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Pain Medicine: the Official Journal of the American Academy of Pain Medicine

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https://www.readbyqxmd.com/read/30215782/restored-self-a-phenomenological-study-of-pain-relief-by-cannabis
#1
Maya Lavie-Ajayi, Pesach Shvartzman
Objective: To explore the subjective experience of pain relief by cannabis. Design: Qualitative data were collected through in-depth semistructured interviews. Interview transcripts were analyzed using interpretative phenomenological analysis (IPA). Subjects: Nineteen patients, aged 28 to 79, who were treated with medical cannabis under the supervision of a pain clinic in Israel. Results: Three key themes that emerged from the analysis were explored: 1) the Sigh of Relief, describing the corporal sensation of using cannabis, including a sense of relaxation and reduction in pain; 2) the Return to Normality, describing the comprehensive effect of using cannabis, including an increased ability to sleep, focus, and function; and 3) the Side Effects of using cannabis...
September 12, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30215781/improved-dose-estimates-for-fluoroscopically-guided-lumbar-epidural-injections
#2
Steve D Mann, Anand Joshi, Megan Shonyo, Jered R Wells, Jocelyn Hoye, Greeshma Agasthya, Robert Reiman, Ehsan Samei
Objective: The goal of the study was to determine the potential impact of system inaccuracies and table attenuation on fluoroscope-reported dose values. Design: An Institutional Review Board-approved study was conducted to collect detailed acquisition and patient exposure data for fluoroscopy-guided lumbar epidural injections. Background: System-reported dosimetry values, especially the air Kinetic Energy Released per unit MAss and dose-area product metrics, are routinely used for estimating the radiation burden to patients undergoing fluoroscopy-guided procedures...
September 12, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30215778/use-of-immersive-learning-and-simulation-techniques-to-teach-and-research-opioid-prescribing-practices
#3
Marissa S Heirich, Lanja S Sinjary, Maisa S Ziadni, Sandra Sacks, Alexandra S Buchanan, Sean C Mackey, Jordan L Newmark
Introduction: Unsafe opioid prescribing practices to treat acute and chronic pain continue to contribute to the opioid overdose crisis in the United States, a growing public health emergency that harms patients and their communities. Poor opioid prescribing practices stem in part from a lack of education and skills training surrounding pain and opioid management. Methods: As part of the Clinical Pain Medicine Fellowship at Stanford University, physicians were given the opportunity to participate in a pilot program to practice opioid management in a live, simulated interaction...
September 12, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30204920/are-invasive-procedures-effective-for-chronic-pain-a-systematic-review
#4
Wayne B Jonas, Cindy Crawford, Luana Colloca, Levente Kriston, Klaus Linde, Bruce Moseley, Karin Meissner
Objective: To assess the evidence for the safety and efficacy of invasive procedures for reducing chronic pain and improving function and health-related quality of life compared with sham (placebo) procedures. Design: Systematic review with meta-analysis. Methods: Studies were identified by searching multiple electronic databases, examining reference lists, and communicating with experts. Randomized controlled trials comparing invasive procedures with identical but otherwise sham procedures for chronic pain conditions were selected...
September 10, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30204903/an-open-trial-of-morning-bright-light-treatment-among-us-military-veterans-with-chronic-low-back-pain-a-pilot-study
#5
Helen J Burgess, Muneer Rizvydeen, Momoko Kimura, Mark H Pollack, Stevan E Hobfoll, Kumar B Rajan, John W Burns
Objective: To examine the feasibility, acceptability, and effects of a home-based morning bright light treatment on pain, mood, sleep, and circadian timing in US veterans with chronic low back pain. Design: An open treatment trial with a seven-day baseline, followed by 13 days of a one-hour morning bright light treatment self-administered at home. Pain, pain sensitivity, mood, sleep, and circadian timing were assessed before, during, and after treatment. Setting: Participants slept at home, with weekly study visits and home saliva collections...
