Chronic Pain Feature Archive

Pediatric Chronic Musculoskeletal Pain: Diagnosis and Management

Pediatric Chronic Musculoskeletal Pain: Diagnosis and Management

Chronic, noninflammatory pain in children and adolescents encompasses a wide range of pain syndromes. Clinicians need to consider not only the physical manifestations of pain but also the psychosocial and academic impact of the child's pain and impairment.

Optimal Approaches to the Management of Burn Pain: Expert Insight

Optimal Approaches to the Management of Burn Pain: Expert Insight

Depending on the extent of the injury, pain due to burns can range from mild to severe to excruciating.

Reviewing the Effectiveness of Lidocaine for the Management of Chronic Pain

Reviewing the Effectiveness of Lidocaine for the Management of Chronic Pain

Systemic lidocaine administered via IV or patch has consistently shown effectiveness for the treatment and prevention of chronic pain.

Atypical Antipsychotics as Adjuncts in Chronic Pain Management: How Effective Are They?

Atypical Antipsychotics as Adjuncts in Chronic Pain Management: How Effective Are They?

In recent years, atypical antipsychotics - particularly olanzapine and quetiapine - have gained increasing attention as adjuncts in pain management regimens.

Chronic Pain Management in Primary Care Settings

Chronic Pain Management in Primary Care Settings

From helping patients with opioid addiction to finding pain management programs, one physician shares his experience with chronic pain management in the primary care setting.

New Guidelines for Managing Chronic Pain in Patients With HIV

New Guidelines for Managing Chronic Pain in Patients With HIV

The HIV Medicine Association of the Infectious Diseases Society of America has released new guidelines for the management of chronic pain in patients living with human immunodeficiency virus.

Pain Processing: Examining the Role of Oxytocin

Pain Processing: Examining the Role of Oxytocin

Although animal studies have shed light on various aspects of the role of oxytocin in pain processing, the small number of human studies on the topic have produced inconsistent results.

Chronic Pain Associated With Traumatic Brain Injury: Causes and Management

Chronic Pain Associated With Traumatic Brain Injury: Causes and Management

Although more than three-quarters of TBI cases are mild with rapid symptom resolution, some people suffer persistent debilitation and pain.

Neuroimaging for Chronic Pain: IASP Consensus Statement

Neuroimaging for Chronic Pain: IASP Consensus Statement

Many practitioners, researchers, and patients also appeal for techniques that could objectively measure pain.

Contextual Cognitive Behavioral Therapy for Chronic Pain

Contextual Cognitive Behavioral Therapy for Chronic Pain

Contextual forms of CBT, such as ACT and mindfulness-based therapies, have been linked with improvements in various domains for patients with chronic pain, although predictors and moderators have yet to be elucidated.

Thoracic Outlet Syndrome: Diagnosis, Clinical Management

Thoracic Outlet Syndrome: Diagnosis, Clinical Management

Once a poorly understood and heavily debated disease within cardiovascular medicine, thoracic outlet syndrome has recently been recognized as a more common syndrome than previously thought.

Compassion and Chronic Pain

Compassion and Chronic Pain

Compassion directed to self is gaining acceptance as a potential therapeutic modality to complement existing treatment options for chronic pain.

A Case for the Lidocaine Patch

A Case for the Lidocaine Patch

While the lidocaine patch is still pharmacologic, it offers a different method of pain relief for patients.

How THC Affects the Dopamine System

How THC Affects the Dopamine System

Recent studies show that THC consumption affects the dopamine system.

On the Need to Update the Definition of Pain

On the Need to Update the Definition of Pain

While many studies have elucidated some of the intricacies of the chronic pain experience, the definition of pain has not adapted to current knowledge.

The Influence of Cognitive Processes on Pain Perception

The Influence of Cognitive Processes on Pain Perception

Pain relief through distraction suggests that pain experience can be modified, and highlights the influence cognitive processes have on pain perception.

Human Studies That Are Advancing Pain Management

Human Studies That Are Advancing Pain Management

Basic research has made vital contributions to all aspects of medical care, including our understanding of pain pathophysiology.

Classifying Chronic Pain Using the American Pain Society's Taxonomy

Classifying Chronic Pain Using the American Pain Society's Taxonomy

Improved classification of chronic pain offers the opportunity to more effectively blend psychological intervention with a biomedical approach to manage chronic pain.

Assessing and Treating Insomnia-Chronic Pain Comorbidities

Assessing and Treating Insomnia-Chronic Pain Comorbidities

A Pain-Related Beliefs and Attitudes about Sleep scale assesses attitudes about sleep among individuals with chronic pain.

Empathy, Exercise, Yoga and Chronic Pain

Empathy, Exercise, Yoga and Chronic Pain

Dr Bushnell suggests practicing yoga, as long-term yogis have higher pain tolerance and increased gray matter—including in pain-modulating brain areas—compared with that of non-practitioners.

