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Practice guidelines for chronic pain treatment

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https://www.readbyqxmd.com/read/29913889/the-association-between-physicians-attitudes-to-psychosocial-aspects-of-low-back-pain-and-reported-clinical-behaviour-a-complex-issue
#1
Anna L Valjakka, Sanna Salanterä, Aarno Laitila, Juhani Julkunen, Nora M Hagelberg
Background and aim Physicians' attitudes predict clinical decision making and treatment choices, but the association between attitudes and behaviour is complex. Treatment guidelines for non-specific low back pain (LBP) include recommendations of early assessment of psychosocial risk factors forchronic pain, patient education and reassurance. Implication of these principles is demanding, and many patients are not referred for appropriate treatments due to a lack of systematic screening of psychosocial risk factors for chronic pain...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913784/the-effect-of-tail-docking-neonate-piglets-on-atf-3-and-nr2b-immunoreactivity-in-coccygeal-dorsal-root-ganglia-and-spinal-cord-dorsal-horn-neurons-preliminary-data
#2
D A Sandercock, A Monteiro, E M Scott, A M Nolan
Background/aims Tail docking neonatal piglets remains a controversial animal welfare issue. Although banned in the UK, it is widely practiced in many countries as a safeguard against tail biting among pigs reared in intensive systems. Concerns exist whether tail docking can induce chronic pain in later life. This preliminary study examined the effects of partial tail amputation on activating transcription factor 3 (ATF3), a marker of peripheral nerve injury and regeneration and NMDA-glutamate receptor NR2B subunit which participates in the mediation of chronic pain...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913781/does-evidence-support-physiotherapy-management-of-adult-female-chronic-pelvic-pain-a-systematic-review
#3
S Loving, J Nordling, P Jaszczak, T Thomsen
Background and purpose Chronic pelvic pain (CPP) is a debilitating condition among women with a major impact on health-related quality of life, work productivity and health care utilisation. The exact prevalence of chronic pelvic pain is not known, but 3.8% is commonly suggested. Musculoskeletal dysfunction is frequently cited as a possible aetiology. Physiotherapy is therefore recommended as one treatment modality. The aim of this systematic review was to source and critically evaluate the evidence for an effect of physiotherapy on pain, physical activity and quality of life in the treatment of female CPP...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29885032/development-and-pilot-test-of-a-new-set-of-good-practice-indicators-for-chronic-non-malignant-pain-management
#4
Pedro Jesus Saturno, Daniel Angel-García, Ismael Martínez-Nicolás, Francisco López Soriano, Maria Pilar Escolar Reina, María Beatriz Guerrero Díaz, María Encarnación Ros Martínez, Francesc Medina Mirapeix, Mayo Saturno Marcos
OBJECTIVES: This study was designed to address the current relative void of valid measures by developing evidence-based quality indicators for pain management of chronic non-malignant pain. METHODS: We performed a 10-year literature search to identify guidelines and review articles on chronic pain management to identify evidence-based recommendations for the different conditions associated to chronic pain. A complementary search of indicators and indicator-related articles was also performed...
June 8, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29871625/enhancing-system-wide-implementation-of-opioid-prescribing-guidelines-in-primary-care-protocol-for-a-stepped-wedge-quality-improvement-project
#5
Aleksandra E Zgierska, Regina M Vidaver, Paul Smith, Mary W Ales, Kate Nisbet, Deanne Boss, Wen-Jan Tuan, David L Hahn
BACKGROUND: Systematic implementation of guidelines for opioid therapy management in chronic non-cancer pain can reduce opioid-related harms. However, implementation of guideline-recommended practices in routine care is subpar. The goal of this quality improvement (QI) project is to assess whether a clinic-tailored QI intervention improves the implementation of a health system-wide, guideline-driven policy on opioid prescribing in primary care. This manuscript describes the protocol for this QI project...
