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Outpatient, combined use of opioid and benzodiazepine medications in the United States, 1993-2014.
Abstract The combined use of opioid and benzodiazepine medications increases the risk of hazardous effects, such as respiratory depression. Although recent increases in outpatient use of opioid prescriptions have been documented, there are limited data regarding rates and correlates of combined opioid and benzodiazepines among adults in outpatient settings. Our objective was to examine annual trends in outpatient visits including opioids, benzodiazepines, and their combination among adults as well as clinical and demographic correlates. We used data from the 1993-2014 National Ambulatory Medical Care Survey (NAMCS...
Source: Pain Physician - January 18, 2018 Category: Anesthesiology Authors: Hirschtritt ME, Delucchi KL, Olfson M Tags: Prev Med Rep Source Type: research

Real-time endoscopic image orientation correction system using an accelerometer and gyrosensor.
In this study, we developed and evaluated a device that corrects the endoscopic image orientation using an accelerometer and gyrosensor. The acceleration of gravity and angular velocity were retrieved from the accelerometer and gyrosensor attached to the handle of the endoscope. The rotational angle of the endoscope handle was calculated using a Kalman filter with transmission delay compensation. Technical evaluation of the orientation correction system was performed using a camera by comparing the optical rotational angle from the captured image with the rotational angle calculated from the sensor outputs. For the clinica...
Source: Pain Physician - December 1, 2017 Category: Anesthesiology Authors: Lee HC, Jung CW, Kim HC Tags: PLoS One Source Type: research

BET 2: Sharing decisions for patients with suspected cardiac chest pain in the emergency department.
Abstract A short-cut review was carried out to establish whether shared decision making used alongside a decision aid can lead to greater patient satisfaction, lower healthcare resource use and non-inferior clinical outcomes in patients with suspected acute coronary syndromes. Four studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. The clinical bottom line is that the use of shared decision-making tools in the ED for management of patients with low-risk chest p...
Source: Pain Physician - November 26, 2017 Category: Anesthesiology Authors: Ward A, Body R Tags: Emerg Med J Source Type: research

[Improving the Accuracy Rate of Analgesics and Sedatives Administration in an Intensive Care Unit].
CONCLUSIONS: With appropriately scaled protocols of sedatives and analgesics administration, intensive care nurses may easily target the consistent and optimal assessment and provide pain relief prior to sedation, which will improve the quality of sedation and patient safety. PMID: 29164549 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - November 23, 2017 Category: Anesthesiology Authors: Lai HC, Chen YH, Li YJ, Huang HM, Tseng CH, Chan MC Tags: Hu Li Za Zhi Source Type: research

Psychosocial consequences in men taking part in a national screening program for abdominal aortic aneurysm.
n C Abstract Screening for abdominal aortic aneurysm (AAA) has proven to reduce AAA-related mortality, but how the knowledge of having an untreated AAA affects health and daily life requires further clarification. The aim was to investigate the psychosocial consequences and sense of coherence (SOC) in 65-year-old men diagnosed with AAA and participating in a national screening program during a 6-month follow-up compared with men with no AAA. The single-center cohort study included 52 men with AAA and 118 men without AAA. A questionnaire including the Short Form 36 Health Survey, Hospital Anxiety and Depression Sca...
Source: Pain Physician - November 22, 2017 Category: Anesthesiology Authors: Ericsson A, Holst J, Gottsäter A, Zarrouk M, Kumlien C Tags: J Vasc Nurs Source Type: research

Are we close to the ideal intravenous fluid?
Abstract The approach to i.v. fluid therapy for hypovolaemia may significantly influence outcomes for patients who experience a systemic inflammatory response after sepsis, trauma, or major surgery. Currently, there is no single i.v. fluid agent that meets all the criteria for the ideal treatment for hypovolaemia. The physician must choose the best available agent(s) for each patient, and then decide when and how much to administer. Findings from large randomized trials suggest that some colloid-based fluids, particularly starch-based colloids, may be harmful in some situations, but it is unclear whether they shou...
Source: Pain Physician - November 22, 2017 Category: Anesthesiology Authors: MacDonald N, Pearse RM Tags: Br J Anaesth Source Type: research

