Neurophysiological Pain Education for Patients With Chronic Low Back Pain: A Systematic Review and Meta-Analysis
Discussion: There was moderate evidence supporting the hypothesis that NPE has a small to moderate effect on pain and low evidence of a small to moderate effect on disability immediately after the intervention. NPE has a small to moderate effect on pain and disability at 3 months follow-up in patients with CLBP. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - July 6, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

A Systematic Review of Labor Pain Used as an Outcome Criterion in Clinical Research
Discussion: This review points out the need for a better standardization of the methods in this field of research. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - July 6, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

Psychological Factors and the Development of Chronic Whiplash–associated Disorder(s): A Systematic Review
Objectives: To assess which psychological factors are important in the development of chronic whiplash symptoms. Methods: Searches were conducted across PubMed, CINAHL, Scopus, and PsychINFO up until March 2017. Studies were included if they investigated psychological prognostic factors in association with recovery from a whiplash injury. Studies also had to be prospective, cohort, follow-up or observational studies, have a 6 month follow-up and published in English. Quality assessments were conducted by 2 independent reviewers. Thirty-one articles were included investigating 34 psychological factors. Results: Poor...
Source: The Clinical Journal of Pain - July 6, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

Lack of Prognostic Model Validation in Low Back Pain Prediction Studies: A Systematic Review
The objective of this study was to investigate the frequency with which prediction studies for low back pain outcomes utilize prospective methods of prognostic model validation. Method: Searches of Medline and Embase for terms “predict/predictor,” “prognosis,” or “prognostic factor.” The search was limited to studies conducted in humans and reported in the English language. Included articles were all those published in 2 Spine specialty journals (Spine and The Spine Journal) over a 13-month period, January 2013 to January 2014. Conference papers, reviews, and letters were excluded. Th...
Source: The Clinical Journal of Pain - July 6, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

The Impact of Perceived Injustice on Pain-related Outcomes: A Combined Model Examining the Mediating Roles of Pain Acceptance and Anger in a Chronic Pain Sample
Discussion: This is the first study to provide a combined conceptual model investigating the mediating roles of pain acceptance and anger on the relationship between PI and pain outcomes. On the basis of our findings, low levels of pain acceptance associated with PI may help explain the association between PI and adverse pain outcomes. Clinical and theoretical implications are discussed. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - July 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Reorganized Force Control in Elbow Pain Patients During Isometric Wrist Extension
In this study, force control adaptations were assessed in elbow pain patients. Increasing the contraction demand may overcome pain interference on the motor control and as such act as an internal control. It was hypothesized that elbow pain patients compared with controls would present greater change in the direction of force when increasing the demand of the motor task. Methods: Elbow pain patients (n=19) and asymptomatic participants (n=21) performed isometric wrist extensions at 5% to 70% of maximum voluntary contraction. Pressure pain thresholds were recorded at the lateral epicondyle and tibialis anterior muscle. C...
Source: The Clinical Journal of Pain - July 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

