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Can recent chronic pain techniques help with acute perioperative pain?

PURPOSE OF REVIEW: This article discussed how the knowledge and technique of a few chronic pain procedures benefited the perioperative clinicians in their care of patients receiving specific orthopaedic surgical procedures. RECENT FINDINGS: Recent emerging interest in hip and knee denervation for chronic pain management secondary to osteoarthritis stimulates publications on the new understanding of hip and knee joint innervation. The improved understanding of the anatomy allows better precision in targeting the articular branches. The procedures for chronic joint pain such as radiofrequency a…

Motor-Evoked Pain Increases Force Variability in Chronic Jaw Pain.

UNLABELLED: Musculoskeletal pain changes how people move. Although experimental pain is associated with increases in the variability of motor output, it is not clear whether motor-evoked pain in clinical conditions is also associated with increases in variability. In the current study, we measured jaw force production during a visually guided force paradigm in which individuals with chronic jaw pain and control subjects produced force at 2% of their maximum voluntary contraction (low target force level) and at 15% of their maximum voluntary contraction (high target force level). State measures…

Chronic Pain After Traumatic Brain Injury: Pathophysiology and Pain Mechanisms.

BACKGROUND: Traumatic brain injury refers to a broad range of neurological, cognitive, and emotional factors that result from the application of an external force to the head. Individuals recovering from traumatic brain injury will frequently experience acute and chronic pain. OBJECTIVE: The objective of this paper is to discuss the pathophysiological changes resulting from traumatic brain injury and how these may be involved in the development and persistence of pain after injury. METHODS: We based our review on articles retrieved from the MEDLINE database of references and abstracts on lif…

Pain chronification: what should a non-pain medicine specialist know?

OBJECTIVE: Pain is one of the most common reasons for an individual to consult their primary care physician, with most chronic pain being treated in the primary care setting. However, many primary care physicians/non-pain medicine specialists lack enough awareness, education and skills to manage pain patients appropriately, and there is currently no clear, common consensus/formal definition of "pain chronification". METHODS: This article, based on an international Change Pain Chronic Advisory Board meeting which was held in Wiesbaden, Germany, in October 2016, provides primary care physicians…

Orofacial pain after invasive dental procedures: neuropathic pain in perspective.

BACKGROUND: The neurologist is very familiar with the painful neuropathies of the trunk and extremities but, generally, to a lesser extent with those of the head and face. Of the latter, the neurologist is particularly familiar with ophthalmic zoster and trigeminal neuralgia. REVIEW SUMMARY: This review deals with neuropathic orofacial pain: (1) to highlight its presentation; and (2) to contrast it with that of neuropathic pain elsewhere in the body, including the head, from which it seems to differ significantly. The reason for the difference is also discussed as well as its implications for…

Fear avoidance and pain catastrophizing among women with sexual pain.

AIM: Among women under 30 years of age, around 20% report recurrent sexual pain. Although the amount of studies investigating sexual pain has increased, little is known about the role of psychosocial factors. The present study used the fear-avoidance model from musculoskeletal pain as a theoretical frame of reference, and examined fear-avoidance beliefs, avoidance behaviors, pain catastrophizing and symptoms of anxiety and depression among women (18-35 years) reporting sexual pain. METHODS: The study was cross-sectional, based on a sample of 133 women, where 37 women (27.8%) reported sexual p…

Increased pressure pain sensitivity in women with chronic pelvic pain.

OBJECTIVE: To determine whether women with chronic pelvic pain and variable degrees of endometriosis demonstrate altered pain sensitivity relative to pain-free healthy women in a control group and whether such differences are related to the presence or severity of endometriosis or comorbid pain syndromes. METHODS: Four patient subgroups (endometriosis with chronic pelvic pain [n=42], endometriosis with dysmenorrhea [n=15], pain-free endometriosis [n=35], and chronic pelvic pain without endometriosis [n=22]) were each compared with 30 healthy women in a control group in this cross-sectional st…

Pain and pain-related interference associated with recurrent aphthous ulcers.

AIMS: (1) To use psychometrically sound measures to characterize the pain levels and pain-related interference associated with recurrent aphthous ulcers (RAU); (2) to determine whether subjects with RAU report clinically significant psychologic symptoms; and (3) to examine the relationships between physical characteristics and self-reported psychologic symptoms, pain, and pain-related interference. METHODS: Forty-seven subjects with RAU and an active ulcer completed the Graded Chronic Pain Scale and the Symptom Checklist-90R (SCL-90R). Ulcers were photographed for measurement, and subjects ra…

The female sexual pain disorders: genital pain or sexual dysfunction?

Vaginismus and dyspareunia have been typically classified as sexual dysfunctions. In practice and research, this conceptualization has led to a focus on sexual and interpersonal issues after biological causes were excluded. Although this approach has been very useful, it has not led to significant theoretical or therapeutic progress in the last 20 years. We propose a reconceptualization of vaginismus and dyspareunia as pain disorders that interfere with sexuality rather than as sexual disorders characterized by pain. This reconceptualization focuses the clinician and researcher on the central …

Chronic pain. Clinical management of common causes of geriatric pain.

