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Pain Practice: the Official Journal of World Institute of Pain

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https://www.readbyqxmd.com/read/29436158/spinal-cord-stimulator-electrode-dislodging-into-the-ligamentum-flavum-a-case-report
#1
Aaron J Martin, Devang Padalia, Neal Shah, Jaspreet Singh, Navdeep Jassal
Since the introduction of spinal cord stimulation for the treatment of pain in 1967, the technology has progressed dramatically with continual device evolution and increasing number of approved indications. Despite constant refinement of the device design, the average complication rate has been estimated at 30-40%, with 74% of the reported complications being device related. The most common of these include lead migration, fracture, and disconnection from the generator. To date, no cases specifically reporting an electrode dislodging from its lead wire have been reported...
February 12, 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
#2
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. 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...
February 12, 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
#3
REVIEW
Sergio Terracina, Chiara Robba, Anna Prete, Paola G Sergi, Federico Bilotta
BACKGROUND AND OBJECTIVE: In the last decades, in developed countries, spine procedures (surgical and percutaneous) had the highest absolute increase in case volume trend. Optimal approach to prevent and treat postoperative pain is continuously evolving. This systematic literature review presents evidence on safety and efficacy of pharmacological and non-pharmacological 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...
February 2, 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
#4
D Lenoir, R De Pauw, K Ickmans, C Schumacher, I Timmers, J Kregel, I Coppieters
Until now, only reliability and validity of the English version of the modified perceived deficits questionnaire (mPDQ) have been investigated. 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). A case-control study was performed with a volunteer sample of 13 women with CWAD, 18 with CINP, 33 FM women and 33 healthy pain-free women...
January 30, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29377546/flawed-study-design-and-incorrect-presentation-of-data-negatively-impact-potentially-useful-interventional-treatments-for-patients-with-low-back-pain-a-critical-review-of-jama-s-mint-study
#5
EDITORIAL
Sander M J van Kuijk, Jan Van Zundert, Guy Hans, Koen Van Boxem, Kris Vissers, Maarten van Kleef, James Rathmell
No abstract text is available yet for this article.
January 29, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29363873/the-long-term-durability-of-multi-lumen-concentric-percutaneous-spinal-cord-stimulator-leads
#6
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 multi-lumen concentric (MLC) 8 contact leads. STUDY DESIGN: Retrospective chart review...
January 24, 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-lasca
#7
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 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. The effects on pain symptomatology (severity/timing) and axon flare responses (temporal/spatial characteristics) were measured using LASCA...
January 19, 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
#8
REVIEW
Abdullah 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 is 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 seven databases from inception to March 2016...
January 19, 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
#9
S J Tuijp, J Van Zundert, P De Vooght, M Puylaert, R Mestrum, R Heylen, P 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...
January 18, 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-crps-ii
#10
LETTER
Tilman Wolter
The importance of a full coverage of the painful area by the SCS-induced paresthesia has been pointed out several times1-4 and incomplete paresthesia coverage has been reported to result in therapy failure5 . Deafness associated with the necessity to use sign language affects approximately 0.2% of the general population. In deaf persons, communication during intraoperative paresthesia mapping can possibly be hampered. This article is protected by copyright. All rights reserved.
January 5, 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
#11
Park Jiyoung, Ok Seong-Ho, Han Jeong Yeol, Park Miyeong, Seo Eun Hui, Kim Yeon A
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 with 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...
December 28, 2017: 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-versus-fluoroscopic-guidance
#12
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 versus 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...
December 28, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29280594/predicting-analgesic-use-after-spinal-surgery
#13
LETTER
Mark C Kendall, Zachary L McCormick
We read with great interest the article of Kasukawa et al. in a recent issue of the Pain Practice. In this retrospective multi-center study of 329 patients who underwent lumbar spinal decompression, the authors concluded that (1) the need for preoperative pain medication, (2) a longer duration between the surgery and the time of chart review, and (3) the presence of postoperative intermittent claudication, were factors that predicted the subsequent prescription of limaprost and/or pregabalin.1 The authors should be commended for investigating an important health care problem, as the need for spine surgery continues to grow and analgesics, many of which add significant cost to health care, are commonly utilized to control the postoperative pain for these patients...
