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Clinical Journal of Pain

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https://www.readbyqxmd.com/read/28177940/emergency-department-pain-management-in-children-with-appendicitis-in-a-bi-ethnic-population
#1
Ron Jacob, Baruch Krauss, Gal Twito, Ronit Leiba, Itai Shavit
OBJECTIVES: Our goal was to examine factors associated with the administration of ED analgesia (any analgesia, opioid analgesia) in patients with acute appendicitis in a tertiary children's hospital in Israel, and to examine ethnic differences. METHODS: A retrospective cohort study of children evaluated in the ED, who had ICD-9 diagnosis of acute appendicitis. Regression analysis was used to test the effect of multiple variables on the provision of analgesia. Medications were administered according to a nurse-driven pain protocol...
February 7, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28177939/review-of-the-evidence-on-the-efficacy-of-dexamethasone-on-postoperative-analgesic-consumption
#2
Chrysanthi Batistaki, Evagelia Kaminiotis, Thomas Papadimos, Georgia Kostopanagiotou
OBJECTIVES: The effect of dexamethasone on analgesic consumption has not been adequately studied. The aim of this review was to investigate recent literature regarding the possible effect of dexamethasone on postoperative analgesic consumption. METHODS: Critical review of randomized trials, and prospective consecutive studies, investigating the post-operative analgesic effect of dexamethasone was performed. Only studies published during 2006-2015 were included. RESULTS: Forty-one studies met the inclusion criteria; 33 in adults and 8 in children (9 in general surgery, 8 in gynecological/breast surgery, 8 in orthopedic/spinal surgery, 8 in head/neck surgery, 7 in children's tonsillectomy, and 1 in children's orchiopexy)...
February 7, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28157138/expectancy-reduces-symptoms-but-not-functional-impairment-following-exercise-induced-musculoskeletal-injury
#3
William C Hedderson, Geoffrey C Dover, Steven Z George, Joshua A Crow, Paul A Borsa
OBJECTIVES: To quantify the extent to which the participant-provider interaction influences the response to sham treatment following exercised-induced acute musculoskeletal pain. METHODS: Forty participants between the ages of 18 and 35 volunteered for the study. Participants came to the laboratory for three test sessions 48-hours apart (Day 1, 3 and 5). During the initial session, baseline measures were assessed and participants underwent a fatigue protocol for the biceps brachii...
February 2, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28145912/possible-opioid-shopping-and-its-correlates
#4
Alexander M Walker, Lisa B Weatherby, M Soledad Cepeda, Daniel Bradford, Yingli Yuan
BACKGROUND: We created an operational definition of possible opioid shopping in US commercial health insurance data and examined its correlates. METHODS: The population consisted of 264,204 treatment courses in persons with a fill for an opioid or diuretic prescription in 2012 and a second within 18 months. We examined counts of prescribers and pharmacies and the numbers of fills and overlaps for ability to discriminate courses of opioids from diuretics, which were a negative control...
January 31, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28145911/chronic-pain-and-itch-are-common-morbid-sequelae-among-individuals-who-receive-tissue-autograft-after-major-thermal-burn-injury
#5
Matthew C Mauck, Jennifer Smith, Andrea Y Liu, Samuel W Jones, Jeffrey W Shupp, Marie A Villard, Felicia Williams, James Hwang, Rachel Karlnoski, David J Smith, Bruce A Cairns, Ronald C Kessler, Samuel A McLean
OBJECTIVE: Pain and itch symptoms are common after major thermal burn injury (MThBI)-requiring tissue autografting. To our knowledge, no prospective longitudinal studies have characterized pain and itch outcomes after tissue autografting and associations between and functional interference caused by such symptoms. MATERIALS AND METHODS: We prospectively evaluated burn graft site and tissue donor site pain and itch severity (0 to 10, numeric rating scale) over 1 year among a representative cohort of MThBI survivors (n=96) who received tissue autografting within 14 days of MThBI...
