Pain Management

SSRI Antidepressant Drugs Interfere With Opioid Pain Relief

SSRI Antidepressant Drugs Interfere With Opioid Pain Relief

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Researchers examined whether SSRI antidepressants diminish the pain reduction effects of certain opioids.

Lutikizumab May Not Improve Pain, Inflammation in Knee Osteoarthritis

Lutikizumab May Not Improve Pain, Inflammation in Knee Osteoarthritis

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Lutikizumab may not improve pain or inflammation in patients with knee osteoarthritis and concomitant synovitis.

Slump Stretching May Be Beneficial in Low Back Pain

Slump Stretching May Be Beneficial in Low Back Pain

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Slump stretching may be beneficial to individuals with low back pain, based on very low to moderate quality evidence.

Opioid Use Varies by State Among Patients With Osteoarthritis

Opioid Use Varies by State Among Patients With Osteoarthritis

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Researchers observed substantial statewide variation in rates of treatment with long-term opioid therapy in osteoarthritis.

Work Group Recommendations on Outcome Measures in Clinical Studies on Musculoskeletal Pain

Work Group Recommendations on Outcome Measures in Clinical Studies on Musculoskeletal Pain

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A work group appointed by the Veterans Health Administration recommends the use of 2 scales with 8 items as core outcome measures to assess pain intensity and interference in studies examining chronic musculoskeletal pain.

Color Doppler Ultrasound for the Diagnosis of Sacroiliitis in Inflammatory Back Pain

Color Doppler Ultrasound for the Diagnosis of Sacroiliitis in Inflammatory Back Pain

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Color Doppler ultrasound may represent an appropriate tool for the diagnosis of sacroiliitis in patients presenting with inflammatory back pain.

5 Best Apps for Rheumatoid Arthritis

5 Best Apps for Rheumatoid Arthritis

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A number of smartphone apps may help your patients manage their rheumatoid arthritis. We list the 5 best in 2019.

Multi-Site Pain Common in Adults With Persistent Back Pain

Multi-Site Pain Common in Adults With Persistent Back Pain

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Multi-site pain was found to be common in older adults with persistent back pain and be associated with greater back pain intensity and poorer quality of life.

An Evidence-Based Road Map to Navigating the Opioid Epidemic

An Evidence-Based Road Map to Navigating the Opioid Epidemic

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This rise in prescribing of prescription opioids in the last 2 decades of the 20th century occurred at a time during which medical professionals were urged to resort to prescription opioids to manage untreated and chronic noncancer pain.

Pain Catastrophizing Associated With Quality of Life in Hip Osteoarthritis

Pain Catastrophizing Associated With Quality of Life in Hip Osteoarthritis

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Pre-surgical pain catastrophizing may be independently associated with quality of life in patients with severe hip osteoarthritis.

Questionnaire May Reliably Identify Fibromyalgia in Patients With Chronic Daily Headache

Questionnaire May Reliably Identify Fibromyalgia in Patients With Chronic Daily Headache

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The Fibromyalgia Rapid Screening Tool may be reliable for detecting fibromyalgia in patients with chronic daily headache.

Comparable Analgesia With Local Infiltration Analgesia, Interscalene Nerve Block After Shoulder Arthroplasty

Comparable Analgesia With Local Infiltration Analgesia, Interscalene Nerve Block After Shoulder Arthroplasty

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Local infiltration analgesia was found to have an efficacy comparable with that of conventional interscalene nerve block for the management of pain during the early postoperative period following total shoulder arthroplasty.

Marketing of Opioids Linked to Increased Overdose Mortality

Marketing of Opioids Linked to Increased Overdose Mortality

Marketing of opioids to physicians is associated with increased mortality from opioid overdoses.

Risk Factors Associated With Chronic Opioid Use in Musculoskeletal Pain

Risk Factors Associated With Chronic Opioid Use in Musculoskeletal Pain

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The chronic use of opioids was found to be low in individuals with musculoskeletal pain, and to have decreased from 2008 to 2014.

Trajectory of Persistent Pain Examined in Patients With Back Pain

Trajectory of Persistent Pain Examined in Patients With Back Pain

Significant differences were observed in patterns of medication and healthcare use across back pain trajectories.