Updated Guidelines on Neurostimulation for Chronic Pain by the European Academy of Neurology

Updated Guidelines on Neurostimulation for Chronic Pain by the European Academy of Neurology

The lack of evidence base for treating chronic pain with neurostimulation resulted in the development of guideline recommendations based on systematic review and meta-analysis of published studies.

Neuroimaging: Applications in Chronic Pain Management

Neuroimaging: Applications in Chronic Pain Management

In the past decade, brain imaging studies have shed light on the neural correlates of pain perception and pain modulation, and recently have also begun to clarify the neural mechanisms that underlie different pain sensations. New developments in functional, structural and neurochemical imaging have advanced understanding of chronic pain, and may help predict individuals with acute pain who are likely to progress to chronic pain.

Precision Medicine for Chronic Pain

Precision Medicine for Chronic Pain

An emerging clinical strategy for personalized pain management.

Mechanisms of Mindfulness Meditation-Induced Analgesia

Mechanisms of Mindfulness Meditation-Induced Analgesia

Common brain regions activated during meditation and pain

Guidance for Treatment Selection for Severe, Refractory Chronic Pain

Guidance for Treatment Selection for Severe, Refractory Chronic Pain

Intrathecal therapy represents a valuable option for many patients with severe, refractory chronic pain.

Addressing Chronic Back Pain in Veterans

Addressing Chronic Back Pain in Veterans

VA studies highlighting each of the chapters of the National Pain Strategy

Chronic Pain After Mastectomy: A Common and Challenging Pain Syndrome

Chronic Pain After Mastectomy: A Common and Challenging Pain Syndrome

Effective management of perioperative pain may reduce the frequency and duration of postmastectomy pain syndrome.

Chronic Pain After Hernia Surgery: Risk Factors Identified

Chronic Pain After Hernia Surgery: Risk Factors Identified

What factors increase the risk for inguinodynia after open mesh repair?

Chronic Pain: The Case for Cognitive Behavioral Therapy

Chronic Pain: The Case for Cognitive Behavioral Therapy

Chronic pain may be inevitable, but chronic suffering may not have to be.

APS Scale: Measuring the Impact of Chronic Pain on Daily Activities

APS Scale: Measuring the Impact of Chronic Pain on Daily Activities

New self-report measure includes 8 factors related to avoidance, persistence, and pacing.

Accelerated Knee OA: Lowering the Risk in Patients

Accelerated Knee OA: Lowering the Risk in Patients

OA is traditionally thought of as a slowly progressive disorder, but 3% to 4% of individuals at risk for OA develop it in less than 4 years and some in less than 12 months. Individuals who are older, overweight, and/or have a new knee injury are more likely to develop this accelerated form of knee OA

Catastrophizing: Not a Ploy for Attention

Catastrophizing: Not a Ploy for Attention

Study suggests that solicitousness is a side effect of catastrophizing, not the main goal.

Myofascial Triggerpoint Release: Can Massage Help Chronic Shoulder Pain?

Myofascial Triggerpoint Release: Can Massage Help Chronic Shoulder Pain?

Manual technique provides long-lasting pain relief and improves muscle function.

Clinical Dilemmas: Prescribing Opioids Concurrently With Medical Cannabis

Clinical Dilemmas: Prescribing Opioids Concurrently With Medical Cannabis

Does your pain clinic currently allow the use of cannabis in combination with opioid medication? If so, has a maximum THC threshold been identified? How have your patients responded to such treatment?

Anesthesiologists Managing Chronic Pain: Continuing Education Needed

Anesthesiologists Managing Chronic Pain: Continuing Education Needed

Opportunities for education focused on improvement in clinical knowledge and skill are needed as more specialists participate in multidisciplinary teams to assist in the management of chronic pain.

Feast or Famine: The World's Opioid Gap

Feast or Famine: The World's Opioid Gap

Much of the third world is suffering in pain without access to opioids. This imbalance has been called the opioid gap. How can we get opioids to patients who need them?

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?

The Power of Emotion on Chronic Pain

The Power of Emotion on Chronic Pain

The correlation between mental health and how well chronic pain is controlled has been well established, and this particular case appears to demonstrate this relationship quite well.

Treating Chronic Pain in Kids and the Elderly: A Multimodal Approach is Best

Treating Chronic Pain in Kids and the Elderly: A Multimodal Approach is Best

The extremes of age provide special challenges to treating chronic pain.

Chronic Stable Angina: What Can We Do Better?

Chronic Stable Angina: What Can We Do Better?

The impact of chronic stable angina on QOL is often underappreciated and disease management remains suboptimal.

Depressed Mood Triples Risk for Chronic Neck Pain in Office Workers

Depressed Mood Triples Risk for Chronic Neck Pain in Office Workers

Routine screening for psychosocial, physical, and neurophysiologic factors may be indicated.

