Pain Management News Archive
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.
Opioid use is associated with small improvements in pain and physical functioning in patients with chronic noncancer pain.
Knee pain predicted accelerated cartilage volume loss and increased risk for incident radiographic osteoarthritis.
Mechanistic pain profiling may help predict response to treatment for knee osteoarthritis with nonsteroidal anti-inflammatory drugs plus paracetamol.
Neuropathic-like knee pain may be driven by central risk factors that include depression, anxiety, and pain catastrophizing.
After an aberrant urine drug test result in patients on opioid therapy, the majority of clinicians were found to change opioid dosing or enact another strategy to reduce opioid-related risks.
Spending your day updating electronic health records, researching, and sending emails can be a pain in the neck - figuratively and literally. Here are 8 tips to prevent tech neck.
Inflammatory back pain often resolves, while in 30% of patients it progresses to spondyloarthritis within 10 years.
In patients with osteoarthritis, chronic pain is a primary symptom that may limit daily activities and impair function.
Acute postoperative pain scores were found to be associated with chronic opioid use after total knee arthroplasty in patients taking opioid medications prior to intervention.
Factors to be considered when choosing the correct NSAID for arthritis include effectiveness, concurrent health conditions, and frequency of use.
Psychosocial interventions such as patient education and relaxation techniques may help reduce pain after orthopedic surgery and improve quality of clinical care.
A panel of experts formulated consensus guidelines for physicians who use intravenous ketamine infusions to treat chronic pain.
The percentage of patients with septic arthritis related to opioid or injection drug use was found to have increased from 2000 to 2013.
Calcium phosphate cement loaded with bupivacaine vs ropivacaine may accelerate functional recovery after bone reconstruction surgery and maintain bone-filling properties.
Liposomal bupivacaine use in patients undergoing TKA is not associated with clinically meaningful reductions in inpatient opioid use.
Percutaneous vertebroplasty for acute osteoporotic vertebral compression fractures may not provide analgesic benefits superior to a sham procedure.
Regional anesthesia is associated with a lower opioid consumption in both knee and hip replacement surgeries, compared to general anesthesia.
Education Plus Exercise, Single Corticosteroid Injection Effective in Long Term for Gluteal Tendinopathy
Education combined with exercise as well as a single corticosteroid injection may be more effective than a wait-and-see approach for alleviating gluteal tendinopathy-associated pain.
Adding an exercise regimen to a comprehensive educational program for the management of greater trochanteric pain syndrome may not bring significant benefit.
A set of psychosocial and sociodemographic factors may be associated with pain levels in patients with knee osteoarthritis.
Intraoperative periarticular local anesthetic infiltration and psoas compartment block may provide comparable analgesia after total hip arthroplasty.
Addition of an interspace between the popliteal artery and capsule of the posterior knee block and adductor canal block to periarticular injection is associated with less pain after TKA.
For patients undergoing TKA, there were factors that influenced peak plasma total ropivacaine concentration after local infiltration analgesia.
For patients with irreparable rotator cuff tear, improvements in range of motion and pain levels may be achieved with reverse total shoulder arthroplasty.
IV zoledronic acid and vitamin D reduces volume of bone marrow edema in patients with bone marrow lesions.
The reasoning for not taking prescribed opioids, the number of unused pills, method medication was stored and disposed of was assessed.
The 'Choosing Wisely" campaign was launched in order to reduce expenses forlow back pain visits.
SNB and FNB was more effective in pain relief for patients undergoing TKA.
In a randomized trial that compared the efficacy of yoga, physical therapy, and education for patients with chronic low back pain, yoga was deemed noninferior to PT.
Radiofrequency denervation of thoracic facet joints may provide pain relief comparable to pain relief achieved for cervical and lumbar facet joints.
Celecoxib plus a proton pump inhibitor reduces risk for recurrent upper gastrointestinal bleeding in patients with arthritis using NSAIDs who are at risk for cardiovascular, gastrointestinal events.
A review and meta-analysis indicates that spinal manipulative therapy is linked to modest improvements in low back pain.
The Veterans Administration and Department of Defense issue an updated clinical practice guideline regarding opioid therapy for chronic pain in veterans.
Researchers found a correlation between use of corticosteroids and increased odds of metabolic syndrome and elevated body mass index.
