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Pain Research and Treatment

Reza Salman Roghani, Ahmad Delbari, Mohsen Asadi-Lari, Vahid Rashedi, Johan Lökk
Background: Pain prevalence would increase as the population grows older, but the exact prevalence rate is not apparent in Iran. Objectives: This study, therefore, set out to reveal the prevalence of pain, especially neuropathic type and explore its associated comorbidities among Iranian older adults in a large urban population-based survey. Methods: 5326 older people, aged ≥ 60 years, were randomly chosen by a multistage, cluster sampling method...
2019: Pain Research and Treatment
Estele Mwanza, Reginald Dennis Gwisai, Chiratidzo Munemo
This study is a quantitative descriptive study, which was conducted with an aim to assess the knowledge on nonpharmacological methods of pain management among registered general nurses at Bindura Hospital. This is because most nurses focus more on pharmacological pain management than nonpharmacological therapies which are given less attention or accord. This study used a descriptive study design, which is a nonexperimental research design so as to obtain information about registered nurses knowledge on nonpharmacological pain management...
2019: Pain Research and Treatment
Birgitta Peilot, Paulin Andréll, Johan Gottfries, Annelie J Sundler, Clas Mannheimer
Objectives: The aim of this pilot study was to describe vulnerability and resilience and possible subgroups in patients with chronic work related musculoskeletal pain in occupational healthcare. A second aim was to evaluate a patient-centered approach. Methods: This study was based on consecutive patients with chronic pain, seen by the same physician and sick-listed full or part time three months or longer. They were included during a period of three months. Patient reported outcome measures (PROM) were administered at baseline and at follow-up after 8 months...
2018: Pain Research and Treatment
Aida Rosita Tantri, Riyadh Firdaus, Elvioza, Immaculata Astrid Budiman
Background: Intravitreal silicon oil removal surgery can cause mild-to-moderate postoperative pain and discomfort in most patients. Postoperative pain can be managed by using many methods, including a local anesthetic drug. One of the common local anesthetic drugs is 0.5% bupivacaine. The application techniques also vary, such as subconjunctival application. It was a good alternative for postoperative analgesia in the ophthalmic surgery because of its minimal risks and complications. The purpose of this research was to measure the effectiveness of subconjunctival 0...
2018: Pain Research and Treatment
Amare Agmas Andualem, Girmay Fitiwi Lema, Yonas Addisu Nigatu, Seid Adem Ahmed
Background: Adequate pain management has led to increased comfort in emergency patients, reducing morbidity and improving long term outcomes. Different pain management modalities have been applied in the emergency department among which systemic analgesia is commonly used by preceding a nerve block. Several factors have been associated with poor pain management in low resource setting areas. We aimed to determine pain management modalities and associated factors among emergency surgical patients...
2018: Pain Research and Treatment
George Habib, Fahed Sakas, Suheil Artul, Fadi Khazin
Backgrounds: Primary osteoarthritis of the proximal interphalangeal joints (PIPJ) is a common entity. It could be associated with local pain that has no effective treatment. Local subcutaneous periarticular injection of methylprednisolone acetate (MPA) was evaluated in a prospective case-control study. Methods: Patients with painful osteoarthritis of the PIPJ for more than 1 month not responding to nonsteroidal meds were prospectively recruited. Radiographic, demographic, clinical, and lab parameters were documented...
2018: Pain Research and Treatment
M Rossi, G Bruno, M Chiusalupi, A Ciaramella
Poor emotional awareness (EA) seems to play an important role in the aetiology of functional somatic complaints featuring pain as a form of somatisation. The aim of this study was to shed more light on this relationship by investigating the links between pain, somatisation, and emotional awareness in a nonclinical population of 445 children aged 6-10. Assessing pain through the Children's Somatisation Inventory (CSI), a very high percentage of the entire sample complained of experiencing pain at least one site (84...
