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Sex differences AND pain

Amanda L Stone, Lynn S Walker, Lauren C Heathcote, J Maya Hernandez, Molly C Basch, Anna C Wilson, Laura E Simons
Among youth with chroic pain, elevated somatic symptoms across multiple body systems have been associated with greater emotional distress and functional disability and could represent poor adaptation to pain. The Children's Somatic Symptoms Inventory (formerly the Children's Somatization Inventory) is commonly used to assess somatic symptoms in children. However, no studies have evaluated the clinical utility of the measure in the assessment of pediatric patients with chronic pain. This study evaluated the factor structure and clinical relevance of the 24-item Children's Somatic Symptoms Inventory (CSSI-24) in youth (n = 1150) with mixed chronic pain complaints presenting to a tertiary pain clinic...
February 13, 2019: Journal of Pain: Official Journal of the American Pain Society
Sophie Desjadins, Sylvie Lapierre, Carol Hudon, Alain Desgagné
STUDY OBJECTIVES: Research indicates that sleep efficiency below 80% substantially increases mortality risk in elderly persons. The aim of this study was to identify factors that would best predict poor sleep efficiency in the elderly, and to determine whether associations between these factors and sleep efficiency were similar for men and women and for younger and older elderly persons. METHODS: A total of 2,468 individuals aged 65-96 years (40.7% men) participated...
February 15, 2019: Sleep
Mamiko Noguchi, Michal Glinka, Graham R Mayberry, Kimihiro Noguchi, Jack P Callaghan
Potential alternatives for conventional sitting and standing postures are hybrid sit-stand postures (i.e., perching). The purposes of this study were i) to identify where lumbopelvic and pelvic angles deviate from sitting and standing and ii) to use these breakpoints to define three distinct postural phases: sitting, perching, and standing, in order to examine differences in muscle activations and ground reaction forces between phases. Twenty-four participants completed 19 one-minute static trials, from sitting (90°) to standing (180°), sequentially in 5°trunk-thigh angle increments...
February 14, 2019: Ergonomics
Bong Ju Moon, Seong Yi, Yoon Ha, Keung Nyun Kim, Do Heum Yoon, Dong Ah Shin
Percutaneous epidural neuroplasty (PEN) is an effective and safe procedure for herniated lumbar disc (HLD). Although PEN has an advantage of adhesiolysis, this procedure cannot decompress the protruded disc. Recently, trans-sacral epiduroscopic laser decompression (SELD) for HLD has been introduced as a promising alternative methodology. This study evaluated the clinical efficacy and safety of SELD compared to PEN, as well as the change in protruded disc volume after SELD through pre- and postoperative magnetic resonance imaging (MRI), in patients with HLD...
2019: Pain Research & Management: the Journal of the Canadian Pain Society
J Chowdhury, M S Islam, A R Miah, A Saha, P Pal, A A Siddique, M S Alam, M A Raihan
Dyspepsia is a symptom complex that includes epigastric pain, post-prandial fullness, bloating, early satiety, belching, nausea, vomiting, heartburn, acid regurgitations and anorexia. The most widely applied definition of dyspepsia is the Rome working team formulation namely chronic or recurrent pain or discomfort centered in the upper abdomen. Till date the prevalence of dyspepsia in Bangladesh has not been studied much. The last study was done in 1987 in a rural community and the prevalence of dyspepsia was found to be 41...
January 2019: Mymensingh Medical Journal: MMJ
Suguru Kimoto, Nobuhiko Furuse, Takahiro Ogawa, Yoshio Nakashima, So Furokawa, Masakazu Okubo, Hidenori Yamaguchi, Yasuhiko Kawai
PURPOSE: This study aimed to investigate whether the mandible is more receptive to external stimuli than the maxilla in patients with complete dentures by comparing regional current perception thresholds (CPTs) and pain threshold (PTs). METHODS: A single operator obtained measurements from maxillae at the incisor foramen and the left side of the greater palatine foramen region and the mandible at the left side of the mental foramen region, using the Neurometer CPT/C device, CPT and PT values from the oral mucosa of 20 edentulous individuals wearing complete dentures were analyzed...
February 9, 2019: Journal of Prosthodontic Research
Maria da Conceição Costa, Jamil Natour, Hilda A V Oliveira, Maria Teresa Terreri, Claudio A Len
INTRODUCTION: Musculoskeletal pain is a constant complaint in pediatric practice. The pain may be related to a number of organic diseases and / or be part of the amplified musculoskeletal pain syndromes. Idiopathic musculoskeletal pain (IMSP) is defined as the presence of intermittent pain in three or more body regions for at least three months, excluding organic diseases that could explain the symptoms. OBJECTIVE: To study the gait of children and adolescents with IMSP by dynamic baropodometry...
