Acute Pain News Archive

Case Report: Foot Pain After Jogging Injury

A 64-year-old woman presents to an urgent care clinic with 24 hours of left foot pain after tweaking it while jogging. What's her diagnosis?

ACTTION Consensus Provides Best Practices for the Design of Pediatric Clinical Trials Focused on Acute Pain

ACTTION Consensus Provides Best Practices for the Design of Pediatric Clinical Trials Focused on Acute Pain

Key factors susceptible to improve the design of clinical trials on analgesics for acute pain in pediatric populations were reviewed and recommendations published.

High Prevalence of Musculoskeletal Disorders in At-Risk Physicians

High Prevalence of Musculoskeletal Disorders in At-Risk Physicians

The most common work-related musculoskeletal disorders in physicians were found to be degenerative cervical spine disease, rotator cuff pathology, degenerative lumbar spine disease, and carpal tunnel syndrome.

FDA Accepts New Drug Application for Novel Buprenorphine Sublingual Spray

FDA Accepts New Drug Application for Novel Buprenorphine Sublingual Spray

Compared to other commonly used opioids, buprenorphine offers a ceiling effect for respiratory depression and less abuse potential, less cognitive impairment, and less constipation.

Nonopioid Analgesic Combination and Opioid Combinations Provide Similar Analgesic Effects for Acute Extremity Pain

Nonopioid Analgesic Combination and Opioid Combinations Provide Similar Analgesic Effects for Acute Extremity Pain

Nonopioid analgesic combinations may be noninferior to opioid/acetaminophen combinations for reducing acute extremity pain.

Virtual Reality Reduces Pain in Children During Routine Blood Draw

Virtual Reality Reduces Pain in Children During Routine Blood Draw

Virtual reality was shown to reduce pain and anxiety compared with standard of care during routine blood draws in children and adolescents.

Pain in Elite Athletes: IOC Recommendations on Contributing Factors and Treatment Approach

Pain in Elite Athletes: IOC Recommendations on Contributing Factors and Treatment Approach

Pain management in athletes requires a clear understanding of the different types of pain and various factors that can contribute to pain in this population.

New Drug Application Submitted for Olinvo to Treat Acute Pain

New Drug Application Submitted for Olinvo to Treat Acute Pain

Trevena has submitted their New Drug Application to the FDA for Olinvo, an oliceridine injection, for the management of moderate-to-severe pain in the hospital and similar settings.

Ice Cube Cryotherapy Reduces Local Anesthetic Injection Pain

Ice Cube Cryotherapy Reduces Local Anesthetic Injection Pain

Ice-cube cryotherapy prior to subcutaneous local anesthetic injection reduced pain in patients undergoing repair for simple lacerations.

Steroid Injection Betters Hand Function in Carpal Tunnel Syndrome

Steroid Injection Betters Hand Function in Carpal Tunnel Syndrome

Local steroid injection improved hand function and finger dexterity in patients with carpal tunnel syndrome.

Predictors of Nausea, Vomiting in Patients Receiving Postoperative Opioids

Predictors of Nausea, Vomiting in Patients Receiving Postoperative Opioids

Opioid treatment of acute postoperative pain was shown to cause high rates of postoperative nausea and vomiting, particularly in women and younger patients.

Uniport vs Multiport Catheters for Labor Epidural Analgesia

Uniport vs Multiport Catheters for Labor Epidural Analgesia

Uniport and multiport wire-reinforced flexible catheters have similar analgesic efficacy for labor epidural analgesia.

Younger Children Show Higher Concussion Symptom Severity

Younger Children Show Higher Concussion Symptom Severity

Age was the largest single variable influencing child concussion assessment scores, with worse scores reported among younger children.

Image-Guided Symphyseal Steroid Injection for Sports-Related Groin Pain

Image-Guided Symphyseal Steroid Injection for Sports-Related Groin Pain

Fluoroscopy-guided corticosteroid symphyseal injection was found to be effective for the treatment of sports-related groin pain.

