Association of Large Vessel Aneurysm/Pseudo-Aneurysm/Aortitis and Deep Vein Thrombosis in Patients with Beh çet's Disease: A Case Report
CONCLUSION: It seems the same inflammatory process is responsible for arterial and venous involvement in patients with BD, so it should be considered that involvement in one side (venous/arterial) can be a risk factor for the other side (venous/arterial) and early immunosuppressive treatment should always be considered to improve the prognosis.PMID:34544348 | DOI:10.2174/1573397117666210920154400 (Source: Pain Physician)
Source: Pain Physician - September 21, 2021 Category: Anesthesiology Authors: Saeedeh Shenavandeh Hamed Ghoddusi Johari Elham Aflaki Source Type: research

Patient perspective on remission in rheumatoid arthritis: Validation of patient reported outcome instruments to measure absence of disease activity
CONCLUSION: Key elements of the patient perspective on remission in RA can be captured by NRS pain, fatigue, and independence. Although this study did not find conclusive evidence to improve the current definition of remission in RA, the information from these instruments adds value to the physician's assessment of remission and further bridges the gap between physician and patient.PMID:34538513 | DOI:10.1016/j.semarthrit.2021.07.005 (Source: Pain Physician)
Source: Pain Physician - September 20, 2021 Category: Anesthesiology Authors: L Rasch M Boers W Lems D van Schaardenburg S Proudman C L Hill C Duarte B Kuriya B Davis W Hoogland M Voshaar L van Tuyl Source Type: research

Delayed traumatic small bowel obstruction diagnosed by point-of-care ultrasound (POCUS)
Am J Emerg Med. 2021 Sep 2:S0735-6757(21)00718-X. doi: 10.1016/j.ajem.2021.08.078. Online ahead of print.ABSTRACTDelayed small bowel obstruction is a rare complication of blunt abdominal trauma and is typically diagnosed by computed tomography (CT) imaging. A 22-year-old man initially presented to Emergency Department 12 h after a motor vehicle collision and CT imaging was unrevealing for any intra-abdominal injury. The patient returned 4 days later with new abdominal pain, vomiting, and watery stool. His exam demonstrated only suprapubic tenderness without guarding. A point-of-care ultrasound was performed by the emergenc...
Source: Pain Physician - September 20, 2021 Category: Anesthesiology Authors: Yi Li Lauren Querin Source Type: research

Sex differences in medical cannabis-related adverse effects
This study aimed to investigate the differences of medical cannabis (MC)-related AEs between women and men in patients with chronic noncancer pain (CNCP). This is a cross-sectional study of adult patients licensed for MC treatment who were also diagnosed as patients with CNCP by a physician. Data included self-reported questionnaires and comprehensive MC treatment information. Simultaneously, identification and quantification of phytocannabinoids and terpenoids from the MC cultivars were performed. Comparative statistics were used to evaluate differences between men and women. Four hundred twenty-nine patients with CNCP (6...
Source: Pain Physician - September 20, 2021 Category: Anesthesiology Authors: Joshua Aviram Gil M Lewitus Yelena Vysotski Paula Berman Anna Shapira Shiri Procaccia David Meiri Source Type: research

The use of radiosynovectomy in patients with juvenile idiopathic arthritis. Assessment of treatment efficacy and safety
CONCLUSIONS: Radiosynovectomy is a valuable therapeutic option for local treatment in patients with JIA.PMID:34538952 | PMC:PMC8436796 | DOI:10.5114/reum.2021.108450 (Source: Pain Physician)
Source: Pain Physician - September 20, 2021 Category: Anesthesiology Authors: Agnieszka Gazda Jaros ław Ćwikła Beata Ko łodziejczyk Izabela Szczygielska El żbieta Hernik Piotr Gietka Lidia Rutkowska-Sak Source Type: research

Testicular compartment syndrome: An unexpected diagnosis in a case of testicular pain
Urol Case Rep. 2021 Aug 23;39:101823. doi: 10.1016/j.eucr.2021.101823. eCollection 2021 Nov.ABSTRACTThis case discusses the presentation of a surprising diagnosis of testicular compartment syndrome in a patient with severe testicular pain and swelling in the Emergency Department.PMID:34540588 | PMC:PMC8436061 | DOI:10.1016/j.eucr.2021.101823 (Source: Pain Physician)
Source: Pain Physician - September 20, 2021 Category: Anesthesiology Authors: Emily Drone Bryan Kwon Cherian Plamoottil Latha Ganti Source Type: research

