Evaluation Of A Form Of Manual Therapy ( Mt ) Affects Conditioned Pain Modulation Essay

Clinical Topics: ACOEM Pain, Suffering, and the Restoration of Function Chapter guidelines stress the importance of a time-limited treatment plan with clearly defined functional goals, with frequent assessment and modification of the treatment plan based upon the patient’s progress in meeting those goals, and monitoring from the treating physician is paramount. In addition, CA MTUS Acupuncture Medical Treatment Guidelines state that acupuncture can be used to reduce pain, reduce inflammation, increase blood flow, increase range of motion, decrease the side effect of medication-induced nausea, promote relaxation in an anxious patient, and reduce muscle spasm. Furthermore, guidelines state that time to produce functional improvement of 3 – 6 treatments. The patient has chronic neck pain. The latest progress report indicated that the pain is rated 9/10-scale level. Medications and PT have been tried and provided minimal improvement is her pain. The guidelines support 3 to 6 treatments of acupuncture to produce functional improvement. In addition, the latest progress report discussed about continued acupuncture 2X4. It is unclear if the patient has received acupuncture treatment for the cervical spine before. If yes; number of sessions completed to date, functional improvement and pain relief from the prior treatment should be documented. Additional information is required to certify the request. Recommend

Chronic pain is a tremendous public health problem, and a costly one. As health care advances and the need for palliative care rises, patients and health care providers are constantly investigating alternative methods of pain treatment and management. Questioning and challenging traditional health policies and practices has created a curiosity in the use of cannabis as an alternative option to standard opioids, for the management of chronic pain. Cannabis, is a leafy green plant consisting of buds and leaves of the cannabis sativa forma indica plants. Marijuana has been used in holistic solutions for hundreds of years; it has also been especially prevalent among terminally ill patients, who have been reported using it to alleviate symptoms like chronic pain, nausea and depression.

Because yoga is a practice that inherently stretches and strengthens muscles and improves posture, it is one your physical therapist may recommend. Yoga International says that the postural awareness yoga practice fosters is effective for lasting relief from a pain in your neck, and offers a few suggestions for yoga poses for neck pain that can be done while sitting in a chair.

Chronic pain is a tremendous public health problem, and a costly one. As health care advances and the need for palliative care rises, patients and health care providers are constantly investigating alternative methods of pain treatment and management. Questioning and challenging traditional health policies and practices has created an interest in the use of cannabis as an alternative option to standard opioids, for the management of chronic pain. Cannabis, or marijuana, is a leafy green plant consisting of buds and leaves of the cannabis sativa forma indica plants. Marijuana has been used in holistic solutions for hundreds of years; it has also been especially prevalent among terminally ill cancer patients, who have been reported using it to alleviate symptoms like chronic pain, nausea and depression.

Pain is one of the most influential symptoms that leads individuals to reach out to health care professionals to seek relief. Pain is subjective and unique to each person. Some individuals may have a higher pain tolerance than others. According to Frandsen (2014), “Pain is an unpleasant, sensory, emotional sensation associated with actual or potential tissue injury” (p. 889). Pain may be caused by a variety of elements, such as tissue or nerve damage and surgery. There are three main categories that pain is classified by, which are origin, duration, and cause. The main focus of this paper is on acute pain, chronic pain, and phantom pain. It is crucial to know how to assess each type of pain, as well as how to enhance it, or decrease the pain.

We are grateful for the “Manual Therapy” reviewers thoughtful review and suggestions to improve our manuscript. Our author team has reviewed, considered, and responded to all comments and suggestions the reviewers proposed in accordance with “Manual Therapy” guidelines. Thus, we are submitting a revised manuscript “The Immediate Cardiovascular Response to Joint Mobilization of the Neck- A Randomized, Placebo-Controlled Trial in Pain-Free Adults” for follow-up consideration for publication in “Manual Therapy”. We are hopeful that our work will be deemed as valuable and disseminated for other manual therapists to consider.

The authors of the article each come with their own perepectives on pain management in the cognitively impaired older adult.