June 5, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29871379/medical-device-related-pressure-injury-in-the-treatment-of-chronic-pain-an-early-sign-of-explantation-in-suspected-infection
#6
Nerea Sanchis-Lopez, Carolina Romero-Garcia, Jose De Andres-Ibanez, Ruth Martinez-Plumed, Pablo Rodriguez-Gimillo, Maria Jose Hernandez-Cadiz, Vincente Abril-Lopez de Medrano
BACKGROUND: Chronic back pain is a prevalent disease and has a high impact in daily life. Implantable devices (IDs) for chronic pain management include spinal cord stimulation (SCS) systems and intrathecal drug delivery (ITDD) pumps. The number of ITDD implants have increased exponentially in the last decade. The number of complications, such as infections, are also more prevalent. Infection management guidelines are needed to standarize our clinical practice and define protocols of explantation...
May 2018: Pain Physician
https://www.readbyqxmd.com/read/29870458/consensus-guidelines-on-the-use-of-intravenous-ketamine-infusions-for-chronic-pain-from-the-american-society-of-regional-anesthesia-and-pain-medicine-the-american-academy-of-pain-medicine-and-the-american-society-of-anesthesiologists
#7
Steven P Cohen, Anuj Bhatia, Asokumar Buvanendran, Eric S Schwenk, Ajay D Wasan, Robert W Hurley, Eugene R Viscusi, Samer Narouze, Fred N Davis, Elspeth C Ritchie, Timothy R Lubenow, William M Hooten
BACKGROUND: Over the past 2 decades, the use of intravenous ketamine infusions as a treatment for chronic pain has increased dramatically, with wide variation in patient selection, dosing, and monitoring. This has led to a chorus of calls from various sources for the development of consensus guidelines. METHODS: In November 2016, the charge for developing consensus guidelines was approved by the boards of directors of the American Society of Regional Anesthesia and Pain Medicine and, shortly thereafter, the American Academy of Pain Medicine...
June 7, 2018: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29870457/consensus-guidelines-on-the-use-of-intravenous-ketamine-infusions-for-acute-pain-management-from-the-american-society-of-regional-anesthesia-and-pain-medicine-the-american-academy-of-pain-medicine-and-the-american-society-of-anesthesiologists
#8
Eric S Schwenk, Eugene R Viscusi, Asokumar Buvanendran, Robert W Hurley, Ajay D Wasan, Samer Narouze, Anuj Bhatia, Fred N Davis, William M Hooten, Steven P Cohen
BACKGROUND: Ketamine infusions have been used for decades to treat acute pain, but a recent surge in usage has made the infusions a mainstay of treatment in emergency departments, in the perioperative period in individuals with refractory pain, and in opioid-tolerant patients. The widespread variability in patient selection, treatment parameters, and monitoring indicates a need for the creation of consensus guidelines. METHODS: The development of acute pain ketamine guidelines grew as a corollary from the genesis of chronic pain ketamine guidelines...
July 2018: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29859110/principles-for-managing-oud-related-to-chronic-pain-in-the-nordic-countries-based-on-a-structured-assessment-of-current-practice
#9
REVIEW
Johan Kakko, Charlotte Gedeon, Mikael Sandell, Henrik Grelz, Inge Birkemose, Thomas Clausen, Valgerður Rúnarsdóttir, Kaarlo Simojoki, Richard Littlewood, Hannu Alho, Fred Nyberg
BACKGROUND: Long-term use of opioid analgesics (OA) for chronic pain may result in opioid use disorder (OUD). This is associated with adverse outcomes for individuals, families and society. Treatment needs of people with OUD related to chronic pain are different compared to dependence related to use, and also injection, of illicit opioids. In Nordic countries, day-to-day practical advice to assist clinical decision-making is insufficient. AIM: To develop principles based on expert clinical insights for treatment of OUD related to the long-term use of OA in the context of chronic pain...