Efficacy of Implementation of a Chest Pain Center at a Community Hospital.
Abstract INTRODUCTION: Chest pain is the second leading cause for emergency department (ED) visits in the United States; however,
Source: Pain Physician - November 16, 2017 Category: Anesthesiology Authors: Davis A, Chiu J, Lau SK, Kok YJ, Wu JYH Tags: Crit Pathw Cardiol Source Type: research

Patient Ethnicity Predicts Poor Health Access and Gaps in Perception of Personal Cardiovascular Risk Factors.
CONCLUSIONS: There are major gaps between awareness and personalization of risk in major modifiable coronary artery disease risk factors in different ethnic groups. PMID: 29135623 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - November 16, 2017 Category: Anesthesiology Authors: Kim Y, Hogan K, D'Onofrio G, Chekijian S, Safdar B Tags: Crit Pathw Cardiol Source Type: research

Efficacy and Tolerability of Peritendinous Hyaluronic Acid in Patients with Supraspinatus Tendinopathy: a Multicenter, Randomized, Controlled Trial.
ego J Abstract BACKGROUND: Physical therapy and peritendinous hyaluronic acid (HA) injections have both shown promising results in the treatment of shoulder tendinopathies. However, the superiority of treatment combining physical therapy and HA is unclear. METHODS: Patients with ultrasound-confirmed supraspinatus tendinopathy were randomized to receive either physical therapy + subacromial HA injections or physical therapy only. Treatment efficacy was assessed using a Visual Analog Scale (VAS) for pain and an Activities of Daily Living (ADL) scale. Other measures were the number of rehabilitation sessions and...
Source: Pain Physician - June 8, 2017 Category: Anesthesiology Authors: Flores C, Balius R, Álvarez G, Buil MA, Varela L, Cano C, Casariego J Tags: Sports Med Open Source Type: research

High Grade Mucinous Urothelial Carcinoma of the Renal Collecting System: A Case Report.
We report the case of a 64 year old female with history of pelvic pain who was incidentally discovered to have a left upper pole renal mass. Left nephroureterectomy was performed and histopathological examination revealed high grade mucinous urothelial carcinoma. Accurate diagnosis of this distinct pathological entity will allow for better understanding of phenotypic behavior and inform best treatment strategies. PMID: 28435787 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - April 26, 2017 Category: Anesthesiology Authors: Kancherla P, Sullivan JF, Chouhan JD, Feuer Z, Diaz D, Xie Q, Hammill P, McNeil BK Tags: Urol Case Rep Source Type: research

Salve and Burdock: A Safe, Effective Amish Remedy for Treatment of Traumatic Wounds?
CONCLUSIONS: Although the treatment presented here is unconventional, it did not cause harm to the patients studied. PMID: 28426569 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - April 22, 2017 Category: Anesthesiology Authors: Flurry MD, Herring KL, Carr LW, Hauck RM, Potochny JD Tags: Adv Skin Wound Care Source Type: research

School Nurses on the Front Lines of Medicine: Connecting the Dots: SCRIPTS for Success in the Evaluation of Pediatric Rashes.
This article describes the initial assessment and management of skin rashes in children and adolescents and delineates reasons that may prompt the school nurse to transfer a student with a rash to a local emergency department. PMID: 28422618 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - April 20, 2017 Category: Anesthesiology Authors: Olympia RP Tags: NASN Sch Nurse Source Type: research

Advancing Nursing Practice: Management of Neuropathic Pain With Capsaicin 8% Without Physician Supervision.
CONCLUSION: Single-dose capsaicin 8% decreased neuropathic pain after being administered in an outpatient setting by an experienced registered advanced nurse practitioner. Further multicenter research led by advanced nurse practitioners is needed to support high-quality, safe treatment of neuropathic pain with high-concentration capsaicin in nurse-led chronic pain clinics. PMID: 28383334 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - April 7, 2017 Category: Anesthesiology Authors: O'Brien J, Keaveny J, Pollard V, Nugent LE Tags: Clin Nurse Spec Source Type: research

