Pain Practice最新文献_第9页

About combined cervical and thoracic spinal cord stimulation. 关于颈椎和胸椎脊髓联合刺激。

IF 2.6 3区医学

Pain Practice Pub Date : 2024-04-01 Epub Date: 2024-01-03 DOI: 10.1111/papr.13342

Nicolas Desse, Rayan Fawaz, Nathan Beucler

引用次数: 0

Pain treatment in Mexico: The urgency for interventional techniques. 墨西哥的疼痛治疗：介入技术的紧迫性

IF 2.6 3区医学

Pain Practice Pub Date : 2024-04-01 Epub Date: 2023-12-14 DOI: 10.1111/papr.13334

Victor M Silva-Ortiz, Ricardo Plancarte-Sanchez, Fabricio Assis, B Carolina Hernández-Porras, Carlos Guerrero-Nope, Rodrigo Diez-Tafur, Sudhir Diwan

引用次数: 0

Peripheral magnetic stimulation for chronic peripheral neuropathic pain: A systematic review and meta-analysis. 外周磁刺激治疗慢性外周神经病理性疼痛：系统回顾和荟萃分析。

IF 2.5 3区医学

Pain Practice Pub Date : 2024-04-01 Epub Date: 2023-12-16 DOI: 10.1111/papr.13332

Elad Dana, Cody Tran, Evgeny Osokin, Duncan Westwood, Massieh Moayedi, Priyancee Sabhaya, James S Khan

{"title":"Peripheral magnetic stimulation for chronic peripheral neuropathic pain: A systematic review and meta-analysis.","authors":"Elad Dana, Cody Tran, Evgeny Osokin, Duncan Westwood, Massieh Moayedi, Priyancee Sabhaya, James S Khan","doi":"10.1111/papr.13332","DOIUrl":"10.1111/papr.13332","url":null,"abstract":"Objectives: To provide a systematic review of the literature on the effects of peripheral magnetic stimulation (PMS) in the treatment of chronic peripheral neuropathic pain.Methods: A systematic search of MEDLINE, EMBASE, CENTRAL, CINHAL, Web of Science, and ProQuest was conducted from inception to July 2023 to identify studies of any design published in English language that enrolled adult patients (≥18 years) that received PMS for treatment of a chronic peripheral neuropathic pain disorder (pain > 3 months).Results: Twenty-three studies were identified which included 15 randomized controlled trials (RCTs), five case series, two case reports, and one non-randomized trial. PMS regimens varied across studies and ranged from 5 to 240 min per session over 1 day to 1 year of treatment. Results across included studies were mixed, with some studies suggesting benefits while others showing no significant differences. Of nine placebo-controlled RCTs, four reported statistically significant findings in favor of PMS use. In the meta-analysis, PMS significantly reduced pain scores compared to control within 0-1 month of use (mean difference -1.64 on a 0-10 numeric rating scale, 95% confidence interval -2.73 to -0.56, p = 0.003, I2 = 94%, 7 studies [264 participants], very low quality of evidence), but not at the 1-3 months and >3 months of PMS use (very low and low quality of evidence, respectively). Minimal to no adverse effects were reported with PMS use.Discussion: There is limited and low-quality evidence to make definitive recommendations on PMS usage, however, the available data is encouraging, especially for short-term applications of this novel modality. Large high-quality randomized controlled trials are required to establish definitive efficacy and safety effects of PMS.","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138807236","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

Update of evidence-based interventional pain medicine according to clinical diagnoses: Cervical radicular pain response to Helm et al. 根据临床诊断更新循证介入疼痛医学：对Helm等人的颈椎根性疼痛的回应

IF 2.6 3区医学

Pain Practice Pub Date : 2024-04-01 Epub Date: 2023-12-15 DOI: 10.1111/papr.13330

Laurens Peene, Steven P Cohen, Brigitte Brouwer, James Rathmell, Andre Wolff, Koen Van Boxem, Jan Van Zundert

引用次数: 0

Case report: Dorsal root ganglion stimulator lead fracture. 病例报告：背根神经节刺激器导线断裂。

IF 2.6 3区医学

Pain Practice Pub Date : 2024-04-01 Epub Date: 2023-12-15 DOI: 10.1111/papr.13335

