Vertebroplasty has become a common treatment for painful osteoporotic vertebral fractures, but there is limited evidence to support its use. We are debating what the effectiveness of vertebroplasty. Especially, published paper by Buchbinder using multicenter, randomized, double-blind, placebo-controlled trial methods, there were no beneficial effect of vertebroplasty as compared with a sham procedure in patients with painful osteoporotic vertebral fractures, at 1 week or at 1, 3, or 6 months after treatment. We have some problems about the risk of subsequent vertebral fractures, particularly in vertebrae that are adjacent to treated levels, sometimes after cement has leaked into the adjacent disk. But according to the previous many study and my experiences, Percutaneous vertebroplasty should be considered as a valid therapeutic option in symptomatic acute amyelic osteoporotic vertebral fractures with refractory pain after a short period of analgesic drug therapy. Therefore, I reviewed Buchbinder's result and previous similar papers.
Drug Therapy ; Humans ; Pain, Intractable ; Spine ; Vertebroplasty

Cancer pain is one of the commonly-seen main clinical symptoms for the terminal cancer patient, and severely influences quality of life of the patient, which needs to be solved urgently. Application of analgesics is limited by its addiction and side effects. Acupuncture as one of TCM therapies with advantages of safety, effectiveness and no side effect is playing an important role in treatment of cancer pain. This article reviews recent 10 years' acupuncture and moxibustion methods for treatment of cancer pain, so as to better guide acupuncture and moxibustion treatment of cancer pain and provide necessary research data for future studies.
Acupuncture Therapy ; Humans ; Moxibustion ; Neoplasms ; physiopathology ; Pain, Intractable ; therapy

Acupuncture Therapy ; Adult ; Back Pain ; therapy ; Chest Pain ; therapy ; Female ; Humans ; Pain, Intractable ; therapy

The management of chronic pain, particularly neuropathic pain, still has significant unmet needs. In addition to inadequate symptomatic relief, there are concerns about adverse effects and addiction associated with treatments. The transplantation of cells that secrete neuroactive substances with analgesic properties into the central nervous system has only become of practical interest in more recent years, but provides a novel strategy to challenge current approaches in treating chronic pain. This review covers pre-clinical and clinical studies from both allogeneic and xenogeneic sources for management of chronic refractory pain.
Central Nervous System ; Chronic Pain ; Genetic Therapy ; Neuralgia ; Pain, Intractable ; Tissue Therapy ; Transplants

Acupuncture Points ; Acupuncture Therapy ; Adult ; Headache ; therapy ; Humans ; Male ; Pain, Intractable ; therapy ; Scalp ; Treatment Outcome

Acupuncture Therapy ; Female ; Humans ; Middle Aged ; Pain, Intractable ; therapy ; Trigeminal Neuralgia ; therapy

Pain is as old as mankind and is one of the physiological defense mechanisms, but when it lasts long, it may be harmful. We decided to conduct an exploratory trial with nerve block and acupuncture for 134 patients referred to this clinic with chronic or intractable pain syndromes. We used Model 6.25 and G6805 Electrotherapeutic Apparatus for acupuncture therapy. The results were as follows: (1) Sex and age distribution: 64 were male, 79 were female and 91 patients were over 40 years of age. (2) Localigation of pain: Scapular and upper extemities in 53 among 143 patients. (3) Method of treatment: Nerve block 84, low frequency electrical acupuncture 92 and combined therapy in 3 patients. (4) Effect of treatment: 92% of various nerve blocks and 88% of low frequency electrical acupuncture therapy gave good results.
Acupuncture ; Acupuncture Therapy ; Age Distribution ; Defense Mechanisms ; Female ; Humans ; Male ; Nerve Block* ; Pain Clinics* ; Pain, Intractable

Cancer pain is complex and multifactorial. Most cancer pain can be effectively controlled using analgesics in accordance to the WHO analgesic ladder. However, in a small but significant percentage of cancer patients, systemic analgesics fail to provide adequate control of cancer pain. These cancer patients can also suffer from intolerable adverse effects of drug therapy or intractable cancer pain in advance disease. Though the prognosis of these cancer patients is often very limited, the pain relief, reduced medical costs and improvement in function and quality of life from a wide variety of available interventional procedures is extremely invaluable. These interventions can be used as sole agents or as useful adjuncts to supplement analgesics. This review will discuss interventional procedures such as epidural and intrathecal drug infusions, intrathecal neurolysis, sympathetic nervous system blockade, nerve blocks, vertebroplasty and the more invasive neurosurgical procedures. Intrathecal medications including opioids, local anaesthetics, clonidine, and ziconotide will also be discussed.
Analgesics ; therapeutic use ; Humans ; Neoplasms ; physiopathology ; Pain Measurement ; Pain, Intractable ; drug therapy ; surgery

Hyperthermia is an efficient type of cancer treatment in which body tissue is exposed to high temperatures to damage and kill cancer cells. Previous studies have focused on the treatment of tumor, however,it can not substitute for traditional methols. In recent years,new research in shows hyperthermia plays an important role in bone metastasis pain control because of the advantages of width rang,rapid onset and noninvasive, and it is therefore well used in. It is also becoming one of classical methods for bone metastasis from cancer. This article reviews recent research and progress of mechanisms of hyperthermia in relief of bone metastasis pain.
Bone Neoplasms ; physiopathology ; secondary ; therapy ; Humans ; Hyperthermia, Induced ; Pain, Intractable ; therapy

Acupuncture Therapy ; Adult ; Back Pain ; diagnosis ; therapy ; Female ; Humans ; Male ; Middle Aged ; Pain, Intractable ; diagnosis ; therapy ; Young Adult