A Comprehensive Update of the Current Understanding of Chronic Fatigue Syndrome
Anesth Pain Med. 2021 Jun 26;11(3):e113629. doi: 10.5812/aapm.113629. eCollection 2021 Jun.ABSTRACTThis is a comprehensive literature review of chronic fatigue syndrome (CFS). We provide a description of the background, etiology, pathogenesis, diagnosis, and management regarding CFS. CFS is a multifaceted illness that has many symptoms and a wide array of clinical presentations. As of recent, CFS has been merged with myalgic encephalomyelitis (ME). Much of the difficulty in its management has stemmed from a lack of a concrete understanding of its etiology and pathogenesis. There is a potential association between dysfuncti...
Source: Pain Physician - September 20, 2021 Category: Anesthesiology Authors: Nazir Noor Ivan Urits Arielle Degueure Lauren Rando Vijay Kata Elyse M Cornett Alan D Kaye Farnad Imani Mahnaz Narimani-Zamanabadi Giustino Varrassi Omar Viswanath Source Type: research

Peripheral Nerve Entrapments in Cancer Pain
Cancer Treat Res. 2021;182:203-223. doi: 10.1007/978-3-030-81526-4_13.ABSTRACTPeripheral nerve entrapments can occur anywhere in the head and body and can cause significant pain. Cancer pain can be caused by these entrapments, triggered by a variety of etiologies, including tumor invasion, surgical trauma, chemotherapy, or scarring. Knowing the cause of pain can help the physician treat the problem effectively, and will decrease unnecessary and potentially worsening surgeries and high dose opioid therapies, as well as unnecessary pain. A knowledgeable interventional pain physician can diagnose and treat these nerves entrap...
Source: Pain Physician - September 20, 2021 Category: Anesthesiology Authors: Rene Przkora Pavel Balduyeu Juan Mora Andrew McNeil Andrea Trescot Source Type: research

Integrative Therapies in Cancer Pain
Cancer Treat Res. 2021;182:281-302. doi: 10.1007/978-3-030-81526-4_18.ABSTRACTIntegrative medicine is an approach to medical care that embraces all effective therapies including complementary treatments such as acupuncture and hypnosis. There is growing use of complementary therapies in the cancer patient population, making it important that health care providers be aware of both the risks and benefits of treatments that lie outside of the traditional allopathic medicine paradigm. This chapter will explore some of the most common and well-investigated complementary therapies for the treatment and prevention of cancer-relat...
Source: Pain Physician - September 20, 2021 Category: Anesthesiology Authors: Anna Woodbury Bati Myles Source Type: research

The Primary Care Research Landscape and its Relationship with Clinical Practice: A Scientometric Analysis
CONCLUSION: The distribution of publications in primary care journals is distinct from the burden of problems faced in clinical practice and reasons for visiting a family physician. The use of scientometric tools to identify publication trends and their comparison with common problems could be a strategy to identify areas with research gaps in primary care.PMID:34543181 | DOI:10.20344/amp.15262 (Source: Pain Physician)
Source: Pain Physician - September 20, 2021 Category: Anesthesiology Authors: Salom é Apitz Pedro Fontoura Source Type: research

The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2021 Update on Echocardiography
In this report, we describe and summarize the type and rate of reporting of echocardiography-related variables in the STS ACSD, including the Adult Cardiac Anesthesiology Module, from July 2017 to December 2019 for the most frequently performed cardiac surgical procedures. With this review, we aim to increase awareness of the importance of collecting accurate and consistent echocardiography data in the STS ACSD and to highlight opportunities for growth and improvement.PMID:34536378 | DOI:10.1016/j.athoracsur.2021.09.001 (Source: Pain Physician)
Source: Pain Physician - September 18, 2021 Category: Anesthesiology Authors: Alina Nicoara Pinping Song Bruce A Bollen Gaetano Paone James Jake Abernathy Mark A Taylor Robert H Habib J Mauricio Del Rio Ryan E Lauer Nancy A Nussmeier Laurent G Glance Joseph V Petty G Burkhard Mackensen David F Vener Miklos D Kertai Source Type: research

