New Resource for Managing Patients Receiving Long-term Opioid Therapy
The Agency for Healthcare Research and Quality (AHRQ) recently updated a toolkit for primary care practices who treat patients with chronic pain who take opioids. As AHRQ noted, most patients taking opioids for chronic pain are managed by primary care practitioners and their staffs.
AbstractPurpose of ReviewAnkle sprains are a common injury that can lead to chronic lateral ankle instability resulting in pain, poor function, and decreased quality of life. The purpose of this review is to present information regarding injury mechanisms to the lateral ligaments of the ankle and the necessary steps to appropriately diagnose lateral ligament instability.Recent FindingsThe literature demonstrates that history and physical examination is often a reliable method for diagnosis of lateral ankle instability. In addition, imaging modalities are often used as adjuncts for diagnosis, especially when physical exam f...
CONCLUSIONS: Our findings suggest that the origins of the early-onset CS require serious investigation. Research into the potential to reduce future chronic pain conditions through early effective treatment of primary dysmenorrhea is also needed. PMID: 32475703 [PubMed - as supplied by publisher]
Condition: Chronic Wounds Intervention: Device: virtual reality Sponsor: Centre Hospitalier Universitaire de la Réunion Not yet recruiting
Condition: Chronic Pain Intervention: Behavioral: Self-Compassion for Chronic Pain Virtual Group Treatment Program Sponsor: University of Manitoba Recruiting
Emergency providers expeditiously sift and sort patients on their shifts and streamline procedures like how to place an ear wick in a patient with otitis externa, a quick and useful procedure for a patient who will reap the rewards.Standard ear wicks. The material is made from a dehydrated sponge composed of hydroxylated poly(vinyl acetate). It increases in size when liquid is applied. Photo by M. Roberts.Otitis externa can cause significant swelling, irritation, pruritis, and pain to the ear canal. Occasionally, the canal is so swollen it may be difficult to administer ear drops. An ear wick can be inserted between the...
To the Editor In the ESCAPE randomized clinical trial, Dr Issa and colleagues concluded that early surgery compared with an endoscopy-first approach resulted in significantly less pain over 18 months among patients with chronic pancreatitis. We are concerned about the generalizability of the finding.
Vibration therapy may be an effective intervention for reducing self-reported neck pain and disability and pressure pain sensitivity in patients with chronic non-specific neck pain. This tool could be recommended for people with non-specific neck pain.
AIDS Research and Human Retroviruses, Ahead of Print.
Scientists identified a group of neurons in mice that blunt pain within the brain. Such neurons could be promising targets for new non-addictive therapies for chronic pain.
AbstractThe use of cocaine constitutes a major health problem. Cocaine use is associated with acute and chronic complications that might involve any system, the most common being the cardiovascular system. The precise incidence of cocaine-induced cardiomyopathy remains mysterious and probably underreported. Cocaine use should be considered in young patients presenting with chest pain or heart failure without other underlying risk factors. Cocaine-related cardiovascular complications can be acute or chronic and include ischemic and non-ischemic events. Frequent cocaine users have a seven-fold higher risk of myocardial infar...