Addressing chronic pain in veterans
Cross-disciplinary collaborations for chronic pain
The Oversight Committee for the NIH Health and Human Services National Pain Strategy's agenda sets objectives for 6 main areas of pain care and management.
🎥 Dr James Campbell's team is developing safe, non-addictive and effective therapies to treat chronic pain using a big data approach, and focusing on osteoarthritis, chronic low back pain and headache.
Setting patient expectations of early pain relief may help influence treatment outcomes.
🎥 The long-established 'Pain Catastrophizing Scale' takes magnification, rumination and helplessness into account. Researchers at the University of Alabama considered additional measures of negative cognition associated with pain to reach a 'global catastrophizing measure'.
🎥 Psychosocial variables to help predict pain levels in patients with mixed chronic pain conditions and similar demographics and socioeconomic backgrounds.
🎥 University of Alabama researchers use a psychosocial approach to the management of pain, by instructing patients to leverage their thoughts and feelings to improve their pain experience, and by establishing a relationship of trust between the patient and their healthcare provider.
As the research of Dr Colloca suggests, any pain treatment, in order to be effective, needs to take the psychosocial context into account.
Poor Diet Leads to Prolonged Recovery From Induced Chronic Pain: An Interview of the Study ResearcherMay 17, 2016
🎥 A diet mimicking the poor American diet, with 3-fold higher omega 6 to omega 3 ratio, prolongs recovery from induced chronic pain in rats.
🎥 Abuse-deterrent formulations for prescription drug abuse are effective in reducing snorting and injection, but abusers switch to an oral route of administration. New abuse-deterrent formulations will need to discourage all routes of administration.
Physicians treating patients affected by pain need to help patients gain more access to treatment quickly.
Manual therapy uses skilled passive movement of joints and soft tissues to improve range of motion, mobility, and function.
Data suggest that photic-squint or photophobia could be potential biomarkers for migraine pain, amenable to treatment with CGRP-based therapeutics.
Researchers discuss resilience in patients with chronic pain at the Annual Scientific Meeting of the American Pain Society.
Researchers discuss why peripheral opioid receptors are normally inactive.
The American Pain Society (APS) and Pfizer Independent Grants for Learning and Change (IGLC) are collaborating to offer a new funding opportunity focused on improving the care for individuals with chronic pain
🎥 Processing of painful stimuli may be facilitated by a HIV surface glycoprotein, GP120 found to be at higher levels in HIV patients experiencing pain. Patients with detectable viral loads might be at increased risk for hyperalgesia and allodynia.
Predictive factors for post-operative chronic pain that were considered in past studies, included age and other demographic factors, as well as pre-operative pain.
Although neuropathic pain can have numerous etiologies, from diseases (eg, cancer, viral infections) to injuries/trauma (eg, stroke, surgery, spinal cord injuries), neuroinflammation is an underlying driving factor.
The diet under testing had an omega 6 to omega 3 ratio of 15:1 to mimic the American diet, which strays from a regular diet where the standard omega 6 to 3 ratio is 5-6:1.
Although swelling of the joints is the most common cause of pain, even in the absence of swelling, joint pain might persist. This indicates that other, noninflammatory factors might be important contributors to pain.
The technology is already there, the biggest problem is cost, and people who know what they are doing to run it.
Pain catastrophizing was a significant predictor of pain intensity.
Results from a preliminary study is the first showing a link between acute sleep loss with changes in affect and changes in pain sensitivity.
Attitudes toward managing chronic pain patients did not change in either quality improvement group.
Since fibromyalgia is characterized by elevated levels of circulating proinflammatory cytokines, looking at measures to reduce these variables is key to treating patients with this condition,
These compounds, through selective µ-opioid receptor activation, could provide a safer alternative to opioids in treating three major types of pain.
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Clinical Pain Advisor Articles
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- A Physician's Guide to Incorporating Patient Spirituality in Practice
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- Neuropathic Pain Medications
- Higher Buprenorphine Dose May Not Increase Severity of Neonatal Abstinence Syndrome
- Terms Used for Addiction May Be Associated With Explicit, Implicit Bias
- Ketamine Infusions May Be Effective for Refractory Headache
- Physical, Psychosocial Activity May Be Protective Against Development of Chronic Pain in Older Adults
- The Challenge of Compassion in Modern Healthcare Settings
- Republican Opposition to Obamacare: What's Done, What's to Come
- Lowering Default Pill Counts in EMRs May Effectively Reduce Postoperative Opioid Prescription Numbers
- Steps Taken to Increase Use of Electronic Tools in Medicine
- Daily and Retrospective Pain Measurements Comparable in Hip Osteoarthritis