The results of this study show that both treatment interventions are just as effective in pain reduction and increased spinal mobility following a single treatment. A post boc correlation (relationship between variables) analysis was performed in order to explore the relationship between changes in pain and lumbar extension motion. Researchers analyzed the relationship between an increase in motion and decrease in pain for this study.

The strength of this recommendation is inconclusive. As practitioners, we should have minimum restraint in following this recommendation and should be on the lookout for new evidence in addition to strongly listening to patient preference. This recommendation is based upon three RCT’s. Two of these studies were of high strength and one was of moderate strength with regard to quality. All three of these studies had moderate applicability. In these studies, pain improvement was not consistently statistical significant (MD = .81, 95% CI -1.76, .14; MD = 2.26, p<.001; MD = -.82, 95% CI -1.247, -.39), and neither was function (MD = 3, 95% CI -1.05, 7.05; MD = 6.54, p=.001). In addition, the authors concluded the clinical significance of these findings were

Validity: Overall the study is valid but limited as the study examined individual patients as a single case making the ability to generalize limited. The foremost dilemma with the study is the challenge in determining the difference in scores that correspond directly to a clinically important modification. The ability of the VAS to detect significant changes relies heavily on an established baseline as a standard to compare future data. Throughout the duration of the study, patients were asked frequently to complete the VAS and RMQ, this may possibly lead to learning effects which may impact the results of the pain and functional status

Treatment Differential Effects and identify moderating variables. The CSE training tends to be a successful intervention for the patients with CLBP; however, considering the barriers to successful implementation pave the way to efficaciousness of the CSE training program. From the critical analysis, the characteristics of the patients with CLBP who will get least benefit from the CSE training program may be older adults with multiple-comorbidities, severe pain intensity, high physical functional limitation, severe spinal instability, and social isolation or lack of social-family support; these older adults are excluded from the study. The other moderator variables will be the facilitator skills and the environment or clinical setting that can

According to Leventhal, (1999) and Leibing et al. (2002), complementary therapies, including acupuncture are frequently administered in patients with chronic neck and

Chronic low back pain is known as the most disabling and therapeutically challenging pain disorders, mostly prevalent in older adults. If untreated, chronic low back pain could potentially affect patients in terms of pain, activity limitations, participation restrictions, influence on career, use of sanitary resources, and financial burdens (Castagnoli 1t al.2015). The management of chronic low back pain encompasses a wide range of interventions including surgery, drug therapy, and non-medical interventions. A non-pharmacological intervention, also known as a physiotherapy treatment, is believed to be central in the management of chronic low back pain (Hurkmans et al. 2011). Physiotherapy interventions involve the use of different procedures such as general exercise, physical modalities, massage or manual therapy, McKenzie therapy, bathing therapy and education (Hurkmans et al. 2011). However, the question remains concerning which one of the proposed interventions would be more appropriate for treatment of chronic low back pain and therefore produce the most

McDonald (2014) wrote the article Trialing to Pain Control: A Grounded Theory to discuss a study that looks at the social psychological process of managing ineffectively relieved pain in adults. The author recognizes that pain is a significant problem in health care affecting millions of American adults. The study showed the basic problem clients were facing was a perception of running out of options for treatment. The purpose of this study was to assess adults’ social psychological process relating to inappropriately managed pain.

Background: Neck pain is a prevalent global malady. Physiotherapists apply joint mobilization (JM) as a routine, pragmatic procedure for neck pain. Perhaps because JM is widely known as an effective intervention as concluded by multiple systematic reviews and meta-analyses. One easy-to-perform variant of JM is unilateral anterior glide (UPA). The purported rationale of how pain modulation is attained when employing JM is expounded as a neurophysiologic mechanism. Notwithstanding, the neurophysiologic system that alters pain overlaps with blood pressure (BP) as observed in BP-related hypoalgesia. Therefore, BP is a pertinent and easily quantified variable to examine. Nonetheless, there is scant literature on the cardiovascular response to UPA.