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Clinical Journal of Pain

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https://www.readbyqxmd.com/read/28926414/exploration-of-quantitative-sensory-testing-in-latent-trigger-points-and-referred-pain-areas
#1
Silvia Ambite-Quesada, José L Arías-Buría, Carol A Courtney, Lars Arendt-Nielsen, César Fernández-de-Las-Peñas
OBJECTIVE: To investigate somato-sensory nerve fibre function by applying different quantitative sensory testing including thermal, mechanical and vibration thresholds over latent trigger points (TrP) and in its associated referred pain area. METHODS: A total of 20 subjects with unilateral latent TrPs in the extensor carpi radialis brevis were included. Warmth detection threshold (WDT), cold detection threshold CDT) and heat/cold pain thresholds (HPT, CPT), mechanical detection (MDT) and pain (MPT) thresholds, vibration threshold (VT), and pressure pain thresholds (PPT) were blinded assessed over the TrP, in the referred pain area, and in the respective contra-lateral mirror areas...
September 15, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28926413/the-role-of-cognitive-content-and-cognitive-processes-in-chronic-pain-an-important-distinction
#2
Mark P Jensen, Beverly E Thorn, James Carmody, Francis J Keefe, John W Burns
Pain-related cognitive content (what people think about pain) and cognitive processes (how people think about pain; what they do with their pain-related thoughts) and their interaction are hypothesized to play distinct roles in patient function. However, questions have been raised regarding whether it is possible or practical to assess cognitive content and cognitive process as distinct domains. The aim of this study was to determine the extent to which measures that appear to assess mostly pain-related cognitive content, cognitive processes, and content and process, are relatively independent from each other and contribute unique variance to the prediction of patient function...
September 15, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28915156/a-risk-calculator-using-preoperative-opioids-for-prediction-of-total-knee-revision-arthroplasty
#3
Jordan Starr, Irene Rozet, Alon Ben-Ari
OBJECTIVES: Total knee arthroplasty (TKA) is a procedure to improve quality of life. However, some patients require early total knee revision (TKR). Chronic opioid use before TKA is associated with TKR. No risk calculator including opioid use or other risk factors is currently available for predicting TKR. MATERIALS AND METHODS: We retrospectively analyzed medical records of Veterans Affairs patients who underwent TKA from January 1, 2006 to January 1, 2012. Patients were followed until January 1, 2013...
September 14, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28915155/social-support-and-pain-outcomes-after-trauma-exposure-among-older-adults-a-multicenter-longitudinal-study
#4
Natalie L Richmond, Michelle L Meyer, Allison G Hollowell, Erin E Isenberg, Robert M Domeier, Robert A Swor, Phyllis L Hendry, David A Peak, Niels K Rathlev, Jeffrey S Jones, David C Lee, Christopher W Jones, Timothy F Platts-Mills
OBJECTIVES: Certain forms of social support have been shown to improve pain coping behaviors and pain outcomes in older adults with chronic pain, but little is known about the effect of social support on pain outcomes in older adults following trauma exposure. METHODS: We analyzed data from a prospective longitudinal study of adults aged 65 years and older presenting to an emergency department (ED) after a motor vehicle collision (MVC) to characterize the relationship between perceived social support and MVC-related pain after trauma overall and by subgroups based on gender, depressive symptoms, and marital status...
September 14, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28915154/risk-factors-for-low-back-pain-in-childhood-and-adolescence-a-systematic-review
#5
Inmaculada Calvo-Muñoz, Francisco M Kovacs, Marta Roqué, Inés Gago Fernández, Jesús Seco Calvo
OBJECTIVES: To identify factors associated with low back pain (LBP) in children and adolescents. METHODS: A systematic review was conducted (Prospero CRD42016038186). Observational studies analyzing LBP risk factors among subjects aged between 9 and 16 were searched for in 13 electronic databases and 8 specialized journals until March 31st, 2016, with no language restrictions. Additionally, references in the identified studies were manually tracked. All identified studies which included ≥50 subjects aged 9 to 16, were reviewed...