FDA gives breakthrough therapy designation to rituxan for treatment of pemphigus vulgaris and is indicated for treating rheumatoid arthritis
A training program on opioid prescribing for general practice registrars was developed to improve adherence to guidelines on opioid prescribing for chronic noncancer pain.
A single glucocorticoid intradiscal injection will reduce chronic low back pain with active discopathy for 1 month but not 12 months after injection.
New opioid analgesic, NKTR-181, being evaluated in the SUMMIT-07 Phase 3 study for the treatment of moderate to severe chronic pain.
Researchers found that prescribing opioids to patients for 8 or more days increases likelihood of long-term dependence.
Study examines cohort of consecutive patients treated with 3D neural targeting spinal cord stimulation vs patients previously treated with a traditional SCS device.
Heroin accounted for one-quarter of overdose deaths in 2015.
Updated guidelines for chronic, non-cancer pain focus on safe and effective opioid prescribing practices.
No difference in health care utilization was seen in patients receiving early PT for a new episode of low back pain compared with those not receiving PT.
New practice guidelines on the noninvasive treatment of low back pain have been issued by the American College of Physicians (ACP).
Study suggests that functioning and pain interference should be routinely assessed in children with chronic pain.
Review of studies finds small improvements in pain levels and function after 3 to 6 months of yoga.
Methods to prevent depression could help reduce chronic back pain.
Only 1 in 6 patients who take NSAIDs for back pain achieved benefits from the therapy.
Spinal cord stimulation was found to help decrease or stabilize opioid use in patients with chronic pain.
Due to the prevalence of prescription opioid abuse in the United States, the development of abuse-resistant pain medications has been a focus for many pharmaceutical companies.
Researchers examined whether or not the weather truly affects episodes of acute low back pain.
Study finds improvement in self-reported outcomes at 3 months and longer in patients with chronic lumbar back pain.
Similar efficacy, superior safety of nonparticulate vs particulate corticosteroids for alleviating radicular pain.
Throughout 2016, the FDA announced requirements for manufacturers to create new product labeling information for a variety of opioid medications.
Transforaminal approach to the treatment of cervical radicular pain presents risks.
A brief measure of emotional preoperative stress (B-MEPS) was used to assess patient's preoperative stress and postoperative pain.
Multiple psychosocial factors such as depression, anxiety, and pain catastrophizing are associated with opioid analgesic response.
Research team discusses how to keep cost of naloxone down, and with it the number of opioid-related deaths in the US.
Current definitions on how pain is measured are based on findings that are more than two decades old. A refresh may be in order.
Drug development faces 2 major issues: pre-clinical animal efficacy studies do not accurately predict human efficacy, and clinical trials often wrongly fail to show drug efficacy.
While there are similarities in the pattern and severity of sleep disturbance between primary insomnia and pain-related insomnia, thought processes appear to play a significant role in the manifestation of pain-related insomnia.
The adjusted cost per patient is lower for neuropathic pain treatment with pregabalin than gabapentin.
As efforts to improve chronic pain treatment continue, some experts propose that the focus should shift toward the multifaceted etiology of pain itself.
Traumatic injury is not a main driver for continued opioid use in patients who were not taking opioids prior to their injuries.
Open-label placebo presented in a positive context was found to be associated with decreased reported pain in patients with chronic lower back pain.
Beta-blocker use was associated with less joint pain and lower use of opioids in patients with symptomatic, large joint radiographic OA.
Use of complementary health approaches is significantly higher for adults in the US with musculoskeletal pain disorders.
The American Society of Regional Anesthesia and Pain Medicine (ASRA) released a formal position statement requesting that the DEA reschedule marijuana.
The administration of open label placebo pills which are presented in a positive context may be helpful in chronic low back pain.
Suicide rates increase with both age and presence of poor physical health.
The intraarticular injection of platelet rich plasma was an effective treatment for low back pain involving the sacroiliac joint.
The FDA has stated that the development of a low-cost, crowd-sourced mobile application may help increase the proper administration of naloxone by opioid users, their personal networks, and first responders to treat opioid overdose.
Researchers noted that very few patients are actually being prescribed buprenorphine compared with the limit of patients that each physician is allowed to treat.
