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Pain Practice: the Official Journal of World Institute of Pain

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#1
LETTER
Aakanksha Aggarwal
We totally agree with the statement of the authors of the letter to the editor that "the incidence of CRPS knee following trauma or otherwise is not well appreciated". We would like to refer to our earlier published paper in which we concluded that the scientific literature does report cases of CRPS type I of only the knee(s). Our recommendation was to consider CRPS confined to the knee as a medical entity and therefore to include CRPS of only the knee(s) in future research on the etiological mechanisms of and optimal treatment for CRPS [1]...
May 19, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29772118/proms-for-pain-in-adult-cancer-patients-a-systematic-review-of-measurement-properties
#2
REVIEW
Asma A Abahussin, Robert M West, David C Wong, Lucy E Ziegler
CONTEXT: Pain is one of the most devastating symptoms for cancer patients. One-third of patients who experience pain do not receive effective treatment. A key barrier to effective pain management is lack of routine measurement and monitoring of pain. Patient-Reported Outcome Measures (PROMs) are recommended for measuring cancer pain. However, evidence to guide the selection of the most appropriate measure to identify and monitor cancer pain is limited. A systematic review of measurement properties of PROMs for pain in cancer patients is needed to identify the best validated measure for adoption to an electronic platform...
May 17, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29772106/the-relationships-between-pain-catastrophizing-subcomponents-and-multiple-pain-related-outcomes-in-japanese-outpatients-with-chronic-pain-a-cross-sectional-study
#3
Tomonori Adachi, Aya Nakae, Tomoyuki Maruo, Kenrin Shi, Lynn Maeda, Youichi Saitoh, Masahiko Shibata, Jun Sasaki
OBJECTIVES: The present study sought to examine associations between the pain catastrophizing subcomponents and multiple pain-related outcomes in Japanese individuals with chronic pain. METHODS: A cross-sectional study design was employed with 213 chronic pain outpatients. The participants were recruited from three units at one university hospital and from a pain clinic at a municipal hospital. Study measures were used to assess pain catastrophizing, anxiety, depression, pain interference, and pain severity...
May 17, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29761638/ultra-sound-guided-neurolysis-of-six-genicular-nerves-of-knee-for-intractable-pain-from-knee-osteoarthritis-a-case-series
#4
Arif Ahmed, Divesh Arora
INTRODUCTION: Among the elderly populations, the chronic osteoarthritis of knee joint is one of the leading cause of disability and causes considerable pain, joint stiffness and functional limitations. Although knee replacement is a good option for the grade IV osteoarthritis, but many patients failed to undergo surgery due to co-morbidities or other reasons. METHODS: Four patient with severe pain from grade III and IV osteoarthritis of knee joint had underwent ultrasound guided alcohol neurolysis of the six genicular nerves of knee joint after a positive genicular nerve block with local anesthetics...
May 14, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29758587/regional-vs-general-anesthesia-for-total-knee-and-hip-replacement-an-analysis-of-postoperative-pain-perception-from-the-international-pain-out-registry
#5
Katharina Donauer, Hagen Bomberg, Stefan Wagenpfeil, Thomas Volk, Winfried Meissner, Alexander Wolf
BACKGROUND: Total hip and knee replacements are common surgeries, and an optimal pain treatment is essential for early rehabilitation. Since data from randomized controlled trails on the use of regional anesthesia in joint replacements of the lower extremities are conflicting, we analyzed the international PAIN OUT registry for comparison of regional anesthesia vs. general anesthesia regarding pain and morphine consumption on the first postoperative day. METHODS: International Classification of Diseases-9 (ICD-9) codes were used to identify 2,346 cases for knee and 2,315 for hip arthroplasty between 2010 and 2016 from the PAIN OUT registry...
May 14, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29756333/safe-use-of-epidural-corticosteroid-injections-recommendations-of-the-wip-benelux-workgroup
#6
REVIEW
Koen Van Boxem, Mienke Rijsdijk, Guy Hans, Jasper de Jong, Jan Willem Kallewaard, Kris Vissers, Maarten van Kleef, James P Rathmell, Jan Van Zundert
BACKGROUND: Epidural corticosteroid injections are used frequently worldwide in the treatment of radicular pain. Concerns have risen involving rare major neurologic injuries after this treatment. Recommendations to prevent these complications have been published, but local implementation is not always feasible due to local circumstances and necessitating local recommendations based on literature review. METHODS: A workgroup of 4 stakeholder pain societies in Belgium, The Netherlands and Luxembourg (Benelux) has reviewed the literature involving neurological complications after epidural corticosteroid injections and possible safety measures to prevent these major neurologic injuries...
May 14, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29734509/efficacy-of-cryoablation-to-control-cancer-pain-a-systematic-review
#7
REVIEW
Laura Ferrer-Mileo, Ana Isabel Luque Blanco, Jesús González-Barboteo
CONTEXT: The use of opioids to control cancer pain could be insufficient. Interventional techniques such as a cryoablation have emerged as alternatives to opioids. OBJECTIVES: To summarize the current scientific evidence on the use of cryoablation to control cancer pain. METHODS: A systematic search of the Scopus, Pubmed, and Cochrane databases was performed. All articles published before December 31, 2015 whose title or abstract specified cancer pain control as endpoint were selected...