Suhas Kochat, Jacob Byers, Peter K Yi

{"title":"Case report: Dorsal root ganglion stimulator lead fracture.","authors":"Suhas Kochat, Jacob Byers, Peter K Yi","doi":"10.1111/papr.13335","DOIUrl":"10.1111/papr.13335","url":null,"abstract":"Background: One of the unique advances in neuromodulation for chronic pain has been spinal cord stimulators (SCS) and dorsal root ganglion stimulators (DRG-S). These devices have aided in conditions such as neuropathic pain, complex regional pain syndromes, failed back surgery, and peripheral neuropathies. With these benefits, however, complications from implantable stimulators have included lead fractures and migration. The authors reviewed a lead migration, kinking, and subsequent fracture event involving a patient with complex regional pain syndrome (CRPS) II, who was treated with a DRG-S.Case presentation: The case report follows this patient, from their past medical history to assessment of appropriate qualifications for neuromodulation, to successful surgical placement, to follow-up care. The authors further monitored assessment of inefficacy of pain relief, and identification of lead migration and kinking through imaging. In the process of removal, due to lead stress, lead fracturing occurred. After lead removal, the leads were fully replaced, and the patient was followed up and experienced improved pain relief.Conclusion: The case report assesses probable mechanisms of lead fracture and considerations for physicians for future assessment and triage of neuromodulation efficacy.","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138807178","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

Drug-induced aseptic meningitis after an interlaminar lumbar epidural steroid injection. 腰椎硬膜外类固醇层间注射后药物诱发无菌性脑膜炎。

IF 2.6 3区医学

Pain Practice Pub Date : 2024-04-01 Epub Date: 2023-12-18 DOI: 10.1111/papr.13333

Trong P Nguyen, Ishu Kant, Alec Cartagena, Jung H Kim

{"title":"Drug-induced aseptic meningitis after an interlaminar lumbar epidural steroid injection.","authors":"Trong P Nguyen, Ishu Kant, Alec Cartagena, Jung H Kim","doi":"10.1111/papr.13333","DOIUrl":"10.1111/papr.13333","url":null,"abstract":"Background: This case report describes a rare instance of drug-induced aseptic meningitis after an interlaminar lumbar epidural steroid injection.Case presentation: A 74 year-old female patient presented to the ED post-procedure day three after an L4-L5 interlaminar lumbar epidural steroid injection with fever, nausea, and vomiting. The patient had previously undergone numerous lumbar epidurals without complications and used identical medications, which included 1% lidocaine, iohexol contrast, methylprednisolone (Depo-medrol), and normal saline. Pertinent labs included a WBC of 15,000 cells/μL. Lumbar MRI revealed L4-S1 aseptic arachnoiditis. Two bone scans with Gallium and T-99 confirmed no infectious process. The patient then had a second admission months later with similar presenting symptoms and hospital course after repeating the lumbar epidural steroid injection. Lumbar MRI and CSF studies confirmed aseptic meningitis.Conclusion: This patient's repeated admissions from aseptic meningitis were likely caused by irritation of the meningeal layers from a medication used during the procedure.","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138807182","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

5. Sacroiliac joint pain. 5.骶髂关节疼痛。

IF 2.6 3区医学

Pain Practice Pub Date : 2024-04-01 Epub Date: 2023-12-28 DOI: 10.1111/papr.13338

Karolina Szadek, Steven P Cohen, Javier de Andrès Ares, Monique Steegers, Jan Van Zundert, Jan Willem Kallewaard

{"title":"5. Sacroiliac joint pain.","authors":"Karolina Szadek, Steven P Cohen, Javier de Andrès Ares, Monique Steegers, Jan Van Zundert, Jan Willem Kallewaard","doi":"10.1111/papr.13338","DOIUrl":"10.1111/papr.13338","url":null,"abstract":"Introduction: Sacroiliac (SI) joint pain is defined as pain localized in the anatomical region of the SI joint. The reported prevalence of SI joint pain among patients with mechanical low back pain varies between 15% and 30%.Methods: In this narrative review, the literature on the diagnosis and treatment of SI joint pain was updated and summarized.Results: Patient's history provides clues on the source of pain. The specificity and sensitivity of provocative maneuvers are relatively high when three or more tests are positive, though recent studies have questioned the predictive value of single or even batteries of provocative tests. Medical imaging is indicated only to rule out red flags for potentially serious conditions. The diagnostic value of SI joint infiltration with local anesthetic remains controversial due to the potential for false-positive and false-negative results. Treatment of SI joint pain ideally consists of a multidisciplinary approach that includes conservative measures as first-line therapies (eg, pharmacological treatment, cognitive-behavioral therapy, manual medicine, exercise therapy and rehabilitation treatment, and if necessary, psychological support). Intra- and extra-articular corticosteroid injections have been documented to produce pain relief for over 3 months in some people. Radiofrequency ablation (RFA) of the L5 dorsal ramus and S1-3 (or 4) lateral branches has been shown to be efficacious in numerous studies, with extensive lesioning strategies (eg, cooled RFA) demonstrating the strongest evidence. The reported rate of complications for SI joint treatments is low.Conclusions: SI joint pain should ideally be managed in a multidisciplinary and multimodal manner. When conservative treatment fails, corticosteroid injections and radiofrequency treatment can be considered.","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058499","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

