John D Loeser, Jane C Ballantyne
OBJECTIVES: The management of pain patients has not evolved as rapidly as envisioned when IASP was founded almost 50 years ago. We sought to identify factors that could contribute to this situation, with a focus on concepts of pain and the education of pain physicians. METHODS: Relevant literature describing new strategies for diagnosing and managing high impact chronic pain patients was reviewed. RESULTS: It appears that the acute-chronic dichotomy has outlived its usefulness and pains should be identified as of peripheral origin or due to central processing errors...
May 16, 2024: Clinical Journal of Pain
Sam Eldabe, Sarah Nevitt, Anthony Bentley, Nagy A Mekhail, Christopher Gilligan, Bart Billet, Peter S Staats, Michelle Maden, Nicole Soliday, Angela Leitner, Rui V Duarte
OBJECTIVES: Different types of spinal cord stimulation (SCS) have now been evaluated for the management of chronic non-surgical refractory back pain (NSRBP). A direct comparison between the different types of SCS or between closed-loop SCS with conventional medical management (CMM) for patients with NSRBP has not been previously conducted, and therefore, their relative effectiveness and cost-effectiveness remain unknown. The aim of this study was to perform a systematic review, network meta-analysis (NMA) and economic evaluation of closed-loop SCS compared with fixed-output SCS and CMM for patients with NSRBP...
May 16, 2024: Clinical Journal of Pain
I-Wen Chen, Ting-Sian Yu, Chun-Ning Ho, Kuo-Chuan Hung
No abstract text is available yet for this article.
May 6, 2024: Clinical Journal of Pain
Peter Window, Michelle McGrath, Daniel S Harvie, Esther Smits, Venerina Johnston, Megan Murdoch, Trevor Russell
OBJECTIVES: To evaluate the effect of combining pain education and virtual reality exposure therapy using a cognitive behavioural therapy-informed approach (VR-CBT) on pain intensity, fear of movement, and trunk movement, in individuals with persistent low back pain. METHODS: Thirty-seven participants were recruited in a single cohort repeated measures study, attending three sessions one week apart. The VR-CBT intervention included standardised pain education (Session 1), and virtual reality exposure therapy (Session 2) incorporating gameplay with mixed reality video capture and reflective feedback of performance...
May 6, 2024: Clinical Journal of Pain
Yinluo Li, Xingzhen Long, Fengrong Luo, Jiarui Zhang, Shaoqin Sun, Pengqiang Du, Hongtao Yang, Qi Chen, Changcheng Sheng, Xue Bai
OBJECTIVE: his study aimed to systematically evaluate the clinical efficacy of gabapentin and pregabalin in the treatment of acute herpes zoster neuralgia, including pain control and the occurrence of adverse effects. METHOD: A systematic computerized search was conducted in October 2023 in PubMed, Embase, Web of Science, Cochrane Library, VIP, CNKI, and Wanfang databases. Data from randomized controlled trials comparing gabapentin analogs for the treatment of acute herpes zoster neuralgia were searched...
April 23, 2024: Clinical Journal of Pain
Qingbao Li, Hanxiao Nie, Zifan Wang, Shihong Li, Yibin Wang, Naiqi Chen, Wei Wang, Fei Xu, Deli Zhang
OBJECTIVES: A single nerve block provides excellent analgesia in a short time, but rebound pain after the nerve block disappears has attracted researchers' attention. The aim of this study is to evaluate the effect of perineural dexamethasone on rebound pain after sciatic nerve block and femoral nerve block in patients undergoing unicompartmental knee arthroplasty (UKA). METHODS: In a double-blinded fashion, We recruited 72 patients undergoing UKA, each of whom received sciatic and femoral nerve block...