Use of Information and Communication Technologies in Clinical Practice Related to the Treatment of Pain. Influence on the Professional Activity and the Doctor-Patient Relationship.
ndez JA, Ledesma MJ Abstract The increasing relevance of Information and Communication Technologies (ICTs) in medical care is indisputable. This evidence makes it necessary to start studies that analyse the scope these new forms of access to information and understanding of medicine have on the professional activity of the physician, on the attitude and on the knowledge of patients or, on the doctor-patient relationship. The purpose of this study is to explore some of these aspects in a group of physicians whose clinical activity is related to one of the greatest social impact health problems which is the treatmen...
Source: Pain Physician - March 27, 2017 Category: Anesthesiology Authors: Fernandez JM, Cenador MB, Manuel López Millan J, Méndez JA, Ledesma MJ Tags: J Med Syst Source Type: research

Practice Bulletin No. 177 Summary: Obstetric Analgesia and Anesthesia.
Authors: Abstract Labor causes severe pain for many women. There is no other circumstance in which it is considered acceptable for an individual to experience untreated severe pain that is amenable to safe intervention while the individual is under a physician's care. Many women desire pain management during labor and delivery, and there are many medical indications for analgesia and anesthesia during labor and delivery. In the absence of a medical contraindication, maternal request is a sufficient medical indication for pain relief during labor. A woman who requests epidural analgesia during labor should not be ...
Source: Pain Physician - March 24, 2017 Category: Anesthesiology Tags: Obstet Gynecol Source Type: research

Practice Bulletin No. 177: Obstetric Analgesia and Anesthesia.
Authors: Abstract Labor causes severe pain for many women. There is no other circumstance in which it is considered acceptable for an individual to experience untreated severe pain that is amenable to safe intervention while the individual is under a physician's care. Many women desire pain management during labor and delivery, and there are many medical indications for analgesia and anesthesia during labor and delivery. In the absence of a medical contraindication, maternal request is a sufficient medical indication for pain relief during labor. A woman who requests epidural analgesia during labor should not be ...
Source: Pain Physician - March 24, 2017 Category: Anesthesiology Tags: Obstet Gynecol Source Type: research

Case 240: Meckel Diverticulitis.
Abstract History A previously healthy 28-year-old man developed right lower quadrant pain while traveling. The pain progressed over the course of 2-3 days, and his family took him to a local emergency department. He was found to have an elevated white blood cell count of 12.2 × 10(9)/L (reference range, [3.9-10.3] × 10(9)/L), with a predominance of neutrophils. Contrast material-enhanced computed tomography (CT) of the abdomen and pelvis was performed, and findings were abnormal. The patient elected to leave the emergency department without undergoing treatment, and he returned home via airplane. He pr...
Source: Pain Physician - March 23, 2017 Category: Anesthesiology Authors: Milam RA, Fonseca RB Tags: Radiology Source Type: research

Economic Burden of Relapsed or Refractory Multiple Myeloma: Results from an International Trial.
CONCLUSIONS: Substantial RRMM indirect, social costs were observed. Better major tumor response may reduce hospitalization visits. This article is protected by copyright. All rights reserved. PMID: 28306169 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - March 16, 2017 Category: Anesthesiology Authors: Robinson D, Orlowski RZ, Stokes M, He J, Huse S, Chitnis A, Kranenburg B, Lam A Tags: Eur J Haematol Source Type: research

Struggles for Medical Legitimacy among Women Experiencing Sexual Pain: A Qualitative Study.
Abstract Given the prominent role of medical institutions in defining what is "healthy" and "normal", many women turn to medicine when experiencing pain during intercourse (dyspareunia). The medical encounter can become a contest between patients and providers when physicians do not grant legitimacy to patients' claims of illness. Drawing on interviews conducted from 2007-2008 and 2011-2012 with 32 women with dyspareunia (ages 18-60 years) living in New York City and surrounding areas, this study examined women's and their physicians' claims regarding bodily expertise, particularly women's...
Source: Pain Physician - March 14, 2017 Category: Anesthesiology Authors: Braksmajer A Tags: Women Health Source Type: research

High hypothetical interest in physician-assisted death in multiple sclerosis.
CONCLUSIONS: Depending upon the situation, a large proportion of persons with MS would consider PAD. The association of depression with considering PAD emphasizes the importance of diagnosing and treating depression. PMID: 28298551 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - March 14, 2017 Category: Anesthesiology Authors: Marrie RA, Salter A, Tyry T, Cutter GR, Cofield S, Fox RJ Tags: Neurology Source Type: research