A Multivariate Validity Analysis of the Pain-related Cognitive Processes Questionnaire
Conclusions: The associations found in the exploratory structural equation modeling approach, as well as the PCPQ scale content and intercorrelations, support the validity of the PCPQ Pain Diversion, Pain Distancing, and Pain Focus scales. Given the lack of strong associations with the validity criteria assessed in this study, questions remain regarding the construct validity of the Pain Openness scale. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - July 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Effectiveness of Sucrose Used Routinely for Pain Relief and Neonatal Clinical Risk in Preterm Infants: A Nonrandomized Study
This study aimed to examine main and interactive effects of routine sucrose intervention and neonatal clinical risk (NCR) on biobehavioral pain reactivity-recovery in PI during painful blood collection procedures. Methods: Very low birth weight PI ( (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - July 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Opioid Use During Pregnancy, Observations of Opioid Use, and Secular Trend From 2006 to 2014 at HealthPartners Medical Group
Discussion: Known risk factors including tobacco and alcohol use, mental health diagnoses, substance use disorder, or Medicaid enrollment may enable enhanced assessments and targeted interventions to reduce unnecessary prescribing and use of opioids among pregnant women and those who might become pregnant. Strategies to decrease opioid use during pregnancy should be considered by health care systems and health plans to reduce opioid prescribing in this patient population. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - July 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Acute Pain Assessment in Sedated Patients in the Postanesthesia Care Unit
Conclusions: Findings suggest that NVPS-R and CPOT can assess acute pain in sedated PACU patients. In patients with significant pain, the CPOT vocalization indicator was more consistent than physiological and respiratory indicators in detecting acute pain. Thus, our data do not support the exclusive use of vital sign indicators to assess acute pain, suggesting the superiority of the CPOT for the assessment of acute pain in sedated PACU patients. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - July 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Characterizing Treatment Utilization Patterns for Trigeminal Neuralgia in the United States
Conclusions: In the 3 years after diagnosis, patients with TN in the United States receive a variety of pharmacological treatments, including opioids, despite carbamazepine being the only approved medication. A notable proportion utilize surgeries/injections. A high proportion of pharmacologically treated patients receive multiple treatment episodes, suggesting frequent therapy switching, perhaps because of suboptimal efficacy/tolerability. Our data suggest a high burden of illness associated with TN. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - July 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Efficacy of 8 Different Drug Treatments for Patients With Trigeminal Neuralgia: A Network Meta-analysis
Conclusions: Among the 8 drugs investigated, all exhibited a capacity to alleviate TN more than the placebo except for pimozide and proparacaine. Moreover, LDC, BTX-A, and CBZ stood out for their high efficacy and could be recommended as the primary choice of treatment for TN. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - June 7, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

Efficacy and Safety Outcome Domains and Outcome Measures in Systematic Reviews of Neuropathic Pain Conditions
Conclusions: Authors of SRs in the field of NeuP insufficiently use relevant recommended COS and COMs for chronic pain. More effort should be put into the implementation of COS to ensure that the study results can be compared and combined. There is a need for defining core outcome domains and measures specific for NeuP. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - June 7, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

