Chronic Pain - Springer Nature

Management of uncomplicated total knee arthroplasty chronic pain and stiffness utilizing cooled radiofrequency ablation: a single institution pilot study

Objectives of this research The aim of this study is to demonstrate chilled radiofrequency ablation technological feasibility as an alternative percutaneous image-guided therapy of chronic pain and stiffness in the context of uncomplicated total knee arthroplasty. Material and method This retrospective pilot study includes a total of 19 consecutive patients with persistent pain following knee arthroplasty, but there are no underlying hardware issues that had failed to provide timely care. Pain severity, stiffness, daily living, and use of pain medication were assessed with scientifically validated questionnaires and a visual analog scale to determine pain tolerance, stiffness, muscular endurance, daily living, and use of pain medications.

Source link: https://doi.org/10.1007/s00256-021-03944-z

Abnormal connectivity model of raphe nuclei with sensory-associated cortex in Parkinson’s disease with chronic pain

BACKGROUND AND GOAL There are reports that raphe nuclei may have a role in Parkinson's disease chronic pain. We looked at the functional connectivity pattern of raphe nuclei in Parkinson's disease with chronic pain in order to determine its possible pathophysiology. Methods Fifteen PDP, who suffered from pain, suffered for more than three months, sixteen Parkinson's disease patients with no pain, and eighteen matched healthy controls were recruited. PDP demonstrated improved functional connectivity between raphe nucleus and pain-related brain regions, including parietal lobe, cingulum cortex, and prefrontal cortex, and PPP scores, which were highly correlated with KPPS independent of the clinical conditions. Conclusions: Abnormal functional connectivity model of raphe nuclei may be partially responsible for the pain-related pathophysiological mechanism of pain in PD.

Source link: https://doi.org/10.1007/s10072-022-05864-9

Talking about chronic pain in family settings: a glimpse of older persons’ everyday realities

Background The expression of chronic pain for those older people with this disorder is a delicate topic. If many studies show the dangers of putting pain into words, there are those that explore how social media platforms can aid or prevent its expression. This article examines the way older people with persistent illnesses and social networks in this country's social networks, based on a qualitative research that looked at the possibility of chronic pain in older people's social media, providing clinicians with data on the way older people with chronic illnesses address their everyday lives and social networks. Conclusions The ability of the interrogators within the family unit is highly dependent on this location, with a preference for immediate relatives or people with common difficulties. The ability to share chronic pain in social networks is both a resource and a challenge.

Source link: https://doi.org/10.1186/s12877-022-03058-8

The impact of COVID-19 on patients with chronic pain seeking care at a tertiary pain clinic

Patients with chronic pain pre- and post-COVID-19 pandemic onset were monitored by season, matched by season to investigate patient-reported health signs in patients with chronic pains of persistent pain during pre- and post-COVID-19 pandemic onset. However, when COVID-19 cases reached their high point in July 2020, pain catastrophizing scores were also elevated. Our findings reveal that patients receiving pain relief as a result of the COVID-related pandemic are gaining resilience. However, our findings that pain catastrophizing soared in July 2020, suggest that future monitoring and analysis of patients' pains are warranted.

Source link: https://doi.org/10.1038/s41598-022-10431-5

Complex Persistent Opioid Dependence—an Opioid-induced Chronic Pain Syndrome

Long-term opioid therapy for chronic cancer and non-cancer pain is often ineffective in meeting the ostensible goal of improving function by improved pain control. Opioid tapering, the most popular treatment option on LTOT, also appears to be ineffective among many patients on LTOT because it often leads to even worse pain management and function, leaving the patients and providers managing LTOT in a clinical conundrum with no treatment options. Instead of CPOD, which has several limitations as a diagnosis condition, including poor patient acceptance due to stigma against opioid use disorder and clinical confounding with opioid use disorder, a related but distinct clinical entity, “Opioid Induced Chronic Pain syndrome” is a generic medical condition. OICP with LTOT is thought of as a resolvable iatrogenic disorder that can be handled by pain clinics.