Transversus Abdominis Plane Block for the Diagnosis and Treatment of Chronic Abdominal Wall Pain Following Surgery: A Case Series.
CONCLUSIONS: TAP blocks are a valuable addition to the diagnostic armamentarium of pain physicians confronted with abdominal pain of unclear origin. Although most patients responded to the LA injection, the varying degrees of response duration may have been influenced by the different etiologies underlying each condition and the variable expressions of placebo responses. Once the abdominal wall and/or its nerves are identified as pain generators, the optimal therapeutic management remains to be determined. Available literature as well as our case series show that long-term benefit may be obtained with 1 or more injections,...
Source: Pain Physician - March 13, 2017 Category: Anesthesiology Authors: Baciarello M, Migliavacca G, Marchesini M, Valente A, Allegri M, Fanelli G Tags: Pain Pract Source Type: research

Translation and validation of the Uterine Fibroid Symptom and Quality of Life (UFS-QOL) questionnaire for the Brazilian Portuguese language.
Abstract CONTEXT AND OBJECTIVE:: Uterine fibroids (UF), also known as leiomyomas, are the most prevalent gynecological tumors. The Uterine Fibroid Symptoms and Quality of Life (UFS-QOL) is the only specific questionnaire that assesses symptom intensity and quality-of-life issues for women with symptomatic UF; however, it only exists in the English language. Thus, we aimed to translate and culturally validate the UFS-QOL questionnaire for the Brazilian Portuguese language. DESIGN AND SETTING:: Cross-sectional study, Department of Gynecology and Obstetrics, FMRP-USP. METHODS:: 113 patients with UF (case gr...
Source: Pain Physician - March 12, 2017 Category: Anesthesiology Authors: Oliveira Brito LG, Malzone-Lott DA, Sandoval Fagundes MF, Magnani PS, Fernandes Arouca MA, Poli-Neto OB, Nogueira AA Tags: Sao Paulo Med J Source Type: research

Low back pain during military service predicts low back pain later in life.
In this study, the association between LBP during military service and LBP in later life in addition to the association between LBP and physical fitness were examined. A total of 219 out of 778 participants (28%) had visited a physician due to some musculoskeletal symptom (ICD-10 M-diagnosis) during their military service. Seventy-four participants (9.5%) had visited a physician due to unspecified LBP during their service, and 41 (5.3%) had temporarily been absent from duty due to LBP. At the follow-up examination, 122 (15.7%) had reported LBP during the past month. LBP during military service was associated with self-repo...
Source: Pain Physician - March 12, 2017 Category: Anesthesiology Authors: Mattila VM, Kyröläinen H, Santtila M, Pihlajamäki H Tags: PLoS One Source Type: research

Spectral tissue sensing to identify intra- and extravascular needle placement - A randomized single-blind controlled trial.
In conclusion, STS is a promising method for discriminating between intravascular and extravascular needle placement. The information provided by this method may complement current methods for detecting an intravascular needle position. PMID: 28278194 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - March 10, 2017 Category: Anesthesiology Authors: Balthasar AJ, van Geffen GJ, van der Voort M, Lucassen GW, Roggeveen S, Bruaset IJ, Bruhn J Tags: PLoS One Source Type: research

Patient response to physician expressions of uncertainty: a systematic review.
CONCLUSIONS: Uncertainty is a ubiquitous feature of medicine and more research should examine how physician's expressions of uncertainty affect patients. PMID: 28271278 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - March 6, 2017 Category: Anesthesiology Authors: McGovern R, Harmon D Tags: Ir J Med Sci Source Type: research

Upgrading a Social Media Strategy to Increase Twitter Engagement During the Spring Annual Meeting of the American Society of Regional Anesthesia and Pain Medicine.
Abstract Microblogs known as "tweets" are a rapid, effective method of information dissemination in health care. Although several medical specialties have described their Twitter conference experiences, Twitter-related data in the fields of anesthesiology and pain medicine are sparse. We therefore analyzed the Twitter content of 2 consecutive spring meetings of the American Society of Regional Anesthesia and Pain Medicine using publicly available online transcripts. We also examined the potential contribution of a targeted social media campaign on Twitter engagement during the conferences. The original T...
Source: Pain Physician - March 5, 2017 Category: Anesthesiology Authors: Schwenk ES, Jaremko KM, Gupta RK, Udani AD, McCartney CJ, Snively A, Mariano ER Tags: Reg Anesth Pain Med Source Type: research