Ultrarestrictive Opioid Protocol May Effectively Manage Postoperative Pain

Ultrarestrictive Opioid Protocol May Effectively Manage Postoperative Pain

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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.

Effect Sizes Uncertain for Medication vs Placebo in Knee OA Pain

Effect Sizes Uncertain for Medication vs Placebo in Knee OA Pain

For patients with knee osteoarthritis and at least 12 months of follow-up, there is uncertainty around estimates of effect size for the change in pain in association with medications vs placebo.

Opioids Offer Small Improvement in Pain, Physical Function

Opioids Offer Small Improvement in Pain, Physical Function

Opioid use is associated with small improvements in pain and physical functioning in patients with chronic noncancer pain.

Knee Pain May Be Predictive of Structural Progression in Patients With OA

Knee Pain May Be Predictive of Structural Progression in Patients With OA

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Knee pain predicted accelerated cartilage volume loss and increased risk for incident radiographic osteoarthritis.

Increasing TENS Stimulation Intensity May Benefit Women With Fibromyalgia

Increasing TENS Stimulation Intensity May Benefit Women With Fibromyalgia

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Increases in stimulation intensity for transcutaneous electrical nerve stimulation may benefit women with fibromyalgia-related pain, particularly older women and women with anxiety.

Pain Profiling May Predict Response to NSAID Plus Paracetamol in Knee Osteoarthritis

Pain Profiling May Predict Response to NSAID Plus Paracetamol in Knee Osteoarthritis

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Mechanistic pain profiling may help predict response to treatment for knee osteoarthritis with nonsteroidal anti-inflammatory drugs plus paracetamol.

Four Pain Susceptibility Phenotypes Identified in Knee Osteoarthritis

Four Pain Susceptibility Phenotypes Identified in Knee Osteoarthritis

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Four pain susceptibility phenotypes were identified in patients who had or were at risk for knee osteoarthritis, as well as risk factors for the development of persistent knee pain.

Operant Learning May Provide More Benefits Than Energy Conservation in Fibromyalgia

Operant Learning May Provide More Benefits Than Energy Conservation in Fibromyalgia

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Operant learning may provide additional benefits compared with energy conservation in patients with fibromyalgia syndrome.

Central Risk Factors May Contribute to Neuropathic-Like Knee Pain

Central Risk Factors May Contribute to Neuropathic-Like Knee Pain

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Neuropathic-like knee pain may be driven by central risk factors that include depression, anxiety, and pain catastrophizing.

What Do Clinicians Do in Response to Aberrant Urine Drug Test Results?

What Do Clinicians Do in Response to Aberrant Urine Drug Test Results?

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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.

Benefits of a Pain and Stress Management Program for the Management of Chronic Pain

Benefits of a Pain and Stress Management Program for the Management of Chronic Pain

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A "Pain and Stress Management" program for the management of chronic pain, was found to be effective in alleviating pain, diminishing stress, promoting self-management of pain, and ameliorating general well-being.

Opioid Use High in Patients With Systemic Lupus Erythematosus

Opioid Use High in Patients With Systemic Lupus Erythematosus

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Patients with SLE who experienced high pain levels and had a visit to the emergency department the previous year were more likely to use opioids.

Internet-Delivered Exposure Therapy Cost-Effective for Patients With Fibromyalgia

Internet-Delivered Exposure Therapy Cost-Effective for Patients With Fibromyalgia

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In a randomized control trial, researchers found that internet-delivered exposure therapy was more cost-effective for patients with fibromyalgia than a waitlist control, which did not involve any treatment during the experimental phase of the study.

Utility of Repeated Sacroiliac Joint MRI in Chronic Back Pain, Suspected axSpA

Utility of Repeated Sacroiliac Joint MRI in Chronic Back Pain, Suspected axSpA

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Findings suggest that repeating MRI of the sacroiliac joints after 3 months or 1 year in patients with chronic back pain and suspected axial spondyloarthritis was not useful.

Inflammatory Back Pain Resolves in Many Patients

Inflammatory Back Pain Resolves in Many Patients

Inflammatory back pain often resolves, while in 30% of patients it progresses to spondyloarthritis within 10 years.

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