It is Not Only the Heart that Hurts!
No abstract available (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - November 10, 2022 Category: Anesthesiology Tags: Letter to the Editor Source Type: research
Comparative Effectiveness of Manual Therapy Interventions on Pain and Pressure Pain Threshold in Patients With Myofascial Trigger Points: A Network Meta-analysis
Discussion:
Manual therapy interventions should be considered an effective strategy for pain and PPT in patients with MTPs. The results suggest that among the different manual therapy modalities, combined and afferent reduction techniques are the most effective for pain and PPT, respectively. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - November 10, 2022 Category: Anesthesiology Tags: Review Articles Source Type: research
Intravenous Lidocaine in Chronic Neuropathic Pain: A Systematic Review
Discussion:
This qualitative review found insufficient, heterogenous evidence and therefore no recommendation can be made for lidocaine infusion treatment in patients with chronic neuropathic pain due to spinal cord injury, peripheral nerve injury, diabetic neuropathy, postherpetic neuralgia, or complex regional pain syndrome type II. Larger randomized, double-blind, placebo-controlled studies are required to further establish the efficacy of lidocaine infusion in patients with these etiologies of chronic neuropathic pain. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - November 10, 2022 Category: Anesthesiology Tags: Review Articles Source Type: research
Advantages of Transmuscular Quadratus Lumborum Block via Subfascial Approach Versus Extrafascial Approach for Postoperative Analgesia After Laparoscopic Cholecystectomy: A Randomized Controlled Study
Conclusion:
TQL block via subfascial had the advantages of better analgesic effect and less lower limbs weakness after LC over that via extrafascial. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - November 10, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Increased Clinical Pain Locations and Pain Sensitivity in Women After Breast Cancer Surgery: Influence of Aromatase Inhibitor Therapy
Conclusions:
AI therapy was associated with increased diffuse joint-related pain and greater post-treatment pain sensitivity, potentially implicating central sensitization as a contributing pain mechanism of aromatase inhibitor-associated musculoskeletal syndrome worthy of future investigation. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - November 10, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Relationships Between Abdominal Pain, Mental Health, and Functional Disability in Youth With Inflammatory Bowel Diseases: Pain Catastrophizing as a Longitudinal Mediator
This study aimed to examine pain catastrophizing as a potential mediator of the relationship between abdominal pain and adverse outcomes in youth with IBDs.
Methods:
Seventy six youth (ages 11 to 18; M [SD] age=14.71 [1.80]) with IBD completed the Abdominal Pain Index (T1), Pain Catastrophizing Scale (T2, week 12), Revised Children’s Anxiety and Depression Scale (T3, week 20), and Functional Disability Inventory (T3, week 20).
Results:
Catastrophizing mediated the relationship between abdominal pain and both anxiety symptoms (b=1.61, Bias-Corrected Accelerated [BCa] CI, 0.25, 4.62) and functional disability...
Source: The Clinical Journal of Pain - November 10, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Long-term Use of Wearable Health Technology by Chronic Pain Patients
Objectives:
People living with chronic pain may use wearable health technology (WHT) in conjunction with an expert-directed pain management program for up to 1 year. WHT use may be associated with improvements in key patient outcomes.
Methods:
A 12-month study of WHT use among people with chronic pain was conducted, consisting of iPhone and Apple Watch applications to measure movement, sleep, and self-reported pain. Clinical outcomes among 105 patients enrolled in a multidisciplinary pain program that included WHT use were compared with 146 patients in the same program but without WHT, and to 161 patients receiv...
Source: The Clinical Journal of Pain - November 10, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Effect of Combined Epidural Morphine and Midazolam on Postoperative Pain in Patients Undergoing Major Abdominal Cancer Surgery
The objective was to compare analgesic effect of combined epidural morphine-midazolam with either drug alone on postoperative pain in patients undergoing major abdominal cancer surgery.
Materials and Methods:
Eighty-four patients were allocated in prospective randomized double-blind study to receive epidural analgesia. Patients received 5 mg morphine in morphine (Mor) group, 5 mg midazolam in midazolam (Mid) group, 5 mg morphine + 5 mg midazolam in morphine-midazolam (MM) group, 0.25% bupivacaine was added to injected solution with same volume in all groups. All groups were compared with time of first analgesic ...
Source: The Clinical Journal of Pain - October 19, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Comparison of the Efficacy of Short-term Peripheral Nerve Stimulation and Pulsed Radiofrequency for Treating Herpes Zoster Ophthalmicus Neuralgia
This study aimed to investigate the effect of therapy with peripheral nerve stimulation (PNS) and pulsed radiofrequency (PRF) combined or PNS and PRF separately in patients with herpes zoster ophthalmicus (HZO).
Materials and Methods:
This cohort study included 106 cases of HZO. Three groups were identified according to the type of treatment received: combination therapy (PNS+PRF) (n=38), PRF (n=37), and PNS (n=31). The observations at 0, 1, 2, and 4 weeks; 3 and 6 months; and 1 and 2 years after the operation were analyzed. Observations at each follow-up included baseline characteristics, Numerical Rating Scale (NR...
Source: The Clinical Journal of Pain - October 19, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Rimegepant, Ubrogepant, and Lasmiditan in the Acute Treatment of Migraine Examining the Benefit-Risk Profile Using Number Needed to Treat/Harm
Conclusions:
The benefit-risk profiles of lasmiditan, rimegepant, and ubrogepant may improve clinical decision-making. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - October 19, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Biopsychosocial Attributes of Single-region and Multi-region Body Pain During Early Adolescence: Analysis of the ABCD Cohort
Discussion:
Pain is a biopsychosocial phenomenon, but psychological and sociocultural features may be more relevant for multi-region compared with single-region pain during early adolescence. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - October 19, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Autonomic Nervous System Function and Central Pain Processing in People With Frozen Shoulder: A Case-control Study
Discussion:
On the basis of the effect sizes, between-group differences in allodynia, hyperalgesia, catastrophizing, and hypervigilance were clinically relevant, but only local allodynia, hyperalgesia, catastrophizing, and hypervigilance were statistically different. Therefore, obvious altered CPP was not present at the group level in patients with FS compared with controls. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - October 19, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Will This Treatment Help My Child?: How Parent/Caregiver Treatment Expectations Relate to Intensive Pain Rehabilitation Outcomes for Youth With Chronic Pain
Conclusion:
Extremely high treatment expectations among parents of more disabled youth may be indicative of unrealistic hopes or the “need” for IIPT to help their child; tempering parental expectations with psychoeducation about IIPT goals and realistic outcomes may indirectly improve treatment outcomes for their children. Future research should examine the potentially unique and important role that treatment expectations, of both parent/caregivers and their children, may have in overall IIPT outcomes. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - October 19, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Clinical Significance of Adding Dexamethasone to Improve Analgesic Efficacy of Regional Blocks After Total Knee Arthroplasty
No abstract available (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - September 20, 2022 Category: Anesthesiology Tags: Letter to the Editor Source Type: research
A Systematic Review of the Efficacy and Availability of Targeted Treatments for Central Sensitization in Women With Endometriosis
Discussion:
Given the lack of evidence for any treatment, all require further research to determine treatment efficacy before options will be available clinically. There is a clear need for consistency in defining and identifying CS in study populations. This review identifies areas of interest, particularly surgery and nerve stimulation, from which future research must stem. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - September 20, 2022 Category: Anesthesiology Tags: Review Article Source Type: research