The prognostic value of MRI in determining reinjury risk following acute hamstring injury: a systematic review.
CONCLUSION: There is currently no strong evidence for any MRI finding in predicting hamstring re-injury risk. Intratendinous injuries and biceps femoris injuries showed moderate evidence for association with a higher re-injury risk. SYSTEMATIC REVIEW REGISTRATION: Registration in the PROSPERO International prospective register of systematic reviews was performed prior to study initiation (registration number CRD42015024620). PMID: 28259847 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - March 3, 2017 Category: Anesthesiology Authors: van Heumen M, Tol JL, de Vos RJ, Moen MH, Weir A, Orchard J, Reurink G Tags: Br J Sports Med Source Type: research

Perceptions of Community-Dwelling Patients and Their Physicians on OxyContin ® Discontinuation and the Impact on Chronic Pain Management.
Perceptions of Community-Dwelling Patients and Their Physicians on OxyContin® Discontinuation and the Impact on Chronic Pain Management. Pain Res Manag. 2017;2017:5402915 Authors: Chang F, Ibrahim S Abstract OxyContin, formerly one of the most commonly prescribed medications for chronic pain in Canada, was discontinued, delisted from the Ontario Drug Formulary, and replaced by a tamper-resistant formulation in 2012. The impact of discontinuing OxyContin on patients formerly prescribed it to treat chronic pain was unreported. Patients with chronic pain aged 45 years and over (n = 13) were recruited...
Source: Pain Physician - March 3, 2017 Category: Anesthesiology Authors: Chang F, Ibrahim S Tags: Pain Res Manag Source Type: research

Positive medium-term influence of multimodal pain management on socioeconomic factors and health care utilization in patients with lumbar radiculopathy: a prospective study.
CONCLUSION: MPM is an effective approach to treating lumbar radiculopathy and reducing its negative influence on socioeconomic factors. Therapeutic benefits also include a decrease in health care utilization. Therefore, health care providers should place the mid-term success for patients and socioeconomic factors before the short-term costs of therapy. PMID: 28243143 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - March 2, 2017 Category: Anesthesiology Authors: Benditz A, Loher M, Boluki D, Grifka J, Völlner F, Renkawitz T, Maderbacher G, Götz J Tags: J Pain Res Source Type: research

Palliative care development in the Asia-Pacific region: an international survey from the Asia Pacific Hospice Palliative Care Network (APHN).
CONCLUSIONS: The development of palliative care is in different stages across the surveyed countries/regions in the Asia-Pacific region. Data from this survey can be used as baseline data for monitoring the development of palliative care in this region. PMID: 25012126 [PubMed - indexed for MEDLINE] (Source: Pain Physician)
Source: Pain Physician - February 28, 2017 Category: Anesthesiology Authors: Yamaguchi T, Kuriya M, Morita T, Agar M, Choi YS, Goh C, Lingegowda KB, Lim R, Liu RK, MacLeod R, Ocampo R, Cheng SY, Phungrassami T, Nguyen YP, Tsuneto S Tags: BMJ Support Palliat Care Source Type: research

What is causing this patient's periumbilical pain and erythema?
PMID: 28221322 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - February 23, 2017 Category: Anesthesiology Authors: Henriques V, Greene T, Sharma R Tags: JAAPA Source Type: research

The Effect of Oral Medication on Wound Healing.
This article describes oral pharmacologic agents intended to build new tissue and aid in wound healing, as well as an introduction to oral medications that interfere with wound healing. This review will not discuss the pharmacology of pain management or treatment of infection, nor will it address nutritional supplements. PMID: 28198745 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - February 17, 2017 Category: Anesthesiology Authors: Levine JM Tags: Adv Skin Wound Care Source Type: research

How Satisfied Are Patients With Their Radiologists? Assessment Using a National Patient Ratings Website.
Abstract OBJECTIVE: The purpose of this study is to assess features of patient satisfaction scores for U.S. radiologists using a popular physician rating website. MATERIALS AND METHODS: Patient reviews were retrieved from the website RateMDs for all listed radiologists in all 297 U.S. cities with population 100,000 or greater. Reviews included rating scores of 1-5 (5 = highest) in four categories (staff, punctuality, knowledge, and helpfulness). Additional physician information was obtained from Medicare files. Common words in patient free-text comments were assessed. Statistical analyses were performed. ...
Source: Pain Physician - February 14, 2017 Category: Anesthesiology Authors: Ginocchio LA, Duszak R, Rosenkrantz AB Tags: AJR Am J Roentgenol Source Type: research