Acetaminophen, Ibuprofen Often Under-Dosed in Children in the ED

Acetaminophen, Ibuprofen Often Under-Dosed in Children in the ED

Acetaminophen and ibuprofen are frequently under-dosed in children in the emergency department.

Acute Pain Management in the Emergency Department With SoluMatrix Indomethacin

Acute Pain Management in the Emergency Department With SoluMatrix Indomethacin

SoluMatrix indomethacin may represent a treatment option for the management of moderate acute pain, including patients in emergency room settings.

Levobupivacaine vs Ropivacaine for Brachial Plexus Block

Levobupivacaine vs Ropivacaine for Brachial Plexus Block

Levobupivacaine and ropivacaine show similar analgesic effects postoperatively after brachial plexus block.

Secondary Hyperalgesia Mediated by Nociceptive and Other Sensory Pathways

Secondary Hyperalgesia Mediated by Nociceptive and Other Sensory Pathways

The effects of central sensitization extend beyond nociceptive pathways to other sensory modalities.

Undiagnosed Chest Pain May Increase Cardiovascular Risk

Undiagnosed Chest Pain May Increase Cardiovascular Risk

Most patients with undiagnosed chest pain in primary care do not undergo cardiac diagnostic testing.

Virtual Reality Technology for Hospital Pain Management

Virtual Reality Technology for Hospital Pain Management

The use of virtual reality technology was superior to standard controlled distraction therapy for the management of pain in hospitalized patients.

Strategies to Prevent the Transition From Postoperative Acute Pain to Chronic Pain

Strategies to Prevent the Transition From Postoperative Acute Pain to Chronic Pain

A number of shortcomings are associated with systematic reviews and meta-analyses of postoperative care.

AAOS: Few Hip Fracture Patients Consistently Take Vitamin D

AAOS: Few Hip Fracture Patients Consistently Take Vitamin D

There was a correlation for consistent vitamin D supplementation with increase in physical component of the SF-12 score.

Aspirin May Improve Perineal Pain After Episiotomy

Aspirin May Improve Perineal Pain After Episiotomy

Single-dose aspirin may provide relief of perineal pain after episiotomy in women who are not breastfeeding.

Nitrous Oxide During Labor: Less Pain Relief, High Patient Satisfaction

Nitrous Oxide During Labor: Less Pain Relief, High Patient Satisfaction

Despite lower reported effectiveness for labor pain, the degree of patient satisfaction in women who received nitrous oxide is similar to that of women who received neuraxial modalities.

Online Tool To Determine When Tests Are Needed for Chest Pain

Online Tool To Determine When Tests Are Needed for Chest Pain

An online tool predicts which patients with chest pain are likely to have normal non-invasive test results and remain free of cardiac adverse events.

Lidocaine Safe, Effective for Pain in the ICU

Lidocaine Safe, Effective for Pain in the ICU

Intravenous lidocaine seems safe for reducing pain among patients in the intensive care unit with varying degrees of organ dysfunction.

Accounting for Gender Differences in Concussion Diagnosis and Treatment

Accounting for Gender Differences in Concussion Diagnosis and Treatment

Female athletes at higher risk for concussion and worse related outcomes than male athletes.

Opioids vs NSAIDs Following Motor Vehicle Collision

Opioids vs NSAIDs Following Motor Vehicle Collision

Opioids prescribed for pain following a motor vehicle collision do not reduce the likelihood of developing persistent pain.

Diagnostic Criteria for Chronic Sickle Cell Disease-Related Pain

Diagnostic Criteria for Chronic Sickle Cell Disease-Related Pain

A new evidence-based classification system for chronic sickle cell disease pain was recently published.

Difficulty in Evaluating Pharmacologic Interventions Following Craniotomy

Difficulty in Evaluating Pharmacologic Interventions Following Craniotomy

Studies reporting pharmacological and adjuvant analgesic modalities for post-craniotomy pain control have significant divergence in their research methods.

