Analyzing transition from acute back pain to chronic pain with linear mixed models reveals a continuous chronification of acute back pain
Publication date: July 2017 Source:Scandinavian Journal of Pain, Volume 16 Author(s): Harald Breivik (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - June 15, 2017 Category: Anesthesiology Source Type: research
Functional disability and depression symptoms in a paediatric persistent pain sample
Conclusions and Implications We argue that prior research has measured physical functional limitations in paediatric pain sufferers in a way that is heavily influenced by psychosocial factors, in particular by the symptoms of clinical depression. In contrast, using a measure of physical functioning (PODCI) less influenced by psychosocial factors suggests that the relationship between physical functioning during activities of daily living (e.g., use of upper limbs, basic gross and fine motor skills, basic mobility) and depression is weaker, despite both being heightened in this sample. Unlike other functional disability mea...
Source: Scandinavian Journal of Pain - June 10, 2017 Category: Anesthesiology Source Type: research
Local anaesthesia methods for analgesia after total hip replacement: Problems of anatomy, methodology and interpretation?
Publication date: Available online 7 June 2017 Source:Scandinavian Journal of Pain Author(s): Johan Ræder (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - June 7, 2017 Category: Anesthesiology Source Type: research
Association between adolescent and parental use of analgesics
Publication date: July 2017 Source:Scandinavian Journal of Pain, Volume 16 Author(s): Bjørn E. Holstein (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - June 6, 2017 Category: Anesthesiology Source Type: research
Objective measurement of subjective pain-experience: Real nociceptive stimuli versus pain expectation
Publication date: July 2017 Source:Scandinavian Journal of Pain, Volume 16 Author(s): Johan Ræder (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - June 6, 2017 Category: Anesthesiology Source Type: research
Local infiltration analgesia or femoral nerve block for postoperative pain management in patients undergoing total hip arthroplasty. A randomized, double-blind study
Conclusion Local infiltration analgesia significantly reduces pain intensity on standing and mobilization, and rescue analgesic consumption compared to femoral nerve block without causing significant side effects. The superior analgesia in the LIA group may result from the secondary injection at 23h postoperatively and needs to be further evaluated in future studies. No differences were found in home discharge, quality of life and hip dysfunction between the groups. Implication Local infiltration analgesia is the preferred method for postoperative pain management following THA compared to single-shot femoral nerve block. ...
Source: Scandinavian Journal of Pain - June 1, 2017 Category: Anesthesiology Source Type: research
The changing face of acute pain services
Conclusions Beside the benefits of APS in reducing pain intensity, this study demonstrates that the focus of APS has been shifted from the traditional treatment of acute surgical pain to the clinical challenges of treating hospitalized patients with a high comorbidity of psychiatric diseases, opioid dependency and chronic pain. Implications The concept of an APS will ultimately be redefined according to the new clinical variables. In the light of the increasing number of patients with complex pain states and chronic pain, opioid dependency and psychiatric comorbidities it is mandatory that the interdisciplinary APS team s...
Source: Scandinavian Journal of Pain - May 26, 2017 Category: Anesthesiology Source Type: research
Chronic pain in multiple sclerosis: A 10-year longitudinal study
Conclusions The pain measures reported by the participants were similar to those at the 7-year follow-up except there was a greater representation of bilateral pain locations (limb, trunk and facial pain) compared to baseline and 7-year follow-up. At 10-year follow-up, more participants used medications compared to 7-year follow-up and there was an increase in the use of health professionals at the 10-year follow-up. At the 10-year follow up QoL of the participants deteriorated significantly and more participants had progressed to higher CPG III and CPG IV. This study demonstrates that chronic pain is a significant issue o...
Source: Scandinavian Journal of Pain - May 25, 2017 Category: Anesthesiology Source Type: research
The association between adolescent and parental use of non-prescription analgesics for headache and other somatic pain – A cross-sectional study
Conclusion Headache is the dominant medication-driving pain for non-prescription analgesics among adolescents but parental medication use of non-prescription analgesics also strongly influences adolescent use. Implications There is a need for health services to improve information to parents and adolescents about risks associated with use of analgesics and also to work on prophylactic strategies focusing on adolescents. Parents should be made aware that their medicine use strongly influences that of their children. Graphical abstract (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - May 25, 2017 Category: Anesthesiology Source Type: research
Cerebral oxygenation for pain monitoring in adults is ineffective: A sequence-randomized, sham controlled study in volunteers
Conclusions and Implications Contrary to our expectations, measuring SctO2 via a two-channel NIRS is not able to remediate the lack of objective bedside pain assessment under standardized experimental conditions in alert adults. Trial Registration: DRKS 00011575 (retrospectively registered). (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - May 25, 2017 Category: Anesthesiology Source Type: research
The association between pain characteristics, pain catastrophizing and health care use – Baseline results from the SWEPAIN cohort
Conclusion Our result suggests that pain intensity, pain spreading and pain catastrophizing independently influence the decision to consult health care while there is an interaction effect between pain duration and pain catastrophizing beliefs where the importance of pain catastrophizing believes differ with pain duration; the importance of pain catastrophizing believes differ with pain duration. Implications Treatment and rehabilitation strategies should incorporate this finding in order to meet the individual's needs focusing on the biopsychosocial model within health care focusing not only on actual pain reliefs but al...
Source: Scandinavian Journal of Pain - May 25, 2017 Category: Anesthesiology Source Type: research
Response to: “Letter to the Editor entitled: Unjustified extrapolation” [by authors: Supp G., Rosedale R., Werneke M.]
Publication date: Available online 11 May 2017 Source:Scandinavian Journal of Pain Author(s): Martin Rabey, Anne Smith, Darren Beales, Helen Slater, Peter O'Sullivan (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - May 11, 2017 Category: Anesthesiology Source Type: research
Intraoral QST – Mission impossible or not?
Publication date: July 2017 Source:Scandinavian Journal of Pain, Volume 16 Author(s): Peter Svensson (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - May 11, 2017 Category: Anesthesiology Source Type: research
Pain anxiety and fear of (re)injury in patients with chronic back pain: Sex as a moderator
Conclusions The results support a moderator effect of sex and suggest differential mechanisms between the sexes in pain anxiety and fear in development and maintenance of back pain. The current study is the first to report and analyse this moderator effect. As potential underlying mechanisms, evolution and socialization are discussed, which may elucidate why fear might be more relevant for pain in women, and anxiety more relevant for pain in men. Implications The results indicate the need for a more cautious conceptual separation of fear and anxiety in research. Future studies on fear and anxiety in pain should be aware o...
Source: Scandinavian Journal of Pain - May 11, 2017 Category: Anesthesiology Source Type: research
The effects of a brief educational intervention on medical students ’ knowledge, attitudes and beliefs towards low back pain
Conclusions After watching the educational video students’ knowledge, beliefs and attitudes towards LBP improved and thus aligned more closely with evidence-based guidelines. Implications Medical doctors are at the forefront of managing low back pain in the community, however there is a need to strengthen musculoskeletal education in medical training programmes. The results from this research suggest educational interventions on back pain do not need to be extensive in order to have favourable outcomes on medical students’ knowledge, attitudes and beliefs towards back pain. The translational effects of these changes i...
Source: Scandinavian Journal of Pain - May 2, 2017 Category: Anesthesiology Source Type: research
