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Pain Medicine

Mary R Janevic, Varick Shute, Susan L Murphy, John D Piette
BACKGROUND: Wearable activity trackers may facilitate walking for chronic pain management. OBJECTIVE: We assessed the acceptability of a commercially available tracker and three alternative modes of reporting daily steps among older adults in a low-income, urban community. We examined whether using the tracker (Fitbit ZipTM) was associated with improvements in functioning and activity. DESIGN: Randomized controlled pilot and feasibility trial...
September 11, 2019: Pain Medicine
Debra K Weiner, Angela Gentili, Michelle Rossi, Katherine Coffey-Vega, Keri L Rodriguez, Kristina L Hruska, Leslie Hausmann, Subashan Perera
OBJECTIVE: Treating chronic low back pain (CLBP) with spine-focused interventions is common, potentially dangerous, and often ineffective. This preliminary trial tests the feasibility and efficacy of caring for CLBP in older adults as a geriatric syndrome in Aging Back Clinics (ABC). DESIGN: Randomized controlled trial. SETTING: Outpatient clinics of two VA Medical Centers. SUBJECTS: Fifty-five English-speaking veterans aged 60-89 with CLBP and no red flags for serious underlying illness, prior back surgery, dementia, impaired communication, or uncontrolled psychiatric illness...
September 10, 2019: Pain Medicine
Priyanka Bhattarai, Toby Newton-John, Jane L Phillips
BACKGROUND: Chronic arthritic pain is one of the major causes of physical suffering and disability among older people. Primary care and allied health clinicians use various approaches to help their older clients better manage their arthritic pain. The growing uptake of technology among older people offers the potential for clinicians to integrate an arthritic pain app into their patients' self-management plans. This study explored the perspectives of Australian primary care and allied health clinicians regarding the use of pain self-management apps to help their older patients/clients better manage their arthritic pain...
September 10, 2019: Pain Medicine
Jacob Daheim, Shin Ye Kim, Ashley Neduvelil, Nguyen P Nguyen
OBJECTIVE: Although past research has established that men with chronic pain are more likely to misuse prescription pain medications in a myriad of ways compared with women, little is known about men's medication use in the context of their gender role beliefs. The aim of the present study was to examine the role of men's domestic gender role beliefs on their use of prescription pain medication for chronic pain. METHODS: Using a nationally representative data set with 304 men with chronic pain, this study examined a longitudinal moderated mediation model in which pain interference mediates the longitudinal relationship between somatic amplification and prescription pain medication use, with domestic gender role beliefs as a moderator of the aforementioned mediated relationship...
September 10, 2019: Pain Medicine
María Benito-de-Pedro, Ricardo Becerro-de-Bengoa-Vallejo, Marta Elena Losa-Iglesias, David Rodríguez-Sanz, Daniel López-López, Patricia Palomo-López, Victoria Mazoteras-Pardo, And César Calvo-Lobo
OBJECTIVE: To determine the immediate efficacy of a single session of deep dry needling (DDN) vs ischemic compression (ICT) in a latent myofascial trigger point (MTrP) of the shortened triceps surae from triathletes for ankle dorsiflexion and redistribution of plantar pressures and stability. DESIGN: A randomized simple blind clinical trial (NCT03273985). SETTING: An outpatient clinic. SUBJECTS: Thirty-four triathletes with a latent MTrP in the shortened gastrocnemius...
September 10, 2019: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Yingna Liu, Olesya Baker, Jeremiah D Schuur, Scott G Weiner
BACKGROUND: We quantified opioid prescribing after the 2014 rescheduling of hydrocodone from schedule III to II in the United States using a state-wide prescription database and studied trends three years before and after the policy change, focusing on certain specialties. METHODS: We used Ohio's state prescription drug monitoring program database, which includes all filled schedule II and III prescriptions regardless of payer or pharmacy, to conduct an interrupted time series analysis of the nine most prescribed opioids: hydrocodone, oxycodone, tramadol, codeine, and others...
September 10, 2019: Pain Medicine
Melanie Beeckman, Laura E Simons, Sean Hughes, Tom Loeys, Liesbet Goubert
OBJECTIVE: This study sets out to identify potential daily antecedents and consequences of pain-related activity avoidance and engagement behavior in adolescents with chronic pain. METHODS: Adolescents (N = 65, Mage = 14.41) completed baseline self-reports and a diary for 14 days. Afternoon and evening reports were used to infer a network structure of within-day associations between pain intensity, pain-related fear, pain catastrophizing, affect, and pain-related activity avoidance and engagement behavior...
September 9, 2019: Pain Medicine
Charles A Odonkor, Sebastian Orman, Vwaire Orhurhu, Martha E Stone, Shihab Ahmed
OBJECTIVE: The purpose of this review is to critically appraise the literature for evidence supporting the health care resource utilization and cost-effectiveness of spinal cord stimulation (SCS) compared with conventional therapies (CTs) for chronic low back and leg pain. METHODS: The PubMed, MEDLINE, Embase, CINAHL, and Rehabilitation & Sports Medicine databases were searched for studies published from January 2008 through October 2018, using the following MeSH terms: "spinal cord stimulation," "chronic pain," "back pain," "patient readmission," "economics," and "costs and cost analysis...
