Evaluation and ranking of different interventions for pain relief during outpatient hysteroscopy: A systematic review and network meta‐analysis

2020 ◽  
Vol 46 (6) ◽  
pp. 807-827 ◽  
Author(s):  
Nevein K. Ghamry ◽  
Ahmed Samy ◽  
Ahmed M. Abdelhakim ◽  
Ahmed Elgebaly ◽  
Safaa Ibrahim ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pain Relief ◽  
Meta Analysis ◽  
Outpatient Hysteroscopy

scholarly journals Electrical stimulation for pain relief in knee osteoarthritis: systematic review and network meta-analysis

2015 ◽  
Vol 23 (2) ◽  
pp. 189-202 ◽  
Author(s):  
C. Zeng ◽  
H. li ◽  
T. Yang ◽  
Z.-h. Deng ◽  
Y. Yang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Electrical Stimulation ◽  
Pain Relief ◽  
Knee Osteoarthritis ◽  
Meta Analysis

scholarly journals Postoperative Pain Relief after Major Pancreatic Resection: Systematic Review and Meta-analysis of Analgesic Modalities

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S893
Author(s):  
N. Akter ◽  
B. Ratnayake ◽  
D.B. Joh ◽  
S.-J. Chan ◽  
E. Bonner ◽  
...  
Keyword(s):  
Systematic Review ◽  
Postoperative Pain ◽  
Pain Relief ◽  
Pancreatic Resection ◽  
Meta Analysis ◽  
Postoperative Pain Relief

scholarly journals https://painphysicianjournal.com/current

2020 ◽  
Vol 4;23 (7;4) ◽  
pp. 335-348
Author(s):  
Nicholas Van Halm-Lutterodt
Keyword(s):  
Systematic Review ◽  
Pain Relief ◽  
Neck Pain ◽  
Functional Status ◽  
Spinal Stenosis ◽  
Local Anesthetic ◽  
Meta Analysis ◽  
Chronic Neck Pain ◽  
Epidural Injections ◽  
Significant Difference

Background: Chronic neck pain is reportedly considered the fourth leading cause of disability. Cervical interlaminar epidural injections are among the commonly administered nonsurgical interventions for managing chronic neck pain, secondary to disc herniation and radiculitis, spinal stenosis, or chronic neck pain of discogenic origin. Objectives: To systematically review the differences in the effectiveness of cervical epidural injections with local anesthetics with or without steroids for the management of chronic neck pain. Study Design: Systematic review and meta-analysis. Methods: A comprehensive search of the literature of randomized controlled trials (RCTs) that compared epidural injections with local anesthetic with or without steroids was performed, including a search of PubMed, EMBASE, and Cochrane databases for all years up to May 2019. Meta-analysis was done for pain relief based on the Numeric Rating Scale, functional status based on the Neck Disability Index, and opioid intake dosage. Results: Four studies met the inclusion criteria. A total of 370 patients were divided into 2 groups: the experimental group received cervical epidural injection with steroid and local anesthetic, and the control group received injection with local anesthetic only. Regrading pain relief, no significant difference was observed between both groups (weighted mean difference [WMD], –0.006; 95% confidence interval (CI), –0.275 to 0.263; P = 0.963; I2 = 0.0% at 12 months). There was also no significant difference in the improvement of the functional status (WMD, 0.159; 95% CI, –1.231 to 1.549; P = 0.823; I2 = 9.8% at 12 months). Similarly, there was no significant difference in opioid dosage (WMD, –0.093; 95% CI, –5.952 to 5.766; P = 0.975; I2 = 0.0% at 12 months). Limitations: Only a few studies on this premise were found in the literature. There was also a lack of heterogeneity of the included RCT studies. Conclusions: The addition of steroids to anesthetic injectates was not associated with better pain and functional score outcomes compared with anesthetic injectate alone in patients with chronic neck pain. Key words: Chronic neck pain, cervical radiculopathy, cervical disc disease, spinal stenosis, facet joint pathology, cervical epidural injections, steroid injections, local anesthetic injections, systematic review, meta-analysis, randomized control trial

scholarly journals Effects of Physical-Agent Pain Relief Modalities for Fibromyalgia Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Yuichiro Honda ◽  
Junya Sakamoto ◽  
Yohei Hamaue ◽  
Hideki Kataoka ◽  
Yasutaka Kondo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Electromagnetic Field ◽  
Pain Relief ◽  
Meta Analysis ◽  
Thermal Therapy ◽  
Tender Points ◽  
Randomized Controlled ◽  
Physical Agent ◽  
Vas Scores ◽  
Field Therapy

Purpose. We conducted a systematic review and meta-analysis to investigate the effects of the following physical-agent modalities for pain relief in fibromyalgia (FM) patients. Methods. We identified randomized controlled studies of adults with FM in the MEDLINE, CINAHL, and PEDro databases. The primary outcome measure was pain relief measured by a visual analogue scale (VAS), and the secondary outcome measures of interest were subjective improvements in the number of tender points, Fibromyalgia Impact Questionnaire (FIQ), and quality of life (QOL) scores. Results. Eleven studies were included in our review. The studies’ physical-agent modalities were low-level laser therapy (LLLT), thermal therapy, electromagnetic field therapy, and transcutaneous electrical nerve stimulation (TENS). LLLT did not reduce VAS scores, but it significantly reduced both the number of tender points and FIQ score. Thermal therapy was associated with significantly reduced VAS scores, tender points, and FIQ scores. Electromagnetic field therapy was associated with significantly reduced VAS score and FIQ score. TENS significantly reduced VAS scores. Conclusion. Our analyses revealed that thermal therapy and LLLT had a partial effect on pain relief in FM patients, and this beneficial effect may have a positive influence on FM patients’ health status.

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