Pain Management

IASP Updates Classification of Chronic Pain

IASP Updates Classification of Chronic Pain

A task force of the International Association for the Study of Pain proposes a classification of chronic pain as either chronic primary or chronic secondary pain, when chronic pain represents the major complaint and when chronic pain is secondary to a chronic disorder, respectively.

One in 5 Back Pain Patients Experience Persistent Pain

One in 5 Back Pain Patients Experience Persistent Pain

Significant differences seen in patterns of medication, health care use across back pain trajectories.

Greater Walking Frequency, Duration May Reduce Risk for Low Back Pain

Greater Walking Frequency, Duration May Reduce Risk for Low Back Pain

Regular and prolonged walking was found to be associated with a reduced the risk for low back pain in Koreans age >50.

Available Vial Sizes Can Cut Drug Waste in Weight-Based Dosing

Available Vial Sizes Can Cut Drug Waste in Weight-Based Dosing

Vial preparation sizes can be optimized to reduce drug wastage, reduce costs.

Ultrarestrictive Opioid Prescription Protocol May Be Effective for Postoperative Pain Management

Ultrarestrictive Opioid Prescription Protocol May Be Effective for Postoperative Pain Management

Implementation of an ultrarestrictive protocol for opioid prescriptions was found to be associated with reductions in the amount of opioids prescribed after abdominal and gynecologic surgery.

FDA Advisory Panels: Prescribe Naloxone With Opioid Painkillers

FDA Advisory Panels: Prescribe Naloxone With Opioid Painkillers

Federal government urged to make naloxone more widely available, easier to obtain, and cheaper.

Early PT Linked to Less Opioid Use in Musculoskeletal Pain

Early PT Linked to Less Opioid Use in Musculoskeletal Pain

For opioid-naive patients, early physical therapy tied to less opioid use in shoulder, neck, knee, back pain.

Guidelines Developed for Opioid Use in Vaginal Birth

Guidelines Developed for Opioid Use in Vaginal Birth

Guidelines include use of lowest effective dose, smallest quantity of opioids needed for expected pain.

Manual Therapy vs Opioids for Management of Shoulder, Spine Pain

Manual Therapy vs Opioids for Management of Shoulder, Spine Pain

Choosing — or starting treatment with — manual therapy over opioid medications for the management of spine or shoulder may result in lower associated downstream costs.

Intervention by Pharmacists May Effectively Reduce Use of Inappropriate Medications in the Elderly

Intervention by Pharmacists May Effectively Reduce Use of Inappropriate Medications in the Elderly

An intervention by community pharmacists consisting of sending elderly patients educational information on deprescribing of inappropriate medications resulted in higher levels of discontinuation of inappropriate medications within 6 months compared with those in patients who received usual care.

AI-Based Smartphone App Can Help Cut Cancer Pain Severity

AI-Based Smartphone App Can Help Cut Cancer Pain Severity

App can cut both severity of advanced cancer patients' reported pain and hospital admissions.

Workplace, Clinical Factors Linked to Employment Outcomes in Axial Spondyloarthritis

Workplace, Clinical Factors Linked to Employment Outcomes in Axial Spondyloarthritis

Data identified both clinical and employment factors that may predict poor work outcomes in patients with axial spondyloarthritis.

Central Sensitization in Greater Trochanteric Pain Syndrome

Central Sensitization in Greater Trochanteric Pain Syndrome

Patients with greater trochanteric pain syndrome may have altered conditioned pain modulation, as well as a high number of pain locations associated with negative conditioned pain modulation.

Two Screening Tools May Accurately Predict Transition From Acute to Chronic Low Back Pain

Two Screening Tools May Accurately Predict Transition From Acute to Chronic Low Back Pain

Two screening tools, the STarT Back Screening Tool and the Örebro Musculoskeletal Pain Questionnaire, may be useful in predicting the transition from subacute and acute to chronic low back pain.

Guidelines on the Use of OnabotulinumtoxinA for Chronic Migraine

Guidelines on the Use of OnabotulinumtoxinA for Chronic Migraine

Researchers and pain experts formulated guidelines for the use of onabotulinumtoxinA for the management of chronic migraine.