September 9, 2019: Pain Medicine
Enrique Martínez-Pías, Javier Trigo-López, David García-Azorín, Aisling McGreal, Ángel Luis Guerrero Peral
OBJECTIVE: Cranial pain is a condition that has a negative impact on human lives, and occipital neuralgia is among its causes. This study aims to evaluate the clinical characteristics and therapeutic results of a series of patients with occipital neuralgia. DESIGN: Prospective registry (observational study). SETTINGS: Headache outpatient clinic in a tertiary hospital. SUBJECTS: Sixty-eight cases. METHODS: Demographic and nosological characteristics have been analyzed, as well as treatment response of occipital neuralgia...
September 9, 2019: Pain Medicine
Gary Deng, Sergio Giralt, David J Chung, Heather Landau, Jonathan Siman, Qing S Li, Kaitlyn Lapen, Jun J Mao
OBJECTIVE: To evaluate acupuncture as a nonpharmacologic intervention for pain management in patients undergoing hematopoietic stem cell transplantation (HSCT). METHODS: Adult patients with multiple myeloma undergoing high-dose melphalan chemotherapy and autologous peripheral blood HSCT were randomized to receive either true (TA) or sham acupuncture (SA) once daily for five days starting on the day after chemotherapy. Use of pain medications and pain scores were assessed at baseline and at days 5, 15, and 30 after transplantation...
September 9, 2019: Pain Medicine
Jessica Smith, Steven G Faux, Tania Gardner, Megan J Hobbs, Mathew A James, Amy E Joubert, Natalie Kladnitski, Jill M Newby, Regina Schultz, Christine T Shiner, Gavin Andrews
OBJECTIVE: Chronic pain is a prevalent and burdensome condition. Reboot Online was developed to address treatment barriers traditionally associated with accessing face-to-face chronic pain management programs. It is a comprehensive multidisciplinary online treatment program, based on an existing and effective face-to-face multidisciplinary pain program (the Reboot program). DESIGN & PARTICIPANTS: A CONSORT-compliant randomized controlled trial was conducted, enrolling adults who had experienced pain for three months or longer...
September 9, 2019: Pain Medicine
Rodrigo Pegado, Luana Karyne Silva, Hégila da Silva Dantas, Hialison Andrade Câmara, Karime Andrade Mescouto, Edson Meneses Silva-Filho, Johnnatas Mikael Lopes, Maria Thereza Albuquerque Barbosa Cabral Micussi, Grasiéla Nascimento Correia
OBJECTIVE: The aim of this trial was to investigate the effects of five consecutive sessions of anodal transcranial direct current stimulation (tDCS) over the motor cortex (M1) on pain, mood, and physical performance in patients with primary dysmenorrhea (PDM). DESIGN: This is a double-blind randomized controlled trial. SUBJECTS: Twenty-two participants with PDM according to the No. 345-PDM Consensus Guideline were included. METHODS: Eleven active treatment and 11 sham stimulation patients received five applications over a one-week period...
September 9, 2019: Pain Medicine
Leila Ghamkhar, Amir Massoud Arab, Mohammad Reza Nourbakhsh, Amir Hossein Kahlaee, Reyhaneh Zolfaghari
OBJECTIVE: Impairments present in chronic pain conditions have been reported not to be limited to the painful region. Pain-free regions have also been proposed to be adversely affected as a cause or consequence of the painful condition. The aim of this study was to investigate the association between muscle strength in painful and pain-free regions and chronic neck pain. DESIGN: A cross-sectional study. SETTING: Rehabilitation hospital laboratory...
September 4, 2019: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Sylvia H Wilson, Latha Hebbar
No abstract text is available yet for this article.
September 3, 2019: Pain Medicine
Dennis C Kuo, Joel P Castellanos, Nathaniel M Schuster
No abstract text is available yet for this article.
September 3, 2019: Pain Medicine
Marco Covotta, Claudia Claroni, Manuela Costantini, Giulia Torregiani, Lorella Pelagalli, Antonio Zinilli, Ester Forastiere
BACKGROUND: Use of a locoregional analgesia technique, such as the ultrasound-guided transversus abdominis plane block (TAPb), can improve postoperative pain management. We investigated the role of TAPb in robotic partial nephrectomy, a surgery burdened by severe postoperative pain. METHODS: In this prospective trial, patients with American Society of Anesthesiologists class I-III physical status undergoing robotic partial nephrectomy were randomly assigned to standard general anesthetic plus ultrasound-guided TAPb (TAP group) or sole standard general anesthetic (NO-TAP group)...
August 29, 2019: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Alexander Hynes, Darrell Vydra, Nate Clements, Jonathan Julia, Ameet Nagpal, Daniel M Cushman, Zachary L McCormick
No abstract text is available yet for this article.
August 29, 2019: Pain Medicine
Barbara Kościelniak-Merak, Ilona Batko, Krzysztof Kobylarz, Krystyna Sztefko, Przemysław J Tomasik
OBJECTIVES: We analyzed the influence of perioperative, intravenous (i.v.) lidocaine infusion as a part of multimodal anesthesia on concentrations of selected pain modulators. DESIGN: An observational study. SETTING: University Children's Hospital in Cracow, Poland, from May 2015 to May 2018. SUBJECTS: Forty-four children undergoing extensive spinal surgery, divided into two groups after surgery: the study group (N = 23), anesthetized generally with lidocaine as a co-analgesic, and the control group (N = 22), anesthetized generally without lidocaine...
August 29, 2019: Pain Medicine
Mathieu Boudier-Revéret, Ève Boissonnault, Johan Michaud
No abstract text is available yet for this article.
August 29, 2019: Pain Medicine
Ryan Mattie, David C Miller, Clark Smith
No abstract text is available yet for this article.
August 27, 2019: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
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