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British Journal of Pain

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https://www.readbyqxmd.com/read/29123665/the-characterisation-of-unexplained-pain-after-knee-replacement
#1
Jonathan Ra Phillips, Beverley Hopwood, Rowenna Stroud, Paul A Dieppe, Andrew D Toms
Background: The aims of this study were to characterise the pain experienced by patients with chronic pain after knee replacement (KR), in whom no apparent 'orthopaedic' problem could be identified, and to establish how many have pain sensitisation problems (including neuropathic pain). Methods: A total of 44 patients were prospectively evaluated at a multidisciplinary tertiary referral clinic by an orthopaedic surgeon, pain specialist, rheumatologist and physiotherapist...
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123664/chronic-post-amputation-pain-peri-operative-management-review
#2
Devjit Srivastava
Study design: Narrative review. Method: Eight bibliographic databases were searched for studies published in the (last five years up until Feb 2017). For the two database searches (Cochrane and DARE), the time frame was unlimited. The review involved keyword searches of the term 'Amputation' AND 'chronic pain'. Studies selected were interrogated for any association between peri-operative factors and the occurrence of chronic post amputation pain (CPAP). Results: Heterogeneity of study populations and outcome measures prevented a systematic review and hence a narrative synthesis of results was undertaken...
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123663/the-role-of-intraoperative-interventions-to-minimise-chronic-postsurgical-pain
#3
Sibtain Anwar, Ben O'Brien
Chronic postsurgical pain (CPSP) is the most common complication following surgery, with increasing evidence of both its prevalence and severity. While awareness of the various risk factors for this long-term condition is also increasing, effective prevention remains elusive. In this review, we describe the increasing evidence for preventive or 'protective' strategies. Controversies and conflicting human data are presented along with suggestions for improved future study.
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123662/chronic-postsurgical-pain-is-there-a-possible-genetic-link
#4
Sabu Kumar James
Persistent or chronic postsurgical pain (CPSP) has been defined as 'pain persisting beyond 2 months'. The cut-off limit of 2 months has been controversial, and some researchers argue for a 3-month period for the definition of CPSP. Multiple mechanisms, including both patient and surgical, have been shown to influence this transition. Patient factors include age, gender, anxiety, depression, somatisation, catastrophising, pre-existing pain anywhere and pain at the site of surgery. The various surgical factors include site and nature of surgery, infection, inflammation and repeat surgery...
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123661/the-psychology-of-chronic-post-surgical-pain-new-frontiers-in-risk-factor-identification-prevention-and-management
#5
Aliza Z Weinrib, Muhammad A Azam, Kathryn A Birnie, Lindsay C Burns, Hance Clarke, Joel Katz
In an era of considerable advances in anaesthesiology and pain medicine, chronic pain after major surgery continues to be problematic. This article briefly reviews the known psychological risk and protective factors associated with the development of chronic postsurgical pain (CPSP). We begin with a definition of CPSP and then explain what we mean by a risk/protective factor. Next, we summarize known psychological risk and protective factors for CPSP. Psychological interventions that target risk factors and may impact postsurgical pain are reviewed, including the acceptance and commitment therapy (ACT)-based approach to CPSP prevention and management we use in the Transitional Pain Service (TPS) at the Toronto General Hospital...
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123660/does-perioperative-ketamine-have-a-role-in-the-prevention-of-chronic-postsurgical-pain-the-rocket-trial
#6
Stephan A Schug, Philip Peyton
Identifying operations and individuals with an increased risk of chronic postsurgical pain (CPSP) has led to significant interest in interventions with the potential to achieve primary prevention of this condition. Pharmacological prevention remains controversial with a Cochrane review identifying perioperative ketamine administration as the only intervention with possible benefit although, with only small, heterogeneous studies, the authors called for a large randomised controlled trial (RCT) to confirm the validity of this result...
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123659/-why-me-the-problem-of-chronic-pain-after-surgery
#7
Patricia Lavand'homme
Chronic postsurgical pain (CPSP) has become a health priority and is scheduled to be included in the upcoming version of the International Classification of Diseases, 11th Revision (ICD-11). Recent studies on CPSP show unchanged prevalence despite progress made in fundamental research about underlying pathophysiological mechanisms. Nevertheless, clinical research has allowed better understanding of some CPSP aspects such as the development of neuropathic CPSP. Actually, some improvements are ongoing such as a refined definition and the assessment of CPSP in vulnerable populations, for example, paediatric patients...
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123658/the-puzzle-of-chronic-post-surgical-pain-collaborative-problem-solving-at-its-best
#8
EDITORIAL
Jane Quinlan
No abstract text is available yet for this article.
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123657/pain-after-surgery
#9
EDITORIAL
Roger D Knaggs
No abstract text is available yet for this article.
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28785410/can-images-of-pain-enhance-patient-clinician-rapport-in-pain-consultations
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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