Pain Consultations News
A FNP reflects on his experiences working with pain management patients prescribed opioids.
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.
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.
It can be difficult to care for complex patients when they need services that do not exist.
A 1% paracervical nerve block may be useful for reducing patient-reported pain during IUD insertion.
Co-prescribing naloxone and opioids in primary care is recommended for patients who have a high risk for opioid overdose.
Researchers found that cannabis may alleviate neuropathic pain, but is not associated with benefit for adults with PTSD.
Current surgical and prescribing practices may have a hand in exacerbating the nation's burgeoning opioid epidemic.
Gabapentinoids may be overprescribed, in part as a response to the opioid epidemic.
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.
However, the number of opioids prescribed decreased between 2010 and 2015.
Among the nearly 40 million Americans who have a mental health condition, about 19% use prescription opioids.
Researchers found that back pain patients are also more likely to get higher doses of opioids.
Ketamine may alleviate depression, pain, and adverse effects associated with opioid treatment.
Clinicians should consider limiting pre-TKA opioid prescriptions to optimize the benefits of TKA.
Many PA students and practicing PAs did not feel that their PA program adequately trained them to screen for opioid abuse.
Oral corticosteroids could be an alternative symptomatic treatment for acute sore throat, which is a significant burden in primary care and a source of inappropriate antibiotic prescribing.
Short-term oral corticosteroid use associated with increased risk for sepsis, venous thromboembolism
Approximately 1 in 5 American adults use corticosteroids in the short term, which is associated with an increased risk for sepsis, venous thromboembolism, and fracture.
Mindfulness-based stress reduction was associated with short-term benefits for pain intensity and physical functioning.
Administration of acetaminophen at the recommended dosage yields serum concentrations below 10 µg/mL due to increased elimination.
Researchers found that some surgery patients may face a higher risk of becoming dependent on opioids.
Patients who are taking opioids can manage their tolerance by taking magnesium 500mg.
The recently released CDC guidelines on opioid prescribing remain a topic of debate.
Radiofrequency treatment is an effective option for treating refractory chronic knee, hip, and shoulder joint pain.
Patients with chronic pain who are hospitalized have a higher risk of morbidity and mortality, longer lengths of stay, and more frequent readmissions than patients without chronic pain.
At 1 month after the intervention, the percentage of responders was higher in the GC IDI group than the control group.
The drug combination significantly contributes to the overall population risk of opioid overdose.
The Veterans Administration and Department of Defense issue a clinical practice guideline regarding opioid therapy for chronic pain in veterans.
Dysfunction of the endocrine system may lead to various neurologic manifestations, including headaches.
The ACP has released 3 recommendations for the treatment of patients with acute, subacute, and chronic low back pain.
Intravenous lidocaine is safe for reducing pain in patients in the ICU with varying degrees of organ dysfunction.
The researchers estimated that only 1 in 6 patients gained a benefit from taking NSAIDs.
Surgical patients with a history of migraine have an increased risk of perioperative ischemic stroke and a higher 30-day hospital readmission rate.
Patients diagnosed with a prior psychiatric condition have increased odds of long-term opioid receipt than patients without these conditions.
Treatment with high-dose crizanlizumab resulted in an annual rate of sickle cell-related pain crises that was 45.3% lower compared with placebo.
The use of a decision aid in patients at risk of acute coronary syndrome increased patient knowledge about their risk.
A woman has a myocardial infarction after her chest symptoms are misdiagnosed as acid reflux.
The toolkit will provide healthcare professionals with adequate tools to manage their patients' pain.
Researchers identify strategies that could ensure access to naloxone.
Recent data suggests that a virtual reality game could reduce pain by as much as one-half.
A program based on cognitive behavioral therapy and physical exercise could improve pain self-management in patients with complex pain.
Intrarosa provides an additional treatment option for women with dyspareunia caused by vulvar and vaginal atrophy.
Lidocaine patches may be effective for patients who are in pain but are looking to avoid drugs that could be addictive.
Researchers conducted an examination in patients over 65 years with moderate-to-severe pain in an academic emergency department.
Conditions such as chronic disease, mental illness, or substance abuse commonly overlap with each other and with poverty, which contributes to poor health.
Patients would like more thorough conversations with their primary care physician over the use of naloxone.
No significant differences were observed among treatments for pediatric migraines.
The average total cost was lower for pregabalin treatment due to lower use of concomitant medications, fewer primary care visits, and fewer sick days.
Women who received epidural pain relief during labor had lower scores on the Edinburgh Postnatal Depression Scale.
Patients who knew they were taking a placebo pill still experienced less lower back pain.