January 31, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28145910/evaluating-the-association-between-acute-and-chronic-pain-after-surgery-impact-of-pain-measurement-methods
#6
Ian Gilron, Elizabeth Vandenkerkhof, Joel Katz, Henrik Kehlet, Meg Carley
There is a need to predict chronic (≥3▒mo) postsurgical pain (CPSP). Acute (<7▒d) pain is a predictor, i.e. more severe pain associated with higher CPSP risk. However, reported associations vary widely. Using a systematic search, we examined associations between two acute pain measures (pain at rest [PAR] and movement-evoked pain [MEP]) and CPSP outcomes (considering severity vs. any "non-zero" pain only) in 22 studies. Seven studies reported the relationship between CPSP and both PAR and MEP. Of these, 2/7 reported no association, 3/7 reported significant associations for both PAR and MEP, 1/7 reported an association for PAR only and 1/7 reported an association for MEP only...
January 31, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28118255/smoking-may-increase-postoperative-opioid-consumption-in-patients-who-underwent-distal-gastrectomy-with-gastroduodenostomy-for-early-stomach-cancer-a-retrospective-analysis
#7
Doo Hwan Kim, Jun Young Park, Myong-Hwan Karm, Heon-Yong Bae, Jae-Young Lee, Ho Soo Ahn, Kunhee Lee, Jeong Gil Leem
OBJECTIVES: Although nicotine has an analgesic effect, the incidence and severity of chronic pain is higher in smokers than nonsmokers. Acute pain is more intense in smokers during the perioperative period. This study evaluated weather smokers require higher doses of opioid to reduce pain when they undergo surgery. METHODS: From October 2013 to September 2014, a retrospective review of 236 patients who had intravenous patient-controlled analgesia after distal gastrectomy with gastroduodenostomy was performed to analyze the difference in postoperative opioid requirements between smokers and nonsmokers...
January 23, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28118259/comparisons-in-muscle-function-and-training-rehabilitation-outcomes-between-avoidance-endurance-model-subgroups
#8
Elisabeth Fehrmann, Kerstin Tuechler, Thomas Kienbacher, Patrick Mair, Juliane Spreitzer, Linda Fischer, Josef Kollmitzer, Gerold Ebenbichler
OBJECTIVES: Evidence suggests that chronic low back pain (cLBP) patients with fear-avoidance or endurance behavior are at risk of treatment failure and pain maintenance, with bodily over- or underuse being assumed as mediating mechanisms for pain chronification. This study sought to examine whether or not the avoidance-endurance model (AEM)-subgroups: fear-avoiders (FAR), distress-endurers (DER), eustress-endurers (EER), and adaptive responders (AR), differed in physical measures and outcomes after training therapy...
January 21, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28118258/pain-beliefs-and-quality-of-life-in-young-people-with-disabilities-and-bothersome-pain
#9
Jordi Miró, Ester Solé, Kevin Gertz, Mark P Jensen, Joyce M Engel
OBJECTIVES: Pain beliefs have been hypothesized to play an important role in pediatric pain. However, research examining the associations between pain-related beliefs and measures of function in youths with disabilities is limited. METHODS: Eighty-four youths (mean age=14.26 y; SD=3.27) with physical disabilities who indicated they also had bothersome pain were interviewed and asked to rate their average pain intensity in the past week, and to complete measures of pain-related beliefs and health-related quality of life...
January 21, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28118257/provoked-vestibulodynia-a-comparative-examination-of-mental-health-sleep-sexual-functioning-and-relationship-adjustment
#10
Emma Dargie, Ian Gilron, Caroline Pukall
OBJECTIVES: Provoked vestibulodynia (PVD) is an idiopathic vulvar pain condition characterized by burning pain at the vaginal opening in response to contact or pressure. Previous research has established some of the psychosocial difficulties experienced by these patients, but direct comparisons with other pain conditions are needed. The purpose of this study was to compare women with PVD to those with post-herpetic neuralgia and pain-free control participants. METHODS: Participants were invited to complete an anonymous online survey consisting of sociodemographic questions and a range of validated measures...
