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Pain Management

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https://www.readbyqxmd.com/read/28166710/latin-american-guidelines-for-opioid-use-in-chronic-nononcologic-pain
#1
Argelia Lara-Solares, Carlos Aguayo Zamora, César Amescua García, João Batista Santos Garcia, María Del Rosario Berenguel Cook, Patricia Bonilla Sierra, Durval Campos Kraychete, José Alberto Flores Cantisani, Carlos Guerrero, María Del Rocío Guillén Núñez, John Jairo Hernández Castro, Andrés Hernández Ortíz, Aziza Jreige Iskandar, Osvandré Lech, Jacqueline Macías Guerra, Gerardo Ramírez Samayoa, Edwin Rangel Morillo, María Antonieta Rico Pazos, Manuel Sempértegui Gallegos
AIM: Latin-American experts in the use of opioids in patients with chronic nononcologic pain (CNOP) have updated existing recommendations to current Latin-American reality. METHODS: Several key opinion leaders from Latin America participated in a face-to-face meeting in Guatemala (April 2015) to discuss the use of opioids in CNOP. Subgroups of experts worked on specific topics, reviewed the literature and shaped the final manuscript. RESULTS: The expert panel developed guidelines taking into consideration the utility of both opioid and nonopioid analgesics and factors pertaining to their efficacy, safety, adherence, administration and risks for abuse/addiction...
February 7, 2017: Pain Management
https://www.readbyqxmd.com/read/28166700/an-industry-perspective-on-pain-treatment-in-the-uk
#2
Jan-Uwe Claas, Mark Suett
Jan-Uwe Claas and Mark Suett speak to Henry Ireland, Senior Drug Evaluations Editor: Dr Jan-Uwe Claas, General Manager, Grϋnenthal UK Ltd, and Dr Mark Suett, Interim Medical Director, discuss Grϋnenthal's role in pain management, the current barriers to improving treatment in the UK and the supporting role the company plays in advancing this field. Grünenthal UK Ltd is a subsidiary of Grünenthal GmbH, based in Aachen, Germany.
February 7, 2017: Pain Management
https://www.readbyqxmd.com/read/28152647/exercise-interventions-for-juvenile-fibromyalgia-current-state-and-recent-advancements
#3
William R Black, Susmita Kashikar-Zuck
No abstract text is available yet for this article.
February 3, 2017: Pain Management
https://www.readbyqxmd.com/read/28147900/reflective-practice-providing-safe-quality-patient-centered-pain-management
#4
Gwen Sherwood, Jeanette McNeill
Effective pain management continues to baffle clinicians in spite of numerous evidence-based guidelines and standards, focused clinical interventions and standardized assessments. Reflective practice is a mindful approach to practice that grounds clinicians in the moment with the individual patient to ask questions and then to listen to the patient's message about their pain experience. Reflective practice helps meld theoretical knowledge with lessons from experience to rethink mechanistic responses to patient pain...
February 2, 2017: Pain Management
https://www.readbyqxmd.com/read/28142335/complex-regional-pain-syndrome-in-children-a-systematic-review-of-clinical-features-and-movement-disorders
#5
Hashem Abu-Arafeh, Ishaq Abu-Arafeh
AIM: To ascertain clinical features of complex regional pain syndrome (CRPS) in children with a focus on movement disorders. METHODS: all publications with original data on children with CRPS were assessed. Data were tabulated and descriptive statistics were applied. RESULTS: One population-based study and nine clinic-based studies provided data on demographic and clinical characteristics of childhood CRPS. Mean age of onset was 12.5 years and 85% of patients were females (risk ratio: 1...
February 1, 2017: Pain Management
https://www.readbyqxmd.com/read/28135936/toward-an-etiology-based-management-of-trigeminal-neuralgia
#6
Turo J Nurmikko
No abstract text is available yet for this article.
January 31, 2017: Pain Management
https://www.readbyqxmd.com/read/28103764/multimodal-pediatric-pain-management-part-2
#7
Stefan J Friedrichsdorf
Dr Stefan Friedrichsdorf speaks to Commissioning Editor Jade Parker: Stefan Friedrichsdorf, MD, is medical director of the Department of Pain Medicine, Palliative Care and Integrative Medicine at Children's Hospitals and Clinics of Minnesota in Minneapolis/St Paul, MN, USA, home to one of the largest and most comprehensive programs of its kind in the country. The pain and palliative care program is devoted to control acute, chronic/complex and procedural pain for inpatients and outpatients in close collaboration with all pediatric subspecialties at Children's Minnesota...
