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Pain Practice: the Official Journal of World Institute of Pain

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https://read.qxmd.com/read/30762974/perioperative-pharmacological-sleep-promotion-and-pain-control-a-systematic-review
#1
REVIEW
Martin F Bjurström, Michael R Irwin
BACKGROUND: Sleep macrostructure is commonly disturbed after surgery. Postoperative pain control remains challenging. Given the bidirectional interaction between sleep and pain, understanding the role of modulation of sleep during the perioperative period on postoperative pain is needed. METHODS: Systematic review. Controlled trials examining the effects of perioperative sleep-promoting pharmacological agents on postoperative pain and analgesic consumption were identified through a systematic search strategy utilizing multiple electronic databases...
February 14, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30758122/continuous-bilateral-erector-of-spine-plane-block-at-t8-for-extensive-lumbar-spine-fusion-surgery-case-report
#2
Carlos Rodrigues Almeida, Ana Raquel Oliveira, Pedro Cunha
Supplementary strategies, in combination with conventional analgesia, for pain control after lumbar fusion surgery remain limited. Here, we describe a 79-year-old woman who experienced pain (10/10 on a numerical rating scale) on post-operative day 1 after undergoing L2 to S1 spine fusion. Erector spinae plane (ESP) blocks were performed at T8 and, after a bolus of ropivacaine 0.2% (20 ml) per side, perineural catheters were placed bilaterally. Continuous infusion (5 ml/h) of ropivacaine 0.2% per side was maintained for 48 h...
February 13, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30756467/active-trigger-points-are-associated-with-anxiety-and-widespread-pressure-pain-sensitivity-in-women-but-not-men-with-tension-type-headache
#3
Margarita Cigarán-Méndez, Carmen Jiménez-Antona, Paula Parás-Bravo, Stella Fuensalida-Novo, Jorge Rodríguez-Jiménez, César Fernández-de-Las-Peñas
BACKGROUND: A better understanding of gender differences can assist clinicians in further developing therapeutic programs in tension type headache (TTH). OBJECTIVE: To evaluate gender differences in the presence of trigger points (TrPs) in the head, neck, and shoulder muscles and their relationship with headache features, pressure pain sensitivity, and anxiety in people with TTH. METHODS: Two hundred and ten (59 men, 151 women) TTH patients participated...
February 13, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30742360/efficacy-of-botulinum-toxin-in-tension-type-headaches-a-systematic-review-of-the-literature
#4
REVIEW
Brin Freund, Aruna Rao
BACKGROUND: Botulinum toxin is approved to treat chronic migraine and has shown significant benefit in refractory cases. Due to its effect on pain by sensory modulation there may also be efficacy in its use in chronic tension-type headaches (CTTH). METHODS: A systematic review of the literature was performed using our predefined inclusion and exclusion criteria. We targeted prospective trials, randomized or non-randomized, studying botulinum toxin in tension-type headaches in adults...
February 11, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30739397/emotional-distress-correlates-among-patients-with-chronic-non-specific-low-back-pain-a-hierarchical-linear-regression-analysis
#5
Shizheng Du, Yan Hu, Yamei Bai, Lingli Hu, Jianshu Dong, Shengji Jin, Heng Zhang
BACKGROUND: Chronic low back pain (CLBP) has become a worldwide health concern, and emotional distress is an important issue for CLBP management. However, it remains poorly understood how emotional distress happens and develops. This study aimed to systematically explored the correlates of emotional distress of CLBP patients. METHODS: The study was a multisite, cross-sectional survey with a sample of 252 CLBP patients in urban communities. A battery of questionnaires were used to collect data...
February 9, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30734476/ultrasound-guided-cervical-nerve-root-block-for-the-treatment-of-acute-cervical-herpes-zoster-a-randomized-controlled-clinical-study
#6
Shuyue Zheng, Xiuhua Li, Xiaohui Yang, Liangliang He, Yanyan Xue, Zhanmin Yang
OBJECTIVES: To evaluate the efficacy and safety of ultrasound-guided cervical nerve root block (CRB) on acute pain and its preventive effects on post-herpetic neuralgia (PHN) in patients with cervical herpes zoster (HZ). METHODS: 140 recruiters were randomized 1:1 to receive ultrasound-guided CRB with either mixed drug liquid (treatment group) or similar looking placebo (placebo group). All patients received a 7-day course of oral antivirals treatment, pregabalin, and analgesics as needed...
February 7, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30721552/salvage-therapy-with-burst-spinal-cord-stimulation-for-chronic-pancreattis-a-case-report
#7
L Delange Segura, M Rodríguez Padilla, M T Palomino Jiménez, M Fernández Baena, J F Rodríguez Staff
Pain associated with chronic pancreatitis is often difficult to treat. On many occasions, interventional techniques may be necessary. In recent years, spinal cord stimulation techniques have been used successfully in the management of these patients. However, only the use of traditional tonic stimulation based on paresthesias has been published for this purpose. Spinal cord burst stimulation (SCBS) has been shown to be more effective than tonic stimulation, especially in failed back surgery syndrome (FBSS)...