June 1, 2018: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29849842/an-interdisciplinary-pain-rehabilitation-program-for-veterans-with-chronic-pain-description-and-initial-evaluation-of-outcomes
#10
Nidhi S Anamkath, Sarah A Palyo, Sara C Jacobs, Alain Lartigue, Kathryn Schopmeyer, Irina A Strigo
Objective: Chronic pain conditions are prominent among Veterans. To leverage the biopsychosocial model of pain and comprehensively serve Veterans with chronic pain, the San Francisco Veterans Affairs Healthcare System has implemented the interdisciplinary pain rehabilitation program (IPRP). This study aims to (1) understand initial changes in treatment outcomes following IPRP, (2) investigate relationships between psychological factors and pain outcomes, and (3) explore whether changes in psychological factors predict changes in pain outcomes...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/29729786/oncology-acupuncture-for-chronic-pain-in-cancer-survivors-a-reflection-on-the-american-society-of-clinical-oncology-chronic-pain-guideline
#11
REVIEW
Weidong Lu, David S Rosenthal
Chronic pain syndromes associated with cancer treatment are common but difficult to manage. The American Society of Clinical Oncology recently published a practice guideline to address the unmet needs of cancer survivors, Management of Chronic Pain in Survivors of Adult Cancers, which stresses the importance of implementing integrative therapies including acupuncture. This review focuses on randomized clinical trials of acupuncture for chronic pain in cancer survivors, including its use in chemotherapy-induced peripheral neuropathy, aromatase inhibitor-associated arthralgia, and post neck dissection pain, and provides future directions of oncology acupuncture research in cancer survivorship...
June 2018: Hematology/oncology Clinics of North America
https://www.readbyqxmd.com/read/29724425/acr-appropriateness-criteria-%C3%A2-chronic-ankle-pain
#12
Eric Y Chang, Anthony S Tadros, Behrang Amini, Angela M Bell, Stephanie A Bernard, Michael G Fox, Tetyana Gorbachova, Alice S Ha, Kenneth S Lee, Darlene F Metter, Pekka A Mooar, Nehal A Shah, Adam D Singer, Stacy E Smith, Mihra S Taljanovic, Ralf Thiele, Mark J Kransdorf
Chronic ankle pain is a common clinical problem whose cause is often elucidated by imaging. The ACR Appropriateness Criteria for chronic ankle pain define best practices of image ordering. Clinical scenarios are followed by the imaging choices and their appropriateness. The information is in ordered tables with an accompanying narrative explanation to guide physicians to order the right test. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel...
May 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29706237/-pathway-to-diagnosis-and-real-life-experience-of-patients-believing-they-are-affected-by-chronic-lyme-disease
#13
E Forestier, F Gonnet, A Revil-Signorat, A C Zipper
OBJECTIVES: Chronic Lyme disease is a subject of scientific and social controversy in both Europe and the United States. The aim of our study was to analyze the pathway to diagnosis of patients believing they were affected by the disease, and to describe their real-life experience. METHOD: A qualitative study was performed with 13 patients declaring themselves to be affected by chronic Lyme disease. Interviews were analyzed by 2 general medical practice interns, supervised by a general practitioner with a diploma in socio-anthropology and an infectious diseases specialist...
April 26, 2018: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/29686550/evidence-based-pain-medicine-for-primary-care-physicians
#14
REVIEW
Graves T Owen, Brian M Bruel, C M Schade, Maxim S Eckmann, Erik C Hustak, Mitchell P Engle
The last several decades have seen a marked increase in both the recognition and treatment of chronic pain. Unfortunately, patients frequently misunderstand both the nature of pain and the best practices for its treatment. Because primary care physicians treat the majority of chronic pain, they are ideally situated to provide evidence-based pain care. The majority of the medical evidence supports a biopsychosocial model of pain that integrates physical, emotional, social, and cultural variables. The goal of this primer is to assist primary care physicians in their understanding of pain, evaluation of the chronic pain patient, and ability to direct evidence-based care...
