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Uncategorized Published - 24 July, 2015    By - Dr Clemens
Spinal and Nucleus Caudalis Dorsal Root Entry Zone Lesioning for Chronic Pain: Efficacy and Outcomes

Published in World Neurosurgery April 2015 Authors: Chivukula S et al BACKGROUND The role for nucleus caudalis (NC) and spinal dorsal root entry zone (DREZ) lesioning in the management of chronic pain emanating from increased electrical activity in the dorsal horn of the spinal cord and brainstem remains largely uncharted. METHODS All patients that underwent […]

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Uncategorized Published - 24 July, 2015    By - Dr Clemens
Easy to Harm, Hard to Heal: Patient views about the Back

Published in Spine Mar 2015 Authors: Darlow B. et al STUDY DESIGN Qualitative interview study Objective. Explore attitudes, beliefs, and perceptions related to low back pain (LBP), and analyze how these might influence the perceived threat associated with back pain. SUMMARY OF BACKGROUND DATA Psychological factors which contribute to the perceived threat associated with LBP […]

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Uncategorized Published - 24 July, 2015    By - Dr Clemens
Impaired Sleep Linked to Lower Pain Tolerance

People with insomnia and other sleep problems have increased sensitivity to pain, according to a study published in the journal Pain. The effect on pain tolerance appears strongest in people who suffer from both insomnia and chronic pain, who may benefit from treatments targeting both conditions. The study included more than 10,400 adults from a […]

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Uncategorized Published - 23 July, 2015    By - Dr Clemens
The Contribution of Differential Opioid Responsiveness to Identification of Opioid Risk in Chronic Pain Patients

J Pain 2015 Jul;16(7):666-75. Authors: Bruehl S et al Abstract The Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) predicts increased risk of opioid misuse in chronic pain patients. We evaluated whether higher SOAPP-R scores are associated with greater opioid reinforcing properties, potentially contributing to their predictive utility. Across 2 counterbalanced laboratory sessions, 55 chronic low […]

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Uncategorized Published - 23 July, 2015    By - Dr Clemens
Effectiveness of transcranial direct current stimulation preceding cognitive behavioural management for chronic low back pain: sham controlled double blinded randomised controlled trial

BMJ. April 2015; 350: h1640. Authors: Kerstin Luedtke postdoctoral researcher, et al Objective To evaluate the effectiveness of transcranial direct current stimulation alone and in combination with cognitive behavioural management in patients with non-specific chronic low back pain. Design Double blind parallel group randomised controlled trial with six months’ follow-up conducted May 2011-March 2013. Participants, physiotherapists, assessors, and […]

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