Impact of the COVID-19 Pandemic on Utilization Patterns of Facet Joint Interventions in Managing Spinal Pain in a Medicare Population
ConclusionsThis analysis shows a significant effect of COVID-19 producing an overall decrease in utilization of facet joint interventions relative to pre-COVID data. Further, the analysis demonstrates continued deceleration of utilization patterns of facet joint interventions compared to the periods of 2000 –2010 and 2010–2019. (Source: Pain and Therapy)
Source: Pain and Therapy - February 1, 2023 Category: Anesthesiology Source Type: research
A Systematic Review and Meta-analysis of the Effectiveness of Radiofrequency Neurotomy in Managing Chronic Neck Pain
ConclusionThis systematic review and meta-analysis shows level II evidence with radiofrequency neurotomy on a long-term basis in managing chronic neck pain with level III to IV evidence in managing cervicogenic headaches. (Source: Pain and Therapy)
Source: Pain and Therapy - January 18, 2023 Category: Anesthesiology Source Type: research
Effectiveness and Safety of Chronic Migraine Preventive Treatments: A Systematic Literature Review
ConclusionWhile substantial real-world evidence supports the long-term effectiveness and safety of onabotulinumtoxinA, real-world data on other preventive treatments of CM are currently limited to short term effectiveness due to their more recent approvals. (Source: Pain and Therapy)
Source: Pain and Therapy - January 18, 2023 Category: Anesthesiology Source Type: research
An International Multidisciplinary Delphi-Based Consensus on Heat Therapy in Musculoskeletal Pain
ConclusionThis Delphi consensus recognizes the role of HT mostly in chronic MP and highlights the need for stronger scientific evidence to regulate the use of this therapy in clinical practice. (Source: Pain and Therapy)
Source: Pain and Therapy - January 18, 2023 Category: Anesthesiology Source Type: research
Postoperative Pain in Patients Undergoing Cancer Surgery and Intravenous Patient-Controlled Analgesia Use: The First and Second 24 h Experiences
ConclusionsHigh risk of postoperative cancer pain, particularly among the high PCA dose group, could possibly indicate inadequate pain control, and presence of modifiable risk factors warrants more aggressive pain management strategies perioperatively. (Source: Pain and Therapy)
Source: Pain and Therapy - January 18, 2023 Category: Anesthesiology Source Type: research
A Meta-analysis of Randomized Controlled Trials Comparing the Efficacy and Safety of Pregabalin and Gabapentin in the Treatment of Postherpetic Neuralgia
ConclusionPregabalin appears to have a better overall therapeutic effect than gabapentin for patients with PHN, but gabapentin has a lower incidence of adverse reactions and a better safety profile. Clinicians should comprehensively consider patient factors and fully evaluate the advantages and disadvantages of each treatment option to select the most suitable drugs for patient use. Considering the limited quantity and quality of the existing literature, high-quality RCTs are needed to confirm the advantages of pregabalin over gabapentin in the treatment of PHN and guide clinical decision-making. (Source: Pain and Therapy)
Source: Pain and Therapy - January 18, 2023 Category: Anesthesiology Source Type: research
A Response to: Letter to the Editor Regarding “Comparison of Ultrasound-Guided Caudal Epidural Blocks and Spinal Anesthesia for Anorectal Surgery: A Randomized Controlled Trial”
(Source: Pain and Therapy)
Source: Pain and Therapy - January 18, 2023 Category: Anesthesiology Source Type: research
Letter to the Editor Regarding “Analgesia Effect of Ultrasound-Guided Transversus Abdominis Plane Block Combined with Intravenous Analgesia After Cesarean Section: A Double-Blind Controlled Trial”
(Source: Pain and Therapy)
Source: Pain and Therapy - January 18, 2023 Category: Anesthesiology Source Type: research
Letter to the Editor Regarding “Comparison of Ultrasound-Guided Caudal Epidural Blocks and Spinal Anesthesia for Anorectal Surgery: A Randomized Controlled Trial”
(Source: Pain and Therapy)
Source: Pain and Therapy - January 18, 2023 Category: Anesthesiology Source Type: research
Clinical Efficacy of Neurotropin for Lumbar Spinal Stenosis with Low Back Pain
ConclusionsCombined use of Neurotropin and limaprost showed an additional effect on walking speed compared with single drug administration. Neurotropin may contribute to the improvement of low back pain, walking speed/stride length, and standing balance.Trial RegistrationJapan Registry of Clinical Trials (jRCTs031200282). (Source: Pain and Therapy)
Source: Pain and Therapy - January 16, 2023 Category: Anesthesiology Source Type: research
Cannabinoids as a Potential Alternative to Opioids in the Management of Various Pain Subtypes: Benefits, Limitations, and Risks
ConclusionCannabinoids may be effective in specific subtypes of pain, but current evidence and guidelines do not yet support its use as the first-line treatment for any type of acute or chronic pain. Rather, it may be considered a good adjunct or alternative for patients who have failed more typical or conservative measures. Additional studies are needed with standardized forms of cannabinoids, route of delivery, and dosing for greater-powered analysis. Providers must weigh the individualized patient risks, benefits, and concurrent medication list in order to determine whether cannabinoids are appropriate for a patient ’...
Source: Pain and Therapy - January 13, 2023 Category: Anesthesiology Source Type: research
Guided Self-Help for People with Chronic Pain: Integrated Care in a Public Tertiary Pain Clinic —A Pilot Study
ConclusionIntegrating a GSH program for people with chronic pain into a multidisciplinary tertiary pain clinic is an efficacious and scalable way to increase access to effective strategies that can increase self-efficacy and self-management. Novel, scalable, and effective solutions are needed to improve quality of life and address disparities for people with chronic pain. The psychological shifts and benefits observed support efficacy towards self-management strategies that can increase autonomy and quality of life. (Source: Pain and Therapy)
Source: Pain and Therapy - January 3, 2023 Category: Anesthesiology Source Type: research
A Review of Chronic Pain and Device Interventions: Benefits and Future Directions
AbstractChronic pain is a debilitating condition with a growing prevalence both in the USA and globally. The complex nature of this condition necessitates a multimodal approach to pain management that extends beyond the established pharmaceutical interventions currently employed. A variety of devices comprising both invasive and noninvasive approaches are available to patients, serving as adjuvants to existing regimens. The benefits of these interventions are notable for their lack of addiction potential, potential for patient autonomy regarding self-administration, minimal to no drug interaction, and overall relative safe...
Source: Pain and Therapy - December 29, 2022 Category: Anesthesiology Source Type: research
Response to Letter to the Editor Regarding “Analgesia Effect of Ultrasound-Guided Transversus Abdominis Plane Block Combined with Intravenous Analgesia After Cesarean Section: A Double-Blind Controlled Trial”
(Source: Pain and Therapy)
Source: Pain and Therapy - December 22, 2022 Category: Anesthesiology Source Type: research
Correction to: ED50 of Propofol Combined with Nalbuphine on the Sedative Effect in Painless Hysteroscopy
(Source: Pain and Therapy)
Source: Pain and Therapy - December 13, 2022 Category: Anesthesiology Source Type: research