Stepped-Care Model Beneficial in Pain Management Practices in Primary Care

Stepped-Care Model Beneficial in Pain Management Practices in Primary Care

By

A stepped-care model of pain management implemented in primary care was successful in increasing the proportion of veteran patients reporting moderate to severe pain, as well as decreasing the use of opioids for pain management.

New Guidelines Issued for Patellofemoral Pain Management

New Guidelines Issued for Patellofemoral Pain Management

The National Athletic Trainers' Association has issued recommendations for identifying and managing patients with patellofemoral pain.

OTC Analgesic Use High, Associated With Worse-Than-Expected Clinical Profiles

OTC Analgesic Use High, Associated With Worse-Than-Expected Clinical Profiles

The clinical profiles of patients taking over-the-counter pain medications were found to be poorer than expected, with a high prevalence of migraine headache and many reporting frequent and disabling pain for extended durations.

Clinician Characteristics Associated With Outpatient Postoperative Opioid Prescribing

Clinician Characteristics Associated With Outpatient Postoperative Opioid Prescribing

Advanced practice providers were found to prescribe more opioids and in larger quantities compared with other physicians.

Gabapentin Superior to Pregabalin for Chronic Sciatica

Gabapentin Superior to Pregabalin for Chronic Sciatica

For patients with chronic sciatica, gabapentin is superior to pregabalin, with fewer and less severe adverse events.

CDC Guideline for Opioid Prescribing May Have Effectively Reduced Opioid Prescribing Practices

CDC Guideline for Opioid Prescribing May Have Effectively Reduced Opioid Prescribing Practices

The Centers for Disease Control and Prevention's "Guideline for Prescribing Opioids for Chronic Pain" may have contributed to a further reduction in several opioid prescribing practices.

MRI Indicates Sacroiliitis in Some Healthy Individuals

MRI Indicates Sacroiliitis in Some Healthy Individuals

Considerable proportion of healthy individuals without back pain have MRI positive for sacroiliitis.

CDC: About One in 5 US Adults Has Chronic Pain

CDC: About One in 5 US Adults Has Chronic Pain

Higher prevalence of chronic pain, high-impact chronic pain for women, older adults, rural residents.

Internet-Delivered Exposure Therapy Cost-Effective for Patients With Fibromyalgia

Internet-Delivered Exposure Therapy Cost-Effective for Patients With Fibromyalgia

By

In a randomized control trial, researchers found that internet-delivered exposure therapy was more cost-effective for patients with fibromyalgia than a waitlist control, which did not involve any treatment during the experimental phase of the study.

Current Guidelines for Management of Low Back Pain

Current Guidelines for Management of Low Back Pain

An estimated 31 million Americans will experience low back pain at some point in their lifetime.

Pfizer Recalls a Type of Children's Liquid Advil

Pfizer Recalls a Type of Children's Liquid Advil

Recall due to mismarked dosage cup in 4-oz bottles of Children's Advil Suspension Bubble Gum Flavored.

Prescription Drug Monitoring Program May Not Cut Opioid Use

Prescription Drug Monitoring Program May Not Cut Opioid Use

No significant reduction in percentage of patients prescribed opioids after general surgery.

Call to Better Investigate the Associations Between Sleep Disturbances and Chronic Pain

Call to Better Investigate the Associations Between Sleep Disturbances and Chronic Pain

Although literature indicates bidirectional associations between sleep disturbances and pain, few longitudinal studies have examined the role of sleep disturbances in contributing to chronic pain.

Graded In Vivo Exposure Elements May Benefit Chronic Lower Back Pain Management

Graded In Vivo Exposure Elements May Benefit Chronic Lower Back Pain Management

Integrating graded in vivo exposure into the management of chronic lower back pain may result in improved treatment efficacy and reduced pain-related fear.

Opioid-Related Emergency Department Visits, Hospitalization Rates Decrease From 2009 to 2015

Opioid-Related Emergency Department Visits, Hospitalization Rates Decrease From 2009 to 2015

By

The number of patients prescribed opioids and visiting an emergency department or requiring hospitalization decreased from 2009 to 2015.

Sign Up for Free e-newsletters