Anterior Cutaneous Nerve Entrapment Syndrome in Children: A Prospective Observational Study
Discussion: ACNES in children can be successfully treated by a combined local subfascial anesthetic and corticosteroid trigger point infiltration. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - June 7, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Evaluating Differential Effects of Specific Pain Dismissal Interactions With Physicians
Discussion: All 4 types of physician pain dismissal were broadly perceived negatively, suggesting that the experience of pain dismissal is likely not due to patient hypersensitivity but to physician behavior. Discussion of the psychological factors associated with pain was less likely to be perceived as dismissive. Psychologists and physicians should collaborate to develop recommended language that validates patients’ experiences of pain, communicates appropriate levels of empathy, and reduces the frequency of perceived physician pain dismissal. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - June 7, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Brain Metabolite Changes in the Anterior Cingulate Cortex of Chronic Low Back Pain Patients and Correlations Between Metabolites and Psychological State
Objectives: In chronic low back pain (CLBP) patients, study of altered brain metabolites in the anterior cingulate cortex (ACC) using magnetic resonance spectroscopy (MRS) could reveal the detailed pathology of CLBP and depression. The aim was to detect the central difference between CLBP and controls by means of measuring the metabolites in the ACC, and to analyze the correlations between depression and metabolites in ACC. Materials and Methods: MRS was performed in CLBP (n=60) and control participants (n=56) to evaluate the effects of CLBP on metabolites in the ACC and to analyze the correlations between metabolites...
Source: The Clinical Journal of Pain - June 7, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Cortical Pain Response of Newborn Infants to Venepuncture: A Randomized Controlled Trial Comparing Analgesic Effects of Sucrose Versus Breastfeeding
This study compared the efficacy of sucrose administration versus breastfeeding to decrease cortical responses to pain during venepuncture. Patients and Methods: A randomized, prospective, controlled trial was conducted in a tertiary level maternity ward. Healthy, 3-day-old term neonates, undergoing venepuncture for neonatal screening, were randomly assigned to receive sucrose solution or be breastfed before venepuncture. Variations in the total hemoglobin concentration [HbT] in the contralateral somatosensory cortex were assessed with near infrared spectroscopy. The Neonatal Facial Coding System (NFCS) was used to asse...
Source: The Clinical Journal of Pain - June 7, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Mindfulness and Chronic Headache/Migraine: Mechanisms Explored Through the Fear-Avoidance Model of Chronic Pain
Objectives: To replicate a study by Schutze and colleagues on a headache sample, rather than a heterogenous chronic pain sample, investigating whether level of mindfulness predicts key components in the Fear-Avoidance Model of chronic pain (pain intensity, negative affect, pain catastrophizing, pain-related fear, pain hypervigilance, and functional disability); to investigate the relationships between level of mindfulness and headache/migraine pain intensity, frequency, and duration. Materials and Methods: Participants were 217 individuals who self-reported chronic headache/migraine (51 male, 166 female), aged between...
Source: The Clinical Journal of Pain - June 7, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Does Self-compassion Benefit Couples Coping With Vulvodynia? Associations With Psychological, Sexual, and Relationship Adjustment
This study aimed to investigate self-compassion among couples coping with vulvodynia and its associations with psychological, sexual, and relationship adjustment, as well as pain during sexual intercourse. Materials and Methods: Data were gathered from 48 women diagnosed with provoked vestibulodynia—a subtype of vulvodynia—and their partners, using self-report questionnaires pertaining to anxiety, depression, sexual distress, relationship satisfaction, and pain intensity during sexual intercourse. Results: For both women and their partners, higher levels of self-compassion were associated with their own l...
Source: The Clinical Journal of Pain - June 7, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Evaluation of the Relative Abuse of an OROS Extended-release Hydromorphone HCI Product: Results From 3 Postmarket Surveillance Studies
Discussion: Abuse of OROS hydromorphone ER was observed in high-risk substance abuse and general population samples but at a very low relative prevalence compared to comparators. Evidence suggests it may be less often abused by alternate ROAs than some comparators. Online data did not find evidence of high levels of desire for OROS hydromorphone ER by recreational abusers. Continued monitoring of this product’s abuse liability is warranted. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - June 7, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Do We Measure What Patients Feel?: An Analysis of Correspondence Between Somatosensory Modalities Upon Quantitative Sensory Testing and Self-reported Pain Experience
Discussion: Results demonstrate that self-reported PDQ symptoms cannot predict abnormal QST values. The poor predictive power of the PDQ may depend on several factors based on possibility of comparison between PDQ and QST and also on methodical issues. Both, symptoms (questionnaires) and signs address complementary aspects of the pain experience and should be considered for diagnosis and treatment of neuropathic pain. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - June 7, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Altered Spontaneous Brain Activity in Patients With Idiopathic Trigeminal Neuralgia: A Resting-state Functional MRI Study
Discussion: Our results showed that ITN patients exhibited significantly abnormal spontaneous brain activity in several brain regions that are involved in pain modulation and perception. The present study reflects the maladaptive process of daily pain attacks and may enhance the understanding of how chronic pain affects local intrinsic brain activity. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - June 7, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Intravenous Acetaminophen Reduces Length of Stay Via Mediation of Postoperative Opioid Consumption After Posterior Spinal Fusion in a Pediatric Cohort
Objectives: Since approval of intravenous acetaminophen (IV APAP), its use has become quite common without strong positive evidence. Our goal was to determine the effect of IV APAP on length of hospital stay (LOS) via mediation of opioid-related side effects in pediatric patients. Materials and Methods: After Institutional Review Board approval, 114 adolescents undergoing posterior spinal fusion were prospectively recruited and managed postoperatively with patient-controlled analgesia and adjuvant therapy. Patients were divided into 2 groups based on the use of IV APAP: control (n=70) and treatment (n=44). Association...
Source: The Clinical Journal of Pain - June 7, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

A Systematic Review of Atypical Antipsychotics in Chronic Pain Management: Olanzapine Demonstrates Potential in Central Sensitization, Fibromyalgia, and Headache/Migraine
Conclusions: Few studies have been conducted to evaluate the analgesic effects of AAs. The collective findings of multiple studies evaluating olanzapine in pain syndromes suggest a high, yet preliminary level of evidence of efficacy, warranting prospective studies in various pain syndrome contexts. Pharmacological mechanisms of AA action are elaborated, and the findings of this review are discussed. Risk and benefits of using AAs in chronic pain are described, and investigational implications and future directions are explored. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - May 4, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