September 14, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28915153/associations-of-early-opioid-use-with-patient-reported-outcomes-and-healthcare-utilization-among-older-adults-with-low-back-pain
#6
Laura S Gold, Ryan N Hansen, Andrew L Avins, Zoya Bauer, Bryan A Comstock, Richard A Deyo, Patrick J Heagerty, Sean D Rundell, Pradeep Suri, Judith A Turner, Jeffrey G Jarvik
OBJECTIVES: To compare outcomes and healthcare utilization of older patients who did versus did not fill opioid prescriptions within 90 days of initiating care for low back pain. MATERIALS AND METHODS: For patients ≥65 years with new back pain visits, we used propensity scores to match those who filled no opioid prescriptions to those who filled ≥2 opioid prescriptions within 90 days (and the first opioid prescription within 30 d) of the index visit. Over 24 months, we examined patient-reported outcomes, healthcare utilization, and subsequent opioid prescription fills...
September 14, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28915152/predictors-of-adherence-to-psychological-treatment-for-insomnia-and-pain-analysis-from-a-randomized-trial
#7
Erin Koffel, Michael V Vitiello, Susan M McCurry, Bruce Rybarczyk, Michael Von Korff
OBJECTIVES: Poor adherence to psychological treatment for insomnia is common and limits treatment gains. Very little is known about predictors of adherence among patients with chronic pain, although adherence is theorized to be more critical and more challenging for these patients. This secondary data analysis examines predictors of drop-out and therapy nonattendance in an osteoarthritis population receiving psychological treatment for insomnia and pain. METHODS: Data were analyzed from the "Lifestyles" trial, a randomized controlled trial of a 6-week group cognitive behavioral pain coping skills intervention (CBT-P), group cognitive-behavioral therapy for pain and insomnia (CBT-PI), and an education only attention control group (EOC)...
September 14, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28915151/analgesic-effects-of-locally-administered-ketorolac-based-analgesics-after-breast-surgery-a-meta-analysis-of-randomized-controlled-trials
#8
Jen-Yin Chen, I-Jung Feng, El-Wui Loh, Li-Kai Wang, Chao-Chun Lin, Ka-Wai Tam
OBJECTIVE: Reducing postoperative pain following breast surgery is crucial for rapid recovery and shortening hospital stay. Ketorolac, a nonsteroidal antiinflammatory drug, has been used as a postoperative analgesic in many surgical procedures. Here, we conducted a systemic review and meta-analysis on the efficacy of locally administered ketorolac-based analgesics in managing pain after breast surgery. METHODS: We searched the PubMed, Embase, Cochrane Library, Scopus, and ClinicalTrials...
September 14, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28877136/medicate-or-meditate-greater-pain-acceptance-is-related-to-lower-pain-medication-use-in-persons-with-chronic-pain-and-spinal-cord-injury
#9
Anna L Kratz, John Murphy, Claire Z Kalpakjian, Philip Chen
OBJECTIVES: There is little information about whether use of pain self-management skills that are common targets of psychosocial interventions for pain are associated with reduced reliance on pain medications. The aim of this study was to test whether higher chronic pain acceptance, which is a readily-modified pain self-management approach, is related to lower use of pain medications (all types), opioid medications, and gabapentinoids in a sample with chronic pain and spinal cord injury (SCI)...
September 4, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28877144/reductions-in-perceived-injustice-are-associated-with-reductions-in-disability-and-depressive-symptoms-after-total-knee-arthroplasty
#10
Esther Yakobov, Whitney Scott, William Stanish, Michael Tanzer, Michael Dunbar, Glen Richardson, Michael Sullivan
INTRODUCTION: Perceptions of injustice have been associated with problematic recovery outcomes in individuals suffering from a wide range of debilitating pain conditions. It has been suggested that, in patients with chronic pain, perceptions of injustice might arise in response to experiences characterized by illness-related pain severity, depressive symptoms, and disability. If symptoms severity and disability are important contributors to perceived injustice, it follows that interventions that yield reductions in symptom severity and disability should also contribute to reductions in perceptions of injustice...
