ACR Appropriateness Criteria ® Imaging After Total Knee Arthroplasty: 2023 Update
J Am Coll Radiol. 2023 Nov;20(11S):S433-S454. doi: 10.1016/j.jacr.2023.08.014.ABSTRACTTotal knee arthroplasty is the most commonly performed joint replacement procedure in the United States. This manuscript will discuss the recommended imaging modalities for six clinical variants; 1. follow-up of symptomatic or asymptomatic patients with a total knee arthroplasty. Initial imaging, 2. Suspected infection after total knee arthroplasty. Additional imaging following radiographs, 3. Pain after total knee arthroplasty. Infection excluded. Suspect aseptic loosening or osteolysis or instability. Additional imaging following radiog...
Source: Pain Physician - December 1, 2023 Category: Anesthesiology Authors: Expert Panel on Musculoskeletal Imaging Eric A Walker Michael G Fox Donna G Blankenbaker Cristy N French Matthew A Frick Tarek N Hanna Shari T Jawetz Cayce Onks Nicholas Said J Derek Stensby Francesca D Beaman Source Type: research

ACR Appropriateness Criteria ® Left Lower Quadrant Pain: 2023 Update
J Am Coll Radiol. 2023 Nov;20(11S):S471-S480. doi: 10.1016/j.jacr.2023.08.013.ABSTRACTThe differential diagnosis for left lower quadrant pain is wide and conditions range from the benign and self-limited to life-threatening surgical emergencies. Along with patient history, physical examination, and laboratory tests, imaging is often critical to limit the differential diagnosis and identify life-threatening abnormalities. This document will discuss the guidelines for the appropriate use of imaging in the initial workup for patients who present with left lower quadrant pain, patients with suspected diverticulitis, and patien...
Source: Pain Physician - December 1, 2023 Category: Anesthesiology Authors: Expert Panel on Gastrointestinal Imaging Stefanie Weinstein David H Kim Kathryn J Fowler James H Birkholz Brooks D Cash Elizabeth Cilenti Bari Dane Natally Horvat Avinash R Kambadakone Elena K Korngold Peter S Liu Bruce M Lo Marion McCrary Vincent Mellnic Source Type: research

Visualising, navigating and making time: The use of a digital solution in treatment and rehabilitation from low back pain
This study seeks to investigate relationships between digital technologies, temporal agency, and illness, through describing how users experienced a new digital solution, BackTrace, targeting patients with low back pain. The study builds on six months of ethnographic fieldwork, including semi-structured interviews, participant observation and a workshop. The study shows how the introduction of the digital solution could facilitate new possibilities of temporal actions for individuals living with and receiving care for low back pain. For many research participants, the use of BackTrace facilitated a useful visualisation of ...
Source: Pain Physician - November 30, 2023 Category: Anesthesiology Authors: Charlotte Ettrup Christiansen Mette Terp H øybye Ronja Rosenberg Gr øn Camilla Blach Rossen Source Type: research

Efficacy and safety of high-intensity, high-frequency, non-focused ultrasound parallel beams for facial skin laxity
CONCLUSION: The novel ultrasound device that uses high-intensity, high-frequency, non-focused ultrasound parallel beam was shown to improve safely and efficiently facial lax skin resulting in eyebrow, submental, and neck skin lift while experiencing tolerable pain.PMID:38031530 | DOI:10.1111/jocd.16098 (Source: Pain Physician)
Source: Pain Physician - November 30, 2023 Category: Anesthesiology Authors: Michael H Gold Julie Biron Source Type: research