February 12, 2019: Advances in rheumatology
Ardavan A Saadat, Ajay C Lall, Muriel R Battaglia, Mitchell R Mohr, David R Maldonado, Benjamin G Domb
BACKGROUND: Recent studies identified microinstability in the hip as a pathoetiology of painful hip conditions, and it was proposed that generalized ligamentous laxity conditions may predispose patients to such microinstability. PURPOSE: To study the relationship of generalized ligamentous laxity with patient characteristics, clinical presentation, intraoperative findings, and surgical treatments in a cohort of patients undergoing hip arthroscopy. STUDY DESIGN: Cross-sectional study; Level of evidence, 3...
February 12, 2019: American Journal of Sports Medicine
Bojana Bazika-Gerasch, Christoph Maier, Nina Kumowski, Carolin Fiege, Miriam Kaisler, Jan Vollert, Johannes W Dietrich
Local osteopenia and altered bone metabolism are major complications of complex regional pain syndrome (CRPS), but quantitative assessment is difficult unless using X-ray or dual-energy X-ray absorptiometry. Ultrasound-based measurement of bone density (UBD) is a possible alternative, but has never been used to detect unilateral disease such as CRPS. Therefore, the main outcome measure of this prospective study was the diagnostic utility of UBD in patients with lower limb CRPS. Second, we compared the extent of uni- and contralateral calcaneal bone density to that of other conditions with unilateral pain, general osteoporosis, and healthy subjects...
February 8, 2019: Pain
Matthew Freke, Joanne Kemp, Kay Crossley, Kevin Sims, Trevor Russell, Adam Semciw
BACKGROUND: Identifying the physical impairments associated with worse symptoms and greater functional limitations in people with hip pain could enable targeted rehabilitation programmes designed to improve quality of life. The objective of this study was to compare physical characteristics between subgroups of symptoms and functional limitation severity in individuals with hip pain scheduled for arthroscopic surgery. METHODS: Hip range of motion (ROM) and muscle strength were measured in 114 individuals (48 women; aged 32 ± 8 years) with hip pain scheduled for hip arthroscopy...
February 12, 2019: European Journal of Pain: EJP
Frédéric Guirimand, Patricia Martel-Samb, Christian Guy-Coichard, Stéphane Picard, Bernard Devalois, Laure Copel, Anne Abel, Véronique Ghadi
BACKGROUND: Indicators for the quality of palliative care are a priority of caregivers and managers to allow improvement of various care settings and their comparison. The involvement of patients and families is of paramount, although this is rarely achieved in practice. No validated assessment tools are available in French. Simple cultural adaption of existing questionnaires may be insufficient, due to the varying organization of care in different countries. The purpose of this study was to develop and validate a new instrument to measure the quality of palliative care and satisfaction from the patient point of view...
February 11, 2019: BMC Palliative Care
Bella Mehta, Jackie Szymonifka, Shirin Dey, Iris Navarro-Millan, Stephen Grassia, Lisa A Mandl, Anne R Bass, Linda Russell, Michael Parks, Mark Figgie, Lily Lee, Joe Nguyen, Susan M Goodman
BACKGROUND: Community characteristics such as poverty affect total knee arthroplasty (TKA) outcomes. However, it is unknown whether other community factors such as immigrant proportion (IP) also affect outcomes. Our objective was to determine the association of neighborhood IP on preoperative (pre-op) and 2-year postoperative (post-op) Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and function after elective TKA. METHODS: Patients in a high volume institutional TKA registry between May 2007 and February 2011 were retrospectively analyzed...
February 9, 2019: BMC Musculoskeletal Disorders
Gijsbrecht A J van Velzen, Frank J P M Huygen, Maarten van Kleef, Frank V van Eijs, Johan Marinus, Jacobus J van Hilten
BACKGROUND: Complex Regional Pain Syndrome (CRPS) is much more prevalent in women than men but potential differences in clinical phenotype have not been thoroughly explored to date. Differences in the clinical presentation between sexes may point at new avenues for a more tailored management approach of CRPS. We therefore explored if in CRPS the patient's sex is associated with differences in clinical and psychological characteristics. METHODS: In this cross-sectional study of 698 CRPS patients (599 females) fulfilling the Budapest clinical or research criteria, CRPS signs and symptoms, CRPS severity, pain (average pain intensity in the previous week and McGill pain rating index), pain coping (Pain Coping Inventory), physical limitations (Radboud Skills Questionnaire (upper limb), Walking and Rising questionnaire (lower limb)), anxiety and depression (Hospital Anxiety and Depression scale) and kinesiophobia (Tampa scale for kinesiophobia) were evaluated...