September 1, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28877143/stigma-and-pain-in-adolescents-hospitalized-for-sickle-cell-vaso-occlusive-pain-episodes
#11
Sarah R Martin, Lindsey L Cohen, Ifigenia Mougianis, Anya Griffin, Soumitri Sil, Carlton Dampier
OBJECTIVES: Sickle cell disease (SCD) pain and hospitalizations increase during adolescence and adolescents with SCD may be at-risk for experiencing health-related stigma, which may result in poor health outcomes. This study examined relations among health-related stigma, pain interference, social support, quality of life (QOL), and hospital outcomes (i.e., loneliness, pain reduction, and length of stay [LOS]) in adolescents hospitalized with SCD pain. METHODS: 12- to 18-year-old adolescents (N=92) hospitalized with SCD pain completed measures of stigma, pain interference, social support, QOL, and state loneliness...
September 1, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28877142/adding-prefrontal-transcranial-direct-current-stimulation-before-occipital-nerve-stimulation-in-fibromyalgia
#12
Hye Bin Yoo, Jan Ost, Wim Joos, Tony Van Havenbergh, Dirk De Ridder, Sven Vanneste
OBJECTIVES: Fibromyalgia is a type of chronic musculoskeletal pain without a clear peripheral origin of nociception, often associated with depression. The underlying pathophysiology involves changes in a functional network that is related to pain and emotional processing in the central nervous system. Transcranial direct current stimulation (tDCS) targeting the dorsolateral prefrontal cortex or the occipital nerve (ON) are non-invasive neuromodulation techniques capable of improving fibromyalgia symptoms...
September 1, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28877141/the-incidence-of-adverse-childhood-experiences-aces-and-their-association-with-pain-related-and-psychosocial-impairment-in-youth-with-chronic-pain
#13
Sarah Nelson, Laura Simons, Deirdre Logan
OBJECTIVES: Adverse childhood experiences (ACEs) in youth have been found to be frequently associated with several chronic illnesses, including chronic pain. However, this relationship remains poorly understood. Previous research has examined the association between ACEs and chronic pain, but these have primarily been examined in the context of adults with limited assessment of ACEs and individual pain conditions. The primary objectives of this study were to examine the incidence and psychological/pain-related correlates of ACEs in a sample of youth with chronic pain...
September 1, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28877140/prescription-opioid-use-and-the-risk-of-disability
#14
Gary M Franklin, Deb Fulton-Kehoe, Judith A Turner, Thomas Wickizer
No abstract text is available yet for this article.
September 1, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28877139/randomized-controlled-trial-of-telephone-delivered-cognitive-behavioral-therapy-versus-supportive-care-for-chronic-back-pain
#15
Thomas Rutledge, J Hampton Atkinson, Tatiana Chircop-Rollick, John D'Andrea, Steven Garfin, Shetal Patel, Donald B Penzien, Mark Wallace, Anne L Weickgenant, Mark Slater
OBJECTIVE: To evaluate the efficacy of a telephone-delivered, home-based cognitive behavioral intervention for chronic low back pain in comparison to a matched supportive care treatment. METHODS: Participants (N=66) were patients with chronic back pain that were randomized to either an 8-week Cognitive-Behavioral Therapy (CBT) or a Supportive Care condition (SC) matched for contact frequency, format, and time. Participants completed validated measures of improvement in back pain disability, pain severity, and overall improvement...
September 1, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28877138/pain-in-children-with-developmental-disabilities-development-and-preliminary-effectiveness-of-a-pain-training-workshop-for-respite-workers
#16
Lara M Genik, C Meghan McMurtry, Lynn M Breau, Stephen P Lewis, Tamlyn Freedman-Kalchman
INTRODUCTION: Pain in children with intellectual disabilities (ID) is common and complex, yet there is no standard pain training for their secondary caregivers. OBJECTIVES: Determine perceived pain training needs/preferences of children's respite staff (Phase One) and, use this information combined with extant research and guidelines to develop and pilot a training (Phase Two). METHODS: In Phase One, 22 participants responded to questionnaires and engaged in individual interviews/focus groups about their experiences with pain in children with ID, and perceived training needs/preferences...