January 20, 2017: Pain Management
https://www.readbyqxmd.com/read/28073312/female-chronic-pelvic-pain-the-journey-to-diagnosis-and-beyond
#8
Hannah Twiddy, Alison Bradshaw, Rajiv Chawla, Selina Johnson, Natalie Lane
No abstract text is available yet for this article.
January 11, 2017: Pain Management
https://www.readbyqxmd.com/read/27910725/an-over-the-counter-central-sensitization-therapy-a-chronic-back-pain-registry-study-of-pain-relief-medication-use-and-their-adverse-effects
#9
Richard Staelin, Sree N Koneru, Ian M Rawe
AIM: Back pain, the most prevalent musculoskeletal chronic pain condition, is usually treated with analgesic medications of questionable efficacy and frequent occurrence of adverse side effects. OBJECTIVE: The objective was to determine the effectiveness of the ActiPatch medical devices in reducing chronic back pain, document medication related adverse side effects and establish their impact on quality of life. METHODS: Upon completing a 7-day trial, subjects were contacted via email with an assessment form using the Constant Contact email program...
December 2, 2016: Pain Management
https://www.readbyqxmd.com/read/27901408/four-steps-to-eliminate-or-reduce-pain-in-children-caused-by-needles-part-1
#10
Stefan J Friedrichsdorf
Dr Stefan Friedrichsdorf* speaks to Jade Parker, Commissioning Editor: Stefan J Friedrichsdorf, MD, is medical director of the Department of Pain Medicine, Palliative Care and Integrative Medicine at Children's Hospitals and Clinics of Minnesota, Minneapolis/St Paul, MN, USA, home to one of the largest and most comprehensive programs of its kind in the country. The interdisciplinary pain team is devoted to prevent and treat acute, procedural, neuropathic, psycho-social-spiritual, visceral, and chronic/complex pain for all inpatients and outpatients in close collaboration with all pediatric subspecialties at Children's Minnesota...
November 30, 2016: Pain Management
https://www.readbyqxmd.com/read/27883293/psychological-mislabeling-of-chronic-pain-lessons-from-migraine-in-the-20th-century
#11
Howard B Pikoff
Starting with Freud, psychoanalytically oriented practitioners described a complex of unconscious conflicts, desires and personality traits they believed to be the primary cause of a wide range of medical disorders. This was the psychogenic model. With the advance of basic research and pharmacotherapy, the psychogenic model was gradually replaced by a biopsychobehavioral model. This model treats chronic pain as a biologically based disorder that can be influenced by psychological factors and lifestyle. The present paper argues that many patients with chronic pain may not be significantly impacted by psychological factors, and that for those who are, cognitive-behavioral therapy is the treatment of choice...
November 24, 2016: Pain Management
https://www.readbyqxmd.com/read/27882843/somatic-symptom-disorder-treated-with-electroconvulsive-therapy
#12
Anna Borisovskaya, Jay Alan Augsburger
Somatic symptom disorder (SSD) is a challenging condition to treat with chronic pain, a common and disabling symptom. We present a patient who received electroconvulsive therapy (ECT) for SSD with significant improvement in pain and gastrointestinal symptoms. We also present a brief literature review of similar cases treated with ECT. Preliminary evidence suggests that ECT should be considered for treatment of SSD comorbid with major depressive disorder, when standard treatments fail. Further research is needed to clarify whether ECT can be used for SSD without associated depression...
November 24, 2016: Pain Management
https://www.readbyqxmd.com/read/27882818/comparison-of-lumbosacral-transforaminal-epidural-steroid-injection-techniques-in-terms-of-radiation-safety
#13
Duygu Tecer, Evren Yasar, Emre Adiguzel, Mehmet Ali Taskaynatan, Birol Balaban, Arif Kenan Tan
AIM: To investigate the difference in radiation exposure to the patients between oblique and posteroanterior view, initial approach techniques in fluoroscopy-guided lumbosacral transforaminal epidural steroid injections. PATIENTS & METHODS: Total amount of Kerma area product, elapsed time of the procedure and fluoroscopy time were obtained from medical records retrospectively. RESULTS: 28 patients were included in each group. Fluoroscopy time was significantly lower in group 1, but there was no statistically significant difference in terms of procedure time and Kerma area product...
