Pain

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.

Pulsed Ultrasound May Be Effective for the Treatment of Rib Fractures

Pulsed Ultrasound May Be Effective for the Treatment of Rib Fractures

Pulsed ultrasound treatment may represent an effective option for the treatment of stable rib fractures.

When Opioid Prescribing Guidelines Become Rules

When Opioid Prescribing Guidelines Become Rules

By

Understanding the current opioid prescribing rules is necessary for clinicians to safely and effectively treat patients with chronic pain conditions.

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.

Treating Acute Migraine During Pregnancy: The Need for Guidelines

Treating Acute Migraine During Pregnancy: The Need for Guidelines

Pregnant women presenting with migraine to acute care settings were found to be treated with therapeutic agents ranging from safe and effective medications to others with unclear efficacy and potential teratogenicity.

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.

Approved in Migraine, CGRP Antagonists Also Promising in Cluster Headache

Approved in Migraine, CGRP Antagonists Also Promising in Cluster Headache

Cluster headache and migraine are distinct primary headache disorders that are associated with substantial pain and disability.

Migraine With Aura Linked to Increase in Incident A-Fib

Migraine With Aura Linked to Increase in Incident A-Fib

Migraine with aura is associated with an elevated risk for incident atrial fibrillation.

BMI May Mediate Inverse Link Between Fiber Intake, Knee Osteoarthritis

BMI May Mediate Inverse Link Between Fiber Intake, Knee Osteoarthritis

But link between fiber intake and knee osteoarthritis was significant in only 1of 2 studies.

Functional Nasal Surgery Can Improve Headache Symptoms

Functional Nasal Surgery Can Improve Headache Symptoms

Eighty-five percent of patients report partial or complete resolution of headaches postoperatively.

Parental Chronic Spinal Pain May Affect Prognosis in Adult Offspring

Parental Chronic Spinal Pain May Affect Prognosis in Adult Offspring

Individuals with chronic spinal pain, particularly those who are overweight or obese, may be less likely to recover from this condition if both their parents also have chronic spinal pain.

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.

Opioid Misuse Varies With Sexual Orientation

Opioid Misuse Varies With Sexual Orientation

Prescription opioid misuse more likely for female respondents identifying as bisexual.

Drug Overdose Mortality Rates Highest in United States

Drug Overdose Mortality Rates Highest in United States

Highest average annual percentage of change from 2001 to 2015 seen for Estonia, then US.

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.

Long Wait Times Between Referral and Interdisciplinary Pediatric Chronic Pain Evaluation

Long Wait Times Between Referral and Interdisciplinary Pediatric Chronic Pain Evaluation

For adolescents with chronic pain, wait times to evaluation at an interdisciplinary pain clinic after referral were long and were associated with anxious anticipation and frustration from families.

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.

Naloxone Products Stay Effective Long After Expiration Date

Naloxone Products Stay Effective Long After Expiration Date

Narcan, Evzio chemically stable for at least 10 to 12 months after listed expiration dates.

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.

Opioid Use Often Persists in Workers' Compensation Claimants

Opioid Use Often Persists in Workers' Compensation Claimants

Many patients in a workers' compensation cohort have persistent opioid use.

Little Evidence of Gabapentin Efficacy for Off-Label Uses

Little Evidence of Gabapentin Efficacy for Off-Label Uses

By

Clinicians who prescribe gabapentin for off-label uses should assess available evidence for a given indication.

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.

Encouraging Emotional Awareness, Expression of Life Stress in Women With Chronic Urogenital Pain

Encouraging Emotional Awareness, Expression of Life Stress in Women With Chronic Urogenital Pain

Researchers developed a 4-phase life stress interview to determine whether women with chronic urogenital pain could derive benefits from disclosing stressors and gaining awareness of links between stress, emotions, and symptoms.

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.

ASA: Review Links Opioids With Complications Post-Spine Surgery

ASA: Review Links Opioids With Complications Post-Spine Surgery

Higher postoperative pain score, worse quality of life for post-op pain management with opioids.

Seven-Item Pain Intensity Measure Reliable in Individuals With Dementia

Seven-Item Pain Intensity Measure Reliable in Individuals With Dementia

By

A 7-item pain intensity measure for persons with dementia has shown initial validity and reliability.

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.

Sign Up for Free e-newsletters