Pain Practice最新文献

The sacroiliac joint. 骶髂关节

IF 2.5 3区医学

Pain Practice Pub Date : 2024-11-06 DOI: 10.1111/papr.13435

Alaa Abd-Elsayed, Christopher Gilligan

引用次数: 0

Lead fracture in dorsal root ganglion stimulation. 背根神经节刺激中的引线断裂。

IF 2.5 3区医学

Pain Practice Pub Date : 2024-11-04 DOI: 10.1111/papr.13434

Alaa Abd-Elsayed, Christopher Gilligan

引用次数: 0

Caudal epidural steroid injections: Is ultrasound guidance sufficient? 尾部硬膜外类固醇注射：超声引导是否足够？

IF 2.5 3区医学

Pain Practice Pub Date : 2024-10-27 DOI: 10.1111/papr.13433

Tuba Tanyel Saraçoğlu, Fırat Akbaş, Mehmet Sacit Güleç

引用次数: 0

Narrative review: Managing buprenorphine and opioid use disorder in the perioperative setting. 叙述性综述：在围手术期管理丁丙诺啡和阿片类药物使用障碍。

IF 2.5 3区医学

Pain Practice Pub Date : 2024-10-25 DOI: 10.1111/papr.13427

Lynn Kohan, Antje Barreveld, Sudheer Potru, Alaa Abd-Elsayed, Eugene R Viscusi

引用次数: 0

Challenges in removing an aged spinal cord stimulator: A case study of complete fracture in a 9-year-old S-series paddle lead. 移除老化脊髓刺激器的挑战：9 年 S 系列桨式导联完全断裂的病例研究。

IF 2.5 3区医学

Pain Practice Pub Date : 2024-10-23 DOI: 10.1111/papr.13429

Dong-Chun Kim, Eunsu Kang, Hyun-Seong Lee, Yei Heum Park, Byeongcheol Lee, Ji Yeon Kwon, Junseong Moon, Sang Eun Lee

{"title":"Challenges in removing an aged spinal cord stimulator: A case study of complete fracture in a 9-year-old S-series paddle lead.","authors":"Dong-Chun Kim, Eunsu Kang, Hyun-Seong Lee, Yei Heum Park, Byeongcheol Lee, Ji Yeon Kwon, Junseong Moon, Sang Eun Lee","doi":"10.1111/papr.13429","DOIUrl":"https://doi.org/10.1111/papr.13429","url":null,"abstract":"Introduction: This case report presents an instance of an S-Series™ slim paddle lead fracturing during extraction, highlighting potential risks associated with the removal of this lead.Case report: A 47-year-old male with complex regional pain syndrome type 2, unresponsive to pharmacotherapy, had undergone the implantation of two spinal cord stimulator (SCS) leads, an Octrode™ cylindrical and an S-series™ slim paddle, using the Epiducer™ system (St Jude Medical) 9 years earlier, with a subsequent intrathecal baclofen pump installed 1 year after SCS. Initially, these interventions stabilized the patient's pain symptoms. However, the diminishing effectiveness of SCS, coupled with a decrease in battery life and increased opioid consumption, necessitated recent surgical procedures. These included the removal and replacement of the implantable pulse generator (IPG) and leads to improve pain management and ensure MRI compatibility. During the removal of the S-series™ slim paddle type lead, complications arose, leading to the retention of an electrode fragment, which necessitated abandoning the replacement of both the IPG and lead. Post-surgical assessments revealed no new neurological impairments, and imaging studies confirmed the stable position of the retained fragment. The patient was discharged with a continued comprehensive pain management plan.Conclusion: This case highlights the challenges and risks of percutaneous removal of slim paddle type leads, emphasizing the need for careful procedural planning and consideration of surgical options to avoid complications. Further research is needed to evaluate the long-term durability and removal risks of various SCS lead types.","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142505788","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}

引用次数: 0

Prescribers' preferences for triptans in migraine: Insights from the French National Social Security System Open Data. 偏头痛处方者对三苯氧胺的偏好：从法国国家社会保障系统开放数据中获得的启示。

IF 2.5 3区医学

Pain Practice Pub Date : 2024-10-23 DOI: 10.1111/papr.13432

Sylvain Redon, Anne Donnet

引用次数: 0

Preventing technique-related complications in spinal cord stimulation trials: The Dural Substitute Confetti technique. A retrospective monocentric analysis. 预防脊髓刺激试验中与技术相关的并发症：硬脑膜替代 Confetti 技术。回顾性单中心分析。

IF 2.5 3区医学

Pain Practice Pub Date : 2024-10-22 DOI: 10.1111/papr.13426

Alessandro Dario, Luca Ferlendis, Bianca Bossi, Davide Locatelli

{"title":"Preventing technique-related complications in spinal cord stimulation trials: The Dural Substitute Confetti technique. A retrospective monocentric analysis.","authors":"Alessandro Dario, Luca Ferlendis, Bianca Bossi, Davide Locatelli","doi":"10.1111/papr.13426","DOIUrl":"10.1111/papr.13426","url":null,"abstract":"Background: Spinal Cord Stimulation (SCS) is an established therapy for chronic pain, employing screening trials to identify suitable candidates before implantation. However, complications arising from both technique and medical factors present challenges to this practice. This study introduces the Dural Substitute Confetti technique, which addresses technique-related complications during SCS implantation by preventing scar-induced lead migration or breakage and reducing operating times.Methods: We conducted a retrospective analysis on 174 patients treated with SCS trials from 2017 to 2022 at our institution. Of these, 85.1% proceeded to permanent implantation. During trial surgery, synthetic dural substitutes (DS) were used to protect leads, which remained connected to an external pulse generator (EPG) for 20-28 days (mean 21.4 days). Utilizing the DS Confetti technique, leads were easily dissected from the DS during the second surgery and connected to an internal pulse generator (IPG). We compared complications and surgical times before and after the introduction of this technique in 2017.Results: Following the complete SCS trial, patients experienced over 50% pain relief, with an implant-to-trial ratio of 85.1% and a mean follow-up of 52 months. No technique-related complications occurred during the trial period post-2017, while the pre-2017 group had a 3.9% lead migration rate due to scarring, necessitating re-implantation. The average surgery duration decreased from 54 min pre-2017 to 32 min post-2017. Medical-related complications included infections (2.1%) and wound dehiscence (1.3%).Conclusions: The DS Confetti technique prevents scar adhesion formation during screening trials, thereby facilitating and expediting the definitive SCS implantation. Additionally, it may also reduce the risk of lead migration and iatrogenic damage, potentially lowering technique-related complications.","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142472321","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}