January 21, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28118256/treatment-adherence-in-child-and-adolescent-chronic-migraine-patients-results-from-the-cognitive-behavioral-therapy-and-amitriptyline-trial
#11
Ashley M Kroon Van Diest, Rachelle Ramsey, Susmita Kashikar-Zuck, Shalonda Slater, Kevin Hommel, John W Kroner, Susan LeCates, Marielle A Kabbouche, Hope L O'Brien, Joanne Kacperski, Janelle R Allen, James Peugh, Andrew D Hershey, Scott W Powers
OBJECTIVES: To examine treatment adherence among children and adolescents with chronic migraine who volunteered to be in a clinical trial using three measures: treatment session attendance, therapy homework completion, and preventive medication use via daily diary. METHODS: Analyses are secondary from a trial of 135 youth aged 10 to 17 years diagnosed with chronic migraine and with a Pediatric Migraine Disability score over 20. Participants were randomly assigned to cognitive behavioral therapy plus amitriptyline (CBT+A, N=64) or headache education plus amitriptyline (HE+A, N=71)...
January 21, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28098584/interrater-agreement-of-manual-palpation-for-identification-of-myofascial-trigger-points-a-systematic-review-and-meta-analysis
#12
Alasdair T L Rathbone, Liza Grosman-Rimon, Dinesh A Kumbhare
OBJECTIVE: To achieve a statistical estimate of the agreement of manual palpation for identification of myofascial trigger points (MTrPs) and secondarily to investigate potential factors impacting the agreement of this technique. METHODS: We searched MEDLINE(R) and Embase for studies examining the reproducibility of manual palpation for the identification of MTrPs from the year 2007 to present. In addition, we utilized studies identified by 2 comprehensive systematic reviews that covered the period before 2007...
January 17, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28060194/chronic-lateral-epicondylalgia-does-not-exhibit-mechanical-pain-modulation-in-response-to-noxious-conditioning-heat-stimulus
#13
Edwin Choon Wyn Lim, Michele Sterling, Bill Vicenzino
The impaired attenuation of pain by the application of a noxious conditioning stimulus at a segmentally distinct site, known as conditioned pain modulation, has been implicated in clinical pain states. Chronic lateral epicondylalgia (LE), which is characterized by lower pressure pain thresholds at sites remote to the affected elbow and spinal cord hyperexcitability, is a clinical pain state that might plausibly involve less efficacious conditioned pain modulation. This study aimed to determine if LE exhibits a less efficacious conditioned pain modulation compared to healthy controls...
January 3, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28033158/a-review-of-adult-and-pediatric-neuropathic-pain-assessment-tools
#14
Kyle Joseph Morgan, Doralina L Anghelescu
An early and thorough assessment of pain is essential to its proper diagnosis and treatment. This assessment is especially important when NP is suspected, given the different treatment modalities available and the serious impact of NP on patients' quality of life. This article summarizes the various screening and assessment tools available to clinicians for evaluating NP. Despite the availability of the 15 tools discussed, a deficiency remains, particularly in the pediatric realm. To date, there is no well-validated NP assessment tool for children younger than 5 years, no pediatric NP screening tool that has been validated outside the domain of chemotherapy-induced peripheral neuropathy, and no consistent recommendation regarding the optimal tool to use with pediatric patients who have chronic pain...
December 28, 2016: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28033157/measuring-glutamate-levels-in-the-brains-of-fibromyalgia-patients-and-a-potential-role-for-glutamate-in-the-pathophysiology-of-fibromyalgia-symptoms-a-systematic-review
#15
Tahni Pyke, Peter G Osmotherly, Surinder Baines
OBJECTIVES: The aim of this study is to systematically review the literature concerning proton magnetic resonance spectroscopy (H-MRS) measured glutamate levels in specific brain regions of fibromyalgia (FM) patients to determine if there is a correlation between raised glutamate levels and the presentation of FM. METHODS: The electronic databases - MEDLINE, EMBASE Classic+Embase, PsychINFO, Cochrane Database of Systematic Reviews, Cochrane Database of Abstracts of Reviews of Effect, Cochrane Central Register of Controlled Trials - were searched to find original studies that used H-MRS to measure glutamate concentrations in the brains of FM patients...