February 8, 2019: European Journal of Pain: EJP
Hien Pham, Michael Pickell, Michelle Yagnatovsky, Mark Kramarchuk, Michael J Alaia, Eric J Strauss, Laith M Jazrawi, Kirk A Campbell
PURPOSE: To evaluate the efficacy of oral nonsteroidal anti-inflammatory drugs (NSAIDs) as the primary postoperative pain medication compared with standard oral opioids following arthroscopic partial meniscectomy. METHODS: This was a single-center, prospective, nonrandomized, comparative observational study. Patients ages 18 to 65 years who were indicated for arthroscopic meniscectomy were included. Postoperatively, patients were prescribed 1 of 2 analgesic regimens: (1) ibuprofen (600 mg every 6-8 hours as needed) and 10 tablets of oxycodone/acetaminophen (5/325 mg as needed for breakthrough pain) or (2) 30 to 40 tablets oxycodone/acetaminophen (5/325 mg every 6 hours as needed)...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Dowglas Fernando Magalhães de Sousa, Marcela Letícia Leal Gonçalves, Fabiano Politti, Renan Didier de Paula Lovisetto, Kristianne Porta Santos Fernandes, Sandra Kalil Bussadori, Raquel Agnelli Mesquita-Ferrari
INTRODUCTION: Temporomandibular disorder (TMD) is considered the main cause of orofacial pain of non-dental origin, and a public health problem. The symptomatology is muscular and/or articular pain, restriction of the mandibular range of motion, and changes in the mandibular movement pattern. Due to its complexity there are already treatments using various forms of therapy. Photobiomodulation using light sources, such as low-level laser or light emitting diodes (LED), with different wavelengths, in a single or combined form, allows one more therapeutic resource to be explored...
February 2019: Medicine (Baltimore)
Alexander J Adams, Matthew J Buczek, John M Flynn, Apurva S Shah
BACKGROUND: There is a need for improved opioid stewardship in orthopedic surgery through multimodal analgesia strategies. Perioperative administration of ketorolac in children undergoing closed reduction and percutaneous pinning (CRPP) for displaced supracondylar humerus (SCH) fracture may decrease pain, reduce opioid requirements, and decrease hospitalization costs. METHODS: Retrospective case-control investigation of children (aged, 1 to 14) treated with CRPP for closed, modified Gartland type III extension-type SCH fractures at a single children's hospital between 2011 and 2017...
February 1, 2019: Journal of Pediatric Orthopedics
Masakatsu Ono, Stefan Schneider, Doerte U Junghaenel, Arthur A Stone
BACKGROUND: Ecological momentary assessment (EMA) involves repeated sampling of people's current experiences in real time in their natural environments, which offers a granular perspective on patients' experience of pain and other symptoms. However, EMA can be burdensome to patients, and its benefits depend upon patients' engagement in the assessments. OBJECTIVE: The goal of this study was to investigate factors affecting EMA-completion rates among patients with chronic pain...
February 5, 2019: Journal of Medical Internet Research
Dil V Patel, Mundeep S Bawa, Brittany E Haws, Benjamin Khechen, Andrew M Block, Sailee S Karmarkar, Eric H Lamoutte, Kern Singh
OBJECTIVEThis study aimed to determine if the preoperative Patient-Reported Outcomes Measurement Information System, Physical Function (PROMIS PF) score is predictive of immediate postoperative patient pain and narcotics consumption or long-term patient-reported outcomes (PROs) following minimally invasive transforaminal lumbar interbody fusion (MIS TLIF).METHODSA prospectively maintained database was retrospectively reviewed. Patients who underwent primary, single-level MIS TLIF for degenerative pathology were identified and grouped by their preoperative PROMIS PF scores: mild disability (score 40-50), moderate disability (score 30-39...
February 1, 2019: Journal of Neurosurgery. Spine
Dominic Amara, Praveen V Mummaneni, Christopher P Ames, Bobby Tay, Vedat Deviren, Shane Burch, Sigurd H Berven, Dean Chou
OBJECTIVEMany options exist for the surgical management of adult spinal deformity. Radiculopathy and lumbosacral pain from the fractional curve (FC), typically from L4 to S1, is frequently a reason for scoliosis patients to pursue surgical intervention. The purpose of this study was to evaluate the outcomes of limited fusion of the FC only versus treatment of the entire deformity with long fusions.METHODSAll adult scoliosis patients treated at the authors' institution in the period from 2006 to 2016 were retrospectively analyzed...
February 1, 2019: Journal of Neurosurgery. Spine
Francielle Boçon de Araujo Munhoz, Filipe Polese Branco, Ricardo Lehtonen Rodrigues Souza, Maria Cristina Dos Santos
PURPOSE: To investigate whether MMP-13 g.-77 A > G (rs2252070) gene polymorphism is associated with early implants loss. MATERIALS AND METHODS: Two hundred nonsmoking volunteers in good oral health, > 18 years of age, and found to be periodontally healthy by clinical examination were matched by age, sex, and implant position and separated into two groups: control group (100 patients with one or more healthy implants for a minimum of 1 year) and test group (100 patients who had suffered early implant loss, considered when implants presented mobility and/or pain before or during abutment connection, requiring their removal)...
February 4, 2019: International Journal of Oral & Maxillofacial Implants
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