The Impact of Risk Reduction Initiatives on Chronic Opioid Use

The Impact of Risk Reduction Initiatives on Chronic Opioid Use

Exposing clinicians to a multifaceted risk-reduction initiative significantly shifts prescribing practices away from high-dose chronic opioid therapy.

The Impact of Physical Pain on Suicidal Thoughts and Behaviors

The Impact of Physical Pain on Suicidal Thoughts and Behaviors

A meta-analysis quantifies the association between chronic pain and the spectrum of suicidal behaviors.

Chronic Pain Treatment Often an 'Imperfect Solution'

Chronic Pain Treatment Often an 'Imperfect Solution'

Treatment in many cases is a negotiation instead of a one-way outcome.

Chronic Pain Acceptance Predicts Disability

Chronic Pain Acceptance Predicts Disability

Now a growing body of clinical evidence suggests that while pain may be inevitable, suffering is not — and the key may be a behavioral approach of acceptance.

Reducing Chronic Pain Patient Vulnerability by Enhancing Communication

Reducing Chronic Pain Patient Vulnerability by Enhancing Communication

Incorporating shared decision-making techniques into chronic pain treatment selection is integral to success.

How Pharmacogentic Testing Could Improve the Treatment of Chronic Pain

How Pharmacogentic Testing Could Improve the Treatment of Chronic Pain

In addition to genetic variability, several other internal and external factors play a role in medication metabolism.

Spontaneous Chronic Pain After Thoracotomy Revealed by Conditioned Place Preference

Spontaneous Chronic Pain After Thoracotomy Revealed by Conditioned Place Preference

Using this animal model, Dr. Strichartz and colleagues not only measured evoked pain responses but also resting (non-evoked) pain, which is rarely tested in animal models.

Is There a Place for Mobile Apps in Managing Pain in Older Adults?

Is There a Place for Mobile Apps in Managing Pain in Older Adults?

Mobile device use is growing rapidly in older adults.

Q&A: Chronic Pain Australia Exec Talks Chronic Pain, National Pain Week

Q&A: Chronic Pain Australia Exec Talks Chronic Pain, National Pain Week

To learn more about National Pain Week, the future of chronic pain and chronic pain challenges, Clinical Pain Advisor sat down with Coralie Wales, PhD, a founding director of Chronic Pain Australia. More recently, Wales has taken on the role as Chronic Pain Australia's president.

Uncovering Problem Opioid Use In Chronic Opioid Therapy With Patient Medical Records

Uncovering Problem Opioid Use In Chronic Opioid Therapy With Patient Medical Records

At the end of the last century, there was a movement in pain management toward opioid use for chronic pain. The rationale was that people with chronic pain were suffering needlessly because of concerns that chronic opioid therapy (COT) would lead to addiction.

Should Chronic Pain Care Providers Be Worried About Violent Patients?

Should Chronic Pain Care Providers Be Worried About Violent Patients?

Published in Pain Medicine, a report concluded that 64.85% of CPCPs have called security and 51.52% have received threats.

Not All Medical Apps Are Created Equal: Digitally Managing Chronic Pain

Not All Medical Apps Are Created Equal: Digitally Managing Chronic Pain

Gathering information from chronic pain patients can be a challenge for many physicians, especially since visits are long and far between. Understanding how a patient feels on a daily basis could assist physicians with determining the best treatment strategies.

Various Neurosurgical Options Available for Chronic Pain

Various Neurosurgical Options Available for Chronic Pain

It is important to review the most recent data available before performing some of these options to make sure these techniques are not out of date.

Exploring The Link Between Genetics and Chronic Pain Conditions

Exploring The Link Between Genetics and Chronic Pain Conditions

Some individuals may have a genetic predisposition for chronic pain.

Opioids for Chronic Pain: No Easy Answers

Opioids for Chronic Pain: No Easy Answers

Opioids generally work well for acute pain, but for longer periods, the indications and benefits become 'murky.'

EERW Trials: The Advantage of Response Before Randomization

EERW Trials: The Advantage of Response Before Randomization

Because someone fails with one drug it doesn't mean they will fail with all. Switching is the key.

Pain and Connection

Pain and Connection

An essential part of our job as health care practitioners as one of bridge building; encouraging our patients to shorten the distance between the world of the ill and world of the well by enhancing connection.

Potential Complications Tied to Long-Term Opioid Treatment for Chronic Pain

Potential Complications Tied to Long-Term Opioid Treatment for Chronic Pain

Since 2000, the amount of opioids prescribed in the United States has increased fivefold.

Collaborative Approach Encouraged for Patients with Pain

Collaborative Approach Encouraged for Patients with Pain

The treatment goal should not be to "cure" pain but rather to restore function.

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