Preoperative Optimization of Chronic Pain Patients Undergoing Surgery

Surgery presents unique challenges in pain management for patients with chronic pain. A perioperative optimization program, starting at decision to surgery, is likely to yield the best results for this population. Perioperative optimization focuses on psychological, medical, and physical optimization. Psychological optimization includes cognitive behavior therapy, relaxation, and music therapy. Medical optimization focuses on the multimodal approaches of pharmacological adjustment and physical optimization focuses on prehabilitation and nutrition optimization. The ideal care model incorporates these optimization strategies into clinical practice to prepare the patient appropriately for the best possible outcomes. Although preoperative optimization is key for sustained outcomes, intraoperative and inpatient protocols are equally important, as is postdischarge subacute support by pain specialists, as needed, for up to 90 days after surgery.
Source: Techniques in Orthopaedics - Category: Orthopaedics Tags: Symposium Source Type: research

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CONCLUSIONS: The current study identified preoperative characteristics associated with an increased risk of reintervention. No preoperative characteristics had any significant interactions with EVT or surgical reconstruction. PMID: 32224557 [PubMed - as supplied by publisher]
Source: Journal of Atherosclerosis and Thrombosis - Category: Cardiology Tags: J Atheroscler Thromb Source Type: research
Authors: Ruivo EFM, Gestosa SVS, Mulenas NME, Lares AMG Abstract Neuropathic pain is defined as a direct consequence of an injury or disease that affects the somatosensory system, which may affect 7 to 10% of the world population. Regardless of its origin, it is often described as disabling, chronic, difficult to treat and with a noticeable impact on patients' quality of life. This case report describes a patient with peripheral polyneuropathy associated with hypereosinophilic syndrome, a medical condition scarcely described in literature. Capsaicin 8% patches therapy, never mentioned before in the literature in su...
Source: Journal of Pain and Palliative Care Pharmacotherapy - Category: Palliative Care Tags: J Pain Palliat Care Pharmacother Source Type: research
Conclusion: The current review identified strong, high-quality evidence to recommend hip muscle strengthening in the conservative management of persons with knee OA. Further research is needed to establish the underlying mechanisms for the clinical benefits.
Source: Journal of Geriatric Physical Therapy - Category: Physiotherapy Tags: Systematic Reviews Source Type: research
Inadequately managed postsurgical pain impacts morbidity, mortality, and health care costs. More than 75% of surgical patients in the United States experience moderate, severe, or extreme postoperative pain.1,2 Despite efforts to control pain during and immediately after surgery with agents such as local anesthetics, opiates, gabapentinoids, acetaminophen, and nonsteroidal anti-inflammatory agents, pain often persists. The risk of developing chronic postoperative pain has been correlated to the intensity of acute postoperative pain.
Source: Journal of PeriAnesthesia Nursing - Category: Nursing Authors: Tags: Pharmacology Facts Source Type: research
We know that pain has far-reaching detrimental effects across various life-domains and also affects health related quality of life after solid organ transplantation. However, the extent to which heart recipients experience chronic bodily pain in the years after heart transplantation is a neglected field. Pain is reported to be a major problem after other types of solid organ transplantation. Neither the prevalence nor consequences of chronic pain after heart transplantation have been fully explored or understood.
Source: The Journal of Heart and Lung Transplantation - Category: Transplant Surgery Authors: Tags: (1281) Source Type: research
UNITED NATIONS, New York/BAMAKO, Mali/PORT-AU-PRINCE, Haiti– Out of nine pregnancies, Kadiatou experienced five tragic stillbirths, all at her home in rural Mali. Each time, she gave birth without the assistance of a skilled attendant. She never received antenatal care.None of this was her choice.Her ninth pregnancy ended in an excruciating and prolonged labour, which led to an obstetric fistula – a traumatic birth injury that causes chronic incontinence, and can lead to pain, infection and rejection by the community.
Source: UNFPA News - Category: International Medicine & Public Health Authors: Source Type: news
Conditions:   Carpal Tunnel Syndrome;   Ibuprofen;   Pain Management;   Pain, Chronic Intervention:   Drug: Ibuprofen tablets Sponsor:   Universidad Europea de Madrid Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Neck Pain;   Musculoskeletal Manipulations, Manual Therapies Interventions:   Other: Intervention 1 Exercise;   Other: Intervention 2 Exercise and INIT;   Other: Intervention 3 Exercise and SMT;   Other: Control Sponsor:   Aristotle University Of Thessaloniki Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Neck Pain;   Musculoskeletal Manipulations, Manual Therapies Interventions:   Other: Intervention 1 Exercise;   Other: Intervention 2 Exercise and INIT;   Other: Intervention 3 Exercise and SMT;   Other: Control Sponsor:   Aristotle University Of Thessaloniki Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
New guidance helps all clinicians in their approach to this multifaceted condition.Medscape Ob/Gyn
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Ob/Gyn & Women ' s Health Commentary Source Type: news
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