Lidocaine, Not Sucrose, Relieved Some Pain in Infant Vaccination

Lidocaine, Not Sucrose, Relieved Some Pain in Infant Vaccination

In a comparative study, topical liposomal lidocaine proved most effective for analgesia during infant vaccination.

Pain Control After Nephrectomy: Epidural & Continuous Surgical Site Analgesia

Pain Control After Nephrectomy: Epidural & Continuous Surgical Site Analgesia

Many patients experience pain months after nephrectomy. Continuous surgical site analgesia may offer the best long-term pain control.

New Tool Measures Stress to Predict Level of Postoperative Pain

New Tool Measures Stress to Predict Level of Postoperative Pain

Psychological factors may influence the severity and duration of pain following surgery.

Distinct Sets of Genes are Activated in Post-Surgical and Chronic Pain Conditions

Distinct Sets of Genes are Activated in Post-Surgical and Chronic Pain Conditions

Distinct phases exist in acute vs persistent pain in a mouse model of OA.

Diagnosing and Treating Hip Pain: Q&A With a Sports Medicine Orthopedic Surgeon

Diagnosing and Treating Hip Pain: Q&A With a Sports Medicine Orthopedic Surgeon

Surgical outcomes are optimal when femoracetabular impingement and athletic pubalgia are treated together.

Chinese Herb Shows Antinociceptive Effects on Neuropathic Pain

Chinese Herb Shows Antinociceptive Effects on Neuropathic Pain

YHS presents a potential new treatment option for neuropathic pain management, without the tolerance observed with many analgesic drugs.

Osteopathic Manipulation for Postpartum Pain

Osteopathic Manipulation for Postpartum Pain

These findings lay the groundwork for further consideration of OMT as a supplementary approach to standard care.

Does Massage Therapy Significantly Improve Function in Patients With Post-Surgical Pain?

Does Massage Therapy Significantly Improve Function in Patients With Post-Surgical Pain?

The researchers concluded that the results from this systematic review and meta-analysis are promising, and that it is worth investing in these recommendations in future research to be able to eventually offer massage therapy to surgical patients experiencing pain.

Modest Changes in Practice for High-Sensitivity TnT Reporting

Modest Changes in Practice for High-Sensitivity TnT Reporting

hs-TnT assay has minimal impact on patients presenting to the ER with chest pain

Nebulized Fentanyl vs. IV Opioids for Acute Pain

Nebulized Fentanyl vs. IV Opioids for Acute Pain

Nebulized fentanyl is as effective as IV opioids for the treatment of acute pain.

Study to Test Ways To Discuss Opioid Risks With ER Patients

Study to Test Ways To Discuss Opioid Risks With ER Patients

Researchers hypothesize that communicating opioid addiction risks to patients using real-life narratives could be effective and low-cost.

Removing Pain Questions From Patient Experience of Care Surveys

Removing Pain Questions From Patient Experience of Care Surveys

Pain management questions from patient satisfaction surveys have been used to influence Medicare reimbursement rates and have resulted in unintended consequences in light of the nation's opioid epidemic.

Medical Marijuana Laws May Reduce Medicare Prescription Use, Spending

Medical Marijuana Laws May Reduce Medicare Prescription Use, Spending

In states where marijuana is legalized for medicinal purposes, Medicare's prescription drug benefit program has lowered its spending due to reduced prescription drug use.

Phase 3 Trial for Sublingual Sufentanil for the Treatment of Moderate-to-Severe Acute Pain

Phase 3 Trial for Sublingual Sufentanil for the Treatment of Moderate-to-Severe Acute Pain

ARX-04 would provide a non-invasive option for moderate-to-severe acute pain in medical settings.