Effective management of chronic pain in older persons is attainable, although unnecessarily elusive. A host of factors can impede assessment and drug management, including impaired cognitive function, multiple potential causes of pain, pharmacokinetics and pharmacodynamics unique to the geriatric population, and clinician anxiety regarding analgesic addiction. In the geriatric population, some of the most prevalent chronic pain management cases involve osteoarthritis, low back pain, and neuropathy. Effective pain management is achieved with analgesics (acetaminophen and nonsteroidal anti-infla…

Understanding psychological aspects of chronic pain in interventional pain management.

There is no doubt that chronic pain is recognized as a biopsychosocial phenomenon in which biological, psychological, and social factors dynamically interact with each other. Thus, the role of psychological factors and understanding chronic, persistent disabling pain has been well recognized, but poorly understood. Approximately 1/2 to 2/3 of all patients diagnosed with chronic pain manifest to various levels of psychological distress. Chronic pain and psychological disorders are the two most common elements in the United States. Statistics show that, approximately 22% of Americans suffer from…

Craniofacial pain of myofascial origin: temporomandibular pain & tension-type headache.

Craniofacial pain of myofascial origin is a common chronic disorder. When the pain is unilateral and located periauricularly, masticatory myalgia is likely. Tension-type headache is usually bilateral and affects the upper part of the head. The possible interrelationship with generalized myofascial disorders are discussed. Practical approaches to history-taking, diagnosis, and treatment are suggested.

Farmers' Perspectives on Chronic Pain and Chronic Pain Management Strategies.

OBJECTIVE: This study aimed to explore farmers' perspectives on: 1) the meaning of chronic pain, 2) its impact, 3) their preferences for chronic pain management in the future, and 4) views on specific evidence-based chronic pain management strategies. METHODS: In-depth, semi-structured interviews were conducted with Australian farmers with a history of chronic pain within the last 12 months. A positivist, descriptive approach to Thematic Analysis was employed for data analysis. RESULTS: Sixteen Australian farmers, aged 36-75 years, participated. Five themes and 11 sub-themes were identified:…

Antibiotic treatment for low back pain, radicular pain, or both.

RATIONALE: Low back pain is the leading cause of disability worldwide. Research has associated Modic changes (signal changes in the vertebral endplate on magnetic resonance imaging (MRI)) with low back pain. Some hypothesise that Modic type 1 changes (oedema) may have an infective cause, and that antibiotics could serve as targeted treatment. OBJECTIVES: To assess the benefits and harms of antibiotic therapy, compared with placebo or another treatment, in people with low back pain, radicular pain, or both. SEARCH METHODS: We searched CENTRAL, MEDLINE, Embase, and two trials registries up to …

Nanotechnology Pain Patch Relieves Chronic Back Pain: A Case Report.

BACKGROUND: Low back pain is a debilitating symptom that may develop into a refractory chronic condition, resistant to physical, medical, psychological, and/or interventional therapy options. We would like to share the first report of a nanotechnology pain patch providing > 90% chronic back pain relief for 3 months. CASE REPORT: A 75-year-old man with chronic low back pain secondary to L2-L3 disc herniation suffered from pain for > 35 years. He found physical therapy, baclofen, low-dose opioids, and lumbar epidural steroid injection ineffective. A trial of a nanotechnology pain patch (nCAP Si…

Погода за болью: роль температуры окружающей среды в хронических синдромах боли.

ЦЕЛЬ РАССМОТРЕНИЯ: Хроническая боль широко распространена и связана со сложным взаимодействием сенсорных, эмоциональных и когнитивных процессов, на которые в значительной степени влияет температура окружающей среды. Несмотря на успехи в борьбе с обезболиванием, многие пациенты по-прежнему испытывают недостаточное облегчение. Цель этого обзора заключается в обобщении и критической оценке текущих данных о воздействии температуры окружающей среды на такие хронические болевые условия, как фибромиалгиа (ФМ), множественный склероз (МС), сложный региональный синдром боли (КПИ) и остеоартрит (ОА).ПОСЛ

Совпадение в аннотации оригинала
PURPOSE OF REVIEW: Chronic pain is highly prevalent and involves a complex interaction of sensory, emotional, and cognitive processes, significantly influenced by ambient temperature. Despite advances in pain management, many patients continue to experience inadequate pain relief. This review aims to consolidate and critically evaluate the current evidence o…

Pain Pathways: Linking Environmental Pollutants with Migraine-Associated Pain Signaling.

Using human cells and a mouse study, researchers found that pesticides, phthalates, hormone-like compounds, and other chemicals affected the TRPA1 channel-which is also implicated in migraine.

Myofascial pelvic pain: the forgotten player in chronic pelvic pain.

PURPOSE OF REVIEW: In this review article, we discuss myofascial-related chronic pelvic pain, pathophysiology, symptomology, and management options. RECENT FINDINGS: Despite high prevalence of myofascial pelvic pain, screening is not routinely performed by providers. Treatment modalities include pelvic floor physical therapy, pelvic floor trigger point injections with anesthetics or botulinum toxin A and cryotherapy. Other adjunct modalities, such as muscle relaxants and intravaginal benzodiazepines, are used, but data regarding their effectiveness is sparse. SUMMARY: Myofascial pelvic pain …