Concern was expressed by some pain specialists over the new CDC guidelines addressing the opioid epidemic.
Preliminary results suggest that transdermal analgesic is efficacious in reducing both opioid use and pain scores.
The financial toll includes direct health care costs, lost productivity, and costs to the criminal justice system.
Jeffrey Gudin, MD, recommends a "stepwise approach" to designing a treatment plan for patients with chronic pain.
The escalating burden of pain management has resulted in the publication of the National Pain Strategy, a combined effort of the Institute of Medicine and the Department of Health and Human Services (HHS).
Pain catastrophizing was significantly reduced by this simple 2-hour psycho-educational class.
A multifactorial approach is key to safe and effective opioid prescribing practices.
Pregabalin-linked improvement in neuropathic pain was found regardless of time since initial onset of pain.
Patients with chronic pain often experience nighttime sleep disturbance, exacerbated by high-dose opioid treatment.
A radiofrequency ablation device targeting the basivertebral nerve was approved by the FDA in July 2016 for treating chronic low back pain.
A retrospective recently found that men had greater cannabis-induced analgesia relative to women
The use of placebos is both common and controversial in clinical practice.
Several imminent pain pharmacotherapy patent expirations are forecasted to affect the pain management landscape.
The model proposes that prioritizing alternate life goals with optimism rather than perpetuating pain-associated behaviors with negative affect can break the pain cycle.
This study found that many patients on opioids being monitored for compliance or illicit drug use tested positive for gabapentin even though they did not have a prescription
Fat mass and body mass index (BMI) are independently associated with the development of multi-site pain .
The use of nebulized fentanyl may provide a way to manage pain without the need for intravenous access.
Data from a randomized, placebo-controlled trial suggests that among adults with opioid dependence attempting to maintain abstinence with buprenorphine, the use of an implant is not inferior to the continued use of the drug delivered sublingually.
Metimazole was associated with less gastric and duodenal ulcers than other nonselective NSAIDs, suggesting it may play a role in postoperative pain management
The proposal to remove pain from patient satisfaction scores may decrease the incentives for medical providers to prescribe unnecessary opioids as Medicare reimbursement rates were pegged to some of these metrics.
Started in 2015, the 3-year Narcotic Safety Initiative aims to help Blue Shield's plan participants curb the epidemic and seeks to reduce inappropriate prescribing and overuse of opioid narcotic medications for [its] members by at least 50% by the end of 2018.
Chronic opioid use following surgery occurs because surgery may unmask an individual's susceptibility toward long-term opioid use
An excess of 60 U.S. medical schools pledged to teach new federal guidelines for prescribing opioids
Among older adults, immune system dysregulation may contribute to the increased prevalence of pain in older adults
Three clinical neuropathy characteristics (onset, distribution, and associated systemic features) can be used to accurately identify patients with inflammatory neuropathies
There has been a growing push for widened access to naloxone, an opioid antagonist that reverses the respiratory depression characteristic of opioid overdose.
Rheumatology Advisor Articles
- Vaccination Guidelines Released for Patients With Immune-Mediated Disorders
- Baricitinib Therapy in RA Not Associated With Adverse Cardiovascular Events
- Clinical, Radiographic Benefits of Tofacitinib Sustained for 2 Years in Rheumatoid Arthritis
- Axial Disease More Common in Psoriatic Arthritis With Acute Skin Manifestations
- Cardiovascular Safety in Gout: Interpreting Data From the CARES Trial
- Vaccination Guidelines Released for Patients With Immune-Mediated Disorders
- Does Cold Weather Affect Arthritis and Joint Pain?
- BMD Improved Significantly With Denosumab vs Bisphosphonates in Osteoporosis
- JAK Inhibitor Tapering in Rheumatoid Arthritis: Implications for Patients in Sustained Remission
- Yoga May Help With Rheumatoid Arthritis Symptoms, Severity
- Mycoplasma Pneumonia Increases Risk for Rheumatoid Arthritis
- Effectiveness of Biologic DMARDs in Rheumatoid Arthritis Compared
- Subchondral Pathology Independently Associated With Knee Osteoarthritis
- Yoga May Help With Rheumatoid Arthritis Symptoms, Severity
- Effects of Monetary Bonuses on Physician Care in Chronic Disease