Pain Medicine

Cameron R Smith, Erik Helander, Neil N Chheda
SETTING: Post-tonsillectomy pain in adults can be severe and is often poorly controlled. Pain can lead to decreased oral intake, bleeding, longer hospital stays, emergency department visits, dehydration, and weight loss. Due to persistent pain despite scheduled medications, other methods for pain control are needed. Local/regional anesthetic options have been previously studied in this population. Unfortunately, neither the injection of local anesthetics into the tonsillar fossa nor the postoperative topical application of local anesthetics to the tonsillar bed has demonstrated efficacy in large systematic reviews...
March 31, 2020: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
(no author information available yet)
No abstract text is available yet for this article.
March 31, 2020: Pain Medicine
John A Sturgeon, James Khan, Jennifer M Hah, Heather Hilmoe, Juliette Hong, Mark A Ware, Sean C Mackey
OBJECTIVE: Despite evidence of the analgesic benefits of cannabis, there remains a relative scarcity of research on the short- and long-term effects of cannabis use in individuals with chronic pain. DESIGN: The current study is a secondary analysis of clinical data from the Collaborative Health Outcomes Information Registry (CHOIR). SETTING: Data were drawn from a cohort of patients of a multidisciplinary tertiary care pain clinic. SUBJECTS: The study sample consisted of data from 7,026 new patient visits from CHOIR; of these, 1,668 patients with a follow-up time point within 180 days were included in a longitudinal analysis...
March 31, 2020: Pain Medicine
Cristina Roldán-Jiménez, David Pérez-Cruzado, Randy -Neblet, Robert Gatchel, Antonio Cuesta-Vargas
OBJECTIVE: Chronic musculoskeletal pain disorders (CMPDs) are among the leading causes of disabilities across populations, resulting in high social and financial burden. This persistent pain condition may include the central sensitization (CS) phenomenon, which implies a wide range of symptoms and that may be taken into account in CMPD treatment. CS symptoms can be measured by the Central Sensitization Inventory (CSI). The aims of the study were to describe CS symptoms in patients suffering from several CMPDs and to analyze differences due to gender, age, and body mass index (BMI)...
March 31, 2020: Pain Medicine
Mellar P Davis
No abstract text is available yet for this article.
March 31, 2020: Pain Medicine
Melanie Louise Plinsinga, Brooke Kaye Coombes, Rebecca Mellor, Bill Vicenzino
OBJECTIVES: To compare physical, sensory, and psychosocial factors between individuals with greater trochanteric pain syndrome and controls and to explore factors associated with pain and disability. DESIGN: Cross-sectional study. SETTING: General community. SUBJECTS: Patients with persistent, clinically diagnosed greater trochanteric pain syndrome and healthy controls. METHODS: Participants completed tests of thermal and pressure pain threshold, conditioned pain modulation, temporal summation, muscle strength, physical function, physical activity, psychological factors, and health-related quality of life...
March 31, 2020: Pain Medicine
David M Klyne, Paul W Hodges
OBJECTIVES: Cytokines such as tumor necrosis factor (TNF) contribute to the transition from acute to persistent pain. Despite increasing incidence of obesity and its linkage with chronic pain and inflammation, cytokines predominantly produced by adipose tissue (adipokines) have received little attention. Here we aimed to explore the longitudinal trajectory of adipokines from the onset of acute low back pain (LBP) and identify combinations of adipokines and/or other features that predict outcome...
March 31, 2020: Pain Medicine
Kasper Ussing, Per Kjaer, Anne Smith, Peter Kent, Rikke K Jensen, Berit Schiøttz-Christensen, Peter Bruce O'Sullivan
BACKGROUND: Effective, inexpensive, and low-risk interventions are needed for patients with nonspecific persistent low back pain (NS-PLBP) who are unresponsive to primary care interventions. Cognitive functional therapy (CFT) is a multidimensional behavioral self-management approach that has demonstrated promising results in primary care and has not been tested in secondary care. OBJECTIVE: To investigate the effect of CFT and compare it with usual care for patients with NS-PLBP...
March 27, 2020: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Eva Widerstrom-Noga, Kim D Anderson, Salome Perez, Alberto Martinez-Arizala, Lindsey Calle-Coule, Loriann Fleming
OBJECTIVE: Persistent neuropathic pain is a common and often severe consequence of spinal cord injury (SCI). There is a critical need to better understand how to overcome barriers and promote facilitators to optimal pain management. The present study was designed to identify, from the perspectives of persons living with SCI, their significant others, and SCI health care professionals, the barriers and facilitators to optimal pain management for intense neuropathic pain. DESIGN: Qualitative interviews...
