Chronic Pain

Chronic Neuropathic Pain Updated Classification by IASP for ICD-11

Chronic Neuropathic Pain Updated Classification by IASP for ICD-11

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A panel of chronic pain experts established by the International Association for the Study of Pain updated the classification of chronic neuropathic pain for the International Classification of Diseases, 11th Revision.

Chronic Secondary Headache or Orofacial Pain IASP Classification

Chronic Secondary Headache or Orofacial Pain IASP Classification

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A task force of the International Association for the Study of Pain formulated an updated classification of chronic secondary headache and chronic secondary orofacial pain.

IASP Updates Classification of Chronic Pain

IASP Updates Classification of Chronic Pain

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A task force of the International Association for the Study of Pain proposes a classification of chronic pain as either chronic primary or chronic secondary pain, when chronic pain represents the major complaint and when chronic pain is secondary to a chronic disorder, respectively.

IASP Updates Diagnosis Criteria for Chronic Primary Pain for ICD-11

IASP Updates Diagnosis Criteria for Chronic Primary Pain for ICD-11

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The International Association for the Study of Pain updated its definitions for the diagnosis of chronic primary pain for the International Classification of Diseases, Eleventh Edition.

CBT Program Effective for Chronic Pain and Opioid Use Disorder

CBT Program Effective for Chronic Pain and Opioid Use Disorder

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Cognitive behavioral therapy was found to be more effective in reducing the use of nonmedical opioids compared with standard methadone drug counseling in patients with chronic pain and opioid use disorder enrolled in methadone maintenance treatment programs.

Dopaminergic-Driven Hyperalgesia Contributes to Parkinson Disease Pain

Dopaminergic-Driven Hyperalgesia Contributes to Parkinson Disease Pain

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Investigators examined whether dopamine may contribute to hyperalgesia and associated clinical pain in patients with Parkinson disease.

A Case for Ministerial Recall of High-Strength Opioids in Canada

A Case for Ministerial Recall of High-Strength Opioids in Canada

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The Protecting Canadians from Unsafe Drugs Act passed into law in 2014 empowered the minister of health to recall a drug if they "believe that a therapeutic product presents a serious or imminent risk of injury to health."

Physical, Sexual Abuse and Concurrent Opioid/Benzodiazepine Use in Chronic Pain

Physical, Sexual Abuse and Concurrent Opioid/Benzodiazepine Use in Chronic Pain

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Patients with chronic pain and a history of physical and sexual abuse were found to be more likely to concurrently use benzodiazepine and opioids.

Opioids Offer Small Improvement in Pain, Physical Function

Opioids Offer Small Improvement in Pain, Physical Function

Opioid use is associated with small improvements in pain and physical functioning in patients with chronic noncancer pain.

High-Frequency Peripheral Nerve Stimulation May Effectively Treat Chronic Pain

High-Frequency Peripheral Nerve Stimulation May Effectively Treat Chronic Pain

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Peripheral nerve stimulation at 10 KHz was found to be efficacious in reducing chronic pain.

Psychological Comorbidities in Chronic Pelvic Pain

Psychological Comorbidities in Chronic Pelvic Pain

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Those with chronic pelvic pain often have comorbid psychological syndromes, such as depression, anxiety, and catastrophizing.

Symptom Management for Restless Leg Syndrome

Symptom Management for Restless Leg Syndrome

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Restless leg syndrome is one of the most difficult sleep disorders to manage.

Greater Temporal Summation of Pain in HIV With Chronic Pain

Greater Temporal Summation of Pain in HIV With Chronic Pain

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Individuals with HIV and chronic pain may have greater temporal summation of pain compared with healthy individuals or those with HIV but no 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.

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