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Pain Practice: the Official Journal of World Institute of Pain

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https://www.readbyqxmd.com/read/30449063/high-frequency-supraorbital-nerve-stimulation-with-a-novel-wireless-minimally-invasive-device-for-post-traumatic-neuralgia-a-case-report
#1
J-P Van Buyten, I Smet, M Devos, N Vanquathem
BACKGROUND: Post-traumatic neuropathic pain in the head and face is a condition which is often refractory to medical management. Peripheral Nerve Stimulation (PNS) can be an effective treatment. A successful implant of a novel minimally invasive wireless device is reported here. OBJECTIVE: To assess analgesic effects of a minimally invasive wireless PNS device in the treatment of post-traumatic supraorbital neuralgia (SON). CASE SUMMARY: The patient presented with SON following multiple post-traumatic cranioplasty surgeries, which were complicated by infections...
November 18, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30447174/the-role-of-sleep-quality-and-fatigue-on-the-benefits-of-an-interdisciplinary-treatment-for-adults-with-chronic-pain
#2
Rocío de la Vega, Melanie Racine, Elena Castarlenas, Ester Solé, Rubén Roy, Mark P Jensen, Jordi Miró, Douglas Cane
BACKGROUND: Interdisciplinary chronic pain treatment is effective for reducing pain intensity and pain-related disability, and improving psychological function. However, the mechanisms that underlie these treatment-related benefits are not yet well-understood. Sleep problems and fatigue are modifiable factors often comorbid with chronic pain. The goal of this study was to evaluate the role that changes in sleep quality and fatigue might have on the benefits of an interdisciplinary chronic pain treatment...
November 17, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30403432/clinical-pharmacy-services-in-a-multidisciplinary-specialty-pain-clinic
#3
Maral Semerjian, Melissa J Durham, Edith Mirzaian, Mimi Lou, Steven H Richeimer
PURPOSE: To describe a model of clinical pharmacy services as part of a multidisciplinary specialty pain clinic by discussing 1) the role of a clinical pharmacist in a specialty setting, including clinical interventions implemented, and 2) how integration of a clinical pharmacist may translate into an improved patient care model for the management of chronic pain. METHODS: A retrospective chart review was conducted of pharmacist visits from October 1, 2013 to September 30, 2015 in a specialty pain clinic at an academic medical center in Los Angeles, CA...
November 7, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30369018/risk-of-medication-non-adherence-among-medicaid-enrollees-with-fibromyalgia-development-of-a-validated-risk-prediction-tool
#4
Raj Desai, Ara Jo, Nicole M Marlow
OBJECTIVE: To develop and validate a risk assessment tool called Prescription Medication Non- Adherence Prediction Tool (Rx-NAPT) to predict medication non-adherence in patients with fibromyalgia. METHODS: This was a retrospective cohort study using claims data from South Carolina Medicaid. Patients with fibromyalgia aged ≥18 years old who filled at least 1 prescription medication for pregabalin, duloxetine or milnacipran from January 1, 2005 through June 30, 2011 were extracted...
October 27, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30369016/spinal-cord-stimulation-for-acute-pain-following-surgery-for-cervical-myelopathy-a-novel-treatment-strategy
#5
Aaron Lawson McLean, Rolf Kalff, Rupert Reichart
Chronic pain syndromes caused by degenerative and post-infectious changes in the cervical spine continue to pose significant management challenges to neurosurgeons and pain practitioners. The identification of an individualized treatment plan, astute surgical technique, comprehensive and multimodal analgesia and adequate rehabilitation processes do not necessarily result in diminished pain. We present the case of a chronic pain patient treated surgically for degenerative cervical myelopathy secondary to cervical spinal stenosis...
