Pain

Many Patients Have Unused Opioids After Spine, Joint Surgery

Many Patients Have Unused Opioids After Spine, Joint Surgery

Many patients reported unsafe storage and failure to dispose of opioids at one- and 6-month follow-up

Pain, Psychiatric Comorbidities More Common in Chronic vs Episodic Migraine

Pain, Psychiatric Comorbidities More Common in Chronic vs Episodic Migraine

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Individuals with chronic vs episodic migraine may be more likely to experience chronic back pain, chronic pain, neck pain, anxiety, and depression.

Intrathecal Drug Delivery and Spinal Cord Stimulation for Cancer Pain: A Review

Intrathecal Drug Delivery and Spinal Cord Stimulation for Cancer Pain: A Review

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Intrathecal drug delivery systems and spinal cord stimulation have shown promise for the treatment of cancer pain in initial studies.

Synthetic Opioid Involvement in Opioid-Related Deaths Increases

Synthetic Opioid Involvement in Opioid-Related Deaths Increases

From 2010 to 2016, synthetic opioid involvement up from 14.3 to 45.9% of opioid-related deaths

People With Opioid Use Disorder Have High Suicide Rate

People With Opioid Use Disorder Have High Suicide Rate

Based on data from multiple sources, many opioid-overdose deaths seem to be suicides

Study Finds 31% Use No Opioids After Surgery

Study Finds 31% Use No Opioids After Surgery

At discharge, 92.2% of patients received an opioid prescription; nearly 63% unused

Intraoperative Opioid Doses and Rates of Hospital Readmission

Intraoperative Opioid Doses and Rates of Hospital Readmission

The use of high doses of opioids — particularly long-acting opioids — during surgery may increase the risk for 30-day readmission.

Eight Factors Predict Pain After Spine Surgery

Eight Factors Predict Pain After Spine Surgery

Post-op pain strongly linked to number of classes of non-opioid analgesics used, remifentanil use

Headache in Older Adults: Unique Causes and Treatments

Headache in Older Adults: Unique Causes and Treatments

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.

Addition of Peripheral Nerve Blocks Beneficial for TKA

Addition of Peripheral Nerve Blocks Beneficial for TKA

Lower numeric rating scale pain scores on ambulation on postoperative days zero, one, and two

Opiate Use Linked to Early Mortality in IBD Patients

Opiate Use Linked to Early Mortality in IBD Patients

Heavy use in Crohn's, heavy or moderate use in ulcerative colitis tied to increased risk of death

CBT vs Pain Education for Chronic Pain in Low-Income Clinics

CBT vs Pain Education for Chronic Pain in Low-Income Clinics

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.

FDA: Social Media Companies Are Not Doing Enough to Stop Illegal Opioid Sales

FDA: Social Media Companies Are Not Doing Enough to Stop Illegal Opioid Sales

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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.

Fatigue, muscle aches more common in women with HIV than men

Fatigue, muscle aches more common in women with HIV than men

The two most prevalent HIV symptoms, fatigue and muscle aches, are more common in women than men and can worsen with menopause.

CDC reports opioid-related overdoses have increased from July 2016 to Sept 2017

CDC reports opioid-related overdoses have increased from July 2016 to Sept 2017

The rate of ER visits for suspected opioid-related overdoses has increased by a mean of 5.6% per quarter.

Assessing lidocaine efficacy for chronic pain management

Assessing lidocaine efficacy for chronic pain management

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Intravenous, patch lidocaine might be effective in treating, preventing chronic pain.

Poor sleep exacerbates PTSD, chronic pain association in youth

Poor sleep exacerbates PTSD, chronic pain association in youth

The quality of sleep partly relieved the correlation between PSTD and pain intensity, interference.

Pain sensation may be altered by verum, sham electroacupuncture

Pain sensation may be altered by verum, sham electroacupuncture

Functional magnetic resonance imaging was used to monitor brain activity in patients with osteoarthritis who were administered either genuine or placebo electroacupuncture.

FDA: Botanical drug kratom contains opioid compounds

FDA: Botanical drug kratom contains opioid compounds

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.

Brief intervention may be beneficial for adolescents with chronic pain

Brief intervention may be beneficial for adolescents with chronic pain

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.

Short-term oral corticosteroid use associated with increased risk for sepsis, venous thromboembolism

Short-term oral corticosteroid use associated with increased risk for sepsis, venous thromboembolism

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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.

Magnesium for patients taking opioids for pain

Magnesium for patients taking opioids for pain

Patients who are taking opioids can manage their tolerance by taking magnesium 500mg.

Glucocorticoid injection offers relief for lower back pain

Glucocorticoid injection offers relief for lower back pain

At 1 month after the intervention, the percentage of responders was higher in the GC IDI group than the control group.

Could disrupted homeostasis cause headaches?

Could disrupted homeostasis cause headaches?

Dysfunction of the endocrine system may lead to various neurologic manifestations, including headaches.

NSAIDs have little effect for spinal pain

NSAIDs have little effect for spinal pain

The researchers estimated that only 1 in 6 patients gained a benefit from taking NSAIDs.

Migraine increases stroke risk in surgical patients

Migraine increases stroke risk in surgical patients

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Surgical patients with a history of migraine have an increased risk of perioperative ischemic stroke and a higher 30-day hospital readmission rate.

Psychiatric, behavioral conditions linked to future long-term opioid use

Psychiatric, behavioral conditions linked to future long-term opioid use

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Patients diagnosed with a prior psychiatric condition have increased odds of long-term opioid receipt than patients without these conditions.

Crizanlizumab reduces sickle cell-related pain

Crizanlizumab reduces sickle cell-related pain

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Treatment with high-dose crizanlizumab resulted in an annual rate of sickle cell-related pain crises that was 45.3% lower compared with placebo.

Shared decision making boosts patients' knowledge of acute coronary syndrome risk

Shared decision making boosts patients' knowledge of acute coronary syndrome risk

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The use of a decision aid in patients at risk of acute coronary syndrome increased patient knowledge about their risk.

Chest pain in a woman

Chest pain in a woman

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A woman has a myocardial infarction after her chest symptoms are misdiagnosed as acid reflux.

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