Effect of Ropivacaine on Opioid Consumption, Pain Following Hysterectomy

Effect of Ropivacaine on Opioid Consumption, Pain Following Hysterectomy

Ropivacaine linked to reduced postoperative opioid consumption, pain versus placebo

Diagnosing Non-Traumatic Chest Pain in the Emergency Department

Diagnosing Non-Traumatic Chest Pain in the Emergency Department

A Minority of patients presenting to the ED with chest pain are diagnosed with life-threatening conditions

Local Infiltrative Anesthesia vs Regional Blockade for Post-TKA Pain

Local Infiltrative Anesthesia vs Regional Blockade for Post-TKA Pain

In this pooled meta-analysis, LIA provided better analgesia at rest in the immediate post-operative period when compared to RB, in addition to preserving quadriceps function.

Magnetic Resonance Arthrography Best for Medial Elbow Pain Assessment

Magnetic Resonance Arthrography Best for Medial Elbow Pain Assessment

Improved specificity, sensitivity, and accuracy for diagnosing ulnar collateral ligament tears

Shortages of Acute, Non-Acute Drugs Continues in US

Shortages of Acute, Non-Acute Drugs Continues in US

Despite legislation, there is a longer wait time for vital acute-care medications.

Poor Sleep May Adversely Effect Baseline Concussion Assessment

Poor Sleep May Adversely Effect Baseline Concussion Assessment

Sleep duration appeared to have a significant effect on symptom reporting, especially in girls.

High School Football Players Experienced More Symptoms After Concussion

High School Football Players Experienced More Symptoms After Concussion

Youth league players were most likely to continue playing less than 24 hours after a head injury.

Sleep Problems Persist After Traumatic Brain Injury

Sleep Problems Persist After Traumatic Brain Injury

Many patients significantly underestimated their daytime sleepiness and sleep need.

Behavioral Interventions in the ED Can Reduce Risk of Opioid Overdose

Behavioral Interventions in the ED Can Reduce Risk of Opioid Overdose

Combination of a motivational interviewing and enhanced brochures successful in reducing behaviors associated with opioid overdose.

Platelet-Rich Plasma Therapy and Sports-Related Injuries

Platelet-Rich Plasma Therapy and Sports-Related Injuries

Despite lack of FDA approval, PRP therapy is gaining unproven acceptance as treatment for sports-related injuries.

Post-Op Gouty Arthritis Described in Patient Taking Thiazide

Post-Op Gouty Arthritis Described in Patient Taking Thiazide

Case of postoperative acute gouty arthritis documented, secondary to hydrochlorothiazide use.

Can Provocative Discography Up Risk of Clinical Disc Problems?

Can Provocative Discography Up Risk of Clinical Disc Problems?

More lumbar surgeries in patients undergoing discography, and more medical visits, work loss, pain.

Using Entire Shape of CBFV Waveform IDs Concussion

Using Entire Shape of CBFV Waveform IDs Concussion

Machine-learning platform uses entire shape of cerebral blood flow velocity waveforms.

Using Ultrasound Headset to Recognize Concussion on the Sidelines

Using Ultrasound Headset to Recognize Concussion on the Sidelines

Accurately recognizing concussions can become a reality if clinicians begin using an advanced form of ultrasound that maps blood flow in the brain, new research suggests.

American Academy of Pain Management Board Votes to Change Name

American Academy of Pain Management Board Votes to Change Name

AAPM will be changing its name to the American Academy of Integrative Pain Management in an effort to emphasize its focus on promoting integrative approaches to pain management.

Addressing Chest Pain in Young Adults Presenting to ER

Addressing Chest Pain in Young Adults Presenting to ER

Physicians should focus on stress reaction after ruling out cardiac risk, based on risk factors, history.

American Pain Society to Host 35th Annual Scientific Meeting

American Pain Society to Host 35th Annual Scientific Meeting

The American Pain Society next month will be welcoming pain researchers to its 35th Annual Scientific Meeting. Attendees can expect an array of educational sessions focusing on acute pain, chronic cancer and noncancer pain, and recurrent pain.

CDC Hosts Zika Action Plan Summit

CDC Hosts Zika Action Plan Summit

Virus expected to become active in some parts of the southern United States in early summer.

Anesthesia During Abortion: Should It Be Required?