October 27, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30369003/the-mist-guidelines-the-lumbar-spinal-stenosis-consensus-group-guidelines-for-minimally-invasive-spine-treatment
#6
Timothy R Deer, Jay S Grider, Jason E Pope, Steven Falowski, Tim J Lamer, Aaron Calodney, David A Provenzano, Dawood Sayed, Eric Lee, Sayed E Wahezi, Chong Kim, Corey Hunter, Mayank Gupta, Rasmin Benyamin, Bohdan Chopko, Didier Demesmin, Sudhir Diwan, Christopher Gharibo, Leo Kapural, David Kloth, Brian D Klagges, Michael Harned, Tom Simopoulos, Tory McJunkin, Jonathan D Carlson, Richard W Rosenquist, Timothy R Lubenow, Nagy Mekhail
BACKGROUND: Lumbar spinal stenosis (LSS) can lead to compression of neural elements and manifest as low back and leg pain. LSS has traditionally been treated with a variety of conservative (pain medications, physical therapy, epidural spinal injections) and invasive (surgical decompression) options. Recently, several minimally invasive procedures have expanded the treatment options. METHODS: The Lumbar Spinal Stenosis Consensus Group convened to evaluate the peer-reviewed literature as the basis for making Minimally Invasive Spine Treatment (MIST) recommendations...
October 27, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30365222/high-frequency-spinal-cord-stimulation-at-10-khz-for-the-treatment-of-complex-regional-pain-syndrome-a-case-series-of-patients-with-or-without-previous-spinal-cord-stimulator-implantation
#7
Jatinder S Gill, Abbas Asgerally, Thomas T Simopoulos
BACKGROUND: High frequency spinal cord stimulation at 10 kHz (HF10-SCS) has been demonstrated to provide enhanced and durable pain relief in patients with chronic back and radiating leg pain. Patients with pain related to complex regional pain syndromes (CRPS) in the chronic stages are commonly challenging to treat and often receive traditional spinal cord stimulation. Very little information is currently available about the therapeutic outcomes following application of high frequency stimulation in this cohort of patients...
October 26, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30354013/efficacy-of-additional-corticosteroid-in-a-multimodal-cocktail-for-postoperative-analgesia-following-total-knee-arthroplasty-a-meta-analysis-of-randomized-controlled-trials
#8
REVIEW
Xiping Chai, Haiping Liu, Congxin You, Changde Wang
BACKGROUND: Local injection of multimodal cocktail including corticosteroid is commonly used for postoperative pain following total knee arthroplasty (TKA). However, it is inconclusive whether additional corticosteroid is beneficial. This meta-analysis of randomized controlled trials aimed to evaluate the efficacy of an additional, local injection of corticosteroid in terms of pain relief and knee function recovery after TKA. METHODS: Randomized controlled trials (RCTs) in electronic literature database including PubMed, Web of Science, Embase, and Cochrane Library were systematically searched...
October 24, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30354006/systematic-review-and-meta-analysis-on-neuropsychological-effects-of-long-term-use-of-opioids-in-chronic-non-cancer-pain-patients
#9
REVIEW
Nicola Allegri, Simona Mennuni, Eliana Rulli, Nicola Vanacore, Oscar Corli, Irene Floriani, Irene De Simone, Massimo Allegri, S Govoni, Tomaso Vecchi, Giorgio Sandrini, Davide Liccione, Elena Biagioli
BACKGROUND AND OBJECTIVE: Opioid treatments are often prolonged because of the pathology causing pain. We focused on the cognitive functions in chronic pain patients treated with opioids. This topic is currently controversial, but in practice the consequences are important in patients' daily life, social interactions, working ability and driving. DATABASE AND DATA TREATMENT: Medline and Embase databases were searched for eligible articles. We included studies: enrolling patients with chronic non-cancer pain; under opioids treatment; with a control group not using opioids; cognitive functions evaluated with specific tests...
October 24, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30328678/anchoring-the-numerical-pain-scale-changes-pain-intensity-reports-in-patients-with-chronic-but-not-with-acute-pain
#10
Renana Amir, Ronit Leiba, Elon Eisenberg
BACKGROUND: Despite enormous differences between acute and chronic pain, numerical pain scale (NRS) is commonly used in pain research and in clinical practice for assessing the intensity of both acute and chronic pain. The use of this scale has been challenged as it may fail to accurately reflect the 'pure' intensity of chronic pain. AIM: To compare the effect of 'anchoring' the NRS on the intensity of pain reported by patients with acute versus chronic pain. METHODS: Patients with acute postoperative or chronic pain (n=100/group) were requested to rate their: 'current clinical pain intensity' on a 0-100 NRS; the intensity of an 'anchoring pain event' on the same scale; subsequently to rate again their 'current pain intensity' while making reference to the reported intensity of the 'pain event'...