Effect of osteopathic manipulative treatment and Bio-Electro-Magnetic Energy Regulation (BEMER) therapy on generalized musculoskeletal neck pain in adults
CONCLUSIONS: Study arms that incorporated BEMER yielded improvements on the NDI, VAS, and SF-12, indicating benefits to BEMER regarding improved overall functionality in routine daily activities as well as a reduction in nonspecific neck pain. Perceived pain, as demonstrated on the VAS, was seemingly improved in an additive fashion from the BEMER group to the OMT+BEMER group, although the results did not achieve statistical significance. Further study with greater participation could provide additional insight.PMID:38033194 | DOI:10.1515/jom-2023-0128 (Source: Pain Physician)
Source: Pain Physician - November 30, 2023 Category: Anesthesiology Authors: Genevieve M Palmer Nicholas Dominick Melissa Kane Sawyer Bawek Blake Burch Taylor Sanders Davong Phrathep Nicole Myers Santiago Lorenzo Source Type: research

Visualising, navigating and making time: The use of a digital solution in treatment and rehabilitation from low back pain
This study seeks to investigate relationships between digital technologies, temporal agency, and illness, through describing how users experienced a new digital solution, BackTrace, targeting patients with low back pain. The study builds on six months of ethnographic fieldwork, including semi-structured interviews, participant observation and a workshop. The study shows how the introduction of the digital solution could facilitate new possibilities of temporal actions for individuals living with and receiving care for low back pain. For many research participants, the use of BackTrace facilitated a useful visualisation of ...
Source: Pain Physician - November 30, 2023 Category: Anesthesiology Authors: Charlotte Ettrup Christiansen Mette Terp H øybye Ronja Rosenberg Gr øn Camilla Blach Rossen Source Type: research

Efficacy and safety of high-intensity, high-frequency, non-focused ultrasound parallel beams for facial skin laxity
CONCLUSION: The novel ultrasound device that uses high-intensity, high-frequency, non-focused ultrasound parallel beam was shown to improve safely and efficiently facial lax skin resulting in eyebrow, submental, and neck skin lift while experiencing tolerable pain.PMID:38031530 | DOI:10.1111/jocd.16098 (Source: Pain Physician)
Source: Pain Physician - November 30, 2023 Category: Anesthesiology Authors: Michael H Gold Julie Biron Source Type: research

Effect of osteopathic manipulative treatment and Bio-Electro-Magnetic Energy Regulation (BEMER) therapy on generalized musculoskeletal neck pain in adults
CONCLUSIONS: Study arms that incorporated BEMER yielded improvements on the NDI, VAS, and SF-12, indicating benefits to BEMER regarding improved overall functionality in routine daily activities as well as a reduction in nonspecific neck pain. Perceived pain, as demonstrated on the VAS, was seemingly improved in an additive fashion from the BEMER group to the OMT+BEMER group, although the results did not achieve statistical significance. Further study with greater participation could provide additional insight.PMID:38033194 | DOI:10.1515/jom-2023-0128 (Source: Pain Physician)
Source: Pain Physician - November 30, 2023 Category: Anesthesiology Authors: Genevieve M Palmer Nicholas Dominick Melissa Kane Sawyer Bawek Blake Burch Taylor Sanders Davong Phrathep Nicole Myers Santiago Lorenzo Source Type: research

Visualising, navigating and making time: The use of a digital solution in treatment and rehabilitation from low back pain
This study seeks to investigate relationships between digital technologies, temporal agency, and illness, through describing how users experienced a new digital solution, BackTrace, targeting patients with low back pain. The study builds on six months of ethnographic fieldwork, including semi-structured interviews, participant observation and a workshop. The study shows how the introduction of the digital solution could facilitate new possibilities of temporal actions for individuals living with and receiving care for low back pain. For many research participants, the use of BackTrace facilitated a useful visualisation of ...
Source: Pain Physician - November 30, 2023 Category: Anesthesiology Authors: Charlotte Ettrup Christiansen Mette Terp H øybye Ronja Rosenberg Gr øn Camilla Blach Rossen Source Type: research

Efficacy and safety of high-intensity, high-frequency, non-focused ultrasound parallel beams for facial skin laxity
CONCLUSION: The novel ultrasound device that uses high-intensity, high-frequency, non-focused ultrasound parallel beam was shown to improve safely and efficiently facial lax skin resulting in eyebrow, submental, and neck skin lift while experiencing tolerable pain.PMID:38031530 | DOI:10.1111/jocd.16098 (Source: Pain Physician)
Source: Pain Physician - November 30, 2023 Category: Anesthesiology Authors: Michael H Gold Julie Biron Source Type: research