Anesthesia During Abortion: Should It Be Required?

Law applies to woman having the procedure at 20 weeks or later.

Sports-Related Concussions: How Many Are Too Many?

Sports-Related Concussions: How Many Are Too Many?

The challenges of moving past the "3 strikes and you're out" rule.

Are Women More Prone to Knee Injuries Than Men?

Are Women More Prone to Knee Injuries Than Men?

New research suggests that women athletes who use birth control pills are less likely to suffer serious knee injuries.

Patient-Controlled PO Analgesia Non-Inferior to Parenteral Analgesia Post C-Section

Patient-Controlled PO Analgesia Non-Inferior to Parenteral Analgesia Post C-Section

This randomized, controlled study found that women assigned to a PO patient-controlled analgesia (PCA) regimen after c/s had comparable rates of pain control as compared to patients receiving standard parental analgesia for postoperative pain management.

CDC Releases Guideline for PCPs Prescribing Opioids to Patients With Chronic Pain

CDC Releases Guideline for PCPs Prescribing Opioids to Patients With Chronic Pain

The CDC has issued guidelines for primary care providers who prescribe opioids for chronic pain.

Are Pregnant Women With Migraine at Risk for Labor, Delivery Complications?

Are Pregnant Women With Migraine at Risk for Labor, Delivery Complications?

A new study revealed that pregnant women with severe migraine may be at increased risk for labor and delivery complications.

Do Sleepwalkers Feel Pain During Sleep?

Do Sleepwalkers Feel Pain During Sleep?

Although people who sleepwalk may injure themselves, they often do not feel pain until they are awake.

Study: Core-Needle Biopsy May Be Effective in Evaluation of Renal Masses

Study: Core-Needle Biopsy May Be Effective in Evaluation of Renal Masses

Image-guided testing of tissue from the renal mass may lead to improved treatments, researchers say.

NCAA Concussion Tackling Rules May Be Increasing Lower Extremity Injuries

NCAA Concussion Tackling Rules May Be Increasing Lower Extremity Injuries

Athletes may be making contact lower on the body to avoid the head-to-head contact and thus stiffer game penalties.

Loose-Fitting Football Helmets Associated With Worse Concussion Effects

Loose-Fitting Football Helmets Associated With Worse Concussion Effects

Teens with loose-fitting helmets have higher rates of drowsiness, hyperexcitability, noise sensitivity.

Study: More Chest Pain for Female Patients Undergoing PCI With DES

Study: More Chest Pain for Female Patients Undergoing PCI With DES

Similarly low incidence of adverse cardiovascular events for men and women with new generation DES.

TXA Safe, Effective in Reducing Blood Loss in Joint Replacement Surgery

TXA Safe, Effective in Reducing Blood Loss in Joint Replacement Surgery

Of the patients who received TXA, 9.7% received a blood transfusion, compared with 22.1% of patients who did not receive TXA.

Formal PT Not Associated With Improved Outcomes After Hip Surgery

Formal PT Not Associated With Improved Outcomes After Hip Surgery

No improvement in postoperative outcomes compared with prescribed exercise program.

Multimodal Pain Care May Lead to Shorter Hospital Stays in Opioid-Tolerant Patients

Multimodal Pain Care May Lead to Shorter Hospital Stays in Opioid-Tolerant Patients

Evidence shows that the rise of opioids, especially when used without any other pain treatments, does not correspond to better pain management or patient satisfaction.

Wrist Pain After A Fall: More Than A Simple Fracture

Wrist Pain After A Fall: More Than A Simple Fracture

Wrist injuries are common after a fall on an outstretched hand, but ligament tears should also be considered in adults.

AAPM 2016 Annual Meeting: Ensuring Access to Pain Care

AAPM 2016 Annual Meeting: Ensuring Access to Pain Care

With the AAPM's annual meeting underway this week, pain specialists and primary care professionals in attendance will have the opportunity to participate in a variety of sessions focused on primary care, opioids and education, clinical practice instruction, and more.

