Impact of Early Intervention in Pain Management in Cancer Patients: A Randomized Controlled Study in a Tertiary Care Cancer Hospital
Discussion:
Interventional pain management has a definitive role in palliative setup for pain management. Pain relief was obtained in both groups, but the quality of pain relief was better in the intervention group with an associated reduction in the opioid requirement. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - March 11, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
The Prevalence and Potential Role of Pain Beliefs When Managing Later-Life Pain
In this study of 154 community-dwelling older adults with chronic noncancer pain, we sought to assess participants’ beliefs about pain as well as pain management treatments and to determine the influence of those beliefs on participants’ willingness to undertake 3 physician-recommended pain treatments, that is, a pharmacologic, physical, and psychological therapy.
Materials and Methods:
A 16-item questionnaire was employed to ascertain participants’ pain beliefs, divided into 4 subscales representing: (1) negative beliefs about pharmacological treatments, (2) positive beliefs about physical treatment approache...
Source: The Clinical Journal of Pain - March 11, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Effect of a Long-lasting Multidisciplinary Program on Disability and Fear-Avoidance Behaviors in Patients With Chronic Low Back Pain: Results of a Randomized Controlled Trial: Erratum
No abstract available (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - February 11, 2021 Category: Anesthesiology Tags: Erratum Source Type: research
High Rate of Pain Sensitization in Musculoskeletal Shoulder Diseases: A Systematic Review and Meta-analysis
Discussion:
Pain sensitization has a high rate among patients with musculoskeletal shoulder pain, regardless of the specific etiology, and this may lead to worse clinical outcome after treatment of the primary disease. The best way to assess pain sensitization still needs to be identified as the assessment methods results in used high variability in the documented pain sensitization rate. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - February 11, 2021 Category: Anesthesiology Tags: Review Article Source Type: research
Patterns of Approach to Activity in 851 Patients With Severe Chronic Pain: Translation and Preliminary Validation of the 9-item Avoidance-Endurance Fast-Screen (AEFS) Into Danish
Conclusion:
The results indicate good construct validity of the AEFS-DK discriminating the 4 avoidance-endurance model-related subgroups with respect to approach to activity behavior, psychological variables, and reported physical activity. Concerning outcome-based validity, 2 subgroups DER/FAR and AR/EER could be distinguished with inconclusive results for the eustress-endurance subgroup. Future studies are warranted using longitudinal research designs investigating whether AEFS subgroups differ in terms of treatment effects and long-term prognosis. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - February 11, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Chronic Pain in Young Athletes: The Impact of Athletic Identity on Pain-related Distress and Functioning
Conclusion:
Our study provides evidence that focusing on continued sports engagement in the context of chronic pain is associated with less pain-related distress and functional limitations when compared with those who discontinue sports involvement, thus may serve as a buffer in the context of chronic pain. The association of AI with pain-related distress suggests that there is emotional significance in the degree to which youth identify as an athlete. This may be beneficial to clinically assess in youth with chronic pain. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - February 11, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Predicting the Physical and Mental Health Status of Individuals With Chronic Musculoskeletal Pain From a Biopsychosocial Perspective: A Multivariate Approach
Objectives:
Chronic pain is theoretically conceptualized from a biopsychosocial perspective. However, research into chronic pain still tends to focus on isolated, biological, psychological, or social variables. Simultaneous examination of these variables in the prediction of outcomes is important because communalities between predictors exist. Examination of unique contributions might help guide research and interventions in a more effective way.
Methods:
The participants were 114 individuals with chronic pain (mean age=58.81, SD=11.85; 58.8% women and 41.2% men) who responded to demographics (age and sex), pain...
Source: The Clinical Journal of Pain - February 11, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Clinical Efficacy of Pulsed Radiofrequency Treatment Targeting the Mid-cervical Medial Branches for Intractable Cervicogenic Headache
Conclusions:
In patients with intractable cervicogenic headache, pulsed radiofrequency treatment targeting the mid-cervical medial branches resulted in a satisfactory, long-lasting outcome without serious complications. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - February 11, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Video-based Pain Education in Schools: A Study With Adolescents
Discussion:
The findings showed that a brief and inexpensive educational video-based intervention in schools helps to increase pain-related knowledge and change responses to students with chronic pain. This has the potential to prevent chronic pain and related disability among students, and decrease bullying-like behaviors toward students with chronic pain. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - February 11, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Preoperative Versus Postoperative Scalp Block Combined With Incision Line Infiltration for Pain Control After Supratentorial Craniotomy
This study confirms and extends available clinical evidence on the safety and efficacy of selective scalp blocks for the prevention of postoperative pain. Recorded data suggest that there is no difference in terms of occurrence and severity of postoperative pain regardless of whether the scalp block is performed preoperatively (after general anesthesia induction) or postoperatively (before extubation). Patients assigned to receive a scalp block combined with incision line infiltration preoperatively needed less intraoperative opioids than those assigned to postoperative scalp block. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - February 11, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Physical Activity as a Predictor of Chronic Pain Following Pediatric Spinal Surgery
Discussion:
Lower activity engagement during the initial weeks following spinal fusion surgery was associated with development of CPSP, suggesting early physical activity limitations as a risk factor for CPSP in youth. Understanding recovery patterns is critical for identifying those at risk for chronic pain and implementing early interventions. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - February 11, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
The Impact of Parental Pain-attending and Non–pain-attending Responses on Child Pain Behavior in the Context of Cancer-related Painful Procedures: The Moderating Role of Parental Self-oriented Distress
Discussion:
The current findings point to the moderating role of parental distress in understanding the impact of parental responses on child pain behavior and highlight the importance of interventions targeting parental emotion regulation to promote optimal child pain outcomes. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - February 11, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
What Mediates Treatment Effects in a Presurgery Physiotherapy Treatment in Surgical Candidates With Degenerative Lumbar Spine Disorders? A Mediation and Conditional Process Analysis of the PREPARE Randomized Controlled Trial
This study explores treatment mediators in a physiotherapy treatment on disability, pain intensity, and health-related quality of life in surgical candidates with degenerative lumbar spine disorders compared with waiting-list controls. An additional aim was to evaluate patients’ expectation as a moderator of treatment outcome.
Materials and Methods:
Data collected from 197 patients in a single-blinded randomized controlled trial comparing 9 weeks of multifaceted physiotherapy with waiting-list controls were used in this conditional process analysis. Analysis was carried out on group differences for change in Oswes...
Source: The Clinical Journal of Pain - February 11, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Patients With High Chronic Postoperative Knee Pain 5 Years After Total Knee Replacement Demonstrate Low-grad Inflammation, Impairment of Function, and High Levels of Pain Catastrophizing
Objectives:
Total knee replacement (TKR) normally provides improvements of physical function and reduces pain. However, ∼20% of the patients report chronic postoperative knee pain. The aims of the present study were to assess the pain, physical function, and physiological characteristics 5 years after TKR surgery.
Materials and Methods:
Eighty patients were recruited 5 years after TKR and divided into 2 groups based on their average 24-hour knee pain intensity assessed on a visual analog scale (VAS 0 to 10) (“high pain group”: VAS≥3; “low pain group”: VAS (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - February 11, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Efficacy of Nalbuphine as an Adjuvant to Ropivacaine in Ultrasound-guided Supraclavicular Brachial Block: A Prospective Randomized Controlled Study
No abstract available (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - December 31, 2020 Category: Anesthesiology Tags: Letter to the Editor Source Type: research