April 22, 2024: Clinical Journal of Pain
Andrew N Graham, Cormac G Ryan, Alasdair MacSween, Greg Atkinson, Sally Smith, Denis J Martin
OBJECTIVES: To quantify the test-retest reliability of three patient-reported outcome measures of pain for people living with phantom limb pain (PLP) and assess impact of test-retest errors on future research and clinical decisions. METHODS: Thirty-nine participants (30 males), mean (SD) age: 55 (16), mean (SD) years post amputation: 6.8 (8.3), reported their PLP levels on a Visual Analogue Scale (VAS) for pain intensity, the revised Short Form McGill Pain Questionnaire (SF-MPQ-2), and a pain diary, on two occasions 7-14 days apart...
April 19, 2024: Clinical Journal of Pain
Giulia Mesaroli, Kristen M Davidge, Aileen M Davis, Anthony V Perruccio, Samantha Choy, Suellen M Walker, Jennifer N Stinson
BACKGROUND: Age and sex differences may exist in the frequency (incidence, prevalence) or symptoms of neuropathic pain (NP) and complex regional pain syndrome (CRPS) due to biopsychosocial factors (e.g., neurodevelopment, physiological and hormonal changes, psychosocial differences) that evolve through childhood and adolescence.2 Age and sex differences may have implications for evaluating screening and diagnostic tools and treatment interventions. OBJECTIVE: To map the existing literature on pediatric NP and CRPS with respect to age and sex distributions, and age and sex differences in symptomology and frequency...
April 15, 2024: Clinical Journal of Pain
Spencer Epp, Andrew Walker, Elodie Boudes, Signe Bray, Melanie Noel, Laura Rayner, Nivez Rasic, Jillian Vinall Miller
BACKGROUND AND OBJECTIVES: Intensive interdisciplinary pain treatments (IIPTs) are programs that aim to improve functioning in youth with severe chronic pain. Little is known about how the brain changes following IIPT, however, decreased brain responses to emotional stimuli have been identified previously in pediatric chronic pain relative to healthy controls. We examined whether IIPT increased brain responses to emotional stimuli, and whether this change was associated with a reduction in pain interference...
April 12, 2024: Clinical Journal of Pain
Sisi Sun, Jing Yin, Hao Wei, Yongfen Zeng, Hongbin Jia, Yi Jin
OBJECTIVE: The aim of our meta-analysis was to systematically assess the enduring effectiveness and safety of high-frequency spinal stimulation (HF-SCS) in the management of chronic pain. METHODS: We developed a comprehensive literature search strategy to identify clinical trials investigating the efficacy of high-frequency spinal stimulation for chronic pain. The search was conducted in multiple databases, including Web of Science, Cochrane, PubMed, and Embase, covering the period from 2004 to 2023...
April 9, 2024: Clinical Journal of Pain
Levan B Berikashvili, Mikhail Ya Yadgarov, Artem N Kuzovlev, Anastasia V Smirnova, Kristina K Kadantseva, Ivan V Kuznetsov, Petr A Polyakov, Valery V Likhvantsev
OBJECTIVES: The quality of postoperative analgesia in total knee arthroplasty is crucial for patient recovery, rehabilitation and hospital stay duration. In line with the above, а single-shot adductor canal block has been considered as surpassing method over continuous femoral nerve block. However, continuous adductor canal block and single-shot femoral nerve block 'kept overboard' the discussion. This study aims to compare the effectiveness of various types of adductor and femoral nerve blocks on clinically relevant outcomes in patients following total knee arthroplasty...
April 2, 2024: Clinical Journal of Pain
Nong He, Fu-Shan Xue, Cheng-Wen Li
No abstract text is available yet for this article.
April 1, 2024: Clinical Journal of Pain
Minghe Tan, Bozhou Chen, Qingshu Li, Siqi Wang, Daiyu Chen, Maoji Zhao, Jun Cao
OBJECTIVES: This study aimed to compare the analgesic effects of continuous femoral nerve block (FNB), femoral triangle block (FTB), and adductor canal block (ACB) following total knee arthroplasty (TKA). The goal was to identify the most effective nerve block technique among these three. METHODS: Patients undergoing TKA were randomly assigned to one of three groups: FNB, FTB, or ACB. Nerve blocks were administered preoperatively, with catheters placed for patient-controlled nerve analgesia (PCNA)...