September 1, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28877137/a-systematic-review-of-nmda-receptor-antagonists-for-treatment-of-neuropathic-pain-in-clinical-practice
#17
Rohit Aiyer, Neel Mehta, Semih Gungor, Amitabh Gulati
OBJECTIVE: To investigate the efficacy of N-methyl-D-aspartate receptor (NMDA) receptor antagonists for neuropathic pain and review literature to determine if specific pharmacologic agents provide adequate neuropathic pain relief. METHODS: Literature was reviewed on PubMed using a variety of key words for 8 NMDA receptor antagonists. These key words include: "Ketamine and Neuropathy", "Ketamine and Neuropathic Pain", "Methadone and Neuropathy", "Methadone and Neuropathic Pain", "Memantine and Neuropathic pain", "Memantine and Neuropathy", "Amantadine and Neuropathic Pain", "Amantadine and Neuropathy", "Dextromethorphan and Neuropathic Pain", "Dextromethorphan and Neuropathy", "Carbamazepine and Neuropathic Pain", "Carbamazepine and Neuropathy", "Valproic Acid and Neuropathy", "Valproic Acid and Neuropathic Pain", "Phenytoin and Neuropathy" and "Phenytoin and Neuropathic Pain"...
September 1, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28799973/cross-sectional-and-prospective-correlates-of-recovery-expectancies-in-the-rehabilitation-of-whiplash-injury
#18
Rachel A Elphinston, Pascal Thibault, Junie S Carriere, Pierre Rainville, Michael J L Sullivan
OBJECTIVES: Investigations have shown that expectancies are significant prognostic indicators of recovery outcomes following whiplash injury. However, little is currently known about the determinants of recovery expectancies following whiplash injury. The purpose of the present study was to examine the cross-sectional and prospective correlates of recovery expectancies in individuals admitted to a rehabilitation program for whiplash injury. METHODS: Participants (N=96) completed measures of recovery expectancies, psychosocial variables, symptom severity, symptom duration and disability at Time 0 (admission) and Time 1 (discharge)...
August 9, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28799972/increased-pain-sensitivity-in-accident-related-chronic-pain-patients-with-comorbid-posttraumatic-stress
#19
Henrik Bjarke Vaegter, Tonny Elmose Andersen, Mathea Harvold, Per Grunwald Andersen, Thomas Graven-Nielsen
OBJECTIVES: Posttraumatic stress disorder (PTSD) is prevalent in chronic pain, and associated with increased pain, hyperalgesia and psychological distress. This study aimed to investigate anti-nociceptive and pro-nociceptive pain mechanisms, pain intensity, and psychological distress (depression, anxiety, pain catastrophizing, and fear of movement) in patients with accident-related chronic spinal pain with (N=44) and without (N=64) comorbid PTSD characteristics. METHODS: Cuff algometry was performed on lower legs to assess pressure pain threshold (cPPT), tolerance (cPTT), temporal summation of pain (TSP: increase in pain scores to ten repeated stimulations), and conditioning pain modulation (CPM: increase in cPPT during cuff pain conditioning on the contralateral leg)...
August 9, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28731960/perceived-pain-extent-is-not-associated-with-widespread-pressure-pain-sensitivity-clinical-features-related-disability-anxiety-or-depression-in-women-with-episodic-migraine
#20
Cesar Fernández-de-Las-Peñas, Deborah Falla, María Palacios-Ceña, Stella Fuensalidad-Novo, Jose L Arias-Buría, Alessandro Schneebeli, Lars Arend-Nielsen, Marco Barbero
OBJECTIVE: People with migraine present with varying pain extent and an expanded distribution of perceived pain may reflect central sensitization. The relationship between pain extent and clinical features, psychological outcomes, related-disability and pressure pain sensitivity in migraine has been poorly investigated. Our aim was to investigate whether the perceived pain extent, assessed from pain drawings, relates to measures of pressure pain sensitivity, clinical, psychological outcomes, and related-disability in women with episodic migraine...
July 20, 2017: Clinical Journal of Pain
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