December 27, 2017: 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
#14
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 aimed to assess the use of lidocaine 5% patches in 6 to 21 years old pediatric patients suffering from neuropathic pain or superficial bone vaso-occlusive crises...
December 20, 2017: 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
#15
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...
December 9, 2017: 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
#16
Jeroen Kregel, Charline Schumacher, Mieke Dolphens, Anneleen Malfliet, Dorien Goubert, Dorine Lenoir, Barbara Cagnie, Mira Meeus, I 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 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...
December 8, 2017: 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
#17
Eleftheria Tzamakou, Anastasios Petrou, Louiza Tefa, Vassiliki Siafaka, Eleni Laou, Petros Tzimas, Georgios Pentheroudakis, Georgios Papadopoulos
INTRODUCTION: Neuropathic pain in a frequent consequence of cancer pain. Quite often, in the end stage, it is difficult to discern its presence and delineate its characters in the context of cancer painful complications. The aim of this study was to compare the diagnostic accuracy of the translated to native language DN4 and PainDETECT questionnaires, for the diagnosis of peripheral neuropathic pain in oncology patients. METHODS: End stage cancer patients that presented to the Outpatient Pain Clinic were prospectively followed...
December 8, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29220110/non-responsiveness-and-susceptibility-of-opioids-side-effects-related-to-cancer-patients-clinical-characteristics-a-post-hoc-analysis
#18
Oscar Corli, Anna Roberto, Michael I Bennett, Francesca Galli, Nicole Corsi, Eliana Rulli, Raffaella Antonione
BACKGROUND: Response to opioids is not always positive in cancer patients. A considerable proportion of patients do not respond (non-responders, NRs) or experience severe toxicity. The aim of this analysis was to assess the role of demographic characteristics, pain features, comorbidities and ongoing therapy on the lack of efficacy and on the occurrence of severe adverse drug reactions (ADRs). METHODS: This is a post-hoc analysis of a randomized controlled trial that involved 520 patients and was aimed to evaluate the efficacy and safety of four strong opioids...
December 8, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29194925/heart-rate-variability-and-sensitivity-to-experimentally-induced-pain-a-replication
#19
LETTER
Lincoln M Tracy, Marc N Jarczok, Robert J Ellis, Claudia Bach, Thomas K Hillecke, Julian F Thayer, Julian Koenig
The neural systems controlling cardiovascular function are closely coupled to systems modulating the perception of pain; as a result, interactions may be observed between measures indexing pain sensation and autonomic control. The present paper aimed to replicate earlier findings investigating the relationship of heart rate variability (HRV) and pain sensitivity. Thirty-four subjects received nociceptive stimulation using the cold pressor test (CPT; 4°C) after HRV was recorded for 5 minutes prior to painful stimulation...
November 30, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28434187/ultrasound-guided-intra-articular-injection-of-the-radio-ulnar-and-radio-humeral-joints-and-ultrasound-guided-dry-needling-of-the-affected-limb-muscles-to-relieve-fixed-pronation-deformity-and-myofascial-issues-around-the-shoulder-in-a-case-of-complex-regional
#20
Renuka S Pai, Lakshmi Vas
BACKGROUND: Complex regional pain syndrome (CRPS) occurs due to different pathophysiological mechanisms. Presently there is no description of definitive treatment that can resolve the especially recalcitrant motor issues of disability in CRPS type 1 (CRPS-1). CASE REPORT: We have herein described the successful management of motor disability with a multimodal approach in a patient with CRPS-1 that occurred as a result of a fracture sustained in the lower end of the radius...
February 2018: Pain Practice: the Official Journal of World Institute of Pain
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