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Pain Practice: the Official Journal of World Institute of Pain

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https://www.readbyqxmd.com/read/30039642/intradiscal-methylene-blue-injection-for-discogenic-low-back-pain-a-meta-analysis
#1
REVIEW
Xiaohui Guo, WenYuan Ding, LanZe Liu, SiDong Yang
OBJECTIVES: The purpose of this study was to assess the effects of intradiscal methylene blue (MB) injection on discogenic low back pain (DLBP). METHODS: We conducted an electronic search of the PubMed, Ovid, Ovid MEDLINE and Embase databases using the search terms "low back pain" and "methylene blue"; the search was limited to English language articles from database inception to October 2017. In addition, the reference lists of all included studies were manually searched...
July 24, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29480977/unique-intradural-inflammatory-mass-containing-precipitated-morphine-confirmatory-analysis-by-lesa-ms-and-maldi-ms
#2
Alexander J Kim, Sankha Basu, Carolyn Glass, Edgar L Ross, Nathalie Agar, Qing He, David Calligaris
Opioids are often used for analgesia via continuous intrathecal delivery by implantable devices. A higher concentration and daily dose of opioid have been postulated as risk factors for intrathecal granuloma formation. We present a 42-year-old female patient with chronic abdominal pain from refractory pancreatitis, with an intrathecal drug delivery device implanted 21 years prior, delivering continuous intrathecal morphine. After many years without concerning physical signs or complaints, with gradual increases in daily morphine dose, she presented with rapidly progressive neurologic deficits, including lower extremity, bladder, and bowel symptoms...
September 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29480965/ultrasound-guided-intercostal-nerve-block-following-esophagectomy-for-acute-postoperative-pain-relief-in-the-postanesthesia-care-unit
#3
Mengqi Zhu, Yuechao Gu, Xia Sun, Xi Liu, Wankun Chen, Changhong Miao
OBJECTIVE: To explore the feasibility, effectiveness, and safety of ultrasound-guided intercostal nerve block (ICNB) for immediate relief of moderate and severe pain following esophagectomy in a postanesthesia care unit (PACU). METHODS: Eighty-one patients who complained of moderate to severe pain on arrival to the PACU after an Ivor Lewis esophagectomy were randomly assigned to 2 groups: a sufentanil treatment group (Group A, n = 41) and an intercostal nerve block treatment group (Group B, n = 40)...
September 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29480963/treatment-of-refractory-idiopathic-supraorbital-neuralgia-using-percutaneous-pulsed-radiofrequency
#4
Fang Luo, Jingjing Lu, Nan Ji
BACKGROUND AND AIMS: No ideal therapeutic method currently exists for refractory idiopathic supraorbital neuralgia patients who do not respond to conservative therapy, including medications and nerve blocks. Pulsed radiofrequency is a neuromodulation technique that does not produce sequelae of nerve damage after treatment. However, the efficacy of percutaneous pulsed radiofrequency for the treatment of refractory idiopathic supraorbital neuralgia is still not clear. The purpose of our study was to evaluate the efficacy and safety of pulsed radiofrequency treatment of the supraorbital nerve for refractory supraorbital neuralgia patients...
September 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29436158/spinal-cord-stimulator-electrode-dislodging-into-the-ligamentum-flavum-a-case-report
#5
Aaron J Martin, Devang Padalia, Neal Shah, Jaspreet Singh, Navdeep Jassal
To date, no case studies specifically reporting an electrode dislodging from its lead wire have been reported. Here we describe a case involving an electrode shearing from the spinal cord stimulator lead, and lodging into the ligamentum flavum during implantation. In this case, an experienced board certified interventional pain management specialist was performing the implantation procedure of a magnetic resonance imaging (MRI) compatible spinal cord stimulator with MR conditional leads. After successful placement of the first lead, the epidural space was accessed via a T11/12 interlaminar approach using loss of resistance technique...
September 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29436106/corticosteroid-and-cortisol-serum-levels-following-intra-articular-triamcinolone-acetonide-lumbar-facet-joint-injections
#6
Rozalin R Dickson, Joel M Reid, Wayne T Nicholson, Tim J Lamer, W Michael Hooten
BACKGROUND: Facet joint steroid injections are used to treat chronic low back pain. However, little is known about the systemic absorption and serum levels of steroids following intra-articular facet joint injections. The primary objective of this preliminary study was to investigate the pharmacokinetics of triamcinolone acetonide following fluoroscopically guided intra-articular lumbar facet joint injections in a cohort of patients with chronic low back pain. A secondary aim was to investigate the effects of triamcinolone on serum cortisol levels following lumbar facet joint injections...
September 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29393998/prevention-and-treatment-of-postoperative-pain-after-lumbar-spine-procedures-a-systematic-review
#7
REVIEW
Sergio Terracina, Chiara Robba, Anna Prete, Paola G Sergi, Federico Bilotta
BACKGROUND AND OBJECTIVE: In the past 2 decades, in developed countries, spine procedures (surgical and percutaneous) had the highest absolute increase in case volume trend. The optimal approach to prevent and treat postoperative pain is continuously evolving. This systematic literature review presents evidence on safety and efficacy of pharmacological and nonpharmacological therapies to prevent and treat postoperative pain after lumbar spine procedures. DATABASES AND DATA TREATMENT: Publications listed in PUBMED and EMBASE were considered to identify randomized clinical trials suitable for inclusion in this systematic review...
