Risk Factors for Increased Postoperative Pain and Recommended Orderset for Postoperative Analgesic Usage
Discussion:
We found a significant association between anxiety, current smoking, psychological conditions, and current opioid use with increased preoperative and postoperative reported pain score. We propose that identification of these risk factors should prompt more attention to postoperative pain control plans and will improve communication with patients and providers. We recommend a multimodal approach to postoperative pain control, and developed a pain orderset to help guide providers. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - October 12, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Is It Worth It? A Comparison of an Intensive Interdisciplinary Pain Treatment and a Multimodal Treatment for Youths With Pain-related Disability
This study supports the benefits of specialized rehabilitation interventions, including both MMT and IIPT programs, for youths with chronic pain. The findings also suggest that IIPT might have a greater long-term effect for helping youths, in particular those with high pain interference scores. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - October 12, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Conditioned Pain Modulation Efficiency Is Associated With Pain Catastrophizing in Patients With Chronic Low Back Pain
This study investigated the difference in CPM response between individuals with chronic low back pain (CLBP) and pain-free controls, and the association between pain catastrophizing and CPM response.
Methods:
In all, 22 individuals with CLBP and 22 sex-matched and age-matched controls underwent a CPM protocol. Pressure pain thresholds (PPTs) were measured on the lower leg and lower back. The CPM response was registered as the change in PPT from baseline to after a cold pressor test (CPT). Catastrophizing was assessed using the Pain Catastrophizing Scale before the CPM protocol in both groups.
Results:
Analysis of var...
Source: The Clinical Journal of Pain - October 12, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Prevalence, Characteristics, and Clinical Course of Neuropathic Pain in Primary Care Patients Consulting With Low Back-related Leg Pain
Discussion:
This research provides new information on the clinical course of neuropathic pain and a better understanding of neuropathic pain in low back-related leg pain patients consulting in primary care. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - October 12, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Systematic Review and Synthesis of Mechanism-based Classification Systems for Pain Experienced in the Musculoskeletal System
This study aimed to (1) systematically review mechanism-based classifications of pain experienced in the musculoskeletal system; (2) synthesize and thematically analyze classifications, using the International Association for the Study of Pain categories of nociceptive, neuropathic, and nociplastic as an initial foundation; and (3) identify convergence and divergence between categories, terminology, and descriptions of each mechanism-based pain classification.
Materials and Methods:
Databases were searched for papers that discussed a mechanism-based classification of pain experienced in the musculoskeletal system. Termi...
Source: The Clinical Journal of Pain - September 5, 2020 Category: Anesthesiology Tags: Review Article Source Type: research
Baseline Characteristics of a Dyadic Cohort of Mothers With Chronic Pain and Their Children
Discussion:
While maternal PGs map broadly onto several dimensions of maternal functioning, they were not significantly related to child pain or function. Results may help identify potential protective factors in the intergenerational transmission of risk for chronic pain. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - September 5, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Plasma Concentrations of Select Inflammatory Cytokines Predicts Pain Intensity 48 Hours Post-Shoulder Muscle Injury
Objectives:
The relationship between elevated inflammatory cytokine levels and peak pain intensity following acute musculoskeletal injury has not been fully elucidated in high risk subgroups. Identifying the role that these cytokines have on pain responses may help with developing tailored therapeutic approaches.
Methods:
Data were collected from 54 participants who were vulnerable to a robust pain response and delayed recovery following musculoskeletal injury. Participants completed baseline active and resting pain measurements and a blood draw before an exercised induced shoulder muscle injury. Participants returned...
Source: The Clinical Journal of Pain - September 5, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Evidence for Continuing Buprenorphine in the Perioperative Period
Discussion:
On the basis of our findings, we implemented a policy at our institution for the continuation of perioperative buprenorphine whenever possible. Our work reveals crucial targets for the education of perioperative healthcare providers and the importance of coordination among all perioperative services and providers. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - September 5, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Pain Catastrophizing, Self-reported Disability, and Temporal Summation of Pain Predict Self-reported Pain in Low Back Pain Patients 12 Weeks After General Practitioner Consultation: A Prospective Cohort Study
This study investigated whether pain sensitization mechanisms, the Pain Catastrophizing Scale (PCS), and Start Back Screening Tool were associated with pain in recurrent LBP patients 12 weeks after consulting their general practitioner (GP).