May 7, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29723917/opiate-free-pain-therapy-using-carbamazepine-loaded-microparticles-provides-up-to-two-weeks-of-pain-relief-in-a-neuropathic-pain-model
#8
Haining Dai, Dana M Tilley, Greici Mercedes, Chris Doherty, Amitabh Gulati, Neel Mehta, Amer Khalil, Katrin Holzhaus, Francis M Reynolds
INTRODUCTION: Opioids remain a mainstay in the treatment of acute and chronic pain, despite numerous and potentially dangerous side effects. There is a great unmet medical need for alternative treatments for patients suffering from pain that do not result in addiction or adverse side effects. Anticonvulsants have been shown to be effective in managing pain, though high systemic levels and subsequent side effects limit its widespread usage. Our goal was to determine if the incorporation of an anticonvulsant, carbamazepine, into a biodegradable microparticle for local sustained perineural release would be an efficacious analgesic following a peripheral injury...
May 3, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29722923/enriched-environment-and-effects-on-neuropathic-pain-experimental-findings-and-mechanisms
#9
REVIEW
Lydia Wai Tai, Sung Ching Yeung, Chi Wai Cheung
Neuropathic pain inflicts tremendous biopsychosocial suffering for patients worldwide. However, safe and effective treatment of neuropathic pain is a prominent unmet clinical need. Environmental enrichment (EE) is an emerging cost-effective non-pharmacological approach to alleviate neuropathic pain and complement rehabilitation care. We present here a review of preclinical studies in ascertaining the efficacy of EE for neuropathic pain. Their proposed mechanisms, including the suppression of ascending nociceptive signaling to the brain, enhancement of descending inhibitory system and neuroprotection of the peripheral and central nervous systems, may collectively reduce pain perception and improve somatic and emotional functioning in neuropathic pain...
May 3, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29710429/clinical-manifestation-of-acute-subacute-and-chronic-low-back-pain-in-different-age-groups
#10
Philipp Hüllemann, Thomas Keller, Maria Kabelitz, Janne Gierthmühlen, Rainer Freynhagen, Thomas Tölle, Julia Forstenpointner, Ralf Baron
BACKGROUND: Low back pain is major health care problem causing tremendous economic cots. METHODS: Clinical manifestation of low back pain (LBP) was characterized in 35,446 patients. We focused on the comparison of the acute, subacute, and chronic LBP stage with regard to patients' age, based on epidemiological and clinical questionnaires (e.g. painDETECT, pain disability index), pain intensity, pain descriptors, and functional impairment. RESULTS: We found that neuropathic components were most frequent in chronic LBP patients at the age of 51-60 years...
April 30, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29679457/burst-spinal-cord-stimulation-in-peripherally-injured-chronic-neuropathic-rats-a-delayed-effect
#11
Koen P V Meuwissen, Jianwen Wendy Gu, Tianhe C Zhang, Elbert A J Joosten
OBJECTIVE: Two well-known spinal cord stimulation (SCS) paradigms, Conventional (Con) and Burst-SCS, are hypothesized to exert their anti-nociceptive effects through different stimulation-induced mechanisms. We studied the course of the behavioral anti-nociceptive effect during 60 minutes of SCS and 30 minutes post SCS, in a rat model of chronic neuropathic pain. MATERIAL AND METHODS: Animals received a unilateral partial sciatic nerve ligation, after which they were implanted with quadripolar electrodes into the epidural space at vertebral level T13 (n=43 rats)...
April 20, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29679452/multidimensional-patient-impression-of-change-following-interdisciplinary-pain-management
#12
Christine M Gagnon, Paul Scholten, James Atchison
OBJECTIVES: To assess patient impression of change following interdisciplinary pain management utilizing a newly developed Multidimensional Patient Impression of Change (MPIC) questionnaire. METHODS: A heterogeneous group of chronic pain patients (N = 601) participated in an interdisciplinary treatment program. Programs included individual and group therapies (pain psychology, physical therapy, occupational therapy, relaxation training/biofeedback, aerobic conditioning, patient education and medical management)...
April 20, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29667301/the-feasibility-of-using-the-brighthearts-biofeedback-assisted-relaxation-application-for-the-management-of-pediatric-procedural-pain-a-pilot-study
#13
Karen L O Burton, Angela M Morrow, Brooke V Beswick, George P Khut
OBJECTIVE: The objective of this pilot study was to assess the acceptability and feasibility of using BrightHearts, a biofeedback-assisted relaxation application (app), in children undergoing painful procedures. METHODS: Thirty children 7 to 18 years of age undergoing a medical procedure (peripheral blood collection, botulinum toxin injection, or intravenous cannula insertion) participated. Participants used BrightHearts, a heart rate-controlled biofeedback-assisted relaxation training app delivered via an iPad with heart rate measured through a pulse oximeter worn on the ear or thumb...