Anorectal emergencies: WSES-AAST guidelines
World J Emerg Surg. 2021 Sep 16;16(1):48. doi: 10.1186/s13017-021-00384-x.ABSTRACTAnorectal emergencies comprise a wide variety of diseases that share common symptoms, i.e., anorectal pain or bleeding and might require immediate management. While most of the underlying conditions do not need inpatient management, some of them could be life-threatening and need prompt recognition and treatment. It is well known that an incorrect diagnosis is frequent for anorectal diseases and that a delayed diagnosis is related to an impaired outcome. This paper aims to improve the knowledge and the awareness on this specific topic and to ...
Source: Pain Physician - September 17, 2021 Category: Anesthesiology Authors: Antonio Tarasconi Gennaro Perrone Justin Davies Raul Coimbra Ernest Moore Francesco Azzaroli Hariscine Abongwa Belinda De Simone Gaetano Gallo Giorgio Rossi Fikri Abu-Zidan Vanni Agnoletti Gianluigi de'Angelis Nicola de'Angelis Luca Ansaloni Gian Luca Bai Source Type: research

Crowned dens syndrome: a key differential for acute neck pain in the elderly
N Z Med J. 2021 Sep 3;134(1541):130-133.NO ABSTRACTPMID:34531604 (Source: Pain Physician)
Source: Pain Physician - September 17, 2021 Category: Anesthesiology Authors: Sujatha Kamalaksha Lucille Wilkinson Sanjib Ghosh Source Type: research

Interventional Spine and Pain Procedure Credentialing: Guidelines from the American Society of Pain & amp; Neuroscience
CONCLUSION: This paper serves as a guide for facilities to credential physicians on novel procedures.PMID:34531681 | PMC:PMC8439288 | DOI:10.2147/JPR.S309705 (Source: Pain Physician)
Source: Pain Physician - September 17, 2021 Category: Anesthesiology Authors: Ramana K Naidu Rahul Chaturvedi Alyson M Engle Pankaj Mehta Brian Su Krishnan Chakravarthy Kasra Amirdelfan Jeffrey Henn Dawood Sayed Jay Grider Timothy Deer Source Type: research

Can Carpal Tunnel Syndrome be Appropriately Diagnosed in a Cold Hand?
CONCLUSIONS: During this study, cold temperature did not result in misclassification of either control patients or CTS patients when CSI was diagnostically used. Based on these results, peak latency comparisons in cold hands can be considered as diagnostically reliable as under standard hand temperature ranges for the diagnosis of CTS, with caution warranted in borderline cases. This diagnostic technique can save time for the patient, physician, and care team without compromising quality of care. Future larger sample blinded studies at multiple electrodiagnostic sites are indicated.PMID:34532622 | PMC:PMC8405284 | DOI:10.5...
Source: Pain Physician - September 17, 2021 Category: Anesthesiology Authors: Michael T Andary Drew B Parkhurst Maurice R Bernaiche Jose S Figueroa Lata Kumaraswamy Suzanne M Manzi Ryan A O'Connor Ingrid P Parrington Jim R Sylvain Source Type: research

The use of qualitative methods in venous thromboembolism research
CONCLUSION: A qualitative research approach can reveal individual experiences and psychosocial impact in patients diagnosed with VTE, which allow the researchers to better comprehend the complexity of this phenomenon and its impact in health care.PMID:34532630 | PMC:PMC8435525 | DOI:10.1002/rth2.12593 (Source: Pain Physician)
Source: Pain Physician - September 17, 2021 Category: Anesthesiology Authors: Jackeline Hernandez-Nino Mary Thomas Andreia B Alexander Mary A Ott Jeffrey A Kline Source Type: research

A survey assessment of clinician perceptions of opioid supply and monitoring requirement policy changes
CONCLUSIONS: The perceived workflow burden and unintended consequence of decreased chronic pain patient access to opioid pharmacotherapies suggest further opportunities for pharmacist-physician collaboration in managing affected patients.PMID:34533828 | DOI:10.5055/jom.2021.0666 (Source: Pain Physician)
Source: Pain Physician - September 17, 2021 Category: Anesthesiology Authors: Amie Goodin Juan M Hincapie-Castillo Joshua D Brown Dikea Roussos-Ross Source Type: research