November 24, 2016: Pain Management
https://www.readbyqxmd.com/read/27882803/parental-cardiac-response-in-the-context-of-pediatric-acute-pain-current-knowledge-and-future-directions
#14
Kaytlin Constantin, C Meghan McMurtry, Heidi N Bailey
No abstract text is available yet for this article.
November 24, 2016: Pain Management
https://www.readbyqxmd.com/read/27794636/brigham-and-women-s-hospital-three-time-winner-of-the-american-pain-society-clinical-centers-of-excellence-award
#15
Edgar Ross
Edgar Ross speaks to Jade Parker, Commissioning Editor: Dr Edgar Ross is a member of the Anesthesia Department at Brigham and Women's Hospital. His main office is in Chesnut Hill, an ambulatory care center for Brigham and Women's hospital. He received his medical degree from Wayne State University School of Medicine and has been in practice for more than 30 years, 20 years in his current position at Brigham and Women's Hospital. His two main clinical interests are; the phone app which is designed to become the main clinical tool for patients and second, the relationship between opioids and angiogenesis...
January 2017: Pain Management
https://www.readbyqxmd.com/read/27794630/the-moderating-and-covarying-effects-of-social-support-and-pain-intensity-on-depressive-symptomology-among-racially-and-ethnically-diverse-older-adults
#16
Juyoung Park, David Newman, Gabriella Engstrom, Lena M Hammar, Anna Swall
AIM: To examine the interplay of social support, pain intensity and ethnicity as moderators and covariates of relationship on depressive symptomatology. METHODS: Racially and ethnically diverse elders responded to measures of depressive symptomatology and social support. RESULTS: Hispanics reported significantly higher prevalence of moderate pain intensity and depressive symptomology, and lower prevalence of high social support compared with other ethnic groups...
January 2017: Pain Management
https://www.readbyqxmd.com/read/27780402/a-systematic-review-on-the-treatment-of-phantom-limb-pain-with-spinal-cord-stimulation
#17
Rohit Aiyer, Robert L Barkin, Anurag Bhatia, Semih Gungor
: Phantom limb pain (PLP) is a challenging chronic pain syndrome to treat with pharmacologic agents being first line of management. However, when these agents fail to provide pain relief, other interventions must be considered in a clinical setting. Spinal cord stimulation (SCS) has been shown to provide analgesia in PLP, and should be considered by clinicians. METHODS: This PRISMA systematic review analyzes the efficacy of SCS for treatment of PLP. RESULTS: After review of 12 studies, there are mixed results to base a conclusion on...
January 2017: Pain Management
https://www.readbyqxmd.com/read/27719446/pharmacological-treatment-of-fibromyalgia-is-the-glass-half-empty-or-half-full
#18
Elena P Calandre, Fernando Rico-Villademoros, Mahmoud Slim
No abstract text is available yet for this article.
January 2017: Pain Management
https://www.readbyqxmd.com/read/27712457/do-we-understand-pain-from-a-biopsychosocial-perspective-a-review-and-discussion-of-the-usefulness-of-some-pain-terms
#19
Imma Beneitez, Rubén Nieto
Pain is a biopsychosocial phenomenon and should be assessed and managed from this perspective. However, the dualistic mind-body perspective is still present and affects the way this health situation is addressed. Following this approach, pain can either be attributed to an identifiable cause or considered as 'psychological' pain, for which there is neither an identifiable cause nor adequate treatment. Faced with this situation, first, we introduce some concepts that have been used (and are still frequently being used) to refer to pain with no identifiable cause...
January 2017: Pain Management
https://www.readbyqxmd.com/read/27641909/transcutaneous-electrical-nerve-stimulation-current-status-of-evidence
#20
Mark I Johnson, Gareth Jones
No abstract text is available yet for this article.
January 2017: Pain Management
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