Managing Complex Wounds in Skilled Nursing Facilities (SNFs)
Cureus. 2023 Oct 24;15(10):e47581. doi: 10.7759/cureus.47581. eCollection 2023 Oct.ABSTRACTWounds, especially chronic wounds, can be clinically challenging to manage. The presence of a chronic wound in a patient can not only cause nociceptive pain but also psychological and emotional pain. In extreme cases, they can be life-threatening if they present with infection and sepsis from poor wound care. This paper highlights the care of a patient in a skilled nursing facility who presented with a very complicated post-surgical abdominal wound, secondary to an infected post-surgical incision. The skilled nursing facility was ver...
Source: Pain Physician - November 29, 2023 Category: Anesthesiology Authors: James Ebot Source Type: research

Physician Trainees' Perception of Cannabidiol Use in Medicine: A Survey Study
CONCLUSION: The trajectory of CBD use in the United States indicates that the therapeutic benefits of CBD will be targeted, and future physicians are not always provided adequate educational opportunities to learn about its potential medical uses. Continued training as well as interactions with patients may help decrease the stigma surrounding medical CBD use and help solidify its therapeutic use in pain control.PMID:38022327 | PMC:PMC10653979 | DOI:10.7759/cureus.47228 (Source: Pain Physician)
Source: Pain Physician - November 29, 2023 Category: Anesthesiology Authors: Alexandra Boyd Ajith Malige Orr Limpisvasti Source Type: research

The Association Between Endometriosis Treatments and Depression and/or Anxiety in a Population-Based Pathologically Confirmed Cohort of People with Endometriosis
CONCLUSION: Endometriosis patients with co-occurring depression and/or anxiety used more health services for pain, including prescription-level analgesics, and were more likely to have an endometriosis reoperation. We recommend that future study should aim to better understand the direction of this association between depression and/or anxiety and increased health services use.PMID:38023374 | PMC:PMC10664573 | DOI:10.1089/whr.2023.0068 (Source: Pain Physician)
Source: Pain Physician - November 29, 2023 Category: Anesthesiology Authors: Emma Goodwin Helena Abreu do Valle Amanda Nitschke Joseph Puyat Paul J Yong Gillian E Hanley Source Type: research

Comparing online crowdsourcing with clinic patient enrollment: Findings from the IP4IC Study on interstitial cystitis/bladder pain syndrome
CONCLUSION: The IP4IC Study provides valuable insights into the similarities and differences between patients recruited through clinics and those recruited through online crowdsourcing. There were no significant differences in disease symptoms among these groups. Individuals who express an interest in digital health research and self-identify as having been previously diagnosed by physicians with IC/BPS can be regarded as reliable candidates for crowdsourcing research.PMID:38025103 | PMC:PMC10664419 | DOI:10.1177/20552076231216280 (Source: Pain Physician)
Source: Pain Physician - November 29, 2023 Category: Anesthesiology Authors: Joseph J Janicki Elijah P Ward Sarah N Bartolone Laura E Lamb Nitya Abraham Melissa Laudano Christopher P Smith Kenneth M Peters Bernadette M M Zwaans Michael B Chancellor Source Type: research

How patients experience thyroid eye disease
CONCLUSIONS: Physical manifestations of TED impact QoL for patients through all phases of the disease. It is essential that physicians and healthcare professionals become more familiar with patient experiences such as those described here to better help patients manage their disease.PMID:38027128 | PMC:PMC10665908 | DOI:10.3389/fendo.2023.1283374 (Source: Pain Physician)
Source: Pain Physician - November 29, 2023 Category: Anesthesiology Authors: Terry J Smith Laszlo Heged üs Ira Lesser Petros Perros Kimberly Dorris Michele Kinrade Patti Troy-Ott Laura Wuerth Mukund Nori Source Type: research