September 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29383819/validity-and-test-retest-reliability-of-the-dutch-modified-perceived-deficits-questionnaire-to-examine-cognitive-symptoms-in-women-with-chronic-whiplash-chronic-idiopathic-neck-pain-and-fibromyalgia
#8
D Lenoir, R De Pauw, K Ickmans, C Schumacher, I Timmers, J Kregel, I Coppieters
INTRODUCTION: Until now, only reliability and validity of the English version of the modified Perceived Deficits Questionnaire (mPDQ) have been investigated. OBJECTIVE: The aim of this study was to translate the mPDQ into Dutch and evaluate its validity and reliability as an assessment tool for self-perceived cognitive problems in patients with chronic whiplash-associated disorders (CWAD), chronic idiopathic neck pain (CINP), and fibromyalgia (FM). METHODS: A case-control study was performed with a volunteer sample of 13 women with CWAD, 18 with CINP, and 33 with FM, and 33 women who were healthy and free of pain...
September 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29363873/the-long-term-durability-of-multilumen-concentric-percutaneous-spinal-cord-stimulator-leads
#9
Thomas Simopoulos, Sanjiv Sharma, Moris Aner, Jatinder S Gill
BACKGROUND: Lead fracture is a well-known complication of cylindrical spinal cord stimulator leads. In order to reduce this complication, anchor design and techniques have been modified, but internal lead design has received little attention. OBJECTIVES: The goal of this study was to study the impact of lead design by a retrospective determination of the fracture rate of multilumen concentric (MLC) 8-contact leads. STUDY DESIGN: Retrospective chart review...
September 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29350880/temporal-and-spatial-quantification-of-pain-related-small-fiber-functionality-assessed-using-laser-speckle-contrast-analysis
#10
Isin Unal-Cevik
BACKGROUND: This study aimed to establish a practical method for assessing pain symptomatology and develop criteria for quantifying small fiber functions using laser speckle contrast analysis (LASCA). METHODS: Axon flare responses, which reflect small fiber functions, were induced either by histamine or capsaicin applied to the volar surface of the skin of the left forearm. To inhibit small fiber function, local anesthetic cream was applied to the skin of right forearm...
September 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29350873/test-procedures-to-assess-somatosensory-abnormalities-in-individuals-with-peripheral-joint-pain-a-systematic-review-of-psychometric-properties
#11
REVIEW
Abdullah Mohammad Alqarni, Donald Manlapaz, David Baxter, Steve Tumilty, Ramakrishnan Mani
BACKGROUND: Test procedures that were developed to assess somatosensory abnormalities should possess optimal psychometric properties (PMPs) to be used in clinical practice. The aim of this systematic review was to evaluate the literature to assess the level of evidence for PMPs of test procedures investigated in individuals with peripheral joint pain (PJP). METHODS: A comprehensive electronic literature search was conducted in 7 databases from inception to March 2016...
September 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29345843/does-the-use-of-epiduroscopic-lysis-of-adhesions-reduce-the-need-for-spinal-cord-stimulation-in-failed-back-surgery-syndrome-a-short-term-pilot-study
#12
Steven J Tuijp, Jan Van Zundert, Pieter De Vooght, Martine Puylaert, Roel Mestrum, René Heylen, Pascal Vanelderen
BACKGROUND AND AIMS: Persistent low back pain after initially successful surgery that is not attributed to structural deficits is called failed back surgery syndrome (FBSS). When conservative and minimal invasive therapy fail, the recommended treatment is spinal cord stimulation (SCS). Because epidural fibrosis can be a contributing factor in the majority of FBSS patients, lumbosacral epiduroscopic lysis of adhesions may be considered as a less invasive alternative treatment option. We hypothesized that the use of epiduroscopic lysis of adhesions could reduce the need for SCS...
September 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29316194/spinal-cord-stimulation-with-percutaneous-type-lead-in-a-deaf-patient-with-complex-regional-pain-syndrome-type-ii
#13
LETTER
Tilman Wolter
No abstract text is available yet for this article.
July 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29284194/chronic-calf-pain-caused-by-fibroma-induced-chronic-inflammation-around-the-tibial-and-peroneal-nerves-that-was-misdiagnosed-as-centralized-neuropathic-pain-a-case-report
#14
Jiyoung Park, Seong-Ho Ok, Jeong Yeol Han, Miyeong Park, Eun Hui Seo, Yeon A Kim
INTRODUCTION: The etiology of calf pain varies widely; therefore, it is difficult to diagnose and requires careful history taking and physical examination by primary care unit physicians. Because ultrasonography is easy to perform, cheap, and readily available to physicians during a routine consultation, it is the first choice of modality for the evaluation of calf pain. However, simple inflammation around the nerve should also be considered as a possible etiology. Here we describe a 35-year-old man with chronic pain in the right calf that was actually caused by fibroma-induced chronic inflammation around the tibial and peroneal nerves but misdiagnosed as centralized neuropathic pain...