January 2018: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/29670394/management-of-chronic-pain-after-hernia-repair
#15
REVIEW
Kristoffer Andresen, Jacob Rosenberg
Chronic pain following inguinal hernia repair is a common problem and feared complication. Up to 16% of people experience chronic pain following the repair of a groin hernia. The aim of this review was to provide an overview of treatment strategies for patients with chronic pain following inguinal hernia repair based on best practice guidelines and current clinical routines. The optimal management of chronic pain following inguinal hernia surgery should begin with a thorough clinical examination to rule out other causes of chronic pain and to rule out a recurrence...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/29669087/understanding-the-etiology-of-chronic-pain-from-a-psychological-perspective
#16
Steven J Linton, Ida K Flink, Johan W S Vlaeyen
The etiology of chronic pain-related disability is not fully understood, particularly from a clinical perspective. Investigations to date have identified risk factors and elucidated some important processes driving the development of persistent pain problems. Yet this knowledge and its application are not always accessible to practicing physical therapists or other clinicians. This article aims to summarize the main psychological processes involved in the development of chronic pain disability and to derive some guidelines for treatment and future research...
May 1, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29617060/prospective-real-world-analysis-of-onabotulinumtoxina-in-chronic-migraine-post-national-institute-for-health-and-care-excellence-uk-technology-appraisal
#17
A P Andreou, M Trimboli, A Al-Kaisy, M Murphy, S Palmisani, C Fenech, T Smith, G Lambru
BACKGROUND AND PURPOSE: The National Institute for Health and Care Excellence (NICE) in the UK recommends the use of OnabotulinumtoxinA (BoNTA, Botox® ) in the management of chronic migraine (CM) following specific guidelines within the National Health Service. In view of the lack of data on the efficacy of this therapy following implementation of these guidelines in clinical practice and on the evaluation of guidance compliance, we aimed to evaluate the effectiveness and safety of BoNTA in patients with CM following the NICE guidelines...
April 4, 2018: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/29606335/spinal-manipulative-therapy-and-other-conservative-treatments-for-low-back-pain-a-guideline-from-the-canadian-chiropractic-guideline-initiative
#18
André E Bussières, Gregory Stewart, Fadi Al-Zoubi, Philip Decina, Martin Descarreaux, Danielle Haskett, Cesar Hincapié, Isabelle Pagé, Steven Passmore, John Srbely, Maja Stupar, Joel Weisberg, Joseph Ornelas
OBJECTIVE: The objective of this study was to develop a clinical practice guideline on the management of acute and chronic low back pain (LBP) in adults. The aim was to develop a guideline to provide best practice recommendations on the initial assessment and monitoring of people with low back pain and address the use of spinal manipulation therapy (SMT) compared with other commonly used conservative treatments. METHODS: The topic areas were chosen based on an Agency for Healthcare Research and Quality comparative effectiveness review, specific to spinal manipulation as a nonpharmacological intervention...
May 2018: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29597083/traumatic-brain-injury-and-receipt-of-prescription-opioid-therapy-for-chronic-pain-in-iraq-and-afghanistan-veterans-do-clinical-practice-guidelines-matter
#19
Karen H Seal, Daniel Bertenthal, Deborah E Barnes, Amy L Byers, Carolyn J Gibson, Tessa L Rife, Kristine Yaffe
Clinical practice guidelines admonish against prescribing opioids for individuals with chronic pain and traumatic brain injury (TBI) because of increased risk for adverse outcomes, yet no studies have described opioid prescribing patterns in these higher-risk patients. Between October 2007 and March 2015, 53,124 Iraq and Afghanistan veterans with chronic pain not prescribed opioids in the previous year were followed for 1 year after completing a Comprehensive TBI Evaluation within the Department of Veterans Affairs health care facilities...
March 26, 2018: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29579232/guidelines-for-composing-and-assessing-a-paper-on-the-treatment-of-pain-a-practical-application-of-evidence-based-medicine-principles-to-the-mint-randomized-clinical-trials
#20
Zachary L McCormick, Yakov Vorobeychik, Jatinder S Gill, Ming-Chih J Kao, Belinda Duszynski, Matthew Smuck, Milan P Stojanovic
Objective: To perform a thorough assessment of the recently published Mint Trials in order to illustrate how to read and analyze a study critically, according to principles of evidence-based medicine. Design: Narrative review. Method: We have applied the recently published guidelines for composing and assessing studies on the treatment of pain to a recently published article describing a large study that claimed its "findings do not support the use of radiofrequency denervation to treat chronic low back pain...
March 20, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
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