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This report describes updates made to the OAFP measure during the measure evaluation process, specifically background information on the measure and its development, a description of the update, the impacts of the changes on the measure cohort and outcome, and overall measure results.

Surgical management of chronic pain after inguinal hernia repair

Surgical Management of Osteoarthritis of the Knee. Clinical Practice Guideline Clinical practice guidelines CPG provide evidence-based recommendations for current orthopaedic diagnostic, treatment, and postoperative procedures. Remember Me. This is a preview of subscription content, log in to check access. Compliance with ethical standards Conflict of interest None.

The Science of Pain Management

Informed consent Written consent was obtained from all patients. Eagle W Symptomatic elongated styloid process; report of two cases of styloid process-carotid artery syndrome with operation. Slavin KV Eagle syndrome: entrapment of the glossopharyngeal nerve? Case report and review of the literature. Neurosurgery — CrossRef Google Scholar.

Peripheral Nerve Surgery

Blumenfeld A, Nikolskaya G Glossopharyngeal neuralgia. Karibe H, Shirane R, Yoshimoto T Preoperative visualization of microvascular compression of cranial nerve IX using constructive interference in steady state magnetic resonance imaging in glossopharyngeal neuralgia. The current high incidence of chronic low back pain in developed countries has little to do with biomedical explanations and is best understood in terms of a biopsychosocial framework, including work dissatisfaction, secondary gain and a cultural bias toward symptom relief.

In Western medicine, current approaches to this problem, including the overuse of expensive diagnostic imaging, have failed and have in fact exacerbated the problem, because of the misunderstanding of the aetiology of the condition. The well documented ageing of our population and our increasingly sedentary lives are enhancing the epidemic of chronic low back pain.

Our patients are presenting with high expectations of modern medicine and, in many cases, there are additional entitlements to monetary gains from workplace injury and third-party incidents. Multiple procedures have been carried out for spinal fusions, particularly in the past 20 years, but the surgery remains controversial with respect to aetiology and indication.

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There has been a lack of patient-oriented surgical outcomes, and there is a lack of outcomes for most things that we do for chronic low back pain. In conclusion, there is a growing tendency for the astute spinal surgeon to have all patients assessed independently and, at times, for them to attend an interdisciplinary pain program to clarify issues of psychological origin that might complicate recovery. While the spinal fusion procedure remains controversial, it would be valuable for spinal surgeons to undertake a national audit of patient-centred outcomes for the procedure, similar to the excellent audit carried out for hip and knee arthroplasties by the Australian orthopaedic surgeons.

Provenance: Commissioned; not externally peer reviewed.


Neurology | Surgical Management of Pain

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First page. Short reports. Guidelines and statements. Narrative reviews. Ethics and law. Medical education. Volume Issue 8. Surgical management of low back pain. Leigh Atkinson and Andrew Zacest. Med J Aust ; 8 : Topics Nervous system diseases. Musculoskeletal diseases.

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