Pain Management Information Center Archive
Dose-response association with highest odds of opioid-related death with high-dose pregabalin.
A low-literacy, pain self-management program delivered one-on-one by a health educator or in groups with lectures from experts over a period of 6 months may improve chronic pain outcomes.
Differences exist in race and gender in patients with chronic lower back pain, especially in pain sensitivity and severity due to aftersensations from mechanical punctuate pain and deep muscle hyperalgesia.
Findings based on analysis of motorcycle accident victims by helmet use.
There is a lack of evidence supporting the benefits of combination drug therapy over monotherapy for the management of low back pain and sciatica.
Variation exists in opioid prescribing practices among clinicians in single-hospital systems, which prompts concern about the potential for opioid overprescribing.
Cumulative incidence of opioid-related adverse events was 38.3 per 100,000 prescriptions.
This novel agent has low permeability across the blood-brain barrier, which slows its rate of entry into the brain and reduces dopamine release.
Postpartum Pain Management Recommendations From the American College of Obstetricians and Gynecologists
A committee from the American College of Obstetricians and Gynecologists formulated several recommendations for safely managing pain and fatigue in women during the early postpartum period.
Odds of pre-op opioid use up with age 31 to 40 years, tobacco use, illicit drug use, depression.
American emergency medicine physicians have been taking measures to address the ongoing opioid crisis, which affects emergency departments throughout the country.
Radiofrequency denervation, typically used to treat lumbar and cervical zygapophyseal joint pain, has shown efficacy in treating thoracic zygapophyseal joint pain.
Only 44 of parents would definitely go to ER if their child had headache that didn't improve with medication.
Consensus guidelines regarding the use of ketamine for the management of acute pain have been approved.
Surgeon General Jerome M. Adams, M.D., M.P.H., has urged more Americans to carry naloxone, an FDA-approved medication that can be delivered via nasal mist or injection and can temporarily suspend the effects of opioid overdose.
Chronic low back pain (LBP) defined as persistent or fluctuating musculoskeletal pain of lower back and lumbar spine lasting >3 months.
A study assessing the impact of upscheduling of hydrocodone combined medications on APRN practices in Oklahoma revealed significant barriers to effective pain management.
The phase 3 SUMMIT-07 trial assessed the safety, efficacy, and tolerability of a new mu-opioid receptor agonist analgesic in adults with moderate to severe chronic lower back pain.
With the increasing number of patients presenting to surgery with opioid tolerance, clinicians should be familiar with their specific analgesic needs.
Cryoablation also cuts the need for opioids at 24 hours post-treatment and at three months
Posttraumatic stress disorder symptoms may be associated with higher levels of acute pain and pain interference in low-income inner city women.
Impact of medications on mother-infant dyad should be considered, as many women breastfeed
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).
Improvements in low back pain intensity and disability among active-duty military personnel
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
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.
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.