Pain Practice最新文献

{"title":"Ultrasound Examination in a Patient With Foot Drop: Answering a Missed Call.","authors":"Tuğba Urlu, Berkay Yalçınkaya, Ahmet Furkan Çolak, Hilmi Berkan Abacıoğlu, Gamze Kılıç, Levent Özçakar","doi":"10.1111/papr.70146","DOIUrl":"https://doi.org/10.1111/papr.70146","url":null,"abstract":"","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":"26 3","pages":"e70146"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147369937","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":"Cooccurrence of Anterior Cruciate Ligament Rupture and Ganglion Cyst: Clinical Complexity and Ultrasound-Guided Tailored Management.","authors":"Berkay Yalçınkaya, Hilal Yalçınkaya, Ahmet Furkan Çolak, Hasan Ocak, Alp Çetin","doi":"10.1111/papr.70147","DOIUrl":"https://doi.org/10.1111/papr.70147","url":null,"abstract":"","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":"26 3","pages":"e70147"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147369953","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":"Commentary on \"Transcranial Direct Current Stimulation in Parkinson's Disease Patients in the Off State: A Randomized Controlled Crossover Trial Examining the Effects on Pain With and Without the Influence of Dopaminergic Medication\".","authors":"Caihua Chen, Yan Chen","doi":"10.1111/papr.70127","DOIUrl":"https://doi.org/10.1111/papr.70127","url":null,"abstract":"","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":"26 3","pages":"e70127"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344710","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":"Artificial Intelligence for Predicting Clinical Outcomes in Interventional Pain Medicine for Spine Disorders: A Systematic Review.","authors":"Puneet Gupta, Stephen Richards, Sina Davari Farid, Geet Paul","doi":"10.1111/papr.70129","DOIUrl":"10.1111/papr.70129","url":null,"abstract":"<p><strong>Objectives: </strong>Artificial intelligence (AI) applications are being increasingly explored in pain medicine due to AI's ability to handle multidimensional data and analyze complex, nonlinear relationships. There is a need to identify and understand the advances that have been made in developing AI-based clinical prediction models in interventional pain medicine for spine disorders. Therefore, the purpose of this study is to conduct a systematic review of AI-based prediction models for clinical outcomes in interventional spine medicine with a focus on model field of application, performance, and generalizability.</p><p><strong>Methods: </strong>A systematic review evaluating AI-based clinical prediction models in interventional pain medicine for spine disorders was conducted using the PubMed/MEDLINE and Scopus databases in February of 2025. Articles meeting eligibility criteria had standardized data extracted and were assessed for their application, performance (primarily based on area under the receiver operating characteristic curve [AUROC] and accuracy), and generalizability (internal and/or external validation).</p><p><strong>Results: </strong>A final total of nine studies were included in this systematic review. Of these nine, four of the studies were pertaining to epidural steroid injections and five of the studies were pertaining to spinal cord stimulators. Two studies (22.2%) out of nine achieved an excellent (> 0.90) AUROC or accuracy for their AI-based prediction models. One study (11.1%) externally validated their AI-based prediction model.</p><p><strong>Discussion: </strong>AI-based clinical prediction models are limited to epidural steroid injections and spinal cord stimulators. Additionally, there is a need to improve model performance and generalizability through external validation prior to clinical translation.</p>","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":"26 3","pages":"e70129"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271956","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":"Comment on \"Ultrasound Examination for Brachial Plexus Injury Following Lat Pull-Down Exercises\".","authors":"Min Cheol Chang","doi":"10.1111/papr.70133","DOIUrl":"https://doi.org/10.1111/papr.70133","url":null,"abstract":"","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":"26 3","pages":"e70133"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147434713","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":"Effect of Comedy Movies Watched During Transurethral Resection of the Prostate (TUR-P) on Vital Signs and Postoperative Pain: A Randomized Controlled Trial.","authors":"Remziye Cici, Gülay Yilmazel, Mücahit Doğan, Muhammet Yaytokgil","doi":"10.1111/papr.70136","DOIUrl":"10.1111/papr.70136","url":null,"abstract":"<p><strong>Aim: </strong>This study was conducted to determine how watching comedy movies affects vital signs and postoperative pain in patients during transurethral prostate resection.</p><p><strong>Methods: </strong>A randomized controlled trial model study was conducted at a hospital in Turkey. Ninety patients were included in the study (comedy: 30, documentary: 30, control: 30). Pain was assessed using the Visual Analog Pain Scale, while patient monitors recorded vital signs.</p><p><strong>Results: </strong>At the first measurement, the mean pain score in the comedy group was 2.0. Although this value was numerically the lowest among the groups, it was not statistically significant (p > 0.05). Across the three groups, baseline VAS values demonstrated similar ranges (95% CI: 2.73-3.41). In the 24th and 48th hour measurements, the pain was again at the lowest level in the comedy group (VAS 24 h 95% CI: 2.12-2.84; VAS 48 h 95% CI: 0.94-1.52; p < 0.001). Although a decrease was observed in the pulse rate of vital signs in all three groups in the postoperative measurements, it was determined that the lowest value was in the comedy group (pulse at operation start 95% CI: 79.92-84.47, 15th minute 95% CI: 73.79-87.69, 30th minute 95% CI: 46.03-68.70, end of surgery 95% CI: 71.75-76.14; p < 0.001). While a decrease in systolic blood pressure was observed in all three groups during and after surgery compared to the preoperative period, it was determined that the most significant decrease was in the comedy group (15th minute 95% CI: 117.12-124.82, 30th minute 95% CI: 74.46-94.95, end of surgery 95% CI: 116.54-123.46; p < 0.05).</p><p><strong>Conclusions: </strong>The study's results determined that comedy films significantly affected pain management and perioperative vital signs such as pulse and systolic blood pressure.