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British Journal of Pain

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https://www.readbyqxmd.com/read/28785410/can-images-of-pain-enhance-patient-clinician-rapport-in-pain-consultations
#1
Claire E Ashton-James, Peter H Dekker, Judy Addai-Davis, Tom Chadwick, Joanna M Zakrzewska, Deborah Padfield, Amanda C de C Williams
A variety of treatment outcomes in chronic pain are influenced by patient-clinician rapport. Patients often report finding it difficult to explain their pain, and this potential obstacle to mutual understanding may impede patient-clinician rapport. Previous research has argued that the communication of both patients and clinicians is facilitated by the use of pain-related images in pain assessments. This study investigated whether introducing pain-related images into pain assessments would strengthen various components of patient-clinician rapport, including relative levels of affiliation and dominance, and interpersonal coordination between patient and clinician behaviour...
August 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28785409/preliminary-investigation-of-self-as-context-in-people-with-fibromyalgia
#2
Lin Yu, Sam Norton, Sarah Almarzooqi, Lance M McCracken
Acceptance and commitment therapy (ACT), based on the Psychological Flexibility (PF) model, has been recently applied to fibromyalgia (FM), and appeared effective in improving functioning. However, evidence for some of the processes within the PF model, self-as-context (SAC) in particular, is lacking within this population. The current study validates a measure of SAC, the Self Experiences Questionnaire (SEQ), and preliminarily investigates the role of SAC in relation to functioning in FM. Participants (N = 298, 93...
August 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28785408/sativex-oromucosal-spray-as-adjunctive-therapy-in-advanced-cancer-patients-with-chronic-pain-unalleviated-by-optimized-opioid-therapy-two-double-blind-randomized-placebo-controlled-phase-3-studies
#3
Marie T Fallon, Eberhard Albert Lux, Robert McQuade, Sandro Rossetti, Raymond Sanchez, Wei Sun, Stephen Wright, Aron H Lichtman, Elena Kornyeyeva
BACKGROUND: Opioids are critical for managing cancer pain, but may provide inadequate relief and/or unacceptable side effects in some cases. OBJECTIVE: To assess the analgesic efficacy of adjunctive Sativex (Δ(9)-tetrahydrocannabinol (27 mg/mL): cannabidiol (25 mg/mL)) in advanced cancer patients with chronic pain unalleviated by optimized opioid therapy. METHODS: This report describes two phase 3, double-blind, randomized, placebo-controlled trials...
August 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28785407/growing-pains-understanding-the-needs-of-emerging-adults-with-chronic-pain
#4
Hannah Twiddy, Julie Hanna, Louise Haynes
BACKGROUND: Emerging adulthood (18-30 years), in the Western world, is often a time of identity development and exploration, focusing on areas of work, relationships and education. Individuals with chronic illnesses, such as chronic pain, may be more vulnerable to facing challenges during this time. This study aims to investigate the needs of young adults (YAs) attending a tertiary level National Health Service (NHS) Pain Management Programme (PMP) Service in the United Kingdom; exploring how these needs may translate on to clinical assessment and the delivery of rehabilitation interventions...
August 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28785406/editorial
#5
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
August 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28491302/fibromyalgia-in-beh%C3%A3-et-s-disease-a-narrative-review
#6
Claire Jobanputra, Roberta H Richey, Jagdish Nair, Robert J Moots, Andreas Goebel
INTRODUCTION: Fibromyalgia is characterised by chronic widespread pain and tenderness. It has often been reported to occur concomitantly with chronic rheumatological conditions. Behçet's disease is a chronic relapsing, multisystem, autoinflammatory disease. There is only limited understanding of a potential relationship between fibromyalgia and Behçet's disease. AIM: Given the potential detrimental influence of pain on the outcome of chronic disease, the aim of this narrative review is to gain an understanding of the incidence and presentation of fibromyalgia in Behçet's disease...
