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Scrambler therapy involves the use of electronic stimulation on the skin with the goal of overwhelming pain information with non-pain information. [1] In a therapy session, "electrocardiographic-like pads are placed around the area of pain". [2] Limited research has been done on the effectiveness of scrambler theory. [3]
Interventional pain management or interventional pain medicine is a medical subspecialty defined by the National Uniforms Claims Committee (NUCC) as, " invasive interventions such as the discipline of medicine devoted to the diagnosis and treatment of pain related disorders principally with the application of interventional techniques in managing sub acute, chronic, persistent, and intractable ...
Undertreatment of pain is the absence of pain management therapy for a person in pain when treatment is indicated. Consensus in evidence-based medicine and the recommendations of medical specialty organizations establish guidelines to determine the treatment for pain which health care providers ought to offer. [91]
Extracorporeal shockwave therapy is used as a second line measure to treat tennis elbow, [9] [10] [11] shoulder rotator cuff pain, [12] [13] Achilles tendinitis, [14] [15] plantar fasciitis, [16] [17] and greater trochanteric pain syndrome. [18] ESWT is also used to promote bone healing and treat bone necrosis. [19]
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In a randomized controlled study of patients with neuropathic pain, Scrambler therapy appeared to be more beneficial than guideline-based drug management at relieving chronic neuropathic pain as assessed with a visual analog scale (P < .0001) [64].
Cryoablation has been explored as an alternative to radiofrequency ablation in the treatment of moderate to severe pain in people with metastatic bone disease. The area of tissue destruction created by this technique can be monitored more effectively by CT than RFA, a potential advantage when treating tumors adjacent to critical structures.
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