2018: Pain Research and Treatment
Sawanya Benchahong, Athita Chanthasenanont, Densak Pongrojpaw, Junya Pattaraarchachai, Kornkarn Bhamarapravatana, Komsun Suwannarurk
Abnormal uterine bleeding in women aged 35 years or over is an important clinical sign of many gynecological conditions. The diagnoses of these conditions require the pathological report of the endometrial tissue. Outpatient-based endometrial biopsy is an excellent option compared to standard fractional uterine curettage or hysteroscopy with endometrial biopsy in providing a definite diagnosis for abnormal uterine bleeding as it is less painful and does not require high potency anesthesia. This study evaluates the effect of intrauterine lidocaine on the patient's pain score during endometrial biopsy by the Novak curette...
2018: Pain Research and Treatment
Wiphawee Luangtangvarodom, Densak Pongrojpaw, Athita Chanthasenanont, Junya Pattaraarchachai, Kornkarn Bhamarapravatana, Komsun Suwannarurk
Abnormal vaginal bleeding is one of the most frequent problems found in gynecology. Endometrial histopathology is needed for definite diagnosis. It was obtained either from endometrial tissue sampling or from standard uterine curettage. Office endometrial tissue sampling is an easy and low morbid procedure. It is usually associated with pain and discomfort. Topical anesthetic agent is needed for pain relieving. This study was conducted in outpatient gynecology clinic, Thammasat University Hospital, Thailand...
2018: Pain Research and Treatment
Marin Golčić, Renata Dobrila-Dintinjana, Goran Golčić, Lidija Gović-Golčić
Introduction: Opioids are the most important drugs in treating pain in palliative care patients. Transdermal formulations are especially useful due to their noninvasive nature and minimal interference in daily life. However, studies have shown a controversial relationship of opioids to survival and a rise in deaths associated with the use of transdermal opioids. Although applying precise doses is paramount, we have no clear recommendations for the exact equianalgesic ratio for buprenorphine patch and no recommendation for the type of transdermal opioid to use in hospice...
2018: Pain Research and Treatment
Davide Blonna, Davide Edoardo Bonasia, Lorenzo Mattei, Enrico Bellato, Valentina Greco, Roberto Rossi
Purpose: In type 2 diabetic patients affected by chronic shoulder pain, subacromial injection with corticosteroid could be an effective treatment. The aim of this study was to measure the risk-benefit ratio of this treatment. Methods: Twenty patients with well-controlled diabetes were included in a prospective study. In a first preinjection phase, patients were asked to measure glycemia for 7 days, before breakfast and dinner, and then 2 hours after lunch and dinner...
2018: Pain Research and Treatment
Afshin Farhanchi, Behrouz Karkhanei, Negar Amani, Mashhood Aghajanloo, Elham Khanlarzadeh, Zahra Emami
Introduction: In this study we are aiming to evaluate the changes of serum serotonin and its association with pain in patients suffering from chronic low back pain before and after lumbar discectomy surgery. Patients and Methods: A prospective study was performed on the patients referring to the outpatient clinic in Besat hospital, Hamadan University of Medical Sciences, Hamadan, Iran, during 2016. A 2 mL fasting blood sample was collected from each patient at preoperative day 1 and postoperative day 14 and they were measured for level of serum serotonin...
2018: Pain Research and Treatment
Raghavendra Nayak, Ratan K Banik
Peripheral nerve stimulation has been used in the treatment of several chronic pain conditions including pain due to peripheral nerve dysfunctions, complex regional pain syndrome, and cranial neuralgias. It has been shown to be effective for chronic, intractable pain that is refractory to conventional therapies such as physical therapy, medications, transcutaneous electrical stimulations, and nerve blocks. Recently, a new generation of peripheral nerve stimulation devices has been developed; these allow external pulse generators to transmit impulses wirelessly to the implanted electrode, and their implantation is significantly less invasive...