Effect of back problems on healthcare utilization and costs in Ontario, Canada: a population-based matched cohort study
Pain. 2021 Oct 1;162(10):2521-2531. doi: 10.1097/j.pain.0000000000002239.ABSTRACTWe assessed the effect of back problems on healthcare utilization and costs in a population-based sample of adults from a single-payer health system in Ontario. We conducted a population-based cohort study of Ontario respondents aged ≥18 years of the Canadian Community Health Survey (CCHS) from 2003 to 2012. The CCHS data were individually linked to health administrative data to measure healthcare utilization and costs up to 2018. We propensity score-matched (hard matched on sex) adults with self-reported back problems to those without back...
Source: Pain Physician - September 17, 2021 Category: Anesthesiology Authors: Jessica J Wong Pierre C ôté Andrea C Tricco Tristan Watson Laura C Rosella Source Type: research

Managing misdiagnosed gingival squamous cell carcinoma (GSCC) with occult symptoms: A report of two cases
CONCLUSION: Despite the rare incidence of Gingival squamous cell carcinoma (GSCC), clinicians should consider GSCC while investigating any localized lesion with nonspecific oral symptoms.PMID:34527241 | PMC:PMC8429914 | DOI:10.1016/j.amsu.2021.102820 (Source: Pain Physician)
Source: Pain Physician - September 16, 2021 Category: Anesthesiology Authors: Fatima Alzhra Hanifa Aya Zazo Mohammad Kamel Fares Mohamad AlHashemi Bashar Bazkke Bakr Haddad Ammar Niazi Source Type: research

Abnormal Bedside Ultrasound Findings in a Complex Patient With Kawasaki Disease
Cureus. 2021 Aug 11;13(8):e17112. doi: 10.7759/cureus.17112. eCollection 2021 Aug.ABSTRACTWe herein report a case of an 18-year-old female with Kawasaki disease who presented to the emergency department with epigastric abdominal pain and was subsequently found to have free fluid present in her abdomen visualized on bedside Focused Assessment with Sonography for Trauma (FAST) exam. Kawasaki disease is an acute vasculitis syndrome that primarily affects children and can have serious complications such as coronary artery aneurysms. The use of ultrasound in emergency departments is rapidly increasing, with the FAST being one o...
Source: Pain Physician - September 16, 2021 Category: Anesthesiology Authors: Dipal Shah Helene Koumans Kimberly Johnson Leoh N Leon Latha Ganti Source Type: research

Diagnosis of arteriovenous compression in small pelvic varicose veins
CONCLUSION: In women with signs of chronic venous insufficiency in the system of the inferior vena cava the frequency of detecting arteriovenous compression on multislice computed tomography may reach 24% and does not depend on the presence of symptoms of pelvic venous plethora. The proportion of arteriovenous compression according to the findings of direct phlebography and phlebotonometry in the structure of causes of the development of pelvic varicose veins did not exceed 11%. An algorithm for diagnosing arteriovenous compression syndromes should obligatorily include multislice computed tomography, direct phlebography an...
Source: Pain Physician - September 16, 2021 Category: Anesthesiology Authors: A G Fa ĭbushevich A A Akulova Z Kh Shugushev K V Lobastov O V Taranenko A S Chaban D A Maksimkin V Iu Baranovich Source Type: research

Thyroiditis: unusual mimics
We present two cases of thyroiditis, who approached the physician for different complaints. The first was a female with a change in voice, foreign body sensation in throat, laryngoscopy showing left vocal cord paralysis, reduced thyroid stimulating hormone. An ultrasound neck was suggestive of thyroiditis, and a contrast enhanced computed tomography scan showed a bulky thyroid with enlarged cervical lymphadenopathy. The second patient was a female with high-grade fever, chills and the inability to take fluids-food. Assessment revealed bilateral enlarged, inflamed tonsils-membranous exudate, tender jugulo-digastric lymphade...
Source: Pain Physician - September 16, 2021 Category: Anesthesiology Authors: Arun Shirali Priyanka Arun Shirali Santhoor Vijendra Shenoy Mulki Pandurang Kamath Source Type: research