Are They Complying? Physicians' Knowledge, Attitudes, and Readiness to Change Regarding Low Back Pain Treatment Guideline Adherence.
Abstract STUDY DESIGN: Cross-sectional survey of 145 primary care practitioners (PCPs). OBJECTIVE: To examine low back pain (LBP) guideline knowledge, readiness to implement (RTI) these guidelines, and LBP attitudes and beliefs among Israeli PCPs and determine whether physician age, guideline familiarity, and medical specialty affect these variables. SUMMARY OF BACKGROUND DATA: LBP is a common condition managed primarily by PCPs. Little is known, however, about physician's LBP knowledge, attitudes, and beliefs and how these factors (knowledge, A&B) influence their practice behavior. Knowledge, attitu...
Source: Pain Physician - February 14, 2017 Category: Anesthesiology Authors: Epstein-Sher S, Jaffe DH, Lahad A Tags: Spine (Phila Pa 1976) Source Type: research

A novel schedule of accelerated partial breast radiation using intensity-modulated radiation therapy in elderly patients: survival and toxicity analysis of a prospective clinical trial.
Conclusion: In this prospective trial, we observed an excellent rate of tumor control with daily APBR. The acceptable toxicity profile and cosmetic results of this study support the use of IMRT planned APBR with daily schedule in elderly patients with early stage BC. PMID: 28183159 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - February 11, 2017 Category: Anesthesiology Authors: Sayan M, Wilson K, Nelson C, Gagne H, Rubin D, Heimann R Tags: Radiat Oncol J Source Type: research

Pain patients' letters: The visit before the visit - A qualitative analysis of letters from patients referred to a tertiary pain center.
CONCLUSIONS: Patient letters constitute narrative material to be integrated into clinical analysis, alongside patient interviews, especially in pain management. Pain specialists should take account of this narrative approach to better understand the unvoiced and sometimes silent experience of pain. This may increase quality of medical care by including patient-centered data in an original method. Further studies may be valuable to analyze the possible contributions of such letters to patient management. SIGNIFICANCE: Patients' letters constitute original narrative material to be integrated into clinical analysis, espe...
Source: Pain Physician - February 6, 2017 Category: Anesthesiology Authors: Perrot S, Launay A, Desjeux D, Cedraschi C Tags: Eur J Pain Source Type: research

Screening for genital tuberculosis in a limited resource country: case report.
CONCLUSION: Young females with abdominopelvic mass, ascites, a positive family history for tuberculosis and high serum cancer antigen 125, should always raise suspicion of tuberculosis especially in a limited resource country. A laparoscopy combined with peritoneal biopsy should be performed to confirm the diagnosis as this could lead to a prevention of unnecessary laparotomies. PMID: 28173770 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - February 6, 2017 Category: Anesthesiology Authors: Namani S, Qehaja-Buçaj E, Namani D Tags: BMC Infect Dis Source Type: research

A Rare Complete Metacarpal Pseudoepiphysis in a Teenager With a Scaphoid Fracture.
Abstract A 13-yr-old adolescent boy presented with wrist pain after falling off a scooter onto his outstretched hand. Radiographs revealed a nondisplaced hairline fracture of the scaphoid bone and an irregular radiolucent line in the proximal metaphysis of the second metacarpal bone, consistent with an anomalous growth plate, or complete pseudoepiphysis. Complete pseudoepiphysis is a rare finding, with only a few cases reported. Learning about the common locations of growth plates and the radiographic differences between normal, injured, and anomalous growth plates can help decrease physician error and improve pat...
Source: Pain Physician - February 5, 2017 Category: Anesthesiology Authors: Geffen RB, Colberg RE Tags: Am J Phys Med Rehabil Source Type: research

