Breathlessness is a distressing symptom, uniformly faced at some point in the disease process all patients with Chronic Obstructive Pulmonary Disease (COPD). Despite maximal medical therapy and pulmonary rehabilitation, COPD continue to experience refractory dyspnea, pain, poor appetite, limitations of physical activity, emotional distress, depression overall health-related quality life. Our cu...

AIMS To carry out a systematic review of the literature in order to assess the pain-relieving effect and safety of pharmacologic interventions in the treatment of chronic temporomandibular disorders (TMD), including rheumatoid arthritis (RA), as well as atypical facial pain (AFP), and burning mouth syndrome (BMS). METHODS Study selection was based on randomized clinical trials (RCTs). Inclusi...

BACKGROUND The emergency department (ED) setting is an environment where children may experience intense physical pain and emotional stress. This study sought to determine the availability of pain and anxiety management practices in all Israeli emergency departments which accept children, specifically looking for differences between accredited pediatric emergency medicine departments and others...

OBJECTIVE This paper reviews the published literature on the pharmacologic management of somatoform disorders. METHODS Using Medline, the author identified all articles published between 1970 and 2003 on this topic, selecting the best-designed studies for inclusion. RESULTS The review reveals that patients with the obsessional cluster of somatoform disorders (hypochondriasis and body dysmor...

Osteoarthritis is one of the most common forms of arthritis seen in primary care practice. Pain associated with this condition is the chief complaint of most patients, prompting them to seek medical attention. Pain can originate from the synovial membrane, joint capsule, periarticular muscles and ligaments, and periosteum and subchondral bone, among other sources. Although osteoarthritis is tra...

Medical procedures that cause moderate to severe pain occur over a wide spectrum of patient ages and medical settings, yet do not always warrant formal anesthesia or deep sedation. For example, in conscious children with cutaneous burn injuries, the intense and repeated ‘therapeutic’ pain of daily burn wound debridement and/or post-burn physical therapy exacerbates the significant pain of the u...

Pain management in dogs and cats has undergone a dramatic evolution in the past decade. Current approaches focus on anticipation and prevention of pain, as well as both pharmacologic and nonpharmacologic management techniques. The veterinary team plays an essential role in educating pet owners about recognizing and managing pain in their pets.