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Pain Practice: the Official Journal of World Institute of Pain

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https://www.readbyqxmd.com/read/28782305/sensory-over-responsiveness-among-healthy-subjects-is-associated-with-a-pro-nociceptive-state
#1
Irit Weissman-Fogel, Yelena Granovsky, Tami Bar-Shalita
OBJECTIVE: Chronic pain patients show hypersensitivity to sensory non-painful stimuli. Sensory over-responsiveness (SOR) to innocuous daily stimuli, experienced as painful, is prevalent in 10% of the healthy population. This altered sensory processing may be an expression of over facilitation, or a less efficient pain inhibitory process in the pain pathways. We therefore aimed at investigating specifically the pain inhibitory system of subjects with SOR who are otherwise healthy, not studied as of yet...
August 7, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28777895/cross-cultural-adaptation-and-psychometric-validation-of-the-serbian-version-of-the-central-sensitization-inventory-csi
#2
Aleksandar Knezevic, Randy Neblett, Milica Jeremic-Knezevic, Snezana Tomasevic-Todorovic, Ksenija Boskovic, Petar Colovic, Antonio Cuesta-Vargas
OBJECTIVES: It has been increasingly recognized that many chronic pain conditions are associated with central sensitization (CS). The Central Sensitization Inventory (CSI) is a potentially useful tool for screening patients whose presenting symptoms are suspected of being related to CS, so that additional diagnostic evaluation can be performed, and appropriate treatment can be initiated. The original English version is currently not available in Serbian. METHODS: The CSI was translated into Serbian and then psychometrically evaluated in a sample of 363 chronic pain subjects...
August 4, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28742245/patients-expectations-on-spinal-cord-stimulation-for-failed-back-surgery-syndrome-a-qualitative-exploration
#3
Dylan J H A Henssen, Nicole Scheepers, Erkan Kurt, Inge Arnts, Monique Steegers, Kris Vissers, Robert van Dongen, Yvonne Engels
BACKGROUND: Spinal cord stimulation (SCS) is an effective therapy to reduce pain in patients that suffer from failed back surgery syndrome (FBSS). In order to inform patients optimally prior to this therapy, knowing their expectations is crucial. METHODS: Thirteen patients suffering from FBSS and scheduled for SCS were interviewed, using a semi-structured protocol. Patients were interviewed either at home or at their treating hospital. Data from these interviews were analyzed using directed content analysis...
July 25, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28742241/cervical-epidural-injection-in-management-of-refractory-pain-and-stiffness-in-spondyloarthropathy-a-case-report-series
#4
Semih Gungor, Rohit Aiyer, Doruk Erkan
In this case report series, we present the management of three patients with cervical epidural steroid injection, who presented with neck pain and stiffness secondary to spondyloarthropathy refractory to conservative management. This article is protected by copyright. All rights reserved.
July 25, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28741894/randomized-controlled-trial-on-the-influence-of-intra-operative-remifentanil-versus-fentanyl-on-acute-and-chronic-pain-after-cardiac-surgery
#5
Sjoerd de Hoogd, Sabine J G M Ahlers, Eric P A van Dongen, Ewoudt M W van de Garde, Edgar J Daeter, Albert Dahan, Dick Tibboel, Catherijne A J Knibbe
BACKGROUND: Remifentanil has been associated with increased acute and potentially chronic postoperative pain. The objective of this prospective randomized controlled trial was to investigate the influence of intraoperative remifentanil on acute and chronic postoperative pain after cardiac surgery. METHODS: Patients (n=126) receiving standardized anesthesia with propofol and intermittent intravenous fentanyl at predetermined times for cardiac surgery, were randomized to receive intra-operatively either a continuous remifentanil infusion or additional intermittent intraoperative fentanyl as needed...
July 25, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28734105/effects-of-median-nerve-neural-mobilization-in-treating-cervicobrachial-pain-a-randomized-waiting-list-controlled-clinical-trial
#6
David Rodríguez-Sanz, Daniel López-López, Francisco Unda-Solano, Carlos Romero-Morales, Irene Sanz-Corbalán, Hector Beltrán-Alacreu, César Calvo-Lobo
BACKGROUND: There is a current lack of sufficiently high-quality randomized controlled clinical trials that measure the effectiveness of neural tissue mobilization techniques such as median nerve neural mobilization (MNNM) and their specific effects on cervicobrachial pain (CP). This study aim was to compare the effectiveness of MNNM in subjects with CP versus a waiting list control group (WLCG). METHODS: A single-blinded, parallel, randomized controlled clinical trial was performed (NCT02596815)...