Analgesic Effects of Locally Administered Ketorolac-based Analgesics After Breast Surgery: A Meta-Analysis of Randomized Controlled Trials
Discussion: The effects of ketorolac-based analgesics vary as per the surgery and disease type. Locally administered ketorolac-based analgesics decreased postoperative pain in breast surgery patients, and the effect of local ketorolac was better than local bupivacaine. Therefore, ketorolac-based analgesics demonstrate considerable local infiltration during pain management after breast surgery. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - May 4, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

Does Working Memory Moderate the Within-Person Associations Between Pain Intensity and Negative Affect and Pain’s Interference With Work Goal Pursuit?
Discussion: WM appears to protect goal-relevant information from distractions due to negative affective arousal. The continued use of ecologically valid observational and intervention studies would shed further light on the influence of WM on the pursuit of valued work goals in the face of pain and negative affect. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - May 4, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Development of a Simple Preoperative Risk Score for Persistent Pain After Breast Cancer Surgery: A Prospective Observational Cohort Study
Discussion: We studied known risk factors for persistent pain in patients scheduled for breast cancer surgery and constructed a preoperative risk score simple enough to select high-risk patients in future prevention studies. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - May 4, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Associations Between Early Care Decisions and the Risk for Long-term Opioid Use for Patients With Low Back Pain With a New Physician Consultation and Initiation of Opioid Therapy
Discussion: Early care decisions were predictive of LTO use following a new LBP consultation at which opioids were prescribed. Our results support recommendations to avoid concurrent benzodiazepine prescribing and to consider other evidence-based pain treatments such as physical therapy early, particularly for patients at high risk for LTO use or misuse. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - May 4, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Factors Contributing to Memory of Acute Pain in Older Adults Undergoing Planned and Unplanned Hip Surgery
Discussion: The results of this study suggest that older orthopedic patients remember postoperative pain correctly after 3 months and that mood dependence effect may contribute to memory of pain. Pain recall after planned surgery seems to depend mainly on the actual experience, while following unplanned surgery it depends on affective factors. Present findings contribute to knowledge about pain memory in older adults and have implications for patients’ recovery and best practice in perioperative hospital care. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - May 4, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Internet-Delivered Exposure Therapy for Fibromyalgia: A Randomized Controlled Trial
This study constitutes the first randomized controlled trial evaluating exposure therapy for FM. Methods: A total of 140 participants with diagnosed FM were randomized to a 10-week Internet-delivered exposure treatment (iExp; n=70) or a waitlist control condition (WLC; n=70). Primary outcome measure were FM symptoms and impact, and secondary outcome measures were fatigue, disability, quality of life, pain-related distress and avoidance behaviors, insomnia, depression, and anxiety. Results: Data retention was high (100% data completion at posttreatment for primary outcome, 96% at 6-month follow-up and 94% at 12-month ...
Source: The Clinical Journal of Pain - May 4, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Do Changes in Sensory Processing Precede Low Back Pain Development in Healthy Individuals?
In this study, a clinically relevant, induced-LBP paradigm was used to study sensory processing as a risk factor and predictor for LBP development in healthy people. Our aim was to examine sensory processing in those who do develop LBP and those who do not develop LBP with the paradigm, and to examine the relationships between scores on psychosocial questionnaires and sensory processing measures in these healthy people. Methods: A total of 71 participants completed the Pain Catastrophizing Scale (PCS) and Hospital Anxiety and Depression Scale (HADS) and then took part in quantitative sensory testing. An induced-LBP para...
Source: The Clinical Journal of Pain - May 4, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Correlates of a Recent History of Disabling Low Back Pain in Community-dwelling Older Persons: The Pain in the Elderly (PAINEL) Study
Discussion: Our study supports the link between disabling LBP and other age-related chronic conditions in a middle-income country with a rapidly aging population. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - May 4, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

