Comparison of Dry Needling versus Orthopedic Manual Therapy in Patients with Myofascial Chronic Neck Pain: A Single-Blind, Randomized Pilot Study.
Conclusions. The three interventions are all effective in reducing pain intensity. Reduction in mechanical hyperalgesia and pain catastrophizing was only observed in the OMT group. Cervical ROM improved in the DN-S and OMT groups and also neck disability being only clinically relevant for OMT group.
PMID: 26640708 [PubMed - as supplied by publisher] (Source: Pain Research and Treatment)
Source: Pain Research and Treatment - December 8, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
Associations between Wage System and Risk Factors for Musculoskeletal Disorders among Construction Workers.
In conclusion, group performance based wage was associated with higher levels of physical exertion and time pressure. Accordingly, group performance based wage can be viewed as a factor that has the potential to complicate prevention of MSD among construction workers. Since performance based wage systems are common in many countries across the world, more attention should be paid to the health effects of these types of payment.
PMID: 26605083 [PubMed - as supplied by publisher] (Source: Pain Research and Treatment)
Source: Pain Research and Treatment - November 27, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
Morphine versus Hydromorphone: Does Choice of Opioid Influence Outcomes?
Authors: Gulur P, Koury K, Arnstein P, Lee H, McCarthy P, Coley C, Mort E
Abstract
Morphine has traditionally been considered the first line agent for analgesia in hospitals; however, in the last few years there has been a shift towards the use of hydromorphone as a first line agent. We conducted a hospital population based observational study to evaluate the increasing use of hydromorphone over morphine in both medical and surgical populations. Additionally, we assessed the effect of this trend on three key outcomes, including adverse events, length of stay, and readmission rates. We evaluated data from t...
Source: Pain Research and Treatment - November 27, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
Physicians Experience with and Expectations of the Safety and Tolerability of WHO-Step III Opioids for Chronic (Low) Back Pain: Post Hoc Analysis of Data from a German Cross-Sectional Physician Survey.
Conclusion. Overall, use of WHO-step III opioids for CLBP is low. AEs, especially constipation, are commonly reported and interfere significantly with analgesic effects in daily practice. Nevertheless, beneficial effects outweigh related AEs in most patients with CLBP.
PMID: 26568890 [PubMed] (Source: Pain Research and Treatment)
Source: Pain Research and Treatment - November 18, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
The Association between Patient-Reported Pain and Doctors' Language Proficiency in Clinical Practice.
Authors: Mustajoki M, Forsén T, Kauppila T
Abstract
Patients' limited literacy and language fluency of different kinds cause them problems in navigating the medical interview. However, it is not known how physicians' native language skills affect the reported intensity of pain among Finnish emergency patients. Data were collected with two consecutive questionnaires in 16 healthcare centres and outpatient departments along the Finnish coast. Swedish and Finnish speaking 18-65-year-old emergency patients were eligible for this study. Our patients were predominantly Finnish speakers. Patient-rated poor langu...
Source: Pain Research and Treatment - October 23, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
A Novel Association between Femoroacetabular Impingement and Anterior Knee Pain.
Conclusion. Our finding supports the link between Cam FAI and AKP in some young patients. Assessment of Cam FAI should be considered as a part of the physical examination of patients with AKP, mainly in cases with pain recalcitrant to conservative treatment.
PMID: 26451254 [PubMed] (Source: Pain Research and Treatment)
Source: Pain Research and Treatment - October 10, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
Pain Management in Pregnancy: Multimodal Approaches.
Authors: Shah S, Banh ET, Koury K, Bhatia G, Nandi R, Gulur P
Abstract
Nonobstetrical causes of pain during pregnancy are very common and can be incapacitating if not treated appropriately. Recent reports in the literature show that a significant percentage of pregnant women are treated with opioids during pregnancy. To address common pain conditions that present during pregnancy and the available pharmacological and nonpharmacological treatment options, for each of the pain conditions identified, a search using MEDLINE, PubMed, Embase, and Cochrane databases was performed. The quality of the evidence was ...
Source: Pain Research and Treatment - October 9, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
Central Sensitization and Perceived Indoor Climate among Workers with Chronic Upper-Limb Pain: Cross-Sectional Study.
Authors: Sundstrup E, Jakobsen MD, Brandt M, Jay K, Persson R, Andersen LL
Abstract
Monitoring of indoor climate is an essential part of occupational health and safety. While questionnaires are commonly used for surveillance, not all workers may perceive an identical indoor climate similarly. The aim of this study was to evaluate perceived indoor climate among workers with chronic pain compared with pain-free colleagues and to determine the influence of central sensitization on this perception. Eighty-two male slaughterhouse workers, 49 with upper-limb chronic pain and 33 pain-free controls, replied to a q...