March 20, 2024: Clinical Journal of Pain
Anna Monica Agoston, John Bleacher, Alexis Smith, Susanne Edwards, Maia Routly
OBJECTIVES: Around 20% of children demonstrate persistent posttraumatic stress symptoms (PTSS) after unintentional injury, with more severe pain intensity predicting concurrent and later PTSS. Examining additional pain characteristics like pain behaviors, impairment related to pain, and subjective experiences of pain might provide additional insight into the mechanisms that reinforce relationships between risk for Posttraumatic Stress Disorder (PTSD), PTSS, and pain. METHODS: During hospitalization for unintentional injury, the Screening Tool for Predictors of PTSD (STEPP) was administered and highest pain score was collected...
March 19, 2024: Clinical Journal of Pain
Ernesto Anarte-Lazo, Deborah Falla, Cleofas Rodriguez-Blanco, Carlos Bernal-Utrera
OBJECTIVE: To understand whether pain-related factors soon after a whiplash injury can explain the presence of chronic headache. MATERIALS AND METHODS: A prospective study with a follow-up of 6 months was performed including 42 patients with acute whiplash-associated disorders. Neck pain intensity, the Neck Disability Index, the Tampa Scale Kinesiophobia, Pain Catastrophizing Scale, and the Anxiety State-Trait Scale were assessed at baseline. Differences in clinical characteristics between those with and without headache at 6 months were determined...
March 11, 2024: Clinical Journal of Pain
Amin Mohamed Alansary, Marwa Ahmed Khairy Elbeialy
OBJECTIVES: Aripiprazole is a second-generation atypical antipsychotic with worldwide clinical approval. Nevertheless, its perioperative antinociceptive application has not been studied. As a result, the purpose of this study was to investigate the analgesic effects of perioperative aripiprazole on reducing postoperative pain, as well as the possible adverse effects. METHODS: This randomized controlled study enrolled eighty female patients scheduled for laparoscopic hysterectomy who were assigned randomly into two equal groups in 1:1; Aripiprazole group (n=40): patients received an aripiprazole 30 mg tablet orally three hours before surgery, and Placebo group (n=40): patients received a placebo tablet three hours before surgery...
March 7, 2024: Clinical Journal of Pain
(no author information available yet)
No abstract text is available yet for this article.
February 23, 2024: Clinical Journal of Pain
Xinyu Hu, Yun Xia, Jingwen Li, Xinyi Wang, Hanshu Liu, Jichuan Hu, Juan Bi, Jing Wu, Tao Wang, Zhicheng Lin, Nian Xiong
OBJECTIVE: This review aims to analyze the current data for the use of botulinum toxin type A (BTX-A) in the treatment of trigeminal neuralgia (TN) and highlight the evidence for its efficacy and safety. Pain management in patients with TN is challenging, as facial pain often does not respond well to conventional therapies. BTX-A has been suggested as a potential treatment option, but there is limited evidence regarding its long-term efficacy. METHODS: A comprehensive search was conducted in various databases (PubMed, Scopus, Embase, ClinicalTrials and Cochrane Library) to identify clinical studies evaluating the use of BTX-A in TN until October 2023...
February 22, 2024: Clinical Journal of Pain
Poonam Pai, Daniel Amor, Yan H Lai, Ghislaine C Echevarria
BACKGROUND: Ultrasound-guided pericapsular nerve group (PENG) block is an emerging regional anesthesia technique that may provide analgesia for patients undergoing total hip arthroplasties (THA). There are clinical studies comparing this fascial plane block to other established methods; however, evidence on the actual efficacy of this block for THA continues to evolve. OBJECTIVE: Available clinical studies conducted over the past 4 years were reviewed to evaluate the analgesic efficacy and effectiveness of PENG block in patients undergoing THAs...
May 1, 2024: Clinical Journal of Pain
I-Wen Chen, Ting-Sian Yu, Kuo-Chuan Hung
No abstract text is available yet for this article.
April 1, 2024: Clinical Journal of Pain
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