Chronic Pain

Reviewing the Effectiveness of Lidocaine for the Management of Chronic Pain

Reviewing the Effectiveness of Lidocaine for the Management of Chronic Pain

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

Burden Associated With Pharmacotherapy Switching in Trigeminal Neuralgia

Burden Associated With Pharmacotherapy Switching in Trigeminal Neuralgia

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An examination of treatment patterns among patients with trigeminal neuralgia suggests that this orofacial disorder appears to be significantly burdensome.

Web-Based CBT Adjunct May Address Aberrant Drug-Related Behaviors in Chronic Pain

Web-Based CBT Adjunct May Address Aberrant Drug-Related Behaviors in Chronic Pain

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A web-based cognitive behavior therapy program may be associated with greater reductions in aberrant drug-related behavior, pain interference, and pain catastrophizing in patients with chronic pain treated with opioids who undergo treatment as usual compared with patients who undergo treatment as usual only.

Depression-Associated Stigma May Limit Access to Chronic Pain Care

Depression-Associated Stigma May Limit Access to Chronic Pain Care

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Individuals with chronic pain and comorbid depression may experience higher levels of stigma related to their conditions compared with patients with chronic pain alone.

Sleep Quality, PTSD Symptoms, and Chronic Pain in Youth

Sleep Quality, PTSD Symptoms, and Chronic Pain in Youth

For youth with chronic pain, researchers found that sleep quality partially mediated the relationships between PTSD and pain intensity and interference.

Narcotic Analgesic Formulations

Comparative chart of narcotic analgesics including formulations, strengths, and dosing intervals.

Web-Based Pain Management Program Reduces Aberrant Drug Behavior in Chronic Pain

Web-Based Pain Management Program Reduces Aberrant Drug Behavior in Chronic Pain

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A web-based self-management program may reduce aberrant drug behaviors and pain catastrophizing in patients with chronic pain treated with opioids.

PTSD Symptoms and Patient-Related Outcomes in Chronic Pain

PTSD Symptoms and Patient-Related Outcomes in Chronic Pain

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Patients with chronic pain and ≥1 posttraumatic stress disorder symptom, particularly numbness or detachment, have poor pain-related outcomes.

Multidisciplinary Social Cognitive Intervention May Improve Quality of Life and Autonomy for Patients With Chronic Pain

Multidisciplinary Social Cognitive Intervention May Improve Quality of Life and Autonomy for Patients With Chronic Pain

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An intensive social cognitive intervention delivered by a multidisciplinary team may lead to improvements in health-related quality of life, depressive symptoms, and autonomy in patients with chronic pain.

High Bioavailability, Fast Absorption of Buprenorphine With New Sublingual Wafer

High Bioavailability, Fast Absorption of Buprenorphine With New Sublingual Wafer

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Preliminary results suggest that a new sublingual buprenorphine wafer may offer high bioavailability and fast absorption for patients treated for acute and chronic pain.

Expert Consensus on Managing Concerning Behaviors in Patients on Long-Term Opioids

Expert Consensus on Managing Concerning Behaviors in Patients on Long-Term Opioids

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Patient education and information gathering are important initial approaches to managing concerning behaviors such as missing appointments or taking more opioid medication than prescribed.

Race/Ethnicity May Not Accurately Predict Health-Related Quality of Life in Chronic Pain

Race/Ethnicity May Not Accurately Predict Health-Related Quality of Life in Chronic Pain

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Age, anxiety, and socioeconomic status are better predictors than race and ethnicity for health-related quality of life outcomes in patients with chronic pain.

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.

Ketamine May Represent an Effective Treatment for the Management of Chronic Noncancer Pain

Ketamine May Represent an Effective Treatment for the Management of Chronic Noncancer Pain

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Current evidence suggests ketamine may be an effective therapy for the management of chronic noncancer pain.

New Consensus Statement Establishes Guidelines on Urine Drug Monitoring in Chronic Pain

New Consensus Statement Establishes Guidelines on Urine Drug Monitoring in Chronic Pain

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New guidelines were formulated for the use of urine drug monitoring in risk stratification and the prevention of opioid use disorder, overdose, and diversion.

