How philosophy can change the understanding of pain
(Ruhr-University Bochum) Dr. Sabrina Coninx from Ruhr-Universit ä t Bochum and Dr. Peter Stilwell from McGill University, Canada, have investigated how philosophical approaches can be used to think in new ways about pain and its management. The researchers advocate not merely reducing chronic pain management to searching and treating underlying physical changes but instead adopting an approach that focuses on the person as a whole. Their work was published online in the journal " Synthese " on 15 April 2021.
Why the hell do PCPs refer podiatrists patients with Chronic gout? It’s called medical management Dr. PCP MD. What am I going to offer the patient? Why the hell do PCPS refer podiatrists patients with general neuropathic pain? I’m not talking neuroma or tarsal tunnel. I’m talking about chronic neuropathic pain. Why can’t their PCP order an EMG and medically manage the patient? If they can’t do that then why can’t they refer to neurology? Why does it take a podiatry visit to put that all... Podiometric Referral Patterns
Exercise has shown being effective for managing chronic pain and preventing frailty status in older adults but the effect of an exercise program in the quality of life of pre-frail older adults with chronic pa...
ConclusionsImplications for our findings, in relation to the CBT model, are discussed.
AbstractPurpose of ReviewTo review the peripheral neurological complications of the acute hepatic porphyrias, as well as the latest advances in their pathophysiology and management.Recent FindingsThe diagnosis of porphyric neuropathy remains challenging as varying neuropathic patterns are encountered depending on disease stage, including a non-length-dependent distribution pattern. The major pathophysiologic mechanism is δ-aminolevulinic acid (ALA)–induced neurotoxicity. The less restrictive blood-nerve barrier in the autonomic ganglia and myenteric plexus may explain the frequency of dysautonomic manifestation...
DiscussionThe CITRIP study seeks to evaluate the effectiveness and safety of a randomized withdrawal trial of spinal cord stimulation for patients with intractable trunk or limb pain.Trial registrationClinicalTrials.govNCT03858790. Registered on March 1, 2019, retrospectively registered
Conclusion: The upregulation of p-PKCα, p-NF-κB p65, and P2X3R expression in the DRGs of CCI rats was involved in the occurrence and development of neuropathic pain. Phosphorylated PKCα and phosphorylated NF-κB p65 regulated with each other. Phosphorylated NF-κB p65 and PKCα have a mutual regulation relationship with P2X3R, respectively, while the specific regulatory mechanism needs further research. PMID: 33014214 [PubMed - in process]
Conclusions: Ultrasonography is an effective, safe, nonradiative, and easily applicable guidance method for RF in pain relief and functional improvement in KOA patients. PMID: 33014212 [PubMed - in process]
(University of Illinois at Chicago) Researchers at the University of Illinois Chicago will lead a $7.1 million, five-year national study to determine the effectiveness of acupuncture and guided relaxation for people with chronic pain from sickle cell disease. The National Institutes of Health grant is part of its Helping to End Addiction Long-term Initiative. The initiative aims to improve prevention and treatment strategies for opioid misuse and addiction and to enhance pain management.
Restless legs syndrome (RLS) is a sensorimotor disorder defined by an uncontrollable “urge to move” the limbs during rest, that is temporarily relieved by movement and cannot be explained by other medical or behavioural conditions(1). Individuals with end stage kidney disease (ESKD) are known to have a high symptom burden(2-4), which often goes unrecognised(5). Uraemic RLS is re ported to affect almost 30% of ESKD patients(6, 7) which significantly reduces quality of life and impacts upon sleep quality, ability to dialyse(8) and mortality(7, 8).