Pain Consultations News
Individuals with chronic vs episodic migraine may be more likely to experience chronic back pain, chronic pain, neck pain, anxiety, and depression.
From 2010 to 2016, synthetic opioid involvement up from 14.3 to 45.9% of opioid-related deaths
Intrathecal drug delivery systems and spinal cord stimulation have shown promise for the treatment of cancer pain in initial studies.
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.
Based on data from multiple sources, many opioid-overdose deaths seem to be suicides
The use of high doses of opioids — particularly long-acting opioids — during surgery may increase the risk for 30-day readmission.
At discharge, 92.2% of patients received an opioid prescription; nearly 63% unused
Post-op pain strongly linked to number of classes of non-opioid analgesics used, remifentanil use
It is important for clinicians to quickly and accurately determine potential underlying causes and to prescribe treatments that take into account comorbidities and medications that older patients may be taking for them.
Lower numeric rating scale pain scores on ambulation on postoperative days zero, one, and two
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.
Heavy use in Crohn's, heavy or moderate use in ulcerative colitis tied to increased risk of death
Findings based on two-year follow-up of a large, community-dwelling cohort in Malaysia
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 interventions may be more effective at treating fibromyalgia than aerobic exercise.
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.
The two most prevalent HIV symptoms, fatigue and muscle aches, are more common in women than men and can worsen with menopause.
The rate of ER visits for suspected opioid-related overdoses has increased by a mean of 5.6% per quarter.
Individuals with gluten neuropathy experienced less peripheral neuropathic pain when adhering to strict gluten-free diets.
Transcutaneous electrical nerve stimulation may be ineffective in treating, relieving lower back pain when compared with other nerve stimulation therapies.
Both modified cognitive behavioral therapy and pain education interventions were associated with improved pain in patients with disadvantaged backgrounds.
Intravenous, patch lidocaine might be effective in treating, preventing chronic pain.
The quality of sleep partly relieved the correlation between PSTD and pain intensity, interference.
Functional magnetic resonance imaging was used to monitor brain activity in patients with osteoarthritis who were administered either genuine or placebo electroacupuncture.
Migraines are linked to cardiovascular events, including myocardial infarction, VTE, and stroke.
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.
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.