Understanding Fibromyalgia for Optimal Patient Care

Understanding Fibromyalgia for Optimal Patient Care

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Fibromyalgia — which affects an estimated 4% to 10% of the US population, with a 7-time higher prevalence in women vs men — has remained a clinically nebulous entity, and one that is very difficult to manage effectively.

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.

Pain Catastrophizing May Mediate Child Pain Associated With Parent, Child PTSD

Pain Catastrophizing May Mediate Child Pain Associated With Parent, Child PTSD

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Catastrophic thinking about pain in children may mediate the relationship between chronic pain and posttraumatic stress disorder in both children and parents.

Factors Contributing to Persistent Pain After Rehabilitation in Pediatric Patients

Factors Contributing to Persistent Pain After Rehabilitation in Pediatric Patients

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Anxiety and reduced readiness to change are key factors related to nonresponsiveness to intensive pain rehabilitation in pediatric patients.

Standardized Definition of Myofascial Pain Needed to Better Treat Patients

Standardized Definition of Myofascial Pain Needed to Better Treat Patients

Health care practitioner groups differ regarding the signs and symptoms that define myofascial pain syndrome, and there is poor agreement among chiropractors, physicians, and massage therapists.

New Guidelines for Managing Chronic Pain in Patients With HIV

New Guidelines for Managing Chronic Pain in Patients With HIV

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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.

Chemonucleolysis With Radiopaque Gelified Ethanol May Be Effective Analgesic for Chronic Radicular Pain

Chemonucleolysis With Radiopaque Gelified Ethanol May Be Effective Analgesic for Chronic Radicular Pain

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The use of percutaneous chemonucleolysis with radiopaque gelified ethanol may be safe and effective for patients with treatment-resistant chronic radicular leg pain.

Chronic Back, Neck Pain Linked to Prior Mental Disorders

Chronic Back, Neck Pain Linked to Prior Mental Disorders

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Mental disorders are positively associated with subsequent self-reported chronic back and/or neck pain, with a clear dose-response relationship between the number of mental disorders and subsequent pain.

Substance Use Disorder Rates Up in Childbearing Women

Substance Use Disorder Rates Up in Childbearing Women

Between 2005 and 2014, the prevalence of chronic conditions increased across all segments of the childbearing population, including substance use disorder.

Clinton Foundation's Recommendations to Address the Opioid Crisis

Clinton Foundation's Recommendations to Address the Opioid Crisis

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The Clinton Foundation's Health Matters Initiative, in partnership with the Johns Hopkins Bloomberg School of Public Health, issued a report providing 49 recommendations under 10 topic areas on how to address the opioid crisis.

Chronic Pain Associated With Traumatic Brain Injury: Causes and Management

Chronic Pain Associated With Traumatic Brain Injury: Causes and Management

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

Fibromyalgia Screening in Patients With Chronic Pain: Two Simple Tests

Fibromyalgia Screening in Patients With Chronic Pain: Two Simple Tests

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Achilles tendon pressuring and inquiry about "persistent deep aching pain over most of [the] body" may effectively screen for fibromyalgia in patients with chronic pain.

Peripheral Nerve Surgery for Burn Survivors: Improving Outcomes Through Clinician Self-Analysis

Peripheral Nerve Surgery for Burn Survivors: Improving Outcomes Through Clinician Self-Analysis

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As survival rates for patients with burns have improved, the need for effective treatments for chronic pain in this population has become more pressing.

Symproic Now Available for Opioid-Induced Constipation in Patients With Chronic Non-Cancer Pain

Symproic Now Available for Opioid-Induced Constipation in Patients With Chronic Non-Cancer Pain

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Symproic tablets for the treatment of opioid-induced constipation in adults with chronic non-cancer pain, including patients with chronic pain related to prior cancer or its treatment who do not require frequent opioid dosage escalation.

Lubiprostone Demonstrates Clinical Efficacy for Opioid-Induced Constipation

Lubiprostone Demonstrates Clinical Efficacy for Opioid-Induced Constipation

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Lubiprostone provides significant relief from opioid-induced constipation in patients prescribed these medications for chronic non-cancer pain.

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