175  years of anesthesia and narcosis-Towards a "human right to unconsciousness"
Anaesthesist. 2021 Sep 16:1-16. doi: 10.1007/s00101-021-01043-1. Online ahead of print.ABSTRACTThe Ether Day, a key moment in the history of mankind, commemorates its 175th anniversary on 16 October 2021. On that day the dentist William T. G. Morton successfully gave the first public ether anesthesia in Boston. From then on it was possible to save people from pain with justifiable risk and at the same time to protect them from psychological damage by inducing unconsciousness. The German philosopher Peter Sloterdijk, one of the most renowned and effective philosophers of our times, deduced that from then on humans, to some ...
Source: Pain Physician - September 16, 2021 Category: Anesthesiology Authors: K Lewandowski B Kretschmer K W Schmidt Source Type: research

Cross-sectoral Analysis of 1.4 Million AOK-insured Patients with Back Pain in Baden-Wurttemberg - What Influence does Outpatient Specialist Care Have?
CONCLUSION: The vast majority of patients with back pain are treated as outpatients. Only approximately 1.2% of all patients with back pain were treated as inpatients in 2015. Of these, approximately half underwent surgery. Spinal surgeries led to a decrease in pain medication and remedy prescription postoperatively. The three most frequent surgical procedures were 'decompression', 'excision of disc tissue' and 'spondylodesis'. There were significant regional differences.PMID:34530474 | DOI:10.1055/a-1542-9327 (Source: Pain Physician)
Source: Pain Physician - September 16, 2021 Category: Anesthesiology Authors: Tom R Jansen Heinz Endres Lina Barnewold Petra Kaufmann-Kolle Sabine Knapstein Andreas Christian Strauss Johannes Flechtenmacher Burkhard Lembeck Source Type: research

Testicular torsion in children
Can Fam Physician. 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669.ABSTRACTQUESTION: As a family physician caring for a large pediatric population, I evaluate numerous adolescents with testicular pain. Given the gravity of prognosis for late treatment of children with testicular torsion, what are best practices for its assessment and management?ANSWER: The Testicular Workup for Ischemia and Suspected Torsion (TWIST) score has been developed and validated to identify children at risk of testicular torsion. If the TWIST score is 0 and clinical suspicion is low in the office setting, a referral to urology for urgent consult...
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Maheshver Shunmugam Ran D Goldman Source Type: research

Differential Diagnosis for the Painful Tingling Arm
Curr Sports Med Rep. 2021 Sep 1;20(9):462-469. doi: 10.1249/JSR.0000000000000877.ABSTRACTThe painful tingling arm is a common presenting complaint for the musculoskeletal physician. The differential diagnosis for upper-extremity pain associated with paresthesias will be the focus of this review. Symptoms are often neurologic in etiology, originating from the spinal cord, nerve root(s), brachial plexus, or peripheral nerve(s). Localizing the pathology starts with a comprehensive understanding of neuromuscular anatomy. It also is imperative to understand the function of these respective structures. The differential diagnosis...
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Sarah M Smith Christopher W McMullen Stanley A Herring Source Type: research

Analysis of State Cannabis Laws and Dispensary Staff Recommendations to Adults Purchasing Medical Cannabis
CONCLUSIONS AND RELEVANCE: This survey study provides insight into how frontline dispensary staff base cannabis recommendations and counsel about risks. The findings may have utility for clinicians to counsel patients who purchase cannabis, customers who want to be prepared for a dispensary visit, and policy makers whose decisions affect cannabis laws.PMID:34524435 | DOI:10.1001/jamanetworkopen.2021.24511 (Source: Pain Physician)
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Jessica S Merlin Andrew Althouse Robert Feldman Julia H Arnsten Hailey W Bulls Jane M Liebschutz Shannon M Nugent Steven R Orris Rebecca Rohac Joanna L Starrels Benjamin J Morasco Devan Kansagara Source Type: research

Testicular torsion in children
Can Fam Physician. 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669.ABSTRACTQUESTION: As a family physician caring for a large pediatric population, I evaluate numerous adolescents with testicular pain. Given the gravity of prognosis for late treatment of children with testicular torsion, what are best practices for its assessment and management?ANSWER: The Testicular Workup for Ischemia and Suspected Torsion (TWIST) score has been developed and validated to identify children at risk of testicular torsion. If the TWIST score is 0 and clinical suspicion is low in the office setting, a referral to urology for urgent consult...
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Maheshver Shunmugam Ran D Goldman Source Type: research

