Pain Medicine最新文献

{"title":"Successful non-operative management of symptomatic intradural catheter-tip granuloma in a patient with intrathecal drug delivery system.","authors":"Ratan K Banik, Michael C Park","doi":"10.1093/pm/pnaf025","DOIUrl":"10.1093/pm/pnaf025","url":null,"abstract":"","PeriodicalId":19744,"journal":{"name":"Pain Medicine","volume":" ","pages":"493-494"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design and implementation of online acceptance and commitment therapy with enhanced therapist support for chronic low back pain (ACT for PAIN).","authors":"Sara Jones Berkeley, Sharlene Wedin, Seema M Patidar, Skye O Margolies, Amy M Goetzinger, Matthew C Mauck, Ajay D Wasan, Lance M McCracken","doi":"10.1093/pm/pnaf026","DOIUrl":"10.1093/pm/pnaf026","url":null,"abstract":"<p><strong>Background: </strong>Chronic low back pain (cLBP) typically involves behavior patterns in the development and maintenance of symptoms. Acceptance and Commitment Therapy (ACT) is an evidence-based treatment for chronic pain shown to improve pain-related depression, anxiety, and sleep, as well as pain catastrophizing, pain interference, and levels of reported pain. It has been proven effective when delivered in person or online, but an online therapist-enhanced ACT has not been tested to treat cLBP. This approach may have care delivery advantages while maintaining patient engagement with treatment.</p><p><strong>Objective: </strong>Describe the design and implementation of the therapist-supported, online model of ACT that was evaluated in the Biomarking for Evaluating Spine Treatments (BEST) Trial.</p><p><strong>Methods: </strong>The BEST Trial is a sequential, multiple assignment randomized trial of 4 treatment modalities (exercise and manual therapy; duloxetine; enhanced self-management of pain; and ACT) to inform a precision medicine approach to the treatment of cLBP. The ACT intervention was delivered over the internet via a custom, web-based software platform. The program had three primary components: (1) interactive online sessions consisting of video, audio and self-assessment; (2) therapist sessions via video visits; and (3) ongoing therapist support outside the video visits through a messaging system.</p><p><strong>Discussion: </strong>The ACT intervention addresses the need for mental health care integrated with chronic low back pain treatment. The online ACT treatment program with enhanced therapist support was designed to overcome barriers to multimodal care of CLBP and improve a range of treatment outcomes.</p><p><strong>Clinicaltrial.gov id: </strong>NCT05396014.</p><p><strong>Registration: </strong>The BEST Trial is registered in ClinicalTrials.gov (NCT05396014): https://clinicaltrials.gov/study/NCT05396014.</p>","PeriodicalId":19744,"journal":{"name":"Pain Medicine","volume":" ","pages":"451-458"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial factors are associated with altered pain processing in individuals with hip osteoarthritis: a cross-sectional study.","authors":"Abner Sergooris, Jonas Verbrugghe, Bruno Bonnechère, Timo Meus, Maaike Van Den Houte, Kristoff Corten, Katleen Bogaerts, Annick Timmermans","doi":"10.1093/pm/pnaf030","DOIUrl":"10.1093/pm/pnaf030","url":null,"abstract":"<p><strong>Objectives: </strong>Alterations in central pain processing are hypothesized to underlie the discordance between pain and radiographic osteoarthritis severity, as well as the association between psychological trauma and pain sensitivity. This cross-sectional study explored whether psychosocial factors and traumatic experiences are associated with central pain processing in individuals with hip osteoarthritis.</p><p><strong>Method: </strong>Independent variables included sociodemographic information, traumatic experiences, psychiatric disorders, symptoms of anxiety and depression, fear-avoidance, perceived injustice, general self-efficacy, perceived stress, social support, and pain-related variables. Thermal quantitative sensory testing was used to assess central pain processing through heat pain thresholds, temporal adaptation and summation, and conditioned pain modulation. Least absolute shrinkage and selection operator (LASSO) regression analyses were performed.</p><p><strong>Results: </strong>One hundred thirty-three individuals with hip osteoarthritis were included. Sex differences were identified in measures of central pain processing. In combination with biological and pain-related factors, psychosocial factors explained between 11% and 21% of the variance in central pain processing. The selection of biopsychosocial variables and the direction of their effect differed between male and female participants. Inconsistent results were found with regard to the association between traumatic experiences and central pain processing.</p><p><strong>Conclusions: </strong>Psychosocial factors contributed to the variance in quantitative sensory testing outcomes beyond the influence of biomedical variables. Different associations were found in male and female participants between psychosocial factors and central pain processing. Inconsistent results were found with regard to the association between traumatic experiences and altered central pain processing.