The Pain Course: Exploring the Feasibility of an Internet-delivered Pain Management Program When Offered by a Tertiary Pain Management Service
Conclusions: These findings highlight the potential value of internet-delivered programs when provided by specialist pain management clinics as a part of their services and the value of larger scale studies in this area. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - May 4, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Effect of a Scenario-tailored Opioid Messaging Program on Parents’ Risk Perceptions and Opioid Decision-making
This study examined whether an interactive Scenario-tailored Opioid Messaging Program (STOMP) would (1) enhance opioid risk perceptions and (2) improve the safety of parents’ decision-making. Materials and Methods: In total, 546 parents were randomized to receive the STOMP versus control information and 516 completed the program. A baseline survey assessed parents’ opioid risk knowledge, perceptions, and preferences for pain relief versus risk avoidance (Pain Relief Preference). Parents then made hypothetical decisions to give or withhold a prescribed opioid for high-risk (excessive sedation) and low-risk (n...
Source: The Clinical Journal of Pain - May 4, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

The Relationship Between Posttraumatic Stress Disorder and Chronic Pain in People Seeking Treatment for Chronic Pain: The Mediating Role of Psychological Flexibility
This study examines the relationship between PTSD and chronic pain and whether indices of Psychological Flexibility mediate the relationship between these 2 conditions. Materials and Methods: Standardized self-report measures of PTSD, pain severity, pain interference, depression, and psychological flexibility (pain-related acceptance, committed action, cognitive fusion, and values-based action) were obtained from 315 people seeking treatment for chronic pain who also reported at least 1 traumatic experience. Results: People seeking treatment for chronic pain and reporting symptoms consistent with a current diagnosis ...
Source: The Clinical Journal of Pain - May 4, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Response: Prescription Opioid Use and the Risk of Disability Erratum
No abstract available (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - April 6, 2018 Category: Anesthesiology Tags: Erratum Source Type: research

Risk Factors for Low Back Pain in Childhood and Adolescence: A Systematic Review
Discussion: Future studies should focus on muscle characteristics, the relationship between body and backpack weights, duration of carrying the backpack, characteristics of sport practice, and which are the factors associated with specifically chronic pain. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - April 6, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

A Systematic Review of NMDA Receptor Antagonists for Treatment of Neuropathic Pain in Clinical Practice
Conclusions: There are a variety of NMDAR antagonist agents that should be considered for treatment of NeuP. Nevertheless, continued and further investigation of the 8 pharmacologic agents is needed to continue to evaluate their efficacy for treatment of NeuP. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - April 6, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

Short-term Impact of Assisted Deliveries: Evaluation Based on Behavioral Pain Scoring and Heart Rate Variability
In this study, we hypothesized that pain related to instrumental delivery could impair autonomic nervous system (ANS) activity. Materials and Methods: We investigated infants born by spontaneous delivery (SD group, n=35) and those whose deliveries were assisted by vacuum, forceps, or both (AD group, n=35) between the second and fourth hours of life. Pain was evaluated using the Echelle de Douleur et d’Inconfort du Nouveau-Né/Neonatal Pain and Discomfort Scale (EDIN) behavioral pain scale. ANS activity was analyzed using the newborn infant parasympathetic evaluation (NIPE) index, a heart rate variability bas...
Source: The Clinical Journal of Pain - April 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Stigma and Pain in Adolescents Hospitalized for Sickle Cell Vasoocclusive Pain Episodes
This study examined relations among health-related stigma, pain interference, social support, quality of life (QOL), and hospital outcomes (ie, loneliness, pain reduction, and length of stay [LOS]) in adolescents hospitalized with SCD pain. Materials and Methods: Twelve- to 18-year-old adolescents (N=92) hospitalized with SCD pain completed measures of stigma, pain interference, social support, QOL, and state loneliness. Reduction of pain intensity during hospitalization and LOS were collected from medical chart review. Results: Higher stigma was associated with higher pain interference, lower QOL, more loneliness, a...
Source: The Clinical Journal of Pain - April 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Pain in Children With Developmental Disabilities: Development and Preliminary Effectiveness of a Pain Training Workshop for Respite Workers
Discussion: Training can positively impact respite workers’ knowledge and perceptions about pain assessment and management. As such, they may be better equipped to care for children with ID in this area. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - April 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Adding Prefrontal Transcranial Direct Current Stimulation Before Occipital Nerve Stimulation in Fibromyalgia
This study aims to test the effect of combining 2 targets of stimulation using tDCS. Materials and Methods: We applied ON-tDCS in isolation or coupled with pre-ONS right-anode bifrontal tDCS and assessed its effect on fibromyalgia using the Fibromyalgia Impact Questionnaire, the Beck Depression Inventory, and Numeric Rating Scale for pain scores. These measures were compared with a sham control group using repeated measures analysis of variance. Results: The interaction effect of stimulation trials and the protocols of sham versus ON-tDCS were significant for the impact, distress, and pain caused by fibromyalgia (P (...
Source: The Clinical Journal of Pain - April 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Reductions in Perceived Injustice are Associated With Reductions in Disability and Depressive Symptoms After Total Knee Arthroplasty
Discussion: The present findings are consistent with current conceptualizations of injustice appraisals that propose a central role for symptom severity and disability as determinants of perceptions of injustice in patients with persistent pain. The results suggest that the inclusion of psychosocial interventions that target depressive symptoms and perceived injustice might augment the impact of rehabilitation programs made available for individuals recovering from TKA. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - April 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Exploration of Quantitative Sensory Testing in Latent Trigger Points and Referred Pain Areas
The objective of this study was to investigate somatosensory nerve fiber function by applying different quantitative sensory testing including thermal, mechanical, and vibration thresholds over latent trigger points (TrP) and in its associated referred pain area. Methods: A total of 20 patients with unilateral latent TrPs in the extensor carpi radialis brevis were included. Warmth detection threshold (WDT), cold detection threshold (CDT) and heat/cold pain thresholds (HPT, CPT), mechanical detection (MDT) and pain (MPT) thresholds, vibration threshold (VT), and pressure pain thresholds (PPT) were blinded assessed over t...
Source: The Clinical Journal of Pain - April 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