July 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29282848/radiation-dose-exposure-for-lumbar-transforaminal-epidural-steroid-injections-and-facet-joint-blocks-under-ct-vs-fluoroscopic-guidance
#15
Paolo Maino, Stefano Presilla, Paola A Colli Franzone, Sander M J van Kuijk, Roberto S G M Perez, Eva Koetsier
BACKGROUND: Transforaminal epidural steroid injections (TFESIs) and facet joint blocks can be performed under fluoroscopy or computed tomography (CT) guidance. The purpose of this retrospective cohort study was to compare patient radiation dose for lumbar TFESIs and facet joint blocks under CT guidance vs. fluoroscopic guidance. METHODS: The primary outcome of this retrospective cohort study was the difference between the estimated effective dose (ED) of CT guidance and fluoroscopic guidance for TFESIs and facet joint blocks...
July 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29280594/predicting-analgesic-use-after-spinal-surgery
#16
LETTER
Mark C Kendall, Zachary L McCormick
No abstract text is available yet for this article.
July 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29266772/efficacy-and-tolerance-of-lidocaine-5-patches-in-neuropathic-pain-and-pain-related-to-vaso-occlusive-sickle-cell-crises-in-children-a-prospective-multicenter-clinical-study
#17
Vanessa Rousseau, Magali Morelle, Céline Arriuberge, Sophie Darnis, Sylvie Chabaud, Valérie Launay, Sandrine Thouvenin, Fabienne Roumenoff-Turcant, Séverine Metzger, Barbara Tourniaire, Perrine Marec-Berard
BACKGROUND: The management of neuropathic pain and pain related to bone vaso-occlusive crises in sickle cell disease remains challenging in children. Lidocaine 5% patches are recommended in adults for neuropathic pain treatment, but they are not recommended in children. The purpose of this study was to assess the efficacy and tolerance of lidocaine 5% patches in pediatric inpatients. METHODS: This prospective, multicenter, single-arm, phase II study aimed to assess the use of lidocaine 5% patches in 6- to 21-year-old pediatric patients suffering from neuropathic pain or superficial bone vaso-occlusive crises...
July 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29222932/a-fibers-mediate-cold-hyperalgesia-in-patients-with-oxaliplatin-induced-neuropathy
#18
Julia Forstenpointner, Violetta C Oberlojer, Dennis Naleschinski, Johanna Höper, Stephanie M Helfert, Andreas Binder, Janne Gierthmühlen, Ralf Baron
Cold hyperalgesia is a common side effect of oxaliplatin treatment; still, the pathophysiological and molecular mechanisms as well as the contribution of different primary afferent fiber systems are unclear. Therefore, patients with oxaliplatin-induced acute neuropathy with (n = 6) and without (n = 7) cold hyperalgesia were tested by applying a preferential blockade of peripheral myelinated A-fiber afferents in combination with quantitative sensory testing. Additionally, an interview-based questionnaire assessed the severity of symptoms and the impact on daily activities...
July 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29222851/convergent-validity-of-the-dutch-central-sensitization-inventory-associations-with-psychophysical-pain-measures-quality-of-life-disability-and-pain-cognitions-in-patients-with-chronic-spinal-pain
#19
Jeroen Kregel, Charline Schumacher, Mieke Dolphens, Anneleen Malfliet, Dorien Goubert, Dorine Lenoir, Barbara Cagnie, Mira Meeus, Iris Coppieters
OBJECTIVE: Symptoms of central sensitization (CS) have been described in patients with chronic spinal pain (CSP). Although a gold standard to diagnose CS is lacking, psychophysical pain measures are often used. The Central Sensitization Inventory (CSI) is proposed as an alternative method and indirect tool for the evaluation of CS symptomatology. The aim of the current study was to evaluate the convergent validity of the CSI by investigating the association with psychophysical pain measures and self-reported measures of current pain intensity, quality of life, disability, and catastrophizing in CSP patients...
July 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29222840/detection-of-neuropathic-pain-in-end-stage-cancer-patients-diagnostic-accuracy-of-two-questionnaires
#20
Eleftheria Tzamakou, Anastasios Petrou, Louiza Tefa, Vassiliki Siafaka, Eleni Laou, Petros Tzimas, Georgios Pentheroudakis, Georgios Papadopoulos
INTRODUCTION: Neuropathic pain is a frequent consequence of cancer pain. Quite often, in the end stage, it is difficult to discern its presence and delineate its characteristics in the context of painful cancer complications. The aim of this study was to compare the diagnostic accuracy of the Douleur Neuropathique en 4 Questions (DN4) and painDETECT questionnaires, which were translated to the patient's native language, for the diagnosis of peripheral neuropathic pain in oncology patients...
July 2018: Pain Practice: the Official Journal of World Institute of Pain
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