February 5, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30681260/behavioral-therapy-for-acute-post-surgical-phantom-limb-pain-in-a-young-adult-with-osteosarcoma
#8
LETTER
Shan S Wong, Adrian M Svingos, Shelley C Heaton
Phantom limb pain (PLP) is one of the most difficult chronic pain syndromes to treat. Pain intensity can be extremely high with profound effects on quality of life 1 . Unfortunately, pharmacologic interventions leave up to 50% of patients with chronic PLP 2,3 . Behavioral treatments such as motor imagery and mirror therapy are promising in reducing PLP 4 , but are not customarily utilized during the acute post-surgical timeframe when symptoms first occur. This article is protected by copyright. All rights reserved...
January 25, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30675989/factors-predicting-successful-outcomes-for-percutaneous-radiofrequency-thermocoagulation-in-patients-with-idiopathic-trigeminal-neuralgia-implications-for-surgical-decision-making
#9
Xiuhua Li, Shuyue Zheng, Liqiang Yang, Zhao Cao, Jiaxiang Ni, Yuqi Zhang
OBJECTIVES: This study aimed to identify specific factors predicting successful outcomes after percutaneous radiofrequency thermocoagulation (RFT) for Idiopathic Trigeminal neuralgia (ITN) and risk factors that were associated with inferior outcomes. METHODS: We retrospectively reviewed our cohort of 1624 patients who underwent RFT for trigeminal neuralgia between January 2000 and December 2017. Demographic and clinical data including age, gender, disease duration, affected side, baseline pain score, pain distribution, history of previous surgical intervention and pain characteristics were collected and evaluated for their association with outcome using univariate and multivariate logistic regression analysis...
January 24, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30659740/sleep-shortage-is-associated-with-postherpetic-neuralgia-development-through-hyperesthesia-and-acute-pain-intensity-a-community-based-prospective-cohort-study
#10
Keiko Yamada, Yasuhiko Kubota, Yuji Shimizu, Renzhe Cui, Yasuko Mori, Yoshinobu Okuno, Hideo Asada, Koichi Yamanishi, Hiroyasu Iso
OBJECTIVES: There are no community-based studies investigating the association between sleep duration and postherpetic neuralgia (PHN) development. The aim of the current study was to examine the association of sleep with herpes zoster (HZ) incidence and PHN. METHODS: In total, 12,329 residents of Shozu County, Japan (aged 50-103 years) participated in our study from December 2009 to November 2010 and were followed up for 3 years. At baseline, the participants completed self-administered health questionnaires, including those on usual sleep duration...
January 19, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30659725/dizziness-handicap-and-its-contributing-factors-in-patients-with-migraine
#11
Sun Hwa Lee, Yeonwook Kang, Jong-Hee Sohn, Soo-Jin Cho
OBJECTIVE: Dizziness is frequently reported in patients with migraine. However, its assessment is often neglected in clinical practice. We investigated the dizziness handicap experienced by patients with migraine and its contributing factors. METHODS: A total of 361 migraine outpatients (270 women, 91 men; mean age, 39.01 ± 11.2 years) were given the Korean Dizziness Handicap Inventory (KDHI) questionnaire (total score: 100 points; cutoff: 29). The Headache Impact Test, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9 (PHQ-9), and Pittsburgh Sleep Quality Index were also administered...
January 19, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30648786/reply-to-confounding-factors-in-predicting-acute-post-surgical-pain
#12
LETTER
Anna Km Persson, Jonas Åkeson
We have read a letter to the editor in Pain Practice entitled "Confounding factors in predicting acute post-surgical pain", where the authors raise some methodological concerns regarding our recent study on prediction of postoperative pain (1). First of all, we thank those authors for acknowledging our study, and we respond below to their relevant concerns regarding potential confounders. This article is protected by copyright. All rights reserved.
January 16, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30636101/outcome-of-a-high-frequency-transcutaneous-electrical-nerve-stimulator-hftens-device-for-low-back-pain-a-randomized-controlled-trial
#13
Robert N Jamison, Limeng Wan, Robert R Edwards, Anna Mei, Edgar Ross
This controlled trial examined the benefit of a high-frequency transcutaneous electrical nerve stimulation (hfTENS) device (Quell® ) for chronic low back pain (CLBP) patients. Thirty-five (N=35) participants were randomly assigned to use the device each day for 3 months (Experimental) and were compared with 33 subjects without the device (treatment-as-usual Control). All patients were instructed to complete baseline questionnaires and were assessed on thresholds of pressure pain and mechanical temporal summation as part of a standardized quantitative sensory test (QST) assessment...