October 17, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30317684/association-between-polymorphisms-in-dopamine-related-genes-and-orthopedic-pain-expression-in-chinese-elderly-population
#11
Che-Sheng Chu, Chin-Liang Chu, Chih-Kuang Liang, Ti Lu, Yu-Te Lin, Ming-Yueh Chou, Philip Chik-Keung Chow
OBJECTIVES: The dopaminergic pathway plays a vital role in pain expression. Here, our aim was to investigate the effects of polymorphisms in genes encoding the dopamine active transporter (SLC6A3) and dopamine receptor D2 (DRD2) on preoperative pain expression among patients preparing for orthopedic surgery. METHODS: Chinese elderly patients scheduled for orthopedic surgery were enrolled. The Visual Analogue Scale (VAS) was used to evaluate pain intensity (score range, 0-10; 0 = no pain; 10 = worst pain possible)...
October 14, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30303612/effect-on-morphine-requirement-of-early-administration-of-oral-acetaminophen-versus-acetaminophen-tramadol-combination-in-acute-pain
#12
Wahid Bouida, Kaouthar Beltaief, Mohamed Amine Msolli, Maryem Ben Marzouk, Hamdi Boubaker, Mohamed Habib Grissa, Asma Zorgati, Mehdi Methamem, Riadh Boukef, Asma Belguith, Semir Nouira
OBJECTIVES: To evaluate the effect of pain treatment starting at triage on opioid requirement, and satisfaction in emergency department(ED) patients with acute pain. METHODS: This is a single-blind, randomized, prospective study conducted in ED. The included patients were randomly assigned to single oral dosed of placebo, acetaminophen or tramadol/acetaminophen combination. Protocol treatment was given at the triage.The primary outcome is the need for rescue morphine during EDstay...
October 10, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30290052/effectiveness-of-primary-care-interventions-using-a-biopsychosocial-approach-in-chronic-low-back-pain-a-systematic-review
#13
REVIEW
Reni M A van Erp, Ivan P J Huijnen, Marluuke L G Jakobs, Jos Kleijnen, Rob J E M Smeets
BACKGROUND AND OBJECTIVE: Recent systematic reviews show promising effects for multidisciplinary biopsychosocial (BPS) interventions in patients with chronic low back pain (CLBP). Nowadays, BPS interventions have also been developed for primary care physiotherapy settings. Our aim was to systematically review the evidence on the effectiveness of primary care BPS interventions in improving functional disability, pain and work status for patients with CLBP. Secondly, we aimed to provide an elaborated overview of BPS intervention designs, physiotherapist-training programs and process-related factors (practical implementation)...
October 5, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30269439/prospective-cohort-analysis-of-drg-stimulation-for-failed-back-surgery-syndrome-pain-following-lumbar-discectomy
#14
Jan Willem Kallewaard, Harold Nijhuis, Frank Huygen, Frank Wille, Xander Zuidema, Johan van de Minkelis, Adil Raza
INTRODUCTION: Surgical lumbar discectomy is a commonly-performed routine spinal procedure that is usually undertaken to alleviate lumbar radicular symptoms caused by a herniated intervertebral disc. Surgical lumbar discectomy can also lead to chronic post-surgical leg and/or back pain (failed back surgery syndrome, FBSS), a condition that can be refractory to conventional medical management. Early clinical results on the use of dorsal root ganglion (DRG) stimulation for FBSS have supported the use of this treatment alternative...
September 30, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30269438/short-term-glucocorticoid-treatment-normalizes-the-microcirculatory-response-to-remote-ischemic-conditioning-in-early-complex-regional-pain-syndrome
#15
Nina Kumowski, Tobias Hegelmaier, Jonas Kolbenschlag, Tina Mainka, Beate Michel-Lauter, Christoph Maier
BACKGROUND: The early phase of complex regional pain syndrome (CRPS) is characterized by an inflammatory state and therefore often treated with anti-inflammatory acting glucocorticoids. Recently, we demonstrated that remote ischemic conditioning (RIC), a cyclic application of non-damaging ischemia on a remote extremity, reduces blood flow and increases oxygen extraction in the CRPS-affected extremity. AIM: Aim of the presented study was to analyze the effect of short-term pain treatment including glucocorticoid pulse treatment on the RIC-induced perfusion parameters...
