Pain Management
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Pain Management
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A meta-analysis of the analgesic effects of omega-3 polyunsaturated fatty acid supplementation for inflammatory joint pain. (Pain. 2007) "The results suggest that omega-3 PUFAs are an attractive adjunctive treatment for joint pain associated with rheumatoid arthritis, inflammatory bowel disease, and dysmenorrhea."
[A multimodal and multidisciplinary postoperative pain management concept.] (Orthopade. 2007) "Under-treatment of acute postoperative pain can lead to chronic pain with neuronal plasticity and result in poor surgical outcomes. A multimodal approach is therefore necessary to reduce postoperative pain by combining various analgesics with a non-pharmacological strategy. The current use of multimodal approaches, even for the management of postoperative pain, can reduce the side effects of pharmaceutical therapy alone as well as reducing the length of hospital stay."
A Population in Pain: Report from the Olmsted County Health Study (Pain Medicine 2007) "Conclusions. The prevalence of chronic pain is high, often in more than one location, and over 21% of chronic pain sufferers report dissatisfaction with current care."
A systematic review of the effect of waiting for treatment for chronic pain (Pain 2007) "The current review supports that patients experience a significant deterioration in health related quality of life and psychological well being while waiting for treatment for chronic pain during the 6 months from the time of referral to treatment."
Analgesia in patients with acute abdominal pain. (Cochrane Database Syst Rev. 2007) "AUTHORS' CONCLUSIONS: The review provide some evidence to support the notion that the use of opioid analgesics in patients with acute abdominal pain is helpful in terms of patient comfort and does not retard decisions to treat."
Chronic Pain Management "Pain can be divided into two categories: nociceptive and neuropathic. Nociceptive pain is more commonly known as acute pain and is further categorized as somatic and visceral pain. Somatic pain usually arises from muscle or tissue injury. It is well localized and is often described as aching, throbbing, or shooting sensations. Visceral pain is often referred from an internal organ. This type of pain is usually treated with traditional pain medications, such as opioids and NSAIDs.3 Neuropathic pain is mechanistically different from nociceptive pain, warranting different pharmacologic agents for treatment. The mechanism of neuropathic pain is more complex and not as well understood as that of nociceptive pain. It is theorized that neuropathic pain occurs as a result of dysfunction of or damage to both the central and peripheral nervous systems.4 The malfunction in the central nervous system (CNS) can lead to several different processes (e.g., increased cell firing, decreased inhibition of neuronal activity, and sensitization) that are responsible for chronic pain. Neuropathic pain is often described as burning, shooting, tingling, and possibly accompanied by numbness. Hyperalgesia (the exaggerated response to normally noxious stimuli) and allodynia (the painful response to a normally nonpainful stimulus) often occur in neuropathic pain syndromes."
Cognitive Function Impairment in Patients with Neuropathic Pain Under Standard Conditions of Care (Journal of Pain and Symptom Management 2007)
Effects of stress on pain threshold and tolerance in children with recurrent abdominal pain. (Pain. 2007)
Intravenous lidocaine for neuropathic pain: diagnostic utility and therapeutic efficacy. (Curr Pain Headache Rep. 2007)
Just one opioid prescription? (Aust Fam Physician. 2007)
Medications of abuse in pain management. (Current Opinion in Anaesthesiology 2007)
Prevalence of Interpersonal Abuse in Primary Care Patients Prescribed Opioids for Chronic Pain. (J Gen Intern Med. 2007) "CONCLUSIONS: This study reports prevalence of abuse in both men and women prescribed opioids for chronic pain in primary care settings. Subjects who report experiencing interpersonal abuse also report significantly higher rates of suicide attempts and score higher on the ASI psychiatric scale. Screening patients taking opioids for chronic pain for interpersonal abuse may lead to a better understanding of contributors to their physical and mental health."
Prevalence of pain in patients with cancer: a systematic review of the past 40 years (Ann Oncol 2007 18: 1437-1449. )
Psychiatric aspects of pain. (Current Opinion in Psychiatry 2007) "Summary: The frequent occurrence of mental disorders among patients with pain, especially those whose pain is chronic, has implications for the management of such patients."
Recognition and diagnosis of breakthrough pain. (Pain Med. 2007) "Persistent pain and breakthrough pain (BTP) are distinct clinical entities that should be recognized, diagnosed, and treated individually. BTP is common in patients with cancer and a variety of other chronic diseases. Reported incidence of BTP varies widely from 16% to 95% of those with persistent pain syndromes. Such variability is likely due to lack of a clear consensus on the definition of BTP. It is most commonly defined as an abrupt, short-lived, and intense pain that "breaks through" the around-the-clock analgesia that controls persistent pain. The three subtypes of BTP are incident, idiopathic, and end-of-dose failure. BTP also is categorized as somatic, visceral, neuropathic, or mixed."
What Patients with Cancer Want to Know About Pain: A Qualitative Study. (J Pain Symptom Manage. 2007)
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