2018: Pain Research and Treatment
María Candelas Madariaga Muñoz, Francisco Villegas Estévez, Antonio Javier Jiménez López, Ana Cabezón Álvarez, Begoña Soler López
Objective: The study objective was to assess the quality of life and satisfaction with treatment of patients with chronic neuropathic pain (CNP) who experience breakthrough pain (BTP) and to assess its economic impact. Design: Cross-sectional observational study. Setting: Fifteen pain units from Spanish hospitals completed the study. Participants: A total of 124 patients with adequately controlled CNP who experienced BTP were enrolled into the study...
2018: Pain Research and Treatment
Kenneth Jay, Sannie Vester Thorsen, Emil Sundstrup, Ramon Aiguadé, Jose Casaña, Joaquin Calatayud, Lars Louis Andersen
Background and Objective: Musculoskeletal pain is common in the population. Negative beliefs about musculoskeletal pain and physical activity may lead to avoidance behavior resulting in absence from work. The present study investigates the influence of fear avoidance beliefs on long-term sickness absence. Methods: Workers of the general working population with musculoskeletal pain (low back, neck/shoulder, and/or arm/hand pain; n = 8319) from the Danish Work Environment Cohort Study were included...
2018: Pain Research and Treatment
Andri M T Lubis, Rangga B V Rawung, Aida R Tantri
Acute pain is the most common early complication after total knee arthroplasty causing delayed mobilization and increased demands of morphine, leading to higher operative cost. Several studies have assessed the effectiveness, side-effects, and ease of use of various analgesics. Preemptive analgesia with combined celecoxib and pregabalin has been reported to yield positive outcomes. In this randomized, double-blind controlled clinical trial, 30 subjects underwent surgery for total knee arthroplasty using 15-20mg bupivacaine 5% epidural anesthesia...
2018: Pain Research and Treatment
Mohammad Rababa
Pain in people with dementia (PWD) is underassessed and undertreated. Treatment of pain in people with dementia goes awry because of poor assessment, poor treatment, and factors related to nursing decision-making skills. Several theoretical models addressed the role of nurses' critical thinking and decision-making skills in pain treatment, like the cognitive continuum theory (CCT) and the adaptive pain management (APT). Only the Response to Certainty of Pain (RCP) model was the first model to posit relationships between nurses' uncertainty, pain assessment, and patient outcomes...
2018: Pain Research and Treatment
George Habib, Irit Avisar
Objective: To report on the habits of cannabis consumption among fibromyalgia patients in Israel. Patients and Methods: An Internet-based questionnaire was posted to three large fibromyalgia Facebook groups in our country. The questionnaire was anonymous and included demographic, clinical, and cannabis-related questions, including acquisition of a license for medical cannabis (MC) method and amount of cannabis consumption; need to buy cannabis beyond the medical allowance; effect of cannabis on pain, sleep, depression, and anxiety; adverse effects of cannabis; feelings of dependence on cannabis or other meds; the involvement of family members; tendency to drive after using cannabis; and employment and social disability status...
2018: Pain Research and Treatment
T Maulina, G Yubiliana, R Rikmasari
Objectives: As the most complained oral problems in Indonesia, the therapy of orofacial pain has to be constantly evaluated. The objective of the current study was to evaluate the effectiveness of orofacial pain therapy in Indonesia. Methods: This study recruited 5412 (3816 female; 1596 male) participants from 27 districts in West Java province. Half of the participants (2714) were recruited from those who were treated at community health centers whilst the rest were those who were treated at private dental clinics...
2018: Pain Research and Treatment
Mark C Kendall, Lucas Jorge Castro Alves, Gildasio De Oliveira
Objective: Peripheral nerve blocks for postoperative analgesia have improved block success, but analgesia efficacy has been limited by the short duration of traditional local anesthetics. The results of randomized trials comparing liposome bupivacaine with conventional local anesthetic formulations (e.g., plain bupivacaine and ropivacaine) have generated conflicting results. This study was conducted to systematically review the effectiveness of analgesic efficacy of liposome bupivacaine infiltration at the surgical site versus plain local anesthetic bupivacaine or ropivacaine in patients undergoing surgery...
2018: Pain Research and Treatment
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