</p>","PeriodicalId":19744,"journal":{"name":"Pain Medicine","volume":" ","pages":"468-476"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping and crosswalk of patient-reported pain measures after surgery in the Michigan surgical quality collaborative registry.","authors":"Ashwin J Kulkarni, Jorge Vinales, Vidhya Gunaseelan, Chad M Brummett, Yen-Ling Lai, Jennifer Waljee, Michael F McGee, Michael Englesbe, Mark C Bicket","doi":"10.1093/pm/pnaf041","DOIUrl":"10.1093/pm/pnaf041","url":null,"abstract":"<p><strong>Objective: </strong>Patient-reported pain is a crucial measure for postoperative recovery, but the correlation between numeric and categorical scales remains unclear. The Michigan Surgical Quality Collaborative (MSQC) used categorical rating scales (CRS) from 2017 to 2020 and 2022, switching to numeric rating scales (NRS) in 2021, offering a chance to compare both.</p><p><strong>Methods: </strong>We analyzed surgical patients ≥18 years of age across 70 MSQC hospitals. We compared the 2020 CRS regarding pain in the week after surgery with 2021 NRS surgical site (primary outcome) and overall body (secondary outcome) pain questions using modified equipercentile equating. A secondary analysis equated surgical site pain for 2021 NRS and 2022 CRS.</p><p><strong>Results: </strong>Among 31 362 respondents (55.4 mean age, 57.4% female, 19.5% non-white, 46.6% publicly insured), 81.1% noted \"minimal\" or \"moderate\" pain in the 2020 CRS while 76.6% noted surgical site pain scores between 2 through 8 in the 2021 NRS. Responses from surgical site pain NRS were matched to CRS as: 0 = no pain, 1 through 4 = minimal pain, 5 through 8 = moderate pain, and 9 through 10 = severe pain. The mapping of overall body pain NRS was similar except that minimal pain included 0 through 4. The secondary analysis added 21 113 cases confirming these findings.</p><p><strong>Discussion: </strong>NRS surgical site and overall body pain scores map effectively to the single-question CRS, with pain scores similar over 3 years. This analysis establishes a framework for integrating pain scores across both scales, unlocking their potential to be used as quality postoperative pain measures.</p>","PeriodicalId":19744,"journal":{"name":"Pain Medicine","volume":" ","pages":"433-439"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who is being represented in research? A researcher-driven method for assessing diversity and representation in prospective research cohorts.","authors":"Alexandra G Tremblay-McGaw, Emma E Biggs, Olivia E Sokol, Amanda W Miner, Ana B Goya Arce, Laura E Simons","doi":"10.1093/pm/pnaf037","DOIUrl":"10.1093/pm/pnaf037","url":null,"abstract":"","PeriodicalId":19744,"journal":{"name":"Pain Medicine","volume":" ","pages":"495-498"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Provider perceptions of burden in patients with chronic pain: implications for disparities in healthcare delivery.","authors":"Raymond C Tait","doi":"10.1093/pm/pnaf028","DOIUrl":"10.1093/pm/pnaf028","url":null,"abstract":"","PeriodicalId":19744,"journal":{"name":"Pain Medicine","volume":" ","pages":"431-432"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uncharted territory: evaluating high-cervical closed-loop spinal cord stimulation for chronic multisite, non-contiguous pain.","authors":"Nam Vo, Jarna Shah","doi":"10.1093/pm/pnaf033","DOIUrl":"10.1093/pm/pnaf033","url":null,"abstract":"","PeriodicalId":19744,"journal":{"name":"Pain Medicine","volume":" ","pages":"490-492"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial commitment to trust and integrity in science: Implications for pain and anesthesiology research.","authors":"Tonya M Palermo, Didier Bouhassira, Karen D Davis, Hugh C Hemmings, Robert W Hurley, Joel Katz, Jaideep J Pandit, Theodore J Price, Michael E Schatman, Stephan K W Schwarz, Dennis C Turk, Marc Van de Velde, Matthew D Wiles, Tony L Yaksh, David Yarnitsky","doi":"10.1093/pm/pnaf062","DOIUrl":"10.1093/pm/pnaf062","url":null,"abstract":"","PeriodicalId":19744,"journal":{"name":"Pain Medicine","volume":" ","pages":"425-430"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multisite Calcium Pyrophosphate Deposition Disease Detected by Ultrasonography in a Patient with Knee Pain.","authors":"Abdullah Emre Uğur, Beytullah Yazar, Levent Özçakar","doi":"10.1093/pm/pnaf104","DOIUrl":"https://doi.org/10.1093/pm/pnaf104","url":null,"abstract":"","PeriodicalId":19744,"journal":{"name":"Pain Medicine","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflections on: \"Ultrasound-Guided Biceps Femoris Short Head (BiFeS) Block\".","authors":"Raghuraman M Sethuraman, Geetha Soundarya Udayakumar","doi":"10.1093/pm/pnaf102","DOIUrl":"https://doi.org/10.1093/pm/pnaf102","url":null,"abstract":"","PeriodicalId":19744,"journal":{"name":"Pain Medicine","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144743848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}