</p>","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":"26 3","pages":"e70136"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373052","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":"Ultrasonographic Visualization of a Bifid Greater Occipital Nerve Causing Occipital Neuralgia.","authors":"Berkay Yalçınkaya, Ahmet Furkan Çolak, Levent Özçakar","doi":"10.1111/papr.70120","DOIUrl":"https://doi.org/10.1111/papr.70120","url":null,"abstract":"","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":"26 2","pages":"e70120"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146093738","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":"Correction to \"New Zealand Survey of the Diagnosis and Treatment Experiences of People With Upper Limb Complex Regional Pain Syndrome\".","authors":"","doi":"10.1111/papr.70118","DOIUrl":"10.1111/papr.70118","url":null,"abstract":"","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":"26 2","pages":"e70118"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086756","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":"Long-Term Effects of a Chronic Pain Management Program ('PAIN CAMP') on Refractory Chronic Pain Classified by ICD-11: A Single-Arm Intervention Study.","authors":"Yuichiro Nakaso, Shinsuke Inoue, Kiyoshi Makita, Young-Chang Arai, Kazuhiro Shimo, Masayuki Inoue, Toshiko Wakabayashi, Hirofumi Miyagawa, Ken Iwamoto, Konosuke Niwa, Hiroki Torimoto, Mari Tsuchiya, Yuko Ota, Eri Kawai, Yuichi Hirai, Takahiro Ushida","doi":"10.1111/papr.70102","DOIUrl":"10.1111/papr.70102","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain is associated with functional disability and reduced work participation. This study aimed to evaluate the long-term effects of a multidisciplinary chronic pain management program adapted to the Japanese healthcare system on work-related status, pain-related assessments, and physical function in patients with chronic pain classified under ICD-11.</p><p><strong>Methods: </strong>One hundred patients participated in a 5-week program comprising exercise therapy, cognitive behavioral therapy (CBT), pain education, and nature-based activities. The program was delivered in a mixed inpatient-outpatient format, with all participants completing both components as part of an integrated program, allowing participants to practice and apply pain coping skills in their daily lives between sessions. Outcomes were assessed at baseline, post-treatment, 3, and 12 months. Self-reported assessments included pain severity (NRS), self-efficacy (PSEQ), catastrophizing (PCS), disability (PDAS), quality of life (EQ-5D-3L), anxiety/depression (HADS), and sleep quality (PSQI). Physical function was assessed through standardized tests. Missing data were addressed using multiple imputations, and repeated-measures ANOVA with Bonferroni correction was used to examine changes over time. Effect sizes (Cohen's d) were calculated.</p><p><strong>Results: </strong>All self-reported assessments improved significantly post-treatment and were sustained at 3 and 12 months (p < 0.05, Bonferroni-corrected). Effect sizes ranged from small to large, with particularly large effects observed for self-efficacy, catastrophizing, and several physical functions. Among those not working at baseline, 66% had returned to work at 3 months and 81% at 12 months. No significant group × time interaction was observed between chronic primary and secondary pain groups, although baseline anxiety levels (HADS-A) were higher in the chronic primary group.</p><p><strong>Conclusions: </strong>Our multidisciplinary chronic pain management program demonstrated significant effectiveness in enhancing long-term outcomes and facilitating return-to-work in patients with refractory chronic pain, including chronic primary pain.</p>","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":"26 1","pages":"e70102"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145564851","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":"Immediate and Long-Term Effects of Different Montages of Transcranial Direct Current Stimulation Over Primary Visual Cortex in Patients With Chronic Migraine: A Randomized, Double-Blind, Sham-Controlled Trial.","authors":"Cyrus Emir Alavi, Sara Ramezani, Babak Bakhshayesh Eghbali, Mozaffar Hosseininezhad, Alireza Safarifard, Nasim Alipour, Anahita Emir Alavi, Mohammad Ali Yazdanipour, Mohammad Shabani Chobe, Mohammad Amouzadeh, Seyedeh Mohadese Mosavi Mirkalaie, Mohaya Farzin","doi":"10.1111/papr.70092","DOIUrl":"10.1111/papr.70092","url":null,"abstract":"<p><strong>Background: </strong>We evaluated the immediate and long-term therapeutic efficacy of transcranial direct current stimulation (tDCS) using two distinct montages of anodal and cathodal electrical stimulation over the primary visual cortex compared with a sham tDCS in patients with chronic migraines.</p><p><strong>Methods: </strong>In this randomized, double-blind, controlled trial, 72 eligible patients with resistant chronic migraine were randomly assigned to one of three groups, receiving anodal or cathodal (2 mA for 20 min), or sham tDCS (0.5 mA for 30 s), over the pain-dominant side of the primary visual cortex. Clinical features including the number of migraine attacks per month, attack duration, pain intensity, and frequency of painkiller use at baseline, 2 months after starting and ending tDCS therapy were recorded using a personal questionnaire.</p><p><strong>Results: </strong>Both anodal and cathodal real tDCS protocols resulted in a significant reduction in the number of attacks, pain intensity, attack duration, and frequency of painkiller use during the treatment period compared to baseline. There was no significant difference between the two treatment groups regarding the therapeutic efficacy. However, only anodal tDCS significantly maintained the beneficial therapeutic effects on the number of migraine attacks and painkiller use at the follow-up phase. The sham protocol did not produce any significant clinical utility in this population.</p><p><strong>Conclusions: </strong>The study supports the analgesic effects of the proposed real tDCS approaches in patients with resistant chronic migraine. Anodal tDCS may offer superior benefits to cathodal tDCS, likely by stabilizing therapeutic outcomes through reorganizing the thalamocortical pathway.</p>","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":"26 1","pages":"e70092"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145541865","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}