Chronic Pain

Ensuring Safety During Long-Term Opioid Therapy

Ensuring Safety During Long-Term Opioid Therapy

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Healthcare providers at Veterans Affairs centers cite time constraints, logistic constraints, and interpersonal challenges as unique barriers to adherence with practice guidelines when treating patients on long-term opioid therapy.

Persistence of Post-Traumatic CRPS Associated With Initial Pain Sensitization

Persistence of Post-Traumatic CRPS Associated With Initial Pain Sensitization

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The level of pain sensitization in the early post-trauma period in patients with complex regional pain syndrome type 1 after distal radius fractures may be associated with the persistence of symptoms.

Screening for Hyperglycemia Prior to Steroid Injections for Chronic Pain

Screening for Hyperglycemia Prior to Steroid Injections for Chronic Pain

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The majority of patients being considered for corticosteroid injections to treat chronic pain may be at high risk for untreated diabetes mellitus.

Analgesic Modality Used for Trauma, Abdominal Pain in ED May Not Affect Persistent Pain

Analgesic Modality Used for Trauma, Abdominal Pain in ED May Not Affect Persistent Pain

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Analgesic modality used in patients presenting to the emergency department with trauma, including abdominal pain, may not affect the presence of persistent pain at 6 months.

Empowering Exercise Professionals to Support Individuals With Chronic Pain

Empowering Exercise Professionals to Support Individuals With Chronic Pain

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Exercise professionals may act as "key supporters" of individuals with chronic pain.

Parental Chronic Spinal Pain May Affect Prognosis in Adult Offspring

Parental Chronic Spinal Pain May Affect Prognosis in Adult Offspring

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Individuals with chronic spinal pain, particularly those who are overweight or obese, may be less likely to recover from this condition if both their parents also have chronic spinal pain.

New Guidelines Issued for Patellofemoral Pain Management

New Guidelines Issued for Patellofemoral Pain Management

The National Athletic Trainers' Association has issued recommendations for identifying and managing patients with patellofemoral pain.

Stepped-Care Model Beneficial in Pain Management Practices in Primary Care

Stepped-Care Model Beneficial in Pain Management Practices in Primary Care

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A stepped-care model of pain management implemented in primary care was successful in increasing the proportion of veteran patients reporting moderate to severe pain, as well as decreasing the use of opioids for pain management.

Central Sensitization in Greater Trochanteric Pain Syndrome

Central Sensitization in Greater Trochanteric Pain Syndrome

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Patients with greater trochanteric pain syndrome may have altered conditioned pain modulation, as well as a high number of pain locations associated with negative conditioned pain modulation.

Benefits of a Pain and Stress Management Program for Chronic Pain

Benefits of a Pain and Stress Management Program for 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.

Gendered Perceptions of Socially Acceptable Pain Relief Strategies

Gendered Perceptions of Socially Acceptable Pain Relief Strategies

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Men and women may seek pain relief in both gendered and ungendered ways, depending on whether gender norms or perceptions of analgesic efficacy are thought to define social acceptability.

Factors Promoting Participation in Self-Management Training Program for Chronic Pain

Factors Promoting Participation in Self-Management Training Program for Chronic Pain

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Factors underlying participation in the Living Better Beyond Pain, a self-management training program for patients with chronic pain, as well as benefits gained from participating in the program and associated barriers were identified.

Predicting the Magnitude of Placebo Analgesia in Chronic Pain

Predicting the Magnitude of Placebo Analgesia in Chronic Pain

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Specific characteristics in several brain structures and psychological features may predict the magnitude of the placebo response.

Smartphone App Helps Evaluate Catastrophizing in Chronic Pain

Smartphone App Helps Evaluate Catastrophizing in Chronic Pain

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In patients with chronic pain conditions, daily pain assessments using a smartphone app indicated a positive correlation between perceived change in pain symptoms and levels of pain catastrophizing.

Screening Tool May Identify Distress in Parents of Children With Chronic Pain

Screening Tool May Identify Distress in Parents of Children With Chronic Pain

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A self-report screening tool designed to identify impaired psychosocial functioning and behavioral responses in parents of children with chronic pain was found to be useful clinically.