Chronic Musculoskeletal Pain, NAFLD, Peripheral Neuropathy, Myocardial Infarction
Am Fam Physician. 2021 Sep 1;104(3):232.NO ABSTRACTPMID:34523878 (Source: Pain Physician)
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Source Type: research

Epidural Corticosteroid Injections Provide Minimal, If Any, Benefit in Low Back Pain with Sciatica
Am Fam Physician. 2021 Sep 1;104(3):Online.NO ABSTRACTPMID:34523896 (Source: Pain Physician)
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Mark H Ebell Source Type: research

Differential Diagnosis for the Painful Tingling Arm
Curr Sports Med Rep. 2021 Sep 1;20(9):462-469. doi: 10.1249/JSR.0000000000000877.ABSTRACTThe painful tingling arm is a common presenting complaint for the musculoskeletal physician. The differential diagnosis for upper-extremity pain associated with paresthesias will be the focus of this review. Symptoms are often neurologic in etiology, originating from the spinal cord, nerve root(s), brachial plexus, or peripheral nerve(s). Localizing the pathology starts with a comprehensive understanding of neuromuscular anatomy. It also is imperative to understand the function of these respective structures. The differential diagnosis...
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Sarah M Smith Christopher W McMullen Stanley A Herring Source Type: research

Analysis of State Cannabis Laws and Dispensary Staff Recommendations to Adults Purchasing Medical Cannabis
CONCLUSIONS AND RELEVANCE: This survey study provides insight into how frontline dispensary staff base cannabis recommendations and counsel about risks. The findings may have utility for clinicians to counsel patients who purchase cannabis, customers who want to be prepared for a dispensary visit, and policy makers whose decisions affect cannabis laws.PMID:34524435 | DOI:10.1001/jamanetworkopen.2021.24511 (Source: Pain Physician)
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Jessica S Merlin Andrew Althouse Robert Feldman Julia H Arnsten Hailey W Bulls Jane M Liebschutz Shannon M Nugent Steven R Orris Rebecca Rohac Joanna L Starrels Benjamin J Morasco Devan Kansagara Source Type: research

Testicular torsion in children
Can Fam Physician. 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669.ABSTRACTQUESTION: As a family physician caring for a large pediatric population, I evaluate numerous adolescents with testicular pain. Given the gravity of prognosis for late treatment of children with testicular torsion, what are best practices for its assessment and management?ANSWER: The Testicular Workup for Ischemia and Suspected Torsion (TWIST) score has been developed and validated to identify children at risk of testicular torsion. If the TWIST score is 0 and clinical suspicion is low in the office setting, a referral to urology for urgent consult...
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Maheshver Shunmugam Ran D Goldman Source Type: research

Chronic Musculoskeletal Pain, NAFLD, Peripheral Neuropathy, Myocardial Infarction
Am Fam Physician. 2021 Sep 1;104(3):232.NO ABSTRACTPMID:34523878 (Source: Pain Physician)
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Source Type: research

Epidural Corticosteroid Injections Provide Minimal, If Any, Benefit in Low Back Pain with Sciatica
Am Fam Physician. 2021 Sep 1;104(3):Online.NO ABSTRACTPMID:34523896 (Source: Pain Physician)
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Mark H Ebell Source Type: research

Differential Diagnosis for the Painful Tingling Arm
Curr Sports Med Rep. 2021 Sep 1;20(9):462-469. doi: 10.1249/JSR.0000000000000877.ABSTRACTThe painful tingling arm is a common presenting complaint for the musculoskeletal physician. The differential diagnosis for upper-extremity pain associated with paresthesias will be the focus of this review. Symptoms are often neurologic in etiology, originating from the spinal cord, nerve root(s), brachial plexus, or peripheral nerve(s). Localizing the pathology starts with a comprehensive understanding of neuromuscular anatomy. It also is imperative to understand the function of these respective structures. The differential diagnosis...
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Sarah M Smith Christopher W McMullen Stanley A Herring Source Type: research

Analysis of State Cannabis Laws and Dispensary Staff Recommendations to Adults Purchasing Medical Cannabis
CONCLUSIONS AND RELEVANCE: This survey study provides insight into how frontline dispensary staff base cannabis recommendations and counsel about risks. The findings may have utility for clinicians to counsel patients who purchase cannabis, customers who want to be prepared for a dispensary visit, and policy makers whose decisions affect cannabis laws.PMID:34524435 | DOI:10.1001/jamanetworkopen.2021.24511 (Source: Pain Physician)
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Jessica S Merlin Andrew Althouse Robert Feldman Julia H Arnsten Hailey W Bulls Jane M Liebschutz Shannon M Nugent Steven R Orris Rebecca Rohac Joanna L Starrels Benjamin J Morasco Devan Kansagara Source Type: research