Ultrasound-guided fascial plane blocks for post-breast surgery pain syndrome. 超声引导下筋膜平面阻滞治疗乳房手术后疼痛综合征。

IF 2.6 3区医学

Pain Practice Pub Date : 2024-04-01 Epub Date: 2024-01-03 DOI: 10.1111/papr.13341

Nuno Ferreira-Silva, Mark Friedrich B Hurdle, Steven R Clendenen, Amitabh Gulati, Sarah A McLaughlin, Wesley Troyer, Raúl A Rosario-Concepción

引用次数: 0

Pocket pain following spinal cord stimulator generator implantation: A narrative review of this under-reported risk. 脊髓刺激发生器植入术后的袋状疼痛：对这一报告不足的风险进行叙述性回顾。

IF 2.6 3区医学

Pain Practice Pub Date : 2024-04-01 Epub Date: 2023-12-15 DOI: 10.1111/papr.13336

Lindsay Burke, Mehul J Desai

{"title":"Pocket pain following spinal cord stimulator generator implantation: A narrative review of this under-reported risk.","authors":"Lindsay Burke, Mehul J Desai","doi":"10.1111/papr.13336","DOIUrl":"10.1111/papr.13336","url":null,"abstract":"Introduction: Spinal cord stimulation (SCS) is a well-established treatment option for chronic pain. Pain over the implantable pulse generator, or pocket pain, is an incompletely understood risk of SCS implantation which may limit the efficacy of treatment and patient quality of life. The goal of this narrative review is to analyze the literature to gain a more thorough understanding of the incidence and risk factors for the development of pocket pain to help guide treatment options and minimize its occurrence in the future.Methods: A literature review was conducted investigating the development of pocket pain in patients with SCS for the management of a variety of pain conditions.Results: In total, 305 articles were included in the original database search and 50 met the criteria for inclusion. The highest level of evidence for papers that specifically investigated pocket pain was level III. Four retrospective, observational analyses included pocket pain as a primary outcome. The remainder of the included studies listed pocket pain as an adverse event of SCS implantation.Conclusions: There is a relative dearth of primary literature that examines the incidence, characteristics, and health economic implications of pocket pain in patients with SCS. This highlights the need for large-scale, high-quality prospective or randomized controlled trials examining pocket pain. This may ultimately help prevent and reduce pocket pain leading to improved efficacy of treatment and greater patient quality of life.","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138807241","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

Knowledge on cause, clinical manifestation and treatment for fibromyalgia among medical doctors: A worldwide survey. 医生对纤维肌痛的病因、临床表现和治疗方法的了解：全球调查。

IF 2.6 3区医学

Pain Practice Pub Date : 2024-04-01 Epub Date: 2023-12-29 DOI: 10.1111/papr.13339

C Paul Van Wilgen, Ruben Ucles-Juarez, Denis Krutko, Yijun Li, Andrea Polli, Anwar Syed, Stefano Zampese, Felipe J J Reis, Janine de Zeeuw

{"title":"Knowledge on cause, clinical manifestation and treatment for fibromyalgia among medical doctors: A worldwide survey.","authors":"C Paul Van Wilgen, Ruben Ucles-Juarez, Denis Krutko, Yijun Li, Andrea Polli, Anwar Syed, Stefano Zampese, Felipe J J Reis, Janine de Zeeuw","doi":"10.1111/papr.13339","DOIUrl":"10.1111/papr.13339","url":null,"abstract":"Objectives: Hench introduced the fibromyalgia syndrome almost 50 years ago. In the meantime, the prevalence has increased, the clinical criteria have changed and the way we explain (chronic) pain has altered.Design: In the current study, we conducted a worldwide survey in which we investigate whether medical doctors are familiar with the American College of Rheumatology (ACR) criteria for fibromyalgia and, if so, whether these medical doctors adhere to the clinical guidelines following evidence-based treatments.Results: In total, 286 medical doctors from 43 countries spread over 6 continents filled out the survey. In most of the countries, the diagnosis fibromyalgia was used. Only 10% adhere to the ACR criteria, widespread pain (44%), unrefreshed sleep (24%), fatigue (20%) and cognitive problems (8%) were most used diagnostic criteria. Of the respondents, 94 (32%) mentioned that the cause is unknown or idiopathic, but also a wide variety of other causes was mentioned. More than 70 different treatment options were provided, of which 24% of the responses were classified as according to the clinical guidelines. From this study, we conclude that many medical doctors do not follow the ACR criteria; the majority has an inappropriate knowledge of causes for fibromyalgia and that a minority of treatment advice adhere to the guidelines.","PeriodicalId":19974,"journal":{"name":"Pain Practice","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058500","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