Benefits and safety of gabapentinoids in chronic low back pain

16Aug
2017

The Effects of Cannabis Among Adults With Chronic Pain

15Aug
2017

Skin-to-skin care: can it reduce procedural pain in neonates?

15Aug
2017

Skin-to-skin care: can it reduce procedural pain in neonates? – Evidently Cochrane Blog (free)

Original systematic review: Skin-to-skin care for procedural pain in neonates – Cochrane Library (link to abstract – $ for full-text)

“Skin-to-skin care probably is an effective intervention for pain during procedures for neonates”.

 

Chronic Pancreatitis: Current Status and Challenges for Prevention and Treatment

15Aug
2017

Advances in the diagnosis and management of neck pain

15Aug
2017

Lifestyle Risk Factors Increase the Risk of Hospitalization for Sciatica

11Aug
2017

Functional Gain and Pain Relief After Total Joint Replacement According to Obesity Status

10Aug
2017

Hip Pain and Mobility Deficits-Hip Osteoarthritis

9Aug
2017

A comprehensive guide to the new science of treating lower back pain

4Aug
2017

A comprehensive guide to the new science of treating lower back pain – VOX (free)

“Mainstream medicine has failed people with chronic back pain”

 

Effectiveness of oral glucosamine for knee and hip osteoarthritis

3Aug
2017

Neck Pain: Updated Clinical Practice Guideline

3Aug
2017

Opioid Use in Pregnancy, Neonatal Abstinence Syndrome, and Childhood Outcomes

3Aug
2017

Low back, Cervical and Thoracic Spine Disorders Guidelines

1Aug
2017

New National Guideline Clearinghouse (NGC) Summaries in Low back, Cervical and Thoracic Spine Disorders with focus on occupational health.

Low Back Disorders – American College of Occupational and Environmental Medicine (free summary from NGC – $ see original guideline in ACOEM website)

Cervical and thoracic spine disorders – American College of Occupational and Environmental Medicine (free summary from NGC – $ see original guideline in ACOEM website)

 

Improving quality of life in patients with advanced cancer: Targeting metastatic bone pain

1Aug
2017

Treatment Outcomes for Patients with Failed Back Surgery

1Aug
2017

Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis

28Jul
2017

Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: a network meta-analysis – The Lancet (link to abstract – $ for full-text)

Diclofenac 150 mg/day is the most effective NSAID available at present (are the cardiac and renal risks worth it?) and Paracetamol does not seem to work for this condition.

 

Recent advances in understanding and managing cancer pain

28Jul
2017

One year in review 2017: fibromyalgia

27Jul
2017

Guidelines for the understanding and management of pain in chronic pancreatitis

27Jul
2017

Is cyclobenzaprine useful for pain?

25Jul
2017

Is cyclobenzaprine useful for pain? – Therapeutics Initiative (free)

“…cyclobenzaprine is a long-acting sedative, not a muscle relaxant, and questioning whether any potential benefits are worth the side effects”. (from TI Newsletter). “If prescribed, a dose of 5 mg at bedtime should be tried first.  Evidence suggests titration based on response and tolerability to a maximum dose of 15 mg/day, for no longer than one week”.

 

Effectiveness of Lateral Decubitus Position for Preventing Post-Dural Puncture Headache

23Jul
2017

Effectiveness of Lateral Decubitus Position for Preventing Post-Dural Puncture Headache: A Meta-Analysis – Pain Physician (free PDF)

Source: Hospital Medicine Virtual Journal Club (free resource to find articles of interest)

Evidence suggests lateral decubitus position is associated with reduced incidence of post-dural puncture headache.

