The American Academy of Pain Medicine      Annual Meeting Home Page     
24th Annual Meeting
February 13-16, 2008
Orlando, FL

© 2006 American Academy of Pain Medicine
 


Thursday, February 14, 2008
188

Immediate Relief of Non-painful Discomfort with an Acute Sciatic Nerve Press

Jiman He, PhD, Brown University, Pawtucket, RI, USA

Introduction: Physical discomfort can include a number of symptoms such as fullness, bloating, nausea, vomiting, etc. We have recently published a new analgesic method which can produce immediate pain relief. In this study, we investigated whether or not, the method worked to relieve “non-painful discomfort”. Methods: The study was a randomized placebo-controlled trial of 53 patients with non-painful discomfort executed in a cancer care center, and an internal medicine clinic. The study was separately approved by the two participating hospitals. The non-painful discomfort reported by tumor patients occurred with late stage tumor or chemotherapy, and by patients from internal medicine clinics occurred with rheumatism, renal diseases or high fever etc. For the study, fist pressure was applied simultaneously to the back of thighs for the “2-minute sciatic nerve press”, and on the front thighs for the “placebo press”. After a baseline pain rating, doctors applied 11 to 20 kg of manual pressure for 2 minutes. Then, patients rated discomfort for a 20 min period. Results: The “2-minute sciatic nerve press” produced rapid relief of non-painful discomfort. The relief after the “sciatic press” averaged 51.9% (p<0.001) for the tumor patients, and 37.3% for the patients from the internal medicine clinic. Nearly 33% of the patients reported no relief. Conclusion: Acute sciatic nerves press can produce immediately significant relief of non-painful discomfort for short-term purposes.

References: He J, Wu B, Zhang W, Ten G: Immediate and short-term pain relief by acute sciatic nerve press: a randomized controlled trial. BMC Anesthesiol 2007, 7:4

Kawasaki M, Ushida T, Tani T, Yamamoto H: Changes of wide dynamic range neuronal responses to mechanical cutaneous stimuli following acute compression of the rat sciatic nerve. J Orthop Sci 2002, 7(1):111-116.

Yao T, Andersson S, Thoren P: Long-lasting cardiovascular depressor response following sciatic stimulation in spontaneously hypertensive rats. Evidence for the involvement of central endorphin and serotonin systems. Brain Res 1982, 244(2):295-303.
Funding: None

Jiman He, PhD
Nothing to disclose.