After public opposition, the DEA has withdrawn its plan to classify the kratom plant as a schedule 1 substance.
Data from the CDC's National Health Statistics Reports show that more than half of adults in the United States have a musculoskeletal pain disorder.
Guidelines created in response to the opioid epidemic in the United States have caused controversy in the medical community.
Nonmedical use of prescription opioids in adolescence leads to substance use disorder symptoms in adulthood
Using medical or nonmedical prescribed opioids in adolescence may lead to alcohol, drug, and mental health disorders in adulthood.
A young Caucasian woman presented with complaints of years regarding pain in her feet but did not know the cause.
Massage therapy appears to be efficacious for reducing pain and anxiety in patients who are about to undergo or are recovering from surgical procedures.
The researchers found that patients who received the injection had significantly lower intensity of pain at six weeks and at three months compared with patients who didn't.
Patients who suffer from cervical disc herniation can find relieve in percutaneous nucleoplasty (PCN) and pulsed radio frequency (PRF).
Data showed an increase in dystrophin production that could predict clinical benefit among patients with DMD.
Pregabalin significantly improves pain irrespective of the time since pain onset.
Developments in functional, structural, and neurochemical imaging could help predict individuals with acute pain who are likely to progress to chronic pain.
Oxycodone/naloxone may provide effective analgesia and improve patients' ability to participate in physiotherapy.
Research has shown that use of suboxone and methadone, in conjunction with counseling, can be effective addiction treatment.
Guideline from the American Urological Association has been revised to incorporate the management of patients with staghorn renal stones.
Patients provided with at least 2 refills were 2.25 times more likely to develop an opioid dependency.
Addiction medicine specialists prescribed the most prescriptions for buprenorphine-naloxone.
Prepubertal children who regularly engage in sedentary behavior have an increased likelihood of experiencing various pain conditions.
Metamizole should be considered in patients with contraindications to NSAIDs.
Screening for pain at every visit is recommended, and management and treatment options are specified.
Ice is among alternative recommendations for treatment of chronic pain.
Older adults presenting with abdominal pain should be screened for appendicitis.
Pain management specialists may have an important role to play in the treatment of patients with chronic visceral pain.
The adoption of various state laws did not affect rates of opioid prescription or strength of dose.
Only 5.5% of ER patients are diagnosed with 1 of 6 life threatening conditions.
Despite being well-informed, many parents struggled to manage their child's postoperative pain.
Patients with chronic, noncancer pain who were treated with long-acting opioid therapy had a 1.6 times greater risk of death.
After an acute hospitalization, many Medicare beneficiaries submit pharmacy claims for opioid prescriptions.
The HEART pathway app provides doctors in the ED with a digital application an already proven method of assessment.
Patients on opioids for chronic pain who were coprescribed naloxone had 47% fewer opioid-related ER visits.
Despite the widespread use of NSAIDs to treat pain, many patients lack knowledge about these medications and their risks.
No difference was recorded between patients treated with lidocaine plus amitriptyline versus patients treated with acetaminophen and tramadol.
Researchers examined a possible link between vitamin D, riboflavin, coenzyme Q10, and chronic migraines.
For patients with chronic low back pain, opioids may provide some short-term relief but are unlikely to be effective within recommended doses.
Acceptance and commitment therapy can have positive outcomes in adults with chronic pain.
Chronic pain in veterans has been linked to mental health conditions and high use of healthcare resources.
Researchers found no serious adverse events related to treatment with cannabinoids.
Women who experience migraines had a 50% greater risk for developing major CVD.
Probuphine is the first buprenorphine implant approved for the maintenance treatment of opioid dependence.
After 8 weeks, patients with rheumatoid arthritis who took probiotics showed improvements in disease activity and metabolic health.
Nearly 12% of patients in remission from RA still experience clinically significant pain.
For patients with basilar or hemiplegic migraines, two common migraine medications do not increase the risk of stroke and cardiovascular events.
Clinicians in hospital settings need strategies in place to safely provide opioid pain relief to hospitalized patients.
Since 2002, the number of hospitalizations due to opioid abuse and dependence has increased by 72%.
After 36 hours, a patient with a salivary duct stone shows limited improvement.
Spinal manipulation patients experienced statistically, but not clinically significant, reductions in pain and disability.
Slippery elm may be beneficial for patients with GI complaints.
Nearly 50% of patients with psoriatic arthritis report elevated levels of fatigue.
Readers provide more suggestions for treating musculoskeletal pain.
Osteoarthritis is one of the most common problems encountered in primary care, and conservative treatment can improve patients' quality of life.
Which non-narcotic analgesics are best for treating musculoskeletal pain?