May 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28491301/short-and-long-term-results-of-an-inpatient-programme-to-manage-complex-regional-pain-syndrome-in-children-and-adolescents
#7
Giovanni Cucchiaro, Kevin Craig, Kerri Marks, Kristin Cooley, Thalitha Kay Black Cox, Jennifer Schwartz
The aim of this retrospective study was to determine whether an inpatient approach and the use of regional anaesthesia techniques can accelerate the recovery to normal functions in children with Complex Regional Pain Syndrome (CRPS). This study looked at the data of patients admitted to the rehabilitation unit with a diagnosis of CRPS from January 2010 to April 2015. Variables such as hospital stay, medications administered, regional anaesthesia procedures, changes in functional status prior to treatment and at the time of discharge, psychological evaluation and diagnosis were evaluated...
May 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28491300/schoolbags-and-back-pain-in-children-between-8-and-13-years-a-national-study
#8
Karl Spiteri, Maria-Louisa Busuttil, Samuel Aquilina, Dorothy Gauci, Erin Camilleri, Victor Grech
Schoolbag weight in schoolchildren is a recurrent and contentious issue within the educational and health sphere. Excessive schoolbag weight can lead to back pain in children, which increases the risk of chronic back pain in adulthood. There is limited research regarding this among the Maltese paediatric population. A cross-sectional study was undertaken across all schools in Malta among students aged 8-13 years (inclusive). Data were collected using a questionnaire detailing schoolbag characteristics, self-reported pain and demographic variables, such as age and gender...
May 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28491299/contextual-modulation-of-pain-sensitivity-utilising-virtual-environments
#9
Ashley Smith, Klancy Carlow, Tara Biddulph, Brooke Murray, Melissa Paton, Daniel S Harvie
BACKGROUND: Investigating psychological mechanisms that modulate pain, such as those that might be accessed by manipulation of context, is of great interest to researchers seeking to better understand and treat pain. The aim of this study was to better understand the interaction between pain sensitivity, and contexts with inherent emotional and social salience - by exploiting modern immersive virtual reality (VR) technology. METHODS: A within-subjects, randomised, double-blinded, repeated measures (RM) design was used...
May 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28491298/low-back-pain-clinical-guidelines-similarities-and-divergent-views-across-the-pond
#10
EDITORIAL
Roger Knaggs
No abstract text is available yet for this article.
May 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28386404/assessing-physical-functioning-on-pain-management-programmes-the-unique-contribution-of-directly-assessed-physical-performance-measures-and-their-relationship-to-self-reports
#11
Beth J Guildford, Clair M Jacobs, Aisling Daly-Eichenhardt, Whitney Scott, Lance M McCracken
Physical functioning is a recommended outcome domain for pain management programmes. It can be assessed by self-report and by direct assessment of performance. Although physical performance measures may provide unique and useful information about patient functioning over and above self-report measures, it is not entirely clear which of the many possible performances to assess. This study investigated a battery of three directly assessed physical performance measures and their relationship to three currently used self-report measures of general health and functioning...
February 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28386403/clinical-benefits-referral-practice-and-cost-implications-of-an-in-hospital-pain-service-results-of-a-service-evaluation-in-a-london-teaching-hospital
#12
Maya Sussman, Elizabeth Goodier, Izabella Fabri, Jessica Borrowman, Sarah Thomas, Charlotte Guest, Carsten Bantel
BACKGROUND: In-hospital pain services (IPS) are commonplace, but evidence of efficacy is inadequate, and patients' pain management in any hospital ward remains problematic. This service evaluation aimed to measure the effect of a contemporary IPS, its appropriate use and cost-efficacy. METHODS: Records of 249 adults reviewed by the IPS in an inner London Teaching Hospital over an 8-month period were analysed for demographic data, interventions, workload and change in pain intensity measured by numerical rating scale (NRS)...
February 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28386402/opioid-induced-myoclonus-and-hyperalgesia-following-a-short-course-of-low-dose-oral-morphine
#13
Owen Bleddyn Woodward, Sangeeta Naraen, Akriti Naraen
A 76-year-old man was admitted to hospital with a right-sided fractured neck of femur requiring repair via a cemented hemiarthroplasty. Intraoperatively he received 10 mg of intravenous morphine. Post-operatively he received a short course of low-dose oral opioids and subsequently developed myoclonic jerks and hyperalgesia. The opioids were discontinued and both adverse effects resolved. This case report discusses the concurrent development of myoclonus and hyperalgesia following a low dose of opioids and explores possible management options...
