Pain managementPub Date : 2025-07-18DOI: 10.1080/17581869.2025.2535270
Özge Özpolat Bulut, Mevlüt Özmen, Faisal Al Ali, Ismael Shaukat, Fatih Bağcıer
{"title":"Academic and societal impact of cancer pain research: a bibliometric and Altmetric Analysis.","authors":"Özge Özpolat Bulut, Mevlüt Özmen, Faisal Al Ali, Ismael Shaukat, Fatih Bağcıer","doi":"10.1080/17581869.2025.2535270","DOIUrl":"https://doi.org/10.1080/17581869.2025.2535270","url":null,"abstract":"<p><strong>Background: </strong>Cancer-related pain affects quality of life despite advancements in management. Bibliometric and altmetric analyses provide insights into the academic and societal impact of research.</p><p><strong>Objective: </strong>This study analyzed the top 100 most-cited articles on cancer-related pain using bibliometric and altmetric indicators, exploring correlations between altmetric scores, citations per year, and total citations.</p><p><strong>Methods: </strong>A search of the Web of Science Core Collection database was conducted on 2 November 2024, to identify articles related to cancer pain published between 1975 and 2024. The top 100 most-cited articles were selected based on total citation counts. Only English-language articles with full-text access were included. Bibliometric data were collected. Altmetric scores were retrieved using the Altmetric Explorer platform, and correlations were assessed using Spearman's test.</p><p><strong>Results: </strong>The 100 most-cited articles appeared in 35 journals, with PAIN contributing the most (<i>n</i> = 19). Total citations and citations per year showed a strong correlation (<i>r</i> = 0.64), but the correlation between altmetric scores and total citations was weak (<i>r</i> = 0.18).</p><p><strong>Conclusion: </strong>This study highlights the academic and societal impact of cancer pain research. The weak correlation between citations and altmetric scores suggests a need for better dissemination strategies to enhance public engagement.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-07-14DOI: 10.1080/17581869.2025.2529150
Natiele Camponogara Righi, Richard Eloin Liebano, Mark I Johnson, Mary Cimen, Rodrigo Della Méa Plentz
{"title":"Effects of transcutaneous electrical nerve stimulation in complex regional pain syndrome: a systematic review.","authors":"Natiele Camponogara Righi, Richard Eloin Liebano, Mark I Johnson, Mary Cimen, Rodrigo Della Méa Plentz","doi":"10.1080/17581869.2025.2529150","DOIUrl":"https://doi.org/10.1080/17581869.2025.2529150","url":null,"abstract":"<p><strong>Introduction: </strong>Complex regional pain syndrome (CRPS) causes disabling pain. Transcutaneous electrical nerve stimulation (TENS) is a treatment option. The aim of this systematic review is to evaluate the effects of TENS in patients with CRPS.</p><p><strong>Methods: </strong>A systematic search was conducted in PubMed, EMBASE, Cochrane CENTRAL, Web of Science, and PEDro databases up to June 2025. Randomized controlled trials (RCTs) involving patients with CRPS that evaluated the effects of TENS, regardless of parameters used, on pain intensity were considered eligible. Comparator groups could include placebo, usual care, or no intervention. Two independent reviewers extracted data, and a descriptive synthesis was performed. Risk of bias was assessed using the RoB 2 tool.</p><p><strong>Results: </strong>Of the 517 records screened, only two clinical trials met the inclusion criteria, encompassing a total of 38 participants (58% women). One study reported improvements in pain, mobility, and edema with conventional TENS compared to sham TENS. The other was a feasibility study that did not reach its recruitment target and presented only individual-level data without between-group comparisons. The assessment of the risk of bias revealed some concern about clarity of reporting of data analysis in both studies and the absence of protocol registration in one.</p><p><strong>Conclusion: </strong>There was insufficient evidence to judge the efficacy of TENS for analgesic and function improvement in patients with CRPS. Further studies are needed to inform clinical decision-making.</p><p><strong>Systematic review: </strong>registration number CRD42024554290.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-7"},"PeriodicalIF":1.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-07-14DOI: 10.1080/17581869.2025.2532363
Clara Vonderheide, Natalia Giraldo-Santiago, Victoria A Grunberg, Nadine S Levey, Julie R Brewer, Katherine A McDermott, Christina L Rush, Alexander M Presciutti, Jonathan Greenberg, Christine S Ritchie, Ana-Maria Vranceanu