Management of a Ventral Cerebrospinal Fluid Leak With a Lumbar Transforaminal Epidural Blood Patch in a Child With Persistent Postdural Puncture Headache: A Case Report.
CONCLUSIONS: Ineffectiveness of conservative measures and epidural blood patches performed posteriorly to resolve PDPH should lead the physician both to question the diagnosis of PDPH by pursuing radiographic confirmation of a cerebral spinal fluid leak and, furthermore, identification of its location to best direct further therapy. PMID: 28178090 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - February 5, 2017 Category: Anesthesiology Authors: Dʼsouza G, Seidel FG, Krane EJ Tags: Reg Anesth Pain Med Source Type: research

Focal uptake at the rotator interval or inferior capsule of shoulder on (18)F-FDG PET/CT is associated with adhesive capsulitis.
CONCLUSIONS: Increased uptake at the RI or IC on PET/CT confers a moderate increase in the likelihood of AC. PMID: 28161721 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - February 3, 2017 Category: Anesthesiology Authors: Sridharan R, Engle MP, Garg N, Wei W, Amini B Tags: Skeletal Radiol Source Type: research

Exploring the Facets of Empathy and Pain in Clinical Practice: A Review.
CONCLUSION: The review reveals that empathy deserves an unchallenged place in medical care, especially in pain medicine and medical education. It highlights the need to nurture empathy at all levels of professional expertise from medical student to senior doctors. This article is protected by copyright. All rights reserved. PMID: 28160400 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - February 2, 2017 Category: Anesthesiology Authors: Roche J, Harmon D Tags: Pain Pract Source Type: research

Can Appealing to Patient Altruism Reduce Overuse of Health Care Services? An Experimental Survey.
Abstract BACKGROUND: A challenge to reducing overuse of health services is communicating recommendations against unnecessary health services to patients. The predominant approach has been to highlight the limited benefit and potential harm of such services for that patient, but the prudent use of health resources can also benefit others. Whether appealing to patient altruism can reduce overuse is unknown. OBJECTIVE: To determine whether altruistic appeals reduce hypothetical requests for overused services and affect physician ratings. DESIGN: Experimental survey using hypothetical vignettes describing th...
Source: Pain Physician - February 1, 2017 Category: Anesthesiology Authors: Riggs KR, Ubel PA, Saloner B Tags: J Gen Intern Med Source Type: research

A Systematic Review on the Prevalence, Etiology, and Pathophysiology of Intrinsic Pain in Dermal Scar Tissue.
CONCLUSIONS: Burn and pathologic scars often lead to high intensity pain symptoms. This pain has many characteristics of neuropathic pain that could be caused by an imbalance of C-fibers subtypes. The scar tissue itself may alter the nerve fiber distribution; the imbalance results in ongoing neuro-inflammation and pain symptoms. Key words: Systematic review, scar, pain, epidermal innervation, prevalence, neuro inflammatory response, peptidergic fibers. PMID: 28158149 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - January 31, 2017 Category: Anesthesiology Authors: Bijlard E, Uiterwaal L, Kouwenberg CA, Mureau MA, Hovius SE, Huygen FJ Tags: Pain Physician Source Type: research

Electric Stimulation for Pain Relief in Patients with Fibromyalgia: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
CONCLUSIONS: This meta-analysis indicates that there is low-quality evidence for the effectiveness of ES for pain relief in patients with FM. However, moderate-quality evidence for the effectiveness of electroacupuncture (EA), combined or not combined with other types of treatment, was found for pain relief. CLINICAL TRIAL REGISTRATION INFORMATION: PROSPERO under the identification CRD42015025323Key words: Electric stimulation, electroacupuncture, transcutaneous electric nerve stimulation, pain, fibromyalgia, review, physical therapy, rehabilitation. PMID: 28158150 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - January 31, 2017 Category: Anesthesiology Authors: Salazar AP, Stein C, Marchese RR, Plentz RD, Pagnussat AS Tags: Pain Physician Source Type: research

Efficacy and Safety of 0.625% and 1.25% Capsaicin Patch in Peripheral Neuropathic Pain: Multi-Center, Randomized, and Semi-Double Blind Controlled Study.
CONCLUSIONS: Our data indicate that the 0.625% CP may prove to be an effective and safe alternative with which to treat patients with peripheral neuropathy and could replace the high concentration (8%) CP. Further studies are now needed to definitively establish efficacy.Key words: Capsaicin, patch, CP, topical capsaicin, neuropathic pain, peripheral neuropathic pain, PNP, high concentration CPTrial Registration: ClinicalTrials.gov, NCT02228928. PMID: 28158151 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - January 31, 2017 Category: Anesthesiology Authors: Moon JY, Lee PB, Kim YC, Lee SC, Nahm FS, Choi E Tags: Pain Physician Source Type: research