February 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28386401/the-efficacy-and-safety-of-intravenous-lidocaine-for-analgesia-in-the-older-adult-a-literature-review
#14
REVIEW
Harriet Daykin
Opioids remain the mainstay of analgesia for the treatment of moderate to severe acute pain. Even in the young, the use of opioids can be associated with an increased incidence of post-operative complications such as respiratory depression, vomiting, pruritus, excessive sedation, slowing of gastrointestinal function, and urinary retention. The need to manage acute pain in the older patient is becoming more common as the population ages, and increasingly older patients are undergoing more major surgery. Medical conditions are more common in older people and can result in the requirement of systemic analgesia for fractures, malignancy, nociceptive or neuropathic pain and peripheral vascular disease...
February 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28386400/neuropathic-pain-may-be-common-in-chronic-lower-limb-tendinopathy-a-prospective-cohort-study
#15
Patrick C Wheeler
BACKGROUND: To identify the prevalence of neuropathic pain, through the use of the painDETECT questionnaire, in a cohort of patients with chronic lower limb tendinopathy conditions. METHODS: Patients with chronic lower limb tendinopathy conditions treated within a Sport and Exercise Medicine hospital clinic were identified from clinical records. At the time of the clinical consultation, pain and painDETECT scores were recorded. RESULTS: In total, 282 suitable patients with chronic lower limb tendinopathy conditions were identified who had completed a painDETECT questionnaire...
February 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28386399/development-of-research-priorities-in-paediatric-pain-and-palliative-care
#16
Christina Liossi, Anna-Karenia Anderson, Richard F Howard
Priority setting for healthcare research is as important as conducting the research itself because rigorous and systematic processes of priority setting can make an important contribution to the quality of research. This project aimed to prioritise clinical therapeutic uncertainties in paediatric pain and palliative care in order to encourage and inform the future research agenda and raise the profile of paediatric pain and palliative care in the United Kingdom. Clinical therapeutic uncertainties were identified and transformed into patient, intervention, comparison and outcome (PICO) format and prioritised using a modified Nominal Group Technique...
February 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28386398/a-fall-from-grace-exposing-the-neurotoxicities-of-morphine
#17
Sam H Ahmedzai
No abstract text is available yet for this article.
February 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28386397/opioid-prescribing-balancing-overconsumption-and-undersupply
#18
EDITORIAL
Roger D Knaggs, Cathy Stannard
No abstract text is available yet for this article.
February 2017: British Journal of Pain
https://www.readbyqxmd.com/read/27867513/ultrasound-guided-alcohol-neurolysis-of-lateral-femoral-cutaneous-nerve-for-intractable-meralgia-paresthetica-a-case-series
#19
Arif Ahmed, Divesh Arora, Amit Kumar Kochhar
Meralgia paresthetica is a rare sensory entrapment neuropathy which leads to burning, tingling and numbness in the antero-lateral aspect of thigh. Mostly it runs a benign course, and responds to conservative measures. We present a case series of six patients with intractable meralgia paresthetica with severe pain over antero-lateral thigh along the distribution of lateral cutaneous nerve of thigh which was further confirmed by nerve conduction study. These patients did not respond to the oral anti-neuropathic medications...
November 2016: British Journal of Pain
https://www.readbyqxmd.com/read/27867512/a-service-improvement-project-to-review-prescribing-information-provided-by-general-practitioners-for-new-referrals-to-a-uk-national-health-service-hospital-pain-clinic-potential-implications-of-cyp2d6-enzyme-inhibition
#20
Helen Radford, Pauline Fitzgerald, Stephen Martin, Mark I Johnson
INTRODUCTION: Chronic pain is often managed using co-prescription of analgesics and adjuvants, with concomitant medication prescribed for comorbidities. Patients may have suboptimal response to some analgesics or be at risk of drug interactions or adverse drug reactions (ADRs) due to polypharmacy affecting CYP2D6 enzyme activity. The aim of the service improvement project was to determine the proportion of patients referred to a specialist pain service in the UK National Health Service (NHS) by general practitioners (GPs) who may be at risk of suboptimal analgesic response or ADRs due to CYP2D6 inhibition through polypharmacy...
November 2016: British Journal of Pain
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