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A self-administered method of acute pressure block of sciatic nerves for short-term relief of dental pain: A randomized study(Open Access)

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机构: [a]Pain Medicine Program, IDD, Nanfang Hospital, Southern Medical University, Guangzhou, China [b]Pain Medicine Program, Department of Dentistry, School of Stomatology, Nanfang Hospital, Southern Medical University, Guangzhou, China [c]Pain Medicine Program, Teaching Hospital of Chengdu, University of Traditional Chinese Medicine, Guangzhou, China [d]Anhui Province Hospital, Anhui Medical University, Hefei, China [e]Department of Medicine, Alpert Medical School, Brown University, Providence, Rhode Island, United States
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关键词: Complementary therapies Dental diseases Pain Pressure Sciatic nerve Self-administered method

摘要:
Objectives: While stimulation of the peripheral nerves increases the pain threshold, chronic pressure stimulation of the sciatic nerve is associated with sciatica. We recently found that acute pressure block of the sciatic nerve inhibits pain. Therefore, we propose that, the pain pathology-causing pressure is chronic, not acute. Here, we report a novel self-administered method: acute pressure block of the sciatic nerves is applied by the patients themselves for short-term relief of pain from dental diseases. Design: This was a randomized, single-blind study. Setting: Hospital patients. Patients: Patients aged 16-60 years with acute pulpitis, acute apical periodontitis, or pericoronitis of the third molar of the mandible experiencing pain ≥3 on the 11-point numerical pain rating scale. Interventions: Three-minute pressure to sciatic nerves was applied by using the hands (hand pressure method) or by having the patients squat to force the thigh and shin as tightly as possible on the sandwiched sciatic nerve bundles (self-administered method). Outcomes: The primary efficacy variable was the mean difference in pain scores from the baseline. Results: One hundred seventy-two dental patients were randomized. The self-administered method produced significant relief from pain associated with dental diseases (P≤0.001). The analgesic effect of the self-administered method was similar to that of the hand pressure method. Conclusions: The self-administered method is easy to learn and can be applied at any time for pain relief. We believe that patients will benefit from this method. © 2014 The Authors. Pain Medicine published by Wiley Periodicals, Inc. on behalf of American Academy of Pain Medicine.

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第一作者机构: [a]Pain Medicine Program, IDD, Nanfang Hospital, Southern Medical University, Guangzhou, China
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通讯机构: [a]Pain Medicine Program, IDD, Nanfang Hospital, Southern Medical University, Guangzhou, China [e]Department of Medicine, Alpert Medical School, Brown University, Providence, Rhode Island, United States [*1]Pain Medicine Program, IDD, Nanfang Hospital, Southern Medical University, Guangzhou, China.
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