March 27, 2020: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Tessa Lefebvre, Laura Tack, Michelle Lycke, Fréderic Duprez, Laurence Goethals, Sylvie Rottey, Lieselot Cool, Koen Van Eygen, Brendon Stubbs, Patricia Schofield, Hans Pottel, Tom Boterberg, Philip Debruyne
OBJECTIVE: Our aim was to give an overview of the effectiveness of adjunctive analgesics in head and neck cancer (HNC) patients receiving (chemo-) radiotherapy. DESIGN: Systematic review. INTERVENTIONS: This systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Embase, Web of Science, the Cochrane Library, and were searched for studies concerning "head neck cancer," "adjunctive analgesics," "pain," and "radiotherapy...
March 27, 2020: Pain Medicine
Dong Ah Shin, Wonho Lee, Min Cheol Chang
No abstract text is available yet for this article.
March 27, 2020: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Danielle M McCarthy, Howard S Kim, Scott I Hur, Patrick M Lank, Christine Arroyo, Lauren A Opsasnick, Katherine Piserchia, Laura M Curtis, Michael S Wolf, D Mark Courtney
OBJECTIVES: Recent guidelines advise limiting opioid prescriptions for acute pain to a three-day supply; however, scant literature quantifies opioid use patterns after an emergency department (ED) visit. We sought to describe opioid consumption patterns after an ED visit for acute pain. DESIGN: Descriptive study with data derived from a larger interventional study promoting safe opioid use after ED discharge. SETTING: Urban academic emergency department (>88,000 annual visits)...
March 27, 2020: Pain Medicine
Kristen Metzler-Wilson, Abby Vrable, Andrew Schaub, Trenton K Schmale, Benjamin V Rodimel, B Andrew Krause, Thad E Wilson
OBJECTIVE/SUBJECTS: To determine the autonomic effects of suboccipital release (SOR) during experimentally induced pain, 16 healthy subjects (eight women, eight men) experienced ischemic (forearm postexercise muscle ischemia [PEMI]) and cold (cold pressor test [CPT]) pain. DESIGN: Beat-to-beat heart rate (electrocardiogram), mean arterial blood pressure (finger photoplethysmography), baroreflex sensitivity (transfer function analysis), and pain perception were measured...
March 27, 2020: Pain Medicine
Dimitrios Papadopoulos, Chrysanthi Batistaki, Georgia Kostopanagiotou
OBJECTIVE: The aim of the present study was to compare two new techniques, intradiscal gelified ethanol injection (Discogel) and the combination of intradiscal pulsed radiofrequency and gelified ethanol injection (PRF+Discogel), regarding their efficacy in discogenic low back pain treatment. DESIGN: Randomized, double-blind, clinical study. METHODS: The final sample was randomized into group A (N = 18, D) and group B (N = 18, PRF+D)...
March 20, 2020: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Vincenzo Ricci, Levent Özçakar
No abstract text is available yet for this article.
March 20, 2020: Pain Medicine
Leanne Metcalfe, E Lenn Murrelle, Lan Vu, Andrew R Joyce, Veronica Averhart Preston, Thomas Maryon, Conway McDanald, Phillip Yoo
OBJECTIVE: To assess the generalizability of the overdose or serious opioid-induced respiratory depression risk index (VHA-RIOSORD), created by Zedler et al., using claims data from a large private insurer. DESIGN: A retrospective nested case-control analysis of health care claims data. SUBJECTS: Commercially insured individuals with a claim for an opioid prescription between October 1, 2014, and September 30, 2016 (N = 1,431,737). METHODS: An overdose or serious opioid-induced respiratory depression (OSORD) occurred in 1,097 patients...
March 19, 2020: Pain Medicine
Pernilla Maathz, Ida K Flink, Linnea Engman, Johanna Ekdahl
OBJECTIVE: Persistent vulvovaginal pain affects many women and often has adverse effects on sexual functioning. Psychological inflexibility related to pain is associated with distress and functional disability across different types of chronic pain conditions, but little is known about the role of psychological inflexibility in vulvovaginal pain. The present study examines psychological inflexibility related to pain as a predictor of sexual functioning over time among women with vulvovaginal pain...
March 18, 2020: Pain Medicine
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"