January 12, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30636091/the-clinical-features-of-painful-small-fibre-neuropathy-suggesting-an-origin-linked-to-a-primary-sj%C3%A3-gren-s-syndrome
#14
Hela G Zouari, Abir Wahab, Sophie Ng Wing Tin, Damien Sène, Jean-Pascal Lefaucheur
We attempted to determine whether clinical features could differentiate painful small fibre neuropathy related to primary Sjögren's Syndrome (pSS-SFN) from idiopathic SFN (idio-SFN). Validated clinical questionnaires and neurophysiological investigation specific for pain and SFN assessment were performed in 25 patients with pSS-SFN and 25 patients with idio-SFN. Patients with idio-SFN had more frequent severe burning sensations and higher mean anxiety score and daily pain intensity compared to pSS-SFN patients...
January 12, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30614650/letter-to-editor-re-unique-intradural-inflammatory-mass-containing-precipitated-morphine-by-kim-et-al
#15
LETTER
Tony L Yaksh
Intrathecal morphine yields large masses. The Kim et al paper brings forth a potentially novel mechanism for this intrathecal mass that represents the formation of a loculated fluid filled volume and the presence of morphine particulates. This article is protected by copyright. All rights reserved.
January 7, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30597756/refill-port-identification-of-intrathecal-drug-delivery-system-devices-with-a-raised-fill-port
#16
Paolo Maino, Sander M J van Kuijk, Eva Koetsier
OBJECTIVES: The aim of this a study was to assess the accuracy of the manual identificatoin of the RFP for refill of IDDSs with a Raised RFP on the pump surface (Raised-RFP-IDDSs), and compare this to previously reported data of patients with IDDSs with a Recessed RFP (Recessed-RFP-IDDSs). METHODS: Nineteen patients underwent two IDDS refills for the treatment of noncancer pain or spasticity. The primary endpoint of this prospective observational study was the deviation between the needle insertion point and the RFP center, quantified by fluoroscopic visualization...
December 30, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30597739/mitigation-of-iv-abuse-through-the-use-of-abuse-deterrent-opioid-formulations-an-overview-of-current-technologies
#17
REVIEW
Richard L Rauck
Providers who treat patients with chronic pain face a dual challenge: providing adequate access to opioid therapies for appropriate pain management while adopting strategies to minimize the risk of abuse. Commonly prescribed opioids have substantial abuse potential when administered intravenously and extended-release (ER)/long-acting (LA) opioids may be targeted for intravenous abuse because of the higher per-dose medication level. The consequences of intravenous opioid abuse are severe and increase the risks of adverse outcomes, including mortality due to acute health events, serious infections, and deep vein thrombosis, to name a few...
December 30, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30588728/recommended-dexamethasone-dose-for-epidural-administration-response-to-the-comments-of-koetsier
#18
LETTER
Koen Van Boxem, Mienke Rijsdijk, Guy Hans, Jasper de Jong, Jan Willem Kallewaard, Kris Vissers, Maarten van Kleef, James P Rathmell, Jan Van Zundert
We thank Koetsier for his comments. Indeed, the dose of dexamethasone may be a point of discussion. The authors ask to review the recommended dose of 10 mg based on the study of El Abd et al.1 where 15 mg is used for cervical transforaminal epidural injections and 20 mg for lumbar epidurals. This study has, however, as objective to study the immediate and acute adverse effects after transforaminal epidural steroid injections. In the paper no information is given on pain reduction and/or disability. This article is protected by copyright...
December 27, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30565835/confounding-factors-in-predicting-acute-post-surgical-pain
#19
LETTER
Maurice F Joyce, Mark C Kendall
We read with great interest the article of Persson et al. in a recent issue of the journal.1 The authors performed a prospective clinical observational study in 600 patients undergoing elective surgery and concluded that scoring of venous cannulation-induced pain intensity before surgery is useful to predict individual risks for moderate or severe postoperative pain, regardless of patient age or gender. The authors should be applauded for performing a well-designed trial in an important topic (e.g., acute pain) in patients undergoing elective surgery...
December 19, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30554464/validation-of-the-rotterdam-elderly-pain-observation-scale-repos-in-the-hospital-setting
#20
Anneke A Boerlage, Joost van Rosmalen, Juanita M Cheuk-Alam-Balrak, Jeannette A Goudzwaard, Dick Tibboel, Monique van Dijk
BACKGROUND: The Rotterdam Elderly Pain Observation Scale (REPOS) has been proven useful to assess pain in non-communicative and cognitively impaired nursing home residents. We evaluated whether the REPOS is also reliable and valid for pain assessment in the hospital setting. METHODS: In this prospective multicenter observational study, surgical patients were observed perioperatively at bedside and internal medicine patients were filmed during a possible painful moment and in rest...
December 16, 2018: Pain Practice: the Official Journal of World Institute of Pain
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