July 22, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28722815/influence-of-morphine-and-naloxone-on-pain-modulation-in-rheumatoid-arthritis-chronic-fatigue-syndrome-fibromyalgia-and-controls-a-double-blind-randomized-placebo-controlled-cross-over-study
#7
Linda Hermans, Jo Nijs, Patrick Calders, Luc De Clerck, Greta Moorkens, Guy Hans, Sofie Grosemans, Tine Roman De Mettelinge, Joanna Tuynman, Mira Meeus
BACKGROUND: Impaired pain inhibitory and enhanced pain facilitatory mechanisms are repeatedly reported in patients with central sensitization pain. However, the exact effects of frequently prescribed opioids on central pain modulation are still unknown. METHODS: A randomized, double-blind, placebo-controlled cross-over trial was carried out. Ten CFS/FM patients, 11 RA patients and 20 controls were randomly allocated to the experimental (10 mg morphine or 0.2 mg/ml Naloxone) and placebo (2 ml Aqua) group...
July 19, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28707777/pain-assessment-discrepancies-a-cross-sectional-study-highlights-the-amount-of-underrated-pain
#8
Andrea van Ransbeeck, Ana Budilivski, Donat R Spahn, Lucian Macrea, Francesca Giuliani, Konrad Maurer
BACKGROUND: Inadequately treated postoperative pain can lead to longer healing processes, longer hospital stays and the development of chronic pain. In a 900-bed university hospital in Switzerland pain scores were assessed systematically. The study's primary aim was to define whether the routine pain assessment on the ward is accurate and reproducible. Subsequently the obtained data were used for a benchmark analysis to determine the hospitals performance in pain assessment quality compared with similar centers...
July 14, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28691269/the-effect-of-intraoperative-systemic-lidocaine-on-postoperative-persistent-pain-using-immpact-criteria-assessment-following-breast-cancer-surgery-a-randomized-double-blind-placebo-controlled-trial
#9
Mark C Kendall, Robert J McCarthy, Steve Panaro, Emily Goodwin, Jane M Bialek, Antoun Nader, Gildasio De Oliveira
OBJECTIVE: To compare the incidence in postsurgical persistent pain following breast cancer surgery in women receiving intravenous lidocaine compared to saline using validated pain instruments in accordance with the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) recommendations. METHODS: The study was a randomized, double-blinded, placebo-controlled, clinical trial. Subjects were randomized into Group 1 (1.5 mg/kg bolus of intravenous lidocaine followed by a 2mg/kg/hr infusion) or Group 2 (normal saline at the same bolus and infusion rate)...
July 10, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28691202/methadone-versus-fentanyl-in-patients-with-radiation-induced-nociceptive-pain-with-head-and-neck-cancer-a-randomized-controlled-non-inferiority-trial
#10
Johan Haumann, Sander M J van Kuijk, José W Geurts, Frank J P Hoebers, Bernd Kremer, Elbert A Joosten, Marieke H J van den Beuken-van Everdingen
BACKGROUND: Pain is still a burden for many patients with cancer. A recent trial showed superiority of methadone over fentanyl in neuropathic pain, and we expect that this could increase the amount of patients treated with methadone. METHODS: We performed a randomized controlled non-inferiority trial in patients with nociceptive pain. 82 strong-opioids naive patients with head-and-neck cancer with substantial pain (pain NRS≥4) due to radiation therapy were included...
July 10, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28691184/risk-factors-for-post-treatment-complex-regional-pain-syndrome-crps-an-analysis-of-647-cases-of-crps-from-the-danish-patient-compensation-association
#11
Pelle B Petersen, Kim L Mikkelsen, Jes B Lauritzen, Michael R Krogsgaard
OBJECTIVES: Complex regional pain syndrome is a challenging condition including a broad spectrum of sensory, autonomic and motor features predominantly in extremities recovering from a trauma. Few large-scale studies have addressed occurrence of and factors associated with CRPS following orthopedic treatment. The present study aimed to identify factors associated with post-treatment development of CRPS. METHODS: Using the Danish Patient Compensation Association's (DPCA) database we identified 647 patients claiming post-treatment CRPS, between 1992 and 2015...
July 10, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28665531/radial-extracorporeal-shock-wave-therapy-for-relief-of-arthralgia-in-rheumatoid-arthritis
#12
Yiming Liu, Tingjie Zhang, Yi Feng
More than one third of the population with rheumatoid arthritis require adjuvant analgesic treatment after antirheumatic therapy. In addition to analgesics, another option is radial extracorporeal shock wave therapy (rESWT), which is a novel physical therapy that has been successfully used in the treatment of many types of chronic soft tissue pain. We report a series of 15 patients who suffered from arthralgia after being on disease-modifying antirheumatic drugs for more than 3 months. Participants received rESWT for 3 months as an adjuvant therapy...
June 30, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28632962/a-novel-minimally-invasive-wireless-technology-for-neuromodulation-via-percutaneous-intercostal-nerve-stimulation-pns-for-post-herpetic-neuralgia-a-case-report-with-short-term-follow-up
#13
Bart Billet, Roel Wynendaele, Niek E Vanquathem
BACKGROUND: Peripheral nerve stimulation (PNS) of primary afferent neurons provides control of localized chronic pain. This technique applies permanent electrical stimulation at the target area via a minimally invasive, subcutaneous placement of an electrode. OBJECTIVE: To assess analgesic effects of a minimally invasive wireless neuromodulation in the treatment of chronic intractable pain secondary to post-herpetic neuralgia. CASE SUMMARY: A 78-year-old man presented with severe intractable post herpetic neuralgic pain...
