Pain Medicine
Chronic low back pain: a narrative review of recent international guidelines for diagnosis and conservative treatment
27 Feb, 2023 | 12:46h | UTC
SR | Nonopioid pharmacological management of acute low back pain
27 Feb, 2023 | 12:42h | UTCCommentary: Which Meds are Best for Acute Low Back Pain? – RheumNow
Related:
M-A: Effectiveness of treatments for acute and subacute mechanical non-specific low back pain
Guideline Interventions for the management of acute and chronic low back pain.
M-A: Little benefit from muscle relaxants for adults with non-specific low back pain.
RCT | Electroacupuncture may improve opioid-induced constipation in patients with cancer
24 Feb, 2023 | 13:46h | UTCSummary: The study was a randomized clinical trial that evaluated the efficacy and safety of electroacupuncture (EA) for opioid-induced constipation (OIC) in adult patients with cancer pain. The trial included 100 patients with cancer and OIC who were randomly assigned to receive either EA or sham electroacupuncture (SA) for 24 sessions over 8 weeks. The study found that the proportion of overall responders was greater with EA (40,1%) than with SA (9,0%) at week 8, suggesting that EA treatment could be a safe and effective alternative for managing OIC in adult cancer patients. However, the trial’s limitations, such as the wide heterogeneity of cancer patients, the self-reported diary measurements, and the inability to blind acupuncturists, should be considered. Additionally, it’s worth noting that more patients in the EA group guessed that they received actual EA treatment compared to those who received SA (46 vs 22 patients).
Commentary on Twitter
RCT: Electroacupuncture (EA) could alleviate opioid-induced constipation in adult cancer patients with a good safety profile. EA may be considered as an alternative treatment for opioid-induced constipation. https://t.co/zywl2A14ij pic.twitter.com/9RhSVaZVSJ
— JAMA Network Open (@JAMANetworkOpen) February 22, 2023
Acute pain management pearls: a focused review for the hospital clinician
23 Feb, 2023 | 13:15h | UTCAcute Pain Management Pearls: A Focused Review for the Hospital Clinician – Healthcare
Regional anesthesia for thoracic surgery: a narrative review of indications and clinical considerations
23 Feb, 2023 | 13:11h | UTC
Acute pain management pearls: a focused review for the hospital clinician
17 Feb, 2023 | 12:42h | UTCAcute Pain Management Pearls: A Focused Review for the Hospital Clinician – Healthcare
RCT | Intraoperative intravenous infusion of esmketamine in patients undergoing thoracic surgery
16 Feb, 2023 | 14:56h | UTC
M-A | Radiofrequency therapies for trigeminal neuralgia
16 Feb, 2023 | 14:51h | UTC
Guideline Synopsis | The use of opioids in the management of chronic pain
15 Feb, 2023 | 16:16h | UTCSummary: The VA/DoD guideline for chronic pain management recommends non-opioid treatments, such as cognitive-behavioral and physical therapy, with opioid use reserved for specific circumstances. Mental health evaluations are emphasized, along with regular treatment reassessments. Opioid use is not recommended due to small benefits outweighed by risks, but if used, buprenorphine is suggested due to a lower risk profile. Screening for mood disorders and traumatic brain injury is also advised, although evidence for risk mitigation strategies is lacking.*
Commentary: Initiation of Opioids Not Recommended for Chronic Pain – HealthDay
*Note: This summary was created through the collaboration of a medical editor and ChatGPT.
