidance. In this paper we present an alternative, s...

background: the use of transcutaneous electrical nerve stimulation (tens) in dentistry was fi rstdescribed in 1967, by shane and kessler, but it has yet to gain widespread acceptance in dentistry. a study was undertaken to evaluate the effectiveness of tens therapy as an adjuvant modality and to compare it with the conventional medication in controlling pain in temporomandibular disorder (tmd) ...

Acupuncture has been used as a therapeutic modality for more than 3000 years, but it is only since the 1970s that a greater understanding of the underlying mechanisms of acupuncture analgesia (AA) has developed. This growth in understanding of AA has paralleled the scientific advances made in uncovering the physiology of pain perception. Similar to many ancient healing traditions, acupuncture h...

Massage therapy is one of the most widely accepted alternative form of medicine helping patients suffering from varied pathological states including arthritis, anxiety, sleep problems, pain management and injury repair. Besides this, it is one of the safest forms of alternative medicine and has become favorite among various health care professionals. However, there is still a lot of debate is g...

BACKGROUND Due to tolerance development and adverse side effects, chronic pain patients frequently need to be switched to alternative opioid therapy OBJECTIVE To assess the efficacy and tolerability of an alternative transdermally applied (TDS) opioid in patients with chronic cancer pain receiving insufficient analgesia using their present treatment. METHODS A total of 32 patients received ...

BACKGROUND Acupuncture is a popular form of complementary and alternative medicine (CAM), but it is not clear why patients do (or do not) follow acupuncturists' treatment recommendations. This study aimed to investigate theoretically-derived predictors of adherence to acupuncture. METHODS In a prospective study, adults receiving acupuncture for low back pain completed validated questionnaires...

OBJECTIVES This systematic review was undertaken to evaluate which complementary and alternative medicine (CAM) therapies are being used for persons with back pain in the United States. DATA SOURCES MEDLINE, CINHAHL, EMBASE, and Cochrane Central, and a variety of CAM specific databases were searched from 1990 to November 2007. A grey literature search was also undertaken, particularly for cli...

osteoarthritis (oa) is a prevalent chronic disease impacting on quality of life and has societal and economical burden increasing with age. yet, no confirmed pharmacological, biological or surgical therapy could prevent the progressive destruction of oa joint. mesenchymal stem cells (mscs) with immunosuppressive activities emerged a potential therapy. we describe a magnetic resonance images (mr...

ketamine is a promising alternative agent for pain control that offers benefit to traditional strategies, particularly in the setting of rib fracture. current pharmacologic therapies have clear adverse effects, and other options may be invasive, cost prohibitive, or marginally effective. we describe three consecutive patients with traumatic injuries including rib fracture for which a ketamine i...