OTC Analgesic Use High, Associated With Worse-Than-Expected Clinical Profiles

OTC Analgesic Use High, Associated With Worse-Than-Expected Clinical Profiles

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The clinical profiles of patients taking over-the-counter pain medications were found to be poorer than expected, with a high prevalence of migraine headache and many reporting frequent and disabling pain for extended durations.

Predictors for Blinding Assessment Rates in Chronic Pain Trials

Predictors for Blinding Assessment Rates in Chronic Pain Trials

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Patient blinding in randomized placebo-controlled trials on pharmacologic treatments for chronic pain conditions may seldom be assessed.

Differentiation of Knee Pain Phenotypes Among Older Adults

Differentiation of Knee Pain Phenotypes Among Older Adults

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A population-based, cohort study was conducted to identify knee pain in a group of older adults.

Photo Elicitation on Social Media Can Provide Perspective to Patients With Chronic Pain

Photo Elicitation on Social Media Can Provide Perspective to Patients With Chronic Pain

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For patients with chronic pain, photo elicitation on social networks may represent a novel way to get a better understanding of lived experiences with chronic pain.

Lower Weighting of Hand Cortical Representations in CRPS

Lower Weighting of Hand Cortical Representations in CRPS

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Patients with unilateral complex regional pain syndrome may have a weaker illusory response to a novel finger illusion compared with healthy controls, indicating disrupted weighting of bilateral hand cortical representations.

Alpha and Beta Band Activity in MS-Related Chronic Pain

Alpha and Beta Band Activity in MS-Related Chronic Pain

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Patients with multiple sclerosis-related chronic pain were found to have spectral abnormalities within the dynamic pain connectome regions.

Optimizing Treatment for Patients With Chronic Sciatica: Gabapentin vs Pregabalin

Optimizing Treatment for Patients With Chronic Sciatica: Gabapentin vs Pregabalin

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In this prospective, cohort study, patients (N=18) were randomized to receive gabapentin 400-800mg 3 times daily then pregabalin 150-300mg twice daily or vice versa; each treatment regimen was taken for 8 weeks with a 1-week washout period in between.

Adverse Childhood Experienced Linked to Urologic Chronic Pelvic Pain Syndrome Symptoms

Adverse Childhood Experienced Linked to Urologic Chronic Pelvic Pain Syndrome Symptoms

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Adverse childhood experiences such as sexual violence, physical violence, serious illness, and bereavement may be associated with urologic chronic pelvic pain syndrome symptoms.

Chronic Pain May Be a Contributing Factor to Suicide

Chronic Pain May Be a Contributing Factor to Suicide

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Chronic pain may represent an important contributing factor to suicide.

Reviewing the Efficacy of Invasive Procedures for Chronic Back, Knee Pain

Reviewing the Efficacy of Invasive Procedures for Chronic Back, Knee Pain

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Invasive procedures may not provide a substantial benefit over sham procedures for the management of chronic back or knee pain.

Mobile Health-Supported Trials to Assess Chronic Musculoskeletal Pain Treatments

Mobile Health-Supported Trials to Assess Chronic Musculoskeletal Pain Treatments

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Single-patient multicrossover (n-of-1) trials supported by mobile health applications may not improve pain interference compared with usual care for patients with chronic musculoskeletal pain.

Perceived Injustice, Chronic Low Back Pain Intensity, and Ethnicity

Perceived Injustice, Chronic Low Back Pain Intensity, and Ethnicity

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Perceptions of injustice may predict worse outcomes in patients with chronic low back pain.

Overlapping Opioid and Benzodiazepine Prescriptions in Chronic Pain: Rates and Related Outcomes

Overlapping Opioid and Benzodiazepine Prescriptions in Chronic Pain: Rates and Related Outcomes

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Concurrent use of benzodiazepines and long-term opioids was found in 25% of patients with chronic pain, and to be associated with elevated risk of falling and visiting the emergency department.

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.

Opioid Analgesics Linked With Higher Rates of Unemployment in Chronic Pain

Opioid Analgesics Linked With Higher Rates of Unemployment in Chronic Pain

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Patients taking opioid analgesics for chronic noncancer pain may have a risk for unemployment 3-fold higher compared with individuals not taking opioids.

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