Effects of Dry Needling on Spinal Mobility and Trigger Points in Patients with Fibromyalgia Syndrome.
CONCLUSIONS: This study has demonstrated that dry needling therapy reduces myofacial trigger points algometry on thoracic and lumbar muscles. Dry needling and cross tape approaches reported a similar effect size for spinal mobility measures in patients with FMS.Key words: Fibromyalgia, trigger points, physical therapy modalities, musculoskeletalequilibrium, myofascial pain syndromes. PMID: 28158152 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - January 31, 2017 Category: Anesthesiology Authors: Castro-Sanchez AM, Garcia-Lopez H, Mataran-Penarrocha GA, Fernandez-Sanchez M, Fernandez-Sola C, Granero-Molina J, Aguilar-Ferrandiz ME Tags: Pain Physician Source Type: research

Trigeminal Neuralgia Induced by Cobra Venom Leads to Cognitive Deficits Associated with Downregulation of CREB/BDNF Pathway.
Abstract BACKGROUND: Chronic pain often results in cognitive impairment. Our previous study showed that trigeminal neuralgia induced by cobra venom leads to spatial learning and memory deficits, although the underlying mechanism remains unclear. However, recent evidence indicates that the c-AMP-responsive element binding protein (CREB)/brain derived neurotrophic factor (BDNF) pathway plays a critical role in various etiologies of cognitive deficits. OBJECTIVES: Our aim was to explore the CREB/BDNF pathway to determine the molecular mechanisms involved in the pathogenesis of cognitive impairment caused by cobr...
Source: Pain Physician - January 31, 2017 Category: Anesthesiology Authors: Zhang L, Ding X, Wu Z, Qian X, An J, Tian M Tags: Pain Physician Source Type: research

Percutaneous Vertebroplasty for Symptomatic Schmorl's Nodes: 11 Cases with Long-term Follow-up and a Literature Review.
CONCLUSIONS: PVP is an effective and safe procedure for the treatment of symptomatic SNs, which are refractory to medical or physical therapy.Key words: Percutaneous vertebroplasty, symptomatic Schmorl's nodes, vertebral endplate fracture, endplate osteonecrosis, Modic changes. PMID: 28158154 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - January 31, 2017 Category: Anesthesiology Authors: He SC, Zhong BY, Zhu HD, Fang W, Chen L, Guo JH, Deng G, Teng GJ Tags: Pain Physician Source Type: research

Comparison of Cervical Sagittal Alignment and Kinematics after Posterior Full-endoscopic Cervical Foraminotomy and Discectomy According to Preoperative Cervical Alignment.
Abstract BACKGROUND: The progression of cervical kyphosis due to injury to the facet joints and musculature is a major concern for posterior foraminotomy especially for patients with cervical lordosis of less than 10°. However, cervical hypo-lordosis (cervical lordosis
Source: Pain Physician - January 31, 2017 Category: Anesthesiology Authors: Won S, Kim CH, Chung CK, Choi Y, Park SB, Moon JH, Heo W, Kim SM Tags: Pain Physician Source Type: research

Percutaneous Sacroplasty for Non-neoplastic Osteoporotic Sacral Insufficiency Fractures.
Abstract BACKGROUND: Osteoporosis is an important problem in those of advanced age. Osteoporosis can induce sacral insufficiency fractures (SIFs). As average life expectancy increases, the number of patients with osteoporotic SIFs also increases. Osteoporotic SIFs cause severe low back pain and immobilization. Treatment of SIFs varies from analgesia to surgery. OBJECTIVES: To describe our experience and assess the safety and effectiveness of minimally invasive percutaneous sacroplasty in patients with osteoporotic SIFs. STUDY DESIGN: Retrospective evaluation. SETTING: The spine and joint specialized...
Source: Pain Physician - January 31, 2017 Category: Anesthesiology Authors: Heo DH, Park CK Tags: Pain Physician Source Type: research