Materials and Methods:
In 45 LBP patients, pressure pain thresholds, temporal summation of pain (TSP), conditioned pain modulation (CPM), the Roland Morris Disability Questionnaire (RMDQ), and the PCS were assessed before consultation. Patients were classified into low to medium or high risk of poor prognosis on the basis of the Start Back Screening Tool. Worst pain within the last ...
Source: The Clinical Journal of Pain - September 5, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Why do Patients Engage in Pain Behaviors? A Qualitative Study Examining the Perspective of Patients and Partners
In conclusion, partners are more likely to attribute negative motives to the patient’s pain behaviors, which may lead to their hostility toward patients. The findings of this study provide new insights into motives of pain behaviors from the perspective of patients and partners, which can inform couple-based interventions in terms of effective pain communication. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - September 5, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Mechanisms of Mindfulness Meditation, Cognitive Therapy, and Mindfulness-based Cognitive Therapy for Chronic Low Back Pain
This study evaluated theoretically derived mechanisms and common therapeutic factors to test their role in accounting for pain-related outcome change during group-delivered cognitive therapy, mindfulness meditation, and mindfulness-based cognitive therapy for chronic low back pain.
Methods:
A secondary analysis of a pilot randomized controlled trial was used to explore the primary mechanisms of pretreatment to posttreatment changes in pain control beliefs, mindful observing, and pain catastrophizing, and the secondary common factor mechanisms of therapeutic alliance, group cohesion, and amount of at-home skill practice ...
Source: The Clinical Journal of Pain - September 5, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Comorbid Pain and Cognitive Impairment in a Nationally Representative Adult Population: Prevalence and Associations With Health Status, Health Care Utilization, and Satisfaction With Care
Discussion:
Our data suggest that individuals with comorbid chronic pain and CI are in a much higher state of self-reported disability than those with chronic pain or CI alone. Best practice guidelines are generally silent on multidisciplinary, integrated care for these comorbid conditions, increasing the potential for inadequate care. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - September 5, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Assessing Benefit of Dexmedetomidine on Postoperative Neurocognitive Disorders: Important Issues That Should Be Acknowledged
No abstract available (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 13, 2020 Category: Anesthesiology Tags: Letter to the Editor Source Type: research
Opioid-induced Constipation: A Review of Health-related Quality of Life, Patient Burden, Practical Clinical Considerations, and the Impact of Peripherally Acting μ-Opioid Receptor Antagonists
The objective of this study was to provide an overview of opioid-induced constipation (OIC) and its influence on disease burden and quality of life (QOL).
Methods:
This is a narrative review.
Results:
For many patients, opioid-related side effects, the most common being OIC, have the potential to significantly impair patients’ QOL. Patients with OIC often experience substantial overall burden (ie, increases in anxiety and depression, impairments in activities of daily living, low self-esteem, feelings of embarrassment) and economic burden (ie, higher health care costs, more frequent doctor visits, increased out-of-...
Source: The Clinical Journal of Pain - August 13, 2020 Category: Anesthesiology Tags: Review Article Source Type: research
Sleep Characteristics in Adults With and Without Chronic Musculoskeletal Pain: The Role of Mental Distress and Pain Catastrophizing
Objectives:
Sleep disturbance is associated with persistence and exacerbation of chronic pain. As this relationship seems to be bidirectional, factors underpinning sleep disturbance may prove important in multimodal rehabilitation approaches. The aim of this cross-sectional study was to examine the impact of psychological symptoms on subjective and objective sleep measures in patients with chronic musculoskeletal pain (CMP), as compared with pain-free controls.
Materials and Methods:
Sleep was assessed by self-report questionnaires, actigraphy, and polysomnography recordings in 56 patients (75.0% female; Mage=41.7 y...
Source: The Clinical Journal of Pain - August 13, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