June 20, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28627793/increased-sympathetic-outflow-induces-adaptation-to-acute-experimental-pain
#14
Lior Dayan, Uri Hochberg, Hadas Nahman-Averbuch, Silviu Brill, Jacob N Ablin, Giris Jacob
BACKGROUND: There are interrelationships between the autonomic nervous system and pain. This study aims to explore the effect of different autonomic manipulations on pain perception and modulation. METHODS: Twenty healthy subjects (10 men and 10 women, mean age 25±3) participate in this single-blinded, semi-randomized, controlled study, which included 2 study visits. Warm and heat pain thresholds, conditioned pain modulation and pain adaptation were tested before and after administration of phenylephrine, clonidine, yohimbine and saline...
June 19, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28574640/trigeminal-neuralgia-in-pregnancy-a-management-challenge
#15
Bhanu P Swain, Sri Vidhya, Ashok Jadon, Kumar N Chandra, Sharad K Sinha
Pregnancy is known to aggravate pre-existing chronic painful conditions. Trigeminal neuralgia (TN), albeit a disease of elderly may afflict pregnant females which can further complicate its management. Teratogenic effects of the commonly used drugs on the developing fetus limit pharmacological treatment. Moreover safety of commonly performed interventional therapies is marred by their inherent fetomaternal effects and more importantly the risk of radiation effects on fetus due to the use of fluoroscopy. This rare coexistence of TN in pregnancy is never reported before...
June 2, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28557292/in-response-the-contribution-of-the-emergency-department-to-opioid-pain-reliever-misuse-and-diversion-a-critical-review
#16
LETTER
Maryann Mazer-Amirshahi, Sergey Motov, Lewis Nelson
No abstract text is available yet for this article.
May 30, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28557358/evidence-for-central-sensitization-in-patients-with-temporomandibular-disorders-a-systematic-review-and-meta-analysis-of-observational-studies
#17
REVIEW
Roy La Touche, Alba Paris-Alemany, Amanda Hidalgo-Pérez, Ibai López-de-Uralde-Villanueva, Santiago Angulo-Diaz-Parreño, Daniel Muñoz-García
OBJECTIVES: Several authors have evaluated different pain measurements, including quantitative sensory testing (QST), temporal summation (TS), and conditioned pain modulation (CPM) in order to determine the presence of central sensitization (CS) and its influence on patients with temporomandibular disorders (TMD). Since there are no convincing studies about this topic, the purpose of this study was to conduct a review of the studies involving CS-related measures in TMD patients. METHODS: A meta-analysis of case-control and cohort/cross sectional studies was conducted...
May 29, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28556425/fibromyalgia-a-chronic-pain-condition-or-a-true-chronic-pain-disease
#18
LETTER
Cesare Bonezzi, Matteo L G Leoni, Gaetano Terranova
No abstract text is available yet for this article.
May 28, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/27677100/steroid-vs-platelet-rich-plasma-in-ultrasound-guided-sacroiliac-joint-injection-for-chronic-low-back-pain
#19
Varun Singla, Yatindra K Batra, Neerja Bharti, Vijay G Goni, Neelam Marwaha
BACKGROUND: Despite widespread use of steroids to treat sacroiliac joint (SIJ) pain, their duration of pain reduction is short. Platelet-rich plasma (PRP) can potentially enhance tissue healing and may have a longer-lasting effect on pain. OBJECTIVES: To assess the efficacy and safety of PRP compared with methylprednisolone in ultrasound-guided SIJ injection for low back pain. STUDY DESIGN: Prospective randomized open blinded end point (PROBE) study...
July 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/27676323/infection-rates-of-electrical-leads-used-for-percutaneous-neurostimulation-of-the-peripheral-nervous-system
#20
Brian M Ilfeld, Rodney A Gabriel, Michael F Saulino, John Chae, P Hunter Peckham, Stuart A Grant, Christopher A Gilmore, Michael C Donohue, Matthew G deBock, Amorn Wongsarnpigoon, Joseph W Boggs
BACKGROUND: Percutaneous neurostimulation of the peripheral nervous system involves the insertion of a wire "lead" through an introducing needle to target a nerve/plexus or a motor point within a muscle. Electrical current may then be passed from an external generator through the skin via the lead for various therapeutic goals, including providing analgesia. With extended use of percutaneous leads sometimes greater than a month, infection is a concern. It was hypothesized that the infection rate of leads with a coiled design is lower than for leads with a noncoiled cylindrical design...
July 2017: Pain Practice: the Official Journal of World Institute of Pain
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