Source link: https://doi.org/10.1007/s11864-022-00985-x

Efficacy and Safety of Tramadol Hydrochloride Twice-Daily Sustained-Release Bilayer Tablets with an Immediate-Release Component for Chronic Pain Associated with Knee Osteoarthritis: A Randomized, Double-Blind, Placebo-Controlled, Treatment-Withdrawal Study

Background and Objectives Knee osteoarthritis pain is a persistent pain for which non-steroidal anti-inflammatory drugs can be ineffective analgesia. Tramadol hydrochloride bilayer tablets are a new form of tramadol developed for treating chronic pain. This research was designed to determine the safety and effectiveness of this drug in patients with persistent knee osteoarthritis pain. Patients with a decline in Numeric Rating Scale for Pain with a reduction of 2 points during a 1–3-week, open-label, tramadol dose increase were chosen to continue tramadol or placebo for 4 weeks. Patients in the open-label period were 80. 6% of patients, and 38. 5% and 13. 6% of patients in the tramadol and placebo groups, respectively, in the double-blind period. Conclusions This review found that tramadol tablets with an immediate-release component for chronic knee osteoarthritis pain and analgesic quality and safety.

Source link: https://doi.org/10.1007/s40261-022-01139-5

Addressing chronic pain with Focused Acceptance and Commitment Therapy in integrated primary care: findings from a mixed methods pilot randomized controlled trial

Background Over 100 million Americans suffer from chronic pain and the majority of people receive their medical attention in primary care clinics. Methods This mixed-methods controlled trial included twenty-six participants with non-cancer persistent pain being managed in primary care 54% women; 46% Hispanic/Latino. An improved intervention as usual for the ETAU control group received four handouts on pain control based in cognitive-behavioral science. Participants in FACT-CP reported learning to live with pain, which was consistent with growing chronic pain tolerance. Qualitative results showed that qualitative results revealed that qualitative research revealed that qualitative findings demonstrated that participants in learning to live with pain. Conclusion: A BHC has compiled findings supporting the fact that FACT-CP was safe for patients with persistent pain and was suitable for delivery in a primary care setting.

Source link: https://doi.org/10.1186/s12875-022-01690-2

Engagement in HIV care and viral suppression following changes in long-term opioid therapy for treatment for chronic pain

Chronic pain is common among HIV patients, and opioid prescribing changes may jeopardize HIV care management.

Source link: https://doi.org/10.1007/s10461-022-03671-z

A comparison of the influencing factors of chronic pain and quality of life between older Koreans and Korean–Americans with chronic pain: a correlational study

Background Chronic pain is one of the most common health issues for older adults around the world, and it is likely to result in lower quality of life. Chronic pain and quality of life in older adults may also be influenced by living in a different culture. The aim of this research was to investigate how multifaceted variables influence chronic pain and quality of life in elder Koreans who live in Korea and older Korean-Americans who live in the United States. Sleep quality indirectly influenced quality of life in older KAs only because of chronic pain. Conclusions Multimorbidity and depressive symptoms played significant roles in describing persistent pain in older Koreans and KAs, which ultimately reduced quality of life, according to the study. The different cultural factors influencing quality of life for Koreans and KAs should help improve quality of life for older adults with chronic pain.

Source link: https://doi.org/10.1007/s11136-021-02983-2

Adherence to Daily Interactive Voice Response Calls for a Chronic Pain Intervention

Non-pharmacological interventions for chronic pain, such as cognitive-behavioral therapy for chronic pain, are being promoted as first-line treatments due to fears about the safety and effectiveness of long-term opioid therapy. In determining treatment effectiveness, adherence to telehealth care protocols is a significant factor. In this secondary analysis of patients with chronic pain who participated in a clinical trial comparing the effectiveness of an IVR-based CBT-CP scheme to in-person CBT-CP, an Adherence to 11 weeks of interactive voice response phone calls was assessed. Trends in IVR adherence over time and differences in adherence rates between intervention groups were also investigated. When participants were registered in the service, IVR call adherence was high and did not differ between intervention groups, but did not differ between intervention groups. In the in-person CBT-CP group, patients with poor baseline cognitive skills received fewer IVR calls. CBT-CP with an IVR-delivered CBT-CP can help with more effective, non-pharmacological therapy of chronic pain.

Source link: https://doi.org/10.1007/s41347-022-00254-6

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