Sex differences in clinical features, treatment, and lifestyle factors in patients with cluster headache
10 Feb, 2023 | 13:33h | UTCCommentaries:
Differences ID’d Between Men, Women With Cluster Headache – HealthDay
Cluster Headaches Affect Men More Often, But It’s Women Who Are Hit Hardest – Science Alert
Sleep hygiene strategies for individuals with chronic pain: a scoping review
6 Feb, 2023 | 13:03h | UTCSleep hygiene strategies for individuals with chronic pain: a scoping review – BMJ Open
Commentary from the author on Twitter (thread – click for more)
1/3 New pub! Sleep hygiene is often recommended to individuals with chronic pain as a non-pharmacological strategy. Is this based on evidence? We (@Sal_Ferguson, @msprajcer, @coland4boys) conducted a scoping review to find out? @BMJ_Open @CQUni_Appleton https://t.co/WbgiRzUUZj
— Dr Charlotte Gupta (@cc_gupta) February 3, 2023
M-A | Types and concentrations of blood-based biomarkers in adults with peripheral neuropathies
3 Feb, 2023 | 13:49h | UTC
Efficacy, safety, and tolerability of antidepressants for pain in adults: overview of systematic reviews
2 Feb, 2023 | 15:05h | UTCEditorial: Rethinking use of medicines for chronic pain – The BMJ
News Release: Antidepressants use for chronic pain on the rise, but are they effective? – University of Sidney
Commentary from the author on Twitter (thread – click for more)
Out today in @bmj_latest
We reviewed the evidence on the efficacy of antidepressants for pain in adults
We showed that antidepressants are effective for some pain conditions, but for most they are either ineffective or evidence is inconclusivehttps://t.co/E2XVQ9oGUQ
? pic.twitter.com/kBo7eAyeCP— Giovanni Ferreira (@giovanni_ef) February 1, 2023
Complex regional pain syndrome: practical diagnostic and treatment guidelines
2 Feb, 2023 | 14:54h | UTCRelated: Complex Regional Pain Syndrome: A Comprehensive Review – Pain and Therapy
RCT | Diclofenac diethylamine 2.32% gel applied twice daily vs. 1.16% gel four times daily in patients with acute ankle sprain
2 Feb, 2023 | 14:49h | UTC
Review | Diagnosis and acute management of migraine
31 Jan, 2023 | 14:04h | UTCDiagnosis and acute management of migraine – Canadian Medical Association Journal
News Release: Migraine: how to diagnose, manage and prevent – Canadian Medical Association Journal
Preliminary study suggests decompression surgery may improve symptoms in neurogenic thoracic outlet syndrome
26 Jan, 2023 | 12:23h | UTC
Neurogenic thoracic outlet syndrome: presentation, diagnosis, and treatment
26 Jan, 2023 | 12:22h | UTC
RCT | Oral ibuprofen and oral ketorolac are similarly effective for children with acute traumatic pain
20 Jan, 2023 | 14:47h | UTC
RCT | Bilateral ultrasound-guided erector spinae plane block vs. wound infiltration for postoperative analgesia in lumbar spinal fusion surgery
20 Jan, 2023 | 14:18h | UTC
RCT | Ultrasound-guided percutaneous cryoneurolysis to treat chronic postamputation phantom limb pain
17 Jan, 2023 | 13:13h | UTC
RCT | Effect of a biopsychosocial intervention vs. postural therapy in patients with acute and subacute spine pain
12 Jan, 2023 | 13:15h | UTCEffect of a Biopsychosocial Intervention or Postural Therapy on Disability and Health Care Spending Among Patients With Acute and Subacute Spine Pain: The SPINE CARE Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)
See also: Visual Abstract
Commentary: Noninvasive Interventions Can Reduce Spine Pain Versus Usual Care – HealthDay
Commentary on Twitter
Among patients with acute or subacute spine pain, both a biopsychosocial intervention and a postural therapy intervention resulted in modest statistically significant reductions in disability at 3 months compared with usual care. https://t.co/vwRa4UNkSk pic.twitter.com/rtm2zixVln
— JAMA (@JAMA_current) December 22, 2022
RCT | Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months
10 Jan, 2023 | 14:50h | UTC
Commentary on Twitter
Letters notifying clinicians of a patient's fatal overdose reduced opioid prescribing up to one year after receiving the letter. https://t.co/cEU1inH9lE
— JAMA Network Open (@JAMANetworkOpen) January 6, 2023
Review | Management of chronic migraine.
15 Dec, 2022 | 13:41h | UTCManagement of chronic migraine – The BMJ
RCT | Comparing bupivacaine alone to liposomal bupivacaine plus bupivacaine in interscalene blocks for total shoulder arthroplasty.
15 Dec, 2022 | 13:36h | UTC