September 10, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30204895/psychometric-evaluation-of-a-pain-intensity-measure-for-persons-with-dementia
#6
Mary Ersek, Moni B Neradilek, Keela Herr, Michelle M Hilgeman, Princess Nash, Nayak Polissar, Francis X Nelson
Objective: The goal of this study was to conduct initial psychometric analyses of a seven-item pain intensity measure for persons with dementia (PIMD) that was developed using items from existing pain observational measures. Design and Methods: We evaluated validity by examining associations with an expert clinician's pain intensity rating (ECPIR) and an established pain observation tool (Mobilization Observation Behaviour Intensity Dementia [MOBID]). We also examined correlations between the PIMD and known correlates of pain: depression, sleep disturbances, agitation, painful diagnoses, and caregiver pain reports...
September 10, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30204893/correlates-of-benzodiazepine-use-and-adverse-outcomes-among-patients-with-chronic-pain-prescribed-long-term-opioid-therapy
#7
Bobbi Jo H Yarborough, Scott P Stumbo, Ashley Stoneburner, Ning Smith, Steven K Dobscha, Richard A Deyo, Benjamin J Morasco
Objective: To examine the correlates and odds of receiving overlapping benzodiazepine and opioid prescriptions and whether co-prescription was associated with greater odds of falling or visiting the emergency department. Design: Cross-sectional study. Setting: A large private integrated health system and a Veterans Health Administration integrated health system. Subjects: Five hundred seventeen adults with musculoskeletal pain and current prescriptions for long-term opioid therapy...
September 10, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30202987/factors-associated-with-prescription-opioid-analgesic-use-in-the-us-population-2011-2014
#8
Steven M Frenk, Susan L Lukacs, Qiuping Gu
Objective: This study examined factors associated with prescription opioid analgesic use in the US population using data from a nationally representative sample. It focused on factors previously shown to be associated with opioid use disorder or overdose. Variations in the use of different strength opioid analgesics by demographic subgroup were also examined. Methods: Data came from respondents aged 16 years and older who participated in the National Health and Nutrition Examination Survey (2011-2014)...
September 7, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30203053/pain-self-management-easier-said-than-done-factors-associated-with-early-dropout-from-pain-self-management-in-a-rural-primary-care-population
#9
Ruth Hardman, Sharon Lawn, George Tsourtos
Objective: To explore whether psychosocial or demographic factors are associated with early dropout from pain self-management in a rural, low-socioeconomic status population. Design: Secondary analysis of retrospective data. Setting: Multidisciplinary pain clinic located in an outer regional area of Australia. Subjects: One hundred eighty-six people attending a public community health center with chronic noncancer pain (mean age 54...
September 6, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30202864/on-the-spinal-cord-injury-during-attempted-cervical-interlaminar-epidural-injection-of-steroids
#10
Yakov Perper
No abstract text is available yet for this article.
September 6, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30184213/relationship-between-opioid-analgesic-prescription-and-unemployment-in-patients-seeking-acupuncture-for-chronic-pain-in-urban-primary-care
#11
Elizabeth Chuang, Eric N Gil, Qi Gao, Benjamin Kligler, M Diane McKee
Objective: The widespread use of opioid analgesics to treat chronic nonmalignant pain has contributed to the ongoing epidemic of opioid-related morbidity and mortality. Previous studies have also demonstrated a relationship between opioid analgesic use and unemployment due to disability. These studies have been limited to mainly white European and North American populations. The objective of this study is to explore the relationship between opioid analgesic use for chronic nonmalignant pain in an urban, mainly black and Hispanic, low-income population...
September 3, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30169879/meeting-patients-expectations
#12
Andrew Engel
No abstract text is available yet for this article.