引用次数: 0

Non-responders to high frequency spinal cord stimulation. 对高频脊髓刺激无反应者。

IF 2.5 3区医学

Pain Practice Pub Date : 2024-10-22 DOI: 10.1111/papr.13431

Alaa Abd-Elsayed, Christopher Gilligan

引用次数: 0

Safety and efficacy of long-term use of a buprenorphine transdermal patch system in patients with osteoarthritis and low back pain refractory to non-opioid analgesics: Post-marketing surveillance of 3000 cases. 对非阿片类镇痛药难治的骨关节炎和腰背痛患者长期使用丁丙诺啡透皮贴片系统的安全性和有效性：对 3000 个病例的上市后监测。

IF 2.5 3区医学

Pain Practice Pub Date : 2024-10-21 DOI: 10.1111/papr.13430

Takahiro Ushida, Rumiko Kanzaki, Keishi Katayama, Akito Ishikawa

{"title":"Safety and efficacy of long-term use of a buprenorphine transdermal patch system in patients with osteoarthritis and low back pain refractory to non-opioid analgesics: Post-marketing surveillance of 3000 cases.","authors":"Takahiro Ushida, Rumiko Kanzaki, Keishi Katayama, Akito Ishikawa","doi":"10.1111/papr.13430","DOIUrl":"https://doi.org/10.1111/papr.13430","url":null,"abstract":"Objectives: A post-marketing surveillance was conducted to evaluate the safety and efficacy of the buprenorphine transdermal patch under actual clinical practice.Results: Of the 3017 patients included in the safety analysis, adverse drug reactions (ADRs) were observed in 1524 (50.5%), the most common being nausea, skin symptoms at the site of application, constipation, and vomiting. The incidences of respiratory depression and withdrawal symptoms were low, and no drug dependence was observed. Among the 2573 patients included in the efficacy analysis, the efficacy (≥2-point improvement in the numerical rating scale) rate was 74.4%, which was significantly higher in older adults (≥65 y.o) than in younger adults. Discontinuation was mostly caused by ADRs during the early initiation phase.Conclusion: This study demonstrated the safety and efficacy of long-term administration of buprenorphine transdermal patches, suggesting that pain control is possible over the long term if attention is paid to ADRs in the early stages of administration.","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142472322","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}

引用次数: 0

Effect of different electric stimulation modalities on pain and functionality of patients with pelvic pain: Systematic review with META-analysis. 不同电刺激模式对骨盆疼痛患者疼痛和功能的影响：系统回顾与 META 分析。

IF 2.5 3区医学

Pain Practice Pub Date : 2024-10-14 DOI: 10.1111/papr.13417

Camilla F Mendes, Luciene S Oliveira, Priscila A Garcez, Isabela F Azevedo-Santos, Josimari M DeSantana

{"title":"Effect of different electric stimulation modalities on pain and functionality of patients with pelvic pain: Systematic review with META-analysis.","authors":"Camilla F Mendes, Luciene S Oliveira, Priscila A Garcez, Isabela F Azevedo-Santos, Josimari M DeSantana","doi":"10.1111/papr.13417","DOIUrl":"https://doi.org/10.1111/papr.13417","url":null,"abstract":"Introduction: Pelvic pain is located in the anterior abdominal wall, below the umbilical scar. Its treatment includes pharmacological therapy, which can cause adverse effects and is not always sufficient to control symptoms. Thus, the use of adjunct therapies such as electric stimulation has been suggested. Therefore, this review intends to appraise the literature on the effectiveness of electrostimulation in the treatment of pelvic pain.Methods: The search for studies was conducted until April 2024 in PubMed, Cochrane Library, ScienceDirect, SciELO, PEDro, CINAHL, BVS, Web of Science, Scopus, and Google Scholar databases using a combination of Mesh terms \"Electric Stimulation\" and \"Pelvic Pain.\" Risk of bias assessment and meta-analysis were performed with The Cochrane Collaboration tool (RevMan 5.4). Quality of the evidence was assessed with GRADE tool.Results: From the 3247 studies found, 19 were included. In the qualitative analysis, seven studies showed TENS, electroacupuncture, PTNS, and tDCS reduced pain intensity, one study on PTNS showed increased quality of life, and one on tDCS showed improved functional performance. However, in the meta-analysis, only TENS showed efficacy for the reduction of acute pelvic pain and primary dysmenorrhea.Conclusion: Our results indicate that there is moderate-quality evidence for TENS to reduce pain intensity in primary dysmenorrhea and low-quality evidence for the same outcome in acute pelvic pain. Randomized controlled clinical trials with larger sample size and with better methodological quality are needed to establish the effectiveness of other forms of electrical stimulation in pelvic pain.","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142472320","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}

引用次数: 0