December 28, 2016: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28005560/capsaicin-8-patch-repeat-treatment-in-non-diabetic-peripheral-neuropathic-pain-a-52-week-open-label-single-arm-safety-study
#16
Rafael Gálvez, Marie-Louise Navez, Graeme Moyle, Christian Maihöfner, Malcolm Stoker, Etienne Ernault, Turo J Nurmikko, Nadine Attal
OBJECTIVES: To investigate long-term safety and tolerability of capsaicin 8% patch repeat treatment in non-diabetic patients with peripheral neuropathic pain (NP). METHODS: Prospective, open-label, observational study in patients with post-herpetic neuralgia, post-traumatic or post-surgical nerve injury, HIV-associated distal sensory polyneuropathy, or other peripheral NP, and average daily pain score ≥4, received ≤6 capsaicin 8% patch treatments over 52 weeks according to clinical need (retreatment at 9-12 wk intervals)...
December 21, 2016: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28002096/duloxetine-as-an-analgesic-reduces-opioid-consumption-after-spine-surgery-a-randomized-double-blind-controlled-study
#17
Antonio Bedin, Rafael Antonio Caldart Bedin, Joaquim Edson Vieira, Hazem Adel Ashmawi
OBJECTIVES: Multimodal analgesia is widely advocated for the control of perioperative pain in an effort to reduce the use of opioid. Duloxetine is a selective inhibitor of serotonin and norepinephrine reuptake with efficacy for chronic pain conditions. The primary objective of this study was to evaluate the efficacy of two 60 mg oral doses of duloxetine in terms of fentanyl consumption during the postoperative period in patients undergoing elective spine surgery. METHODS: This study was prospective, double blind, randomized, and placebo controlled...
December 19, 2016: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28002095/assessing-prescribing-trends-of-adjuvant-medication-therapy-in-outpatients-with-a-diagnosis-of-non-malignant-chronic-pain
#18
Rafia S Rasu, Rachel K Vossen, Maureen Knell
BACKGROUND: Chronic pain affects over 100 million people in the United States, yet continues to be difficult to treat. Concerns continue to mount over the use of opioids to treat nonmalignant chronic pain (NMCP). Guidelines support the use of adjuvant medications as one of the preferred options for treating chronic pain over opioids. OBJECTIVES: To examine reported usage of adjuvants in the treatment of chronic pain via the National Ambulatory Medical Care Survey (NAMCS)...
December 19, 2016: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28002094/the-association-between-headaches-and-temporomandibular-disorders-is-confounded-by-bruxism-and-somatic-complaints
#19
Hedwig A van der Meer, Caroline M Speksnijder, Raoul Engelbert, Frank Lobbezoo, Maria W G Nijhuis-van der Sanden, Corine M Visscher
OBJECTIVES: The objective of this observational study was to establish the possible presence of confounders on the association between temporomandibular disorders (TMD) and headaches in a patient population from a TMD and Orofacial Pain Clinic. METHODS: Several subtypes of headaches were diagnosed: self-reported headache, (probable) migraine, (probable) tension-type headache (TTH), and secondary headache attributed to TMD. The presence of TMD was subdivided into two subtypes: painful TMD and function-related TMD...
December 19, 2016: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28002093/postoperative-analgesia-via-a-transversus-abdominis-plane-block-using-different-concentrations-of-ropivacaine-for-abdominal-surgery-a-meta-analysis
#20
Ni Sun, Shouyong Wang, Pengpeng Ma, Shuting Liu, Aijie Shao, Ling Xiong
BACKGROUND: The transversus abdominis plane block (TAPB) has been proven to be an effective means of postoperative anesthesia, but the optimum effective concentration of ropivacaine warrants further research. OBJECTIVE: This study aimed to identify the optimal ropivacaine concentration of TAPB using a meta-analysis. METHODS: This study consisted of a meta-analysis of randomized controlled trials (RCTs). We searched online databases, including PubMed, Embase, the Cochrane Database of Systematic Reviews, and Web of Science...
December 19, 2016: Clinical Journal of Pain
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