Testicular torsion in children
Can Fam Physician. 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669.ABSTRACTQUESTION: As a family physician caring for a large pediatric population, I evaluate numerous adolescents with testicular pain. Given the gravity of prognosis for late treatment of children with testicular torsion, what are best practices for its assessment and management?ANSWER: The Testicular Workup for Ischemia and Suspected Torsion (TWIST) score has been developed and validated to identify children at risk of testicular torsion. If the TWIST score is 0 and clinical suspicion is low in the office setting, a referral to urology for urgent consult...
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Maheshver Shunmugam Ran D Goldman Source Type: research

Chronic Musculoskeletal Pain, NAFLD, Peripheral Neuropathy, Myocardial Infarction
Am Fam Physician. 2021 Sep 1;104(3):232.NO ABSTRACTPMID:34523878 (Source: Pain Physician)
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Source Type: research

Epidural Corticosteroid Injections Provide Minimal, If Any, Benefit in Low Back Pain with Sciatica
Am Fam Physician. 2021 Sep 1;104(3):Online.NO ABSTRACTPMID:34523896 (Source: Pain Physician)
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Mark H Ebell Source Type: research

Differential Diagnosis for the Painful Tingling Arm
Curr Sports Med Rep. 2021 Sep 1;20(9):462-469. doi: 10.1249/JSR.0000000000000877.ABSTRACTThe painful tingling arm is a common presenting complaint for the musculoskeletal physician. The differential diagnosis for upper-extremity pain associated with paresthesias will be the focus of this review. Symptoms are often neurologic in etiology, originating from the spinal cord, nerve root(s), brachial plexus, or peripheral nerve(s). Localizing the pathology starts with a comprehensive understanding of neuromuscular anatomy. It also is imperative to understand the function of these respective structures. The differential diagnosis...
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Sarah M Smith Christopher W McMullen Stanley A Herring Source Type: research

Analysis of State Cannabis Laws and Dispensary Staff Recommendations to Adults Purchasing Medical Cannabis
CONCLUSIONS AND RELEVANCE: This survey study provides insight into how frontline dispensary staff base cannabis recommendations and counsel about risks. The findings may have utility for clinicians to counsel patients who purchase cannabis, customers who want to be prepared for a dispensary visit, and policy makers whose decisions affect cannabis laws.PMID:34524435 | DOI:10.1001/jamanetworkopen.2021.24511 (Source: Pain Physician)
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Jessica S Merlin Andrew Althouse Robert Feldman Julia H Arnsten Hailey W Bulls Jane M Liebschutz Shannon M Nugent Steven R Orris Rebecca Rohac Joanna L Starrels Benjamin J Morasco Devan Kansagara Source Type: research

Testicular torsion in children
Can Fam Physician. 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669.ABSTRACTQUESTION: As a family physician caring for a large pediatric population, I evaluate numerous adolescents with testicular pain. Given the gravity of prognosis for late treatment of children with testicular torsion, what are best practices for its assessment and management?ANSWER: The Testicular Workup for Ischemia and Suspected Torsion (TWIST) score has been developed and validated to identify children at risk of testicular torsion. If the TWIST score is 0 and clinical suspicion is low in the office setting, a referral to urology for urgent consult...
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Maheshver Shunmugam Ran D Goldman Source Type: research

Chronic Musculoskeletal Pain, NAFLD, Peripheral Neuropathy, Myocardial Infarction
Am Fam Physician. 2021 Sep 1;104(3):232.NO ABSTRACTPMID:34523878 (Source: Pain Physician)
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Source Type: research

Epidural Corticosteroid Injections Provide Minimal, If Any, Benefit in Low Back Pain with Sciatica
Am Fam Physician. 2021 Sep 1;104(3):Online.NO ABSTRACTPMID:34523896 (Source: Pain Physician)
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Mark H Ebell Source Type: research