April 17, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29653017/crps-knee-how-frequently-encountered-in-differential-diagnosis-of-knee-pain
#14
LETTER
Aakanksha Aggarwal, Anil Agarwal
We have read with great interest the paper by Catelijne M. van Bussel [1] recently published in Pain Practice. I wish to congratulate the authors for their valuable contributions. In the said article, 12 patients who had complex regional pain syndrome confined to the knee have been included. Though reports have been published involving primarily the knee after total knee arthroplasty [2,3] the incidence of CRPS knee following trauma or otherwise is not well appreciated. We would have appreciated if presence or absence of any inciting event for the development CRPS knee in these 12 patients could be mentioned, which could be helpful in a better diagnosis and management of the patients with CRPS knee...
April 13, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29635736/comments-on-effect-of-gabapentin-on-delayed-discharge-from-the-postanesthesia-care-unit
#15
LETTER
Aakanksha Aggarwal, Anil Agarwal, Sandeep Khuba
The audit aims to study the effect of gabapentin induced sedation on the length of PACU stay and its effect on delayed discharge of patients from PACU. However, in the present study authors excluded the patients with a PACU stay of less than 2 hours. We are of the opinion that it is not prudent to draw conclusions that the use of preoperative gabapentin resulted in a significantly increased the number of patients whose PACU perioperative discharge was delayed when only patients with prolonged PACU stay were included...
April 10, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29617062/radiofrequency-thermocoagulation-of-the-ganglion-impar-for-coccydynia-management-long-term-effects
#16
Atilla Kırcelli, Emre Demirçay, Ömer Özel, Ilker Çöven, Semra Işık, Erdinç Civelek, Serdar Kabataş
OBJECTIVE: To investigate the short- and long-term effects of ganglion impar radiofrequency thermocoagulation (RFT) treatment in patients with chronic coccydynia. MATERIALS-METHODS: We retrospectively analyzed the medical records of patients who underwent RFT of the ganglion impar between 2009 and 2011. Pain intensity visual numeric scale (VNS) scores and Euroqol 5D (EQ-5D) index scores were recorded pre-intervention and post-intervention at the 1st, 6th, and 12th months...
April 4, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29570943/the-relationship-between-heart-rate-variability-psychological-flexibility-and-pain-in-neurofibromatosis-type-1
#17
Taryn M Allen, Kari L Struemph, Mary Anne Toledo-Tamula, Pamela L Wolters, Andrea Baldwin, Brigitte Widemann, Staci Martin
Individuals with neurofibromatosis type 1 (NF1) and plexiform neurofibromas (PNs) can experience chronic pain. Previous research has examined the relationship between heart rate variability (HRV) and persistent pain. HRV is an index of autonomic nervous system functioning, and reflects the variability in time elapsed between heartbeats. Patients with chronic pain tend to exhibit lower HRV, which has been associated with poor adaptability, or psychological flexibility, to stress. The aim of the current study was to examine relationships between HRV, psychological flexibility and pain in a sample of adolescents and young adults (AYA) with NF1 and PNs...
March 23, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29526043/spinal-cord-stimulation-clinical-efficacy-and-potential-mechanisms
#18
REVIEW
Andrei D Sdrulla, Yun Guan, Srinivasa N Raja
Spinal cord stimulation (SCS) is a minimally invasive therapy used for the treatment of chronic neuropathic pain. SCS is a safe and effective alternative to medications such as opioids, and multiple randomized controlled studies have demonstrated efficacy for difficult-to-treat neuropathic conditions such as failed back surgery syndrome. Conventional SCS is believed mediate pain relief via activation of dorsal column Aβ fibers, resulting in variable effects on sensory and pain thresholds, and measurable alterations in higher order cortical processing...
March 11, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29516616/epidural-abscess-during-a-spinal-cord-stimulator-trial-a-case-report
#19
Brian Wetherington, Talal W Khan
BACKGROUND: Spinal cord stimulation (SCS) can be beneficial for low back and radicular pain. A short trial of SCS evaluates the potential effectiveness of this therapy for a specific patient, while also decreasing the likelihood of a failed permanent implant. While rare, an epidural abscess is difficult to diagnose based on its nonspecific and unreliable clinical presentation. CASE: We present a case of an acute-onset methicillin-sensitive Staphylococcus aureus epidural abscess 72 to 96 hours into a trial of a percutaneous spinal cord stimulator...
March 8, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29505689/prolonged-reduction-in-shoulder-strength-after-transcutaneous-electrical-nerve-stimulation-treatment-of-exercise-induced-acute-muscle-pain
#20
Katie A Butera, Steven Z George, Paul A Borsa, Geoffrey C Dover
OBJECTIVES: Transcutaneous electrical nerve stimulation (TENS) is commonly used for reducing musculoskeletal pain to improve function. However, peripheral nerve stimulation using TENS can alter muscle motor output. Few studies examine motor outcomes following TENS in a human pain model. Therefore, this study investigated the influence of TENS sensory stimulation primarily on motor output (strength) and secondarily on pain and disability following exercise-induced delayed-onset muscle soreness (DOMS)...
March 5, 2018: Pain Practice: the Official Journal of World Institute of Pain
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