Multiple Concussions Do Not Always Lead to Development of CTE

Multiple Concussions Do Not Always Lead to Development of CTE

Multiple instances of brain trauma do not always result in the development of chronic traumatic encephalopathy (CTE).

Preschoolers' Cognitive Limitations Affect Ability to Rate Pain

Preschoolers' Cognitive Limitations Affect Ability to Rate Pain

Preschool children may be confused by scales designed for older children, and their responses may be idiosyncratic and hard to interpret.

Rest After Concussion Critical for Brain Recovery

Rest After Concussion Critical for Brain Recovery

Daily mild concussions in mice resulted in inflammation and damage to the brain's white matter.

Guided Meditation Reduces Pain During Breast Biopsy

Guided Meditation Reduces Pain During Breast Biopsy

Patients who listened to guided meditation or music during their biopsy reported significantly greater reductions in anxiety and fatigue than standard care.

Can Location Be Key to Effectively Controlling Pain?

Can Location Be Key to Effectively Controlling Pain?

A new report revealed that location can determine the signal size of a pain receptor.

Should Clinicians Unite Against Tackle Football?

Should Clinicians Unite Against Tackle Football?

Recommendations that prioritize children's health should extend beyond supervision.

Pain Coping in Racially Diverse American Patients

Pain Coping in Racially Diverse American Patients

Are black Americans more likely to use negative coping strategies for chronic pain?

Minimally Invasive Surgery Safe for Pilonidal Sinus

Minimally Invasive Surgery Safe for Pilonidal Sinus

Less time off work, higher patient satisfaction with video-assisted ablation of pilonidal sinus.

Guidelines for Appropriate Use of Cardiac Imaging in the ER

Guidelines for Appropriate Use of Cardiac Imaging in the ER

Appropriateness of imaging evaluated in 20 clinical scenarios for ER patients presenting with chest pain.

Varicella Zoster Vaccine Linked to Corneal Inflammation

Varicella Zoster Vaccine Linked to Corneal Inflammation

Important for physicians to know when giving vaccine to individuals with history of keratitis.

Does Curcumin Cut Acetaminophen-Induced Hepatotoxicity in Mice?

Does Curcumin Cut Acetaminophen-Induced Hepatotoxicity in Mice?

Protective effect of curcumin linked to attenuation of mitochondrial dysfunction.

New Ways to Prevent, Detect Head Trauma in Football Players

New Ways to Prevent, Detect Head Trauma in Football Players

Several studies suggest athletes undergo head trauma through the course of a season.

Validity of Automated Falls Detection Device Unclear

Validity of Automated Falls Detection Device Unclear

Poor concordance for falls recorded by investigational device, falls reported by nursing staff.

Low Back Pain: First-Line Opioids Increase Risk for Long-term Use

Low Back Pain: First-Line Opioids Increase Risk for Long-term Use

New data suggests a decline in emergency room opioid prescribing rates.

Older Age Linked to Decreased Perception of Acute Visceral Pain

Older Age Linked to Decreased Perception of Acute Visceral Pain

Decreased pain reporting can cause misdiagnosis, delayed treatment, and complications.

Do Trauma Teams Underestimate Compassion Fatigue?

Do Trauma Teams Underestimate Compassion Fatigue?

Acknowledging it is a key to coping, researchers say.

Incidence of Nephrolithiasis Rising in Teens, Blacks

Incidence of Nephrolithiasis Rising in Teens, Blacks

Researchers also report growing number of cases among women and children.

Improved Knee Cartilage Models Could Aid in Treatments

Improved Knee Cartilage Models Could Aid in Treatments

Fibrocartilage tissue in the knee consists of a more varied molecular structure than was previously realized

Broken Bones May Lead to Widespread Body Pain, a Study Reveals

Broken Bones May Lead to Widespread Body Pain, a Study Reveals

Patients who previously had a spine fracture and women who had a hip fracture were more than twice as likely to experience long-term, widespread pain as those who had not had a fracture.

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