Differential Diagnosis for the Painful Tingling Arm
Curr Sports Med Rep. 2021 Sep 1;20(9):462-469. doi: 10.1249/JSR.0000000000000877.ABSTRACTThe painful tingling arm is a common presenting complaint for the musculoskeletal physician. The differential diagnosis for upper-extremity pain associated with paresthesias will be the focus of this review. Symptoms are often neurologic in etiology, originating from the spinal cord, nerve root(s), brachial plexus, or peripheral nerve(s). Localizing the pathology starts with a comprehensive understanding of neuromuscular anatomy. It also is imperative to understand the function of these respective structures. The differential diagnosis...
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Sarah M Smith Christopher W McMullen Stanley A Herring Source Type: research

Analysis of State Cannabis Laws and Dispensary Staff Recommendations to Adults Purchasing Medical Cannabis
CONCLUSIONS AND RELEVANCE: This survey study provides insight into how frontline dispensary staff base cannabis recommendations and counsel about risks. The findings may have utility for clinicians to counsel patients who purchase cannabis, customers who want to be prepared for a dispensary visit, and policy makers whose decisions affect cannabis laws.PMID:34524435 | DOI:10.1001/jamanetworkopen.2021.24511 (Source: Pain Physician)
Source: Pain Physician - September 15, 2021 Category: Anesthesiology Authors: Jessica S Merlin Andrew Althouse Robert Feldman Julia H Arnsten Hailey W Bulls Jane M Liebschutz Shannon M Nugent Steven R Orris Rebecca Rohac Joanna L Starrels Benjamin J Morasco Devan Kansagara Source Type: research

Telemedicine and current clinical practice trends in the COVID-19 pandemic
Best Pract Res Clin Anaesthesiol. 2021 Oct;35(3):307-319. doi: 10.1016/j.bpa.2020.11.005. Epub 2020 Nov 16.ABSTRACTTelemedicine is the medical practice of caring for and treating patients remotely. With the spread of the coronavirus disease-2019 (COVID-19) pandemic, telemedicine has become increasingly prevalent. Although telemedicine was already in practice before the 2020 pandemic, the internet, smartphones, computers, and video-conferencing tools have made telemedicine easily accessible and available to almost everyone. However, there are also new challenges that health care providers may not be prepared for, including ...
Source: Pain Physician - September 13, 2021 Category: Anesthesiology Authors: Sayed E Wahezi Lynn R Kohan Boris Spektor Scott Brancolini Trent Emerick Jean M Fronterhouse Markus M Luedi Marc A Colon Paul M Kitei Magdalena Anitescu Nicholas E Goeders Shilpavedi Patil Harish Siddaiah Elyse M Cornett Richard D Urman Alan D Kaye Source Type: research

Differences in Attitudes and Practices of Cancer Pain Management between Medical Oncologists and Palliative Care Physicians
This study aimed to evaluate whether there are differences in the attitudes and practices of cancer pain manage-ment between medical oncologists and palliative care physicians. An online nationwide survey was used to collect responses from board-certified medical oncologists and palliative care physicians in Japan. The survey questionnaire comprised 30 questions. The differences in responses between medical oncologists and palliative care physicians were examined. Out of the 1,227 questionnaires sent, 522 (42.5%) were returned. After apply-ing the exclusion criteria, 445 questionnaires (medical oncologists: n = 283; pallia...
Source: Pain Physician - September 13, 2021 Category: Anesthesiology Authors: Toshiki Kunitomi Junichirou Nasu Daisuke Minami Takayuki Iwamoto Hiroyuki Nishie Shinya Saito Toshiyoshi Fujiwara Junji Matsuoka Source Type: research

Telemedicine as an Acceptable Model of Care in Advanced stage Cancer Patients in the Era of Coronavirus Disease 2019 - An Observational Study in a Tertiary Care Centre
CONCLUSION: Telemedicine is a good modality for the assessment of chronic pain and providing symptomatic supportive care in patients with cancer in the COIVD-19 pandemic.PMID:34511801 | PMC:PMC8428884 | DOI:10.25259/IJPC_45_21 (Source: Pain Physician)
Source: Pain Physician - September 13, 2021 Category: Anesthesiology Authors: Shreya Das Adhikari Swagata Biswas Seema Mishra Vinod Kumar Sachidanand Jee Bharti Nishkarsh Gupta Rakesh Garg Sushma Bhatnagar Source Type: research