September 30, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30269435/an-internet-based-survey-to-assess-clinicians-knowledge-and-attitudes-towards-opioid-induced-hypogonadism
#16
Uri Hochberg, Antonio Ojeda, Silviu Brill, Jordi Perez
BACKGROUND: Long term opioid therapy for chronic pain management requires regularly assessing and documenting benefits and side effects. Opioid-induced sex hormone disturbances are a complication that needs to be assessed routinely and perhaps not only when suspected. There is abundant literature about its prevalence, clinical consequences and treatment yet, routine hormone screening and appropriate treatment are seldom performed in pain clinics. Ignorance, scepticism and/or indifference are possible reasons explaining why opioid induced hypogonadism (OIH) remains underdiagnosed among chronic pain patients...
September 30, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30269431/chronic-pain-in-breast-cancer-survivors-nociceptive-neuropathic-or-central-sensitization-pain
#17
Laurence Leysen, Nele Adriaenssens, Jo Nijs, Roselien Pas, Thomas Bilterys, Sofie Vermeir, Astrid Lahousse, David Beckwée
INTRODUCTION: The differentiation between acute and chronic pain can be insufficient for an appropriate pain management. The aim of this study was to evaluate the prevalence of the predominant pain type (nociceptive, neuropathic or central sensitization pain) in breast cancer survivors (BCS) with chronic pain. The secondary aims were to examine 1) differences in health-related quality of life(HRQoL) between the different pain groups; 2) the associations between patient-, disease- and treatment-related factors and the different pain types...
September 30, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30269430/comparison-of-ultrasound-guided-supraclavicular-and-interscalene-brachial-plexus-blocks-in-postoperative-pain-management-after-arthroscopic-shoulder-surgery
#18
Tugba Karaman, Serkan Karaman, Murat Aşçı, Hakan Tapar, Aynur Şahin, Serkan Dogru, Mustafa Suren
BACKGROUND: The interscalene brachial plexus block (ISBB) is an effective procedure for minimizing postoperative opioid consumption and pain following arthroscopic shoulder surgery (ASS). The ultrasound (US)-guided supraclavicular brachial plexus block (SCBB) seems to be an alternative technique for ASS. However, evidence is lacking regarding the impact of SCBB on postoperative pain management and recovery after ASS. The aim of this study was to compare the effects of SCBB with ISBB in terms of postoperative pain and quality of recovery after ASS...
September 30, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30269418/prediction-of-acute-postoperative-pain-from-assessment-of-pain-associated-with-venous-cannulation
#19
Anna K M Persson, Jonas Åkeson
BACKGROUND: It has previously been reported that venous cannulation-induced pain (VCP) can be used to predict acute postoperative pain after laparoscopic cholecystectomy. Patients rating VCP at ≥2.0 VAS units had 3.4 times higher risk for moderate or severe pain. The purpose of this study was to evaluate if VCP scores of ≥2.0 VAS units are associated with higher risk for acute postoperative pain after various common surgical procedures. METHODS: In a prospective clinical observational study, 600 male and female 18- to 80-year-old patients scheduled for elective surgery were included...
September 30, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/30269416/differences-in-characteristics-and-downstream-drug-use-among-opioid-na%C3%A3-ve-and-prior-opioid-users-with-low-back-pain
#20
Lindsay A DiMarco, Benjamin C Ramger, Gregory P Howell, Ali M Serrani, Deborah L Givens, Daniel I Rhon, Chad E Cook
BACKGROUND: Recent clinical practice guidelines have suggested conservative treatment approaches, including physical therapy, are indicated as first line treatment for patients with low back pain (LBP); however, LBP continues to be managed with opioids, despite decreases in function, morbidity, and insignificant improvements in pain. OBJECTIVE: The primary purpose was to compare characteristics and downstream medication use between patients with LBP with prior opioid exposure versus opioid-naïve...
September 30, 2018: Pain Practice: the Official Journal of World Institute of Pain
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