'Opioidphobia' stigmatizes chronic pain sufferers, expert says
Almost 13,000 people died in 2018, the vast majority from illicit fentanyl use. However, medicinal dependency on opioids has also been a problem for a long time. Many doctors have prescribed them for patients who suffer from chronic pain — an affliction that affects one in five Canadians. Doctors have started to reduce the pills, but it may leave some sufferers feeling stigmatized and in pain.
Publication date: Available online 9 November 2019Source: Journal of the Formosan Medical AssociationAuthor(s): Ke-Vin Chang, Chih-Hsien Hung, Wei-Zen Sun, Wei-Ting Wu, Chiu-Lian Lai, Der-Sheng Han, Chih-Cheng ChenBackgroundFibromyalgia is a chronic disorder characterized by widespread musculoskeletal pain. A common complaint is soreness. However, until now, no assessment tool is available to address soreness and evaluate its impact on disease severity. We aimed to establish a questionnaire for soreness assessment and to evaluate its validity in fibromyalgia patients.MethodsPatients diagnosed with fibromyalgia per the Amer...
We present the case of a pregnant woman admitted for sudden and severe abdominal pain at 34 weeks gestation. Her previous medical history included endometriosis suspected by clinical symptoms and ultrasound. During cesarean section, performed by sustained fetal bradycardia, a large volume hemoperitoneum and multiple hemorrhagic foci in the posterior uterine wall were detected. Although rare, spontaneous hemoperitoneum may occur in pregnancy, especially in women with endometriosis. Thus, a prompt suspicion and expedite intervention are needed to improve maternal and fetal outcomes. PMID: 31703187 [PubMed - in process]
Publication date: 9 November 2019Source: New Scientist, Volume 244, Issue 3255Author(s): Helen ThomsonHypnosis is entering mainstream medicine and appears to be helping with everything from anxiety to chronic pain. Is it time to take it seriously, asks Helen Thomson
ConclusionFissurectomy with posterior mid line internal sphincterotomy and mucosal anoplasty is safe with minimal complications. It is still a dependable alternative treatment for chronic posterior anal fissures. The fear of keyhole deformity can be well addressed with the added anoplasty.
AbstractIrritable bowel syndrome (IBS) is a functional bowel disorder characterized by abdominal pain and alterations in stool form and/or frequency, leading to reduced quality of life. Pharmacologic agents currently approved by the US Food and Drug Administration for treatment of IBS with diarrhea (IBS-D) in adults are the nonsystemic antibiotic rifaximin, the mixed µ- and κ-opioid receptor agonist/δ-opioid antagonist eluxadoline, and the selective serotonin 5-HT3 antagonist alosetron (the last of which is indicated only in women with severe IBS-D refractory to conventional therapy). Both eluxadoline and...
A 78-year-old man with type 2 diabetes, hypertension, chronic anemia and recent-onset nephrotic syndrome presented with a 1-day complain of abdominal pain on his left side. He did not report any other symptoms. In his medical history, he had a partial gastrectomy for cancer 3 years ago
ConclusionsSome opioids provided a short ‐term substantial pain relief in highly selected patients in some neuropathic pain syndromes.
ConclusionsL ‐TOT may alter the immune system in CNCP patients, but the level of evidence is still weak. More studies are needed to clarify the impact of L‐TOT on immune system function.
DiscussionCPMP is a disabling condition for which several interventions exist. To our knowledge, this is the first network meta-analysis to systematically compare all available evidence. This is required by national health institutions to inform their decisions about the best available treatment option(s) with regard to efficacy and safety outcomes.Systematic review registrationPROSPEROCRD42018096114
AbstractPurpose of ReviewMany studies have demonstrated that discogenic low back pain is the most common type of chronic low back pain (CLBP), one of the major causes of disability, and has a major socioeconomic impact. Our aim is to review present therapeutic interventions for discogenic low back pain.Recent FindingsThere are a multitude of treatments used in clinical practice to treat CLBP, but there is continued debate and lack of consensus among clinicians and the policy makers as to which modality is the best approach. Based on controlled evaluations, lumbar intervertebral discs have been shown to be the source of chr...