Pain Management

Recommendations for Perioperative Pain Management in Patients With Opioid Tolerance

Recommendations for Perioperative Pain Management in Patients With Opioid Tolerance

With the increasing number of patients presenting to surgery with opioid tolerance, clinicians should be familiar with their specific analgesic needs.

Cryoablation Efficacious for Cancer Pain, Review Finds

Cryoablation Efficacious for Cancer Pain, Review Finds

Cryoablation also cuts the need for opioids at 24 hours post-treatment and at three months

PTSD Symptoms and the Acute Pain Response in Low-Income Women

PTSD Symptoms and the Acute Pain Response in Low-Income Women

Posttraumatic stress disorder symptoms may be associated with higher levels of acute pain and pain interference in low-income inner city women.

Recommendations Developed for Managing Postpartum Pain

Recommendations Developed for Managing Postpartum Pain

Impact of medications on mother-infant dyad should be considered, as many women breastfeed

Adding Chiropractic to Usual Care Beneficial for Low Back Pain

Adding Chiropractic to Usual Care Beneficial for Low Back Pain

Improvements in low back pain intensity and disability among active-duty military personnel

First-of-Its-Kind Migraine Drug Receives FDA Approval

First-of-Its-Kind Migraine Drug Receives FDA Approval

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The efficacy of Aimovig was evaluated as a preventive treatment of episodic or chronic migraine in 3 randomized, double-blind, placebo-controlled studies: 2 studies in patients with episodic migraine (4-14 migraine days per month) and 1 study in patients with chronic migraine (≥15 headache days per month with ≥8 migraine days per month).

Combining Spinal Manipulation and Exercise for Low Back Pain in Adolescents

Combining Spinal Manipulation and Exercise for Low Back Pain in Adolescents

A combination of self-care education, aerobic and strength-training exercise, and spinal manipulation therapy may provide greater pain relief and improved treatment satisfaction compared with exercise only in adolescents with low back pain.

Helping to End Addiction: NIH Initiative Addresses Opioid Epidemic

Helping to End Addiction: NIH Initiative Addresses Opioid Epidemic

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National Institutes of Health Director, Francis Collins, MD, PhD, announced on April 4, 2018 the launch of the Helping to End Addiction Long-Term Initiative.

Elder Abuse Not Associated With Risk of Chronic Pain

Elder Abuse Not Associated With Risk of Chronic Pain

Findings based on two-year follow-up of a large, community-dwelling cohort in Malaysia

CBT vs Pain Education for Chronic Pain in Low-Income Clinics

CBT vs Pain Education for Chronic Pain in Low-Income Clinics

Group cognitive behavioral therapy and pain education may be more effective than usual care for improving pain and physical function in patients presenting with chronic pain at low-income clinics.

Tai Chi May Be Therapeutic Option for Fibromyalgia

Tai Chi May Be Therapeutic Option for Fibromyalgia

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Tai chi interventions may be more effective at treating fibromyalgia than aerobic exercise.

FDA: Social Media Companies Are Not Doing Enough to Stop Illegal Opioid Sales

FDA: Social Media Companies Are Not Doing Enough to Stop Illegal Opioid Sales

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FDA has called on social media companies and internet service providers to take a proactive approach in curbing online selling of opioids through their platforms.

Gluten-free diet associated with reduced neuropathy pain

Gluten-free diet associated with reduced neuropathy pain

Individuals with gluten neuropathy experienced less peripheral neuropathic pain when adhering to strict gluten-free diets.

Transcutaneous electrical nerve stimulation may not alleviate lower back pain

Transcutaneous electrical nerve stimulation may not alleviate lower back pain

Transcutaneous electrical nerve stimulation may be ineffective in treating, relieving lower back pain when compared with other nerve stimulation therapies.

Talk therapy, modified for literacy level, helps ease chronic pain for disadvantaged populations

Both modified cognitive behavioral therapy and pain education interventions were associated with improved pain in patients with disadvantaged backgrounds.

Assessing lidocaine efficacy for chronic pain management

Assessing lidocaine efficacy for chronic pain management

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Intravenous, patch lidocaine might be effective in treating, preventing chronic pain.

FDA: Botanical drug kratom contains opioid compounds

FDA: Botanical drug kratom contains opioid compounds

Nearly all of kratom's major compounds bind to opioid receptors in the human brain, and 2 of the top 5 most prevalent compounds activate those receptors, FDA Commissioner Scott Gottlieb said in a statement. In addition, there have been 44 reported deaths associated with the use of kratom, often in combination with other substances, Gottlieb said.

Managing pain in primary care

Managing pain in primary care

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A FNP reflects on his experiences working with pain management patients prescribed opioids.

Brief intervention may be beneficial for adolescents with chronic pain

Brief intervention may be beneficial for adolescents with chronic pain

A combination of psychoeducation, cognitive-based therapy, visualization, and breathing exercises may represent a tolerable and readily accepted complementary therapeutic approach for adolescent patients with chronic pain.

Opioid use in middle-aged adults

Opioid use in middle-aged adults

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Clinicians are in the unique position to educate and counsel middle-aged adults about their opioid use and influence strategies needed to provide effective pain control.

When patients need services that don't exist

When patients need services that don't exist

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It can be difficult to care for complex patients when they need services that do not exist.

Pain during IUD insertion reduced with lidocaine nerve block

Pain during IUD insertion reduced with lidocaine nerve block

A 1% paracervical nerve block may be useful for reducing patient-reported pain during IUD insertion.

Opioids and naloxone for pain management

Opioids and naloxone for pain management

Co-prescribing naloxone and opioids in primary care is recommended for patients who have a high risk for opioid overdose.

Effects of cannabis treatment in adult patients with PTSD

Effects of cannabis treatment in adult patients with PTSD

Researchers found that cannabis may alleviate neuropathic pain, but is not associated with benefit for adults with PTSD.

The role of prescription habits in the opioid epidemic

The role of prescription habits in the opioid epidemic

Current surgical and prescribing practices may have a hand in exacerbating the nation's burgeoning opioid epidemic.

Clinicians may be overprescribing gabapentinoids for pain

Clinicians may be overprescribing gabapentinoids for pain

Gabapentinoids may be overprescribed, in part as a response to the opioid epidemic.

NASEM report outlines strategy to combat opioid epidemic

NASEM report outlines strategy to combat opioid epidemic

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The FDA commissioned the report to provide an update on current evidence on research, care, and education in the pain field, and to identify actionable measures for the FDA to more adequately address the ongoing opioid epidemic.

CDC: Opioid prescription rate remains high, inconsistent in the United States

CDC: Opioid prescription rate remains high, inconsistent in the United States

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However, the number of opioids prescribed decreased between 2010 and 2015.

Majority of opioid prescriptions are written for patients with mental disorders

Majority of opioid prescriptions are written for patients with mental disorders

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Among the nearly 40 million Americans who have a mental health condition, about 19% use prescription opioids.

Opioids often prescribed to back pain patients with depression

Opioids often prescribed to back pain patients with depression

Researchers found that back pain patients are also more likely to get higher doses of opioids.

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