 

Report: Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use

23Jul
2017

Effect of Electroacupuncture on Urinary Leakage Among Women With Stress Urinary Incontinence

22Jul
2017

Patient Outcomes in Dose Reduction or Discontinuation of Long-Term Opioid Therapy

20Jul
2017

Hypersensitivity to antipyretics: pathogenesis, diagnosis, and management

18Jul
2017

Efficacy of Tramadol Extended-Release for Opioid Withdrawal

13Jul
2017

The weird power of the placebo effect, explained

9Jul
2017

Gabapentin for chronic neuropathic pain in adults

9Jul
2017

Cochrane Review: Gabapentin for chronic neuropathic pain in adults – Cochrane Library (link to abstract – $ for full-text)

Commentary: Analgesic Effects of Gabapentin Assessed in Chronic Neuropathic Pain – MPR (free)

“Gabapentin at doses of 1800 mg to 3600 mg daily (1200 mg to 3600 mg gabapentin encarbil) can provide good levels of pain relief to some people with postherpetic neuralgia and peripheral diabetic neuropathy”.

 

Pain and Psychology – A Reciprocal Relationship

7Jul
2017

Aerobic exercise training for adults with fibromyalgia

3Jul
2017

Aerobic exercise training for adults with fibromyalgia – Cochrane Library (link to abstract – $ for full-text)

Aerobic exercise probably improves health related quality of life, may slightly decrease pain intensity and may slightly improve physical function.

 

Acupuncture shown to have benefits for treatment of some chronic pain

27Jun
2017

Acupuncture for analgesia in the emergency department

21Jun
2017

Patients with opioid disorders frequently have other comorbidities

20Jun
2017

Guidelines for the Chronic Use of Opioid Analgesics

19Jun
2017

Pain and Opioids in Cancer Care: Benefits, Risks, and Alternatives

16Jun
2017

Association Between Persistent Pain and Memory Decline and Dementia in a Longitudinal Cohort of Elders

14Jun
2017

Association Between Persistent Pain and Memory Decline and Dementia in a Longitudinal Cohort of Elders – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentary: Persistent Pain May Increase Dementia Risk – The New York Times (10 articles per month are free)

Cohort of community-dwelling older adults suggests there might be a link.

 

The opioid crisis changed how doctors think about pain

8Jun
2017

The opioid crisis changed how doctors think about pain – VOX (free)

“One of the expectations our patients have is that pain can be completely eliminated. We as a medical community are coming to an understanding that this is not realistic.” (RT @KariTikkinen and @voxdotcom and see Tweet)

 

Reengineering the analgesic ladder for critically ill patients

6Jun
2017

Cancer Pain – Updated PDQ Cancer Information Summary

29May
2017

Lack of Evidence for Benefit From Long-term Use of Opioid Analgesics for Patients With Neuropathy

24May
2017

Guideline for opioid therapy and chronic noncancer pain

10May
2017

Advil, Motrin and other NSAIDs painkillers should be prescription only, Danish study says

28Apr
2017

Mortality risk during and after opioid substitution treatment

28Apr
2017

After Knee or Hip Replacement, No Place Like Home

27Apr
2017

After Knee or Hip Replacement, No Place Like Home – The New York Times (10 articles per month are free)

See also: Time to Rethink Inpatient Rehab After Knee Replacement? – The Rheumatologist (free)

Original article abstract ($ for full-text): Effect of Inpatient Rehabilitation vs a Monitored Home-Based Program on Mobility in Patients With Total Knee Arthroplasty: The HIHO Randomized Clinical Trial – JAMA (free)

The NYT commentary talks about the futility of some interventions currently used to postpone surgery and about the benefits of outpatient rehabilitation.

 

New warnings about the use of codeine and tramadol

24Apr
2017

EULAR revised recommendations for the management of fibromyalgia

12Apr
2017

Neuropathic pain in adults

3Apr
2017

Pregabalin for Acute and Chronic Sciatica

23Mar
2017

Trial of Pregabalin for Acute and Chronic Sciatica – New England Journal of Medicine (link to abstract – $ required for full-text)

Pregabalin did not reduce pain and was associated with higher incidence of adverse events.

 

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