August 28, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30137539/intrathecal-therapy-for-chronic-pain-a-review-of-morphine-and-ziconotide-as-firstline-options
#13
Timothy R Deer, Jason E Pope, Michael C Hanes, Gladstone C McDowell
Objectives: To evaluate the evidence for morphine and ziconotide as firstline intrathecal (IT) analgesia agents for patients with chronic pain. Methods: Medline was searched (through July 2017) for "ziconotide" or "morphine" AND "intrathecal" AND "chronic pain," with results limited to studies in human populations. Results: The literature supports the use of morphine (based primarily on noncontrolled, prospective, and retrospective studies) and ziconotide (based on randomized controlled trials and prospective observational studies) as first-choice IT therapies...
August 22, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30137511/relationship-of-dynamic-balance-impairment-with-pain-related-and-psychosocial-measures-in-primary-care-patients-with-chronic-greater-trochanteric-pain-syndrome
#14
Raúl Ferrer-Peña, Mónica Moreno-López, César Calvo-Lobo, Ibai López-de-Uralde-Villanueva, Josué Fernández-Carnero
Objective: Subjects with greater trochanteric pain syndrome (GTPS) show an altered physical function while performing static and dynamic tasks. Pain and psychosocial factors are also variables that influence the outcomes of these patients. Thus, the aim of this study was to evaluate the relationship between dynamic balance, pain-related measures, and psychosocial measures in subjects with chronic GTPS. Design: Descriptive cross-sectional study. Setting: Primary health care center...
August 22, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30137638/brain-structural-alterations-in-chronic-knee-osteoarthritis-what-can-treatment-effects-teach-us
#15
Marco L Loggia, Robert R Edwards
No abstract text is available yet for this article.
August 21, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30137520/increased-nonopioid-chronic-pain-treatment-in-the-veterans-health-administration-2010-2016
#16
Joseph W Frank, Evan Carey, Charlotte Nolan, Robert D Kerns, Friedhelm Sandbrink, Rollin Gallagher, P Michael Ho
No abstract text is available yet for this article.
August 21, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30137452/overdose-risk-associated-with-opioid-use-upon-hospital-discharge-in-veterans-health-administration-surgical-patients
#17
Seshadri C Mudumbai, Eleanor T Lewis, Elizabeth M Oliva, Paul D Chung, Brooke Harris, Jodie Trafton, Edward R Mariano, Todd Wagner, J David Clark, Randall S Stafford
Objective: To determine an association between opioid use upon hospital discharge (ongoing and newly started) in surgical patients and risks of opioid overdose and delirium for the first year. Design: Retrospective, cohort study. Setting: Population-level study of Veterans Health Administration patients. Subjects: All Veterans Health Administration patients (N = 64,391) who underwent surgery in 2011, discharged after one or more days, and without a diagnosis of opioid overdose or delirium from 90 days before admission through 30 days postdischarge (to account for additional opioid dosing in the context of chronic use)...
August 21, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30125008/analysis-of-patient-provider-interactions-regarding-the-burden-and-treatment-of-opioid-induced-constipation-in-adults-with-chronic-noncancer-pain
#18
April Hazard Vallerand, Sarah Hendry, Elizabeth Baldys, Yiqun Hu, Catherine Datto
Objective: This analysis of patient-health care provider discussions of opioid-induced constipation (OIC) evaluated the dynamics of interactions, identified communication gaps, and assessed the functional burden of opioid-induced constipation on patients' lives. Design: Retrospective analysis of a Health Insurance Portability and Accountability Act-compliant database of >120,000 patient-provider conversations. Setting: Outpatient offices in the United States...
August 13, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30107598/the-cluster-sunct-syndrome-the-lumper-splitter-problem
#19
Antonio Russo, Marcello Silvestro, Alessandro Tessitore, Gioacchino Tedeschi
No abstract text is available yet for this article.
August 9, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/30107439/sustained-response-to-botulinum-toxin-type-a-in-suna-sydrome
#20
Yi Zhang, Yuan Chen, Yajun Lian
No abstract text is available yet for this article.
August 9, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
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