Source: Pain Research and Treatment - October 3, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
Practice of Pain Management by Indian Healthcare Practitioners: Results of a Paper Based Questionnaire Survey.
Conclusion. Patient's age, duration of therapy, comorbid conditions, frequency of dosing, and severity of pain are important parameters while selecting analgesics. Paracetamol and its combinations are commonly used for mild and moderate pain, respectively. Pain clinics currently have limited presence in India.
PMID: 26366295 [PubMed] (Source: Pain Research and Treatment)
Source: Pain Research and Treatment - September 15, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
Classifying Patients with Chronic Pelvic Pain into Levels of Biopsychosocial Dysfunction Using Latent Class Modeling of Patient Reported Outcome Measures.
This study is the first description of a novel approach to the complex disease process such as chronic pelvic pain and was validated by demographic, medical, and psychosocial variables. In addition to an essentially normal class, three classes of increasing biopsychosocial dysfunction were identified. The LCA approach has the potential for application to other complex multifactorial disease processes.
PMID: 26355825 [PubMed] (Source: Pain Research and Treatment)
Source: Pain Research and Treatment - September 12, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
Radiofrequency for the Treatment of Lumbar Radicular Pain: Impact on Surgical Indications.
Authors: Trinidad JM, Carnota AI, Failde I, Torres LM
Abstract
Study Design. Quasiexperimental study. Objective. To investigate whether radiofrequency treatment can preclude the need for spinal surgery in both the short term and long term. Background. Radiofrequency is commonly used to treat lumbosacral radicular pain. Only few studies have evaluated its effects on surgical indications. Methods. We conducted a quasiexperimental study of 43 patients who had been scheduled for spinal surgery. Radiofrequency was indicated for 25 patients. The primary endpoint was the decision of the patient to reject spinal s...
Source: Pain Research and Treatment - September 11, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
Usefulness of the Pain Tracking Technique in Acute Mechanical Low Back Pain.
Conclusions. Both the pain tracking and interferential current techniques combined with cryotherapy are useful treatments for acute mechanical low back pain. The onset of analgesia is faster when using the pain tracking technique.
PMID: 26240758 [PubMed - as supplied by publisher] (Source: Pain Research and Treatment)
Source: Pain Research and Treatment - August 5, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
Vitamin D and Pain: Vitamin D and Its Role in the Aetiology and Maintenance of Chronic Pain States and Associated Comorbidities.
Authors: Shipton EA, Shipton EE
Abstract
The emergence of new data suggests that the benefits of Vitamin D extend beyond healthy bones. This paper looks at Vitamin D and its role in the aetiology and maintenance of chronic pain states and associated comorbidities. The interfaces between pain and Vitamin D and the mechanisms of action of Vitamin D on pain processes are explored. Finally the association between Vitamin D and pain comorbidities such as sleep and depression is investigated. The paper shows that Vitamin D exerts anatomic, hormonal, neurological, and immunological influences on pain manifestatio...
Source: Pain Research and Treatment - June 22, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
The Verbal Rating Scale Is Reliable for Assessment of Postoperative Pain in Hip Fracture Patients.
Authors: Bech RD, Lauritsen J, Ovesen O, Overgaard S
Abstract
Background. Hip fracture patients represent a challenge to pain rating due to the high prevalence of cognitive impairment. Methods. Patients prospectively rated pain on the VRS. Furthermore, patients described the changes in pain after raising their leg, with one of five descriptors. Agreement between paired measures on the VRS at rest and by passive straight leg raise with a one-minute interval between ratings at rest and three-minute interval for straight leg raise was expressed by kappa coefficients. Reliability of this assessment of pain usi...
Source: Pain Research and Treatment - June 18, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
Noninterventional study of transdermal fentanyl (fentavera) matrix patches in chronic pain patients: analgesic and quality of life effects.
Authors: Heim M
Abstract
Fentanyl is considered to be an effective, transdermal treatment of chronic, cancer, and noncancer pain. This noninterventional, clinical practice-based study, on 426 patients attending 42 practices, assessed a proprietary, Aloe vera-containing, transdermal fentanyl matrix patch (Fentavera), for its analgesic effects, patients' quality of life (QoL) effects, tolerability, and adhesiveness. Study outcomes were mean changes from baseline of patient (11-point scales) and physician (5-point scales) ratings. After 1 and 2 months treatment, there were significant (P < 0.0001) decrease...
Source: Pain Research and Treatment - June 4, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research