The Incidence of Adverse Childhood Experiences (ACEs) and Their Association With Pain-related and Psychosocial Impairment in Youth With Chronic Pain
Discussion: ACEs exposure in youth with chronic pain occurs frequently and can be associated with increased psychosocial but not functional impairment. Future research is needed to further examine the relationship between ACEs and chronic pain in youth in a prospective manner. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - April 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

The Role of Cognitive Content and Cognitive Processes in Chronic Pain: An Important Distinction?
Discussion: The results provide preliminary evidence for the possibility that mindfulness could have both benefits and costs. Research to evaluate this possibility is warranted. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - April 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Efficacy of Intra-Articular Botulinum Toxin in Osteoarticular Joint Pain: A Meta-Analysis of Randomized Controlled Trials
This study was conducted with the aim of evaluating the efficacy of intra-articular injections of botulinum toxin type A (BT-A) into the painful joint diseases through a systematic review of the literature and a meta-analysis of controlled randomized trials. Intra-articular therapies (corticosteroids, hyaluronic acid) have limited efficacy and run a risk of toxicity in patients with joint pain. New therapeutic options are needed to treat painful osteoarticular disease. Methods: We searched via Pubmed, American College of Rheumatology, and European League Against Rheumatism congresses, and gray literature for the studies...
Source: The Clinical Journal of Pain - March 8, 2018 Category: Anesthesiology Tags: Review Article Source Type: research

Predictors of Adherence to Psychological Treatment for Insomnia and Pain: Analysis from a Randomized Trial
Objectives: Poor adherence to psychological treatment for insomnia is common and limits treatment gains. Very little is known about predictors of adherence among patients with chronic pain, although adherence is theorized to be more critical and more challenging for these patients. This secondary data analysis examines predictors of drop-out and therapy nonattendance in an osteoarthritis population receiving psychological treatment for insomnia and pain. Methods: Data were analyzed from the “Lifestyles” trial, a randomized controlled trial of a 6-week group cognitive behavioral pain coping skills intervent...
Source: The Clinical Journal of Pain - March 8, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Social Support and Pain Outcomes After Trauma Exposure Among Older Adults: A Multicenter Longitudinal Study
Discussion: Among older adults experiencing trauma, low perceived social support was associated with higher levels of pain at 6 weeks. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - March 8, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Medicate or Meditate? Greater Pain Acceptance is Related to Lower Pain Medication Use in Persons With Chronic Pain and Spinal Cord Injury
Discussion: Findings from this study indicate that those with chronic pain and SCI who have a more accepting orientation to pain are less reliant on pain medications, and thereby experience lower risks associated with medication consumption. Longitudinal, daily process, and clinical trial studies are needed to better understand the association between pain acceptance and pain medication consumption. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - March 8, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research