{"title":"\"You get tired of saying, this doesn't work\": A qualitative study of chronic pain treatments among older Latino adults.","authors":"Clara Vonderheide, Natalia Giraldo-Santiago, Victoria A Grunberg, Nadine S Levey, Julie R Brewer, Katherine A McDermott, Christina L Rush, Alexander M Presciutti, Jonathan Greenberg, Christine S Ritchie, Ana-Maria Vranceanu","doi":"10.1080/17581869.2025.2532363","DOIUrl":"https://doi.org/10.1080/17581869.2025.2532363","url":null,"abstract":"<p><strong>Aims: </strong>Latino and Spanish-speaking older adults experience poorer pain outcomes and have limited access to chronic pain treatments compared to their non-Latino English-speaking counterparts. To help inform interventions for this population, we examined the chronic pain treatment experiences and preferences of Spanish-speaking Latino older adults.</p><p><strong>Methods: </strong>Focus groups and individual qualitative interviews were carried out in Spanish with older Latino patients who self-reported chronic musculoskeletal pain at a community health clinic. Data was analyzed utilizing a hybrid deductive-inductive thematic approach.</p><p><strong>Results: </strong>Participants reported mixed experiences with biomedical treatments (e.g., perceived ineffectiveness, harmful side effects, skepticism toward polypharmacy and surgery). Others pursued herbal and alternative remedies to manage their pain with limited results. Participants identified multiple barriers to accessing and adhering to non-pharmacological chronic pain treatments, including psychosocial factors (e.g., perceived laziness and forgetfulness), limited insurance coverage, and a lack of services offered in Spanish at their community health clinic. Participants preferred noninvasive, behavioral, and activity-based solutions over biomedical treatments.</p><p><strong>Conclusion: </strong>Findings emphasize the current gaps in care for Latino older adults living with chronic pain and the need for noninvasive, accessible chronic pain behavioral treatments for the rapidly growing older Spanish-speaking adult population.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-07-14DOI: 10.1080/17581869.2025.2522640
Robert Croop, Richard B Lipton, David Kudrow, Lisa Kamen, Charles M Conway, Peter J Goadsby
{"title":"Oral rimegepant as a preventive treatment of migraine: a plain language summary of a clinical study.","authors":"Robert Croop, Richard B Lipton, David Kudrow, Lisa Kamen, Charles M Conway, Peter J Goadsby","doi":"10.1080/17581869.2025.2522640","DOIUrl":"https://doi.org/10.1080/17581869.2025.2522640","url":null,"abstract":"","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-07-13DOI: 10.1080/17581869.2025.2532356
M-Irfan Suleman, Ama Akoma Essuman, Maqbool Dada, Kayode Williams
{"title":"The Johns Hopkins multidisciplinary pediatric pain management service: a concept paper.","authors":"M-Irfan Suleman, Ama Akoma Essuman, Maqbool Dada, Kayode Williams","doi":"10.1080/17581869.2025.2532356","DOIUrl":"https://doi.org/10.1080/17581869.2025.2532356","url":null,"abstract":"<p><p>Chronic pain in children poses a significant and under-addressed public health burden. This concept paper outlines the proposed design and implementation of a Multidisciplinary Pediatric Pain Management Service (MPPMS) at Johns Hopkins Medicine, addressing four key objectives. First, it presents a novel care delivery model grounded in the biopsychosocial framework, led by a multidisciplinary team and structured to deliver patient-centered care across escalating levels of clinical intensity. Second, it details the operationalization of the clinic in three phases, starting with a lean model and scaling toward a transdisciplinary team structure through enhanced clinic efficiency, technology integration, and strategic resource allocation. Third, it examines the financial implications of the model, including cost-per-encounter estimates, phased improvements in resource utilization, and strategies for achieving long-term sustainability through alternative revenue streams and workflow optimization. Fourth, it proposes a comprehensive outcomes framework encompassing clinical, operational, and financial metrics to guide continuous improvement and facilitate national benchmarking. Collectively, this paper provides a scalable blueprint for managing pediatric chronic pain that integrates care, optimizes operations, ensures fiscal responsibility, and delivers measurable patient benefit, positioning the MPPMS as a model that can be replicated at other institutions to address this growing clinical need.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-7"},"PeriodicalIF":1.4,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-07-12DOI: 10.1080/17581869.2025.2527616
Sandhya Shrivastav, Sneha Mittal, Sunita Sharma, Amit Kumar
{"title":"Efficacy of temporo-parietal fascia trigger point release in the management of tension-type headache: a single-blinded RCT.","authors":"Sandhya Shrivastav, Sneha Mittal, Sunita Sharma, Amit Kumar","doi":"10.1080/17581869.2025.2527616","DOIUrl":"https://doi.org/10.1080/17581869.2025.2527616","url":null,"abstract":"<p><strong>Background: </strong>The study aimed to investigate the effects of Temporoparietal Fascia trigger point release in subjects with Tension Type Headache (TTH) and on decreasing pain intensity and head and neck disability.</p><p><strong>Methods: </strong>40 subjects were randomly assigned to either Group 1 (intervention group) or Group 2 (control group) and received treatment for 10 days. Outcome measures, including the Visual Analog Scale (VAS) for pain intensity, Neck Disability Index (NDI) for neck disability, Headache Disability Inventory (HDI) for headache disability, and Pressure Pain Threshold (PPT) were used. Assessments were conducted in both groups before and after the 10-day intervention period.</p><p><strong>Result: </strong>Both groups exhibited statistically significant improvements in pain intensity, neck and headache disability, and pressure pain threshold after 10 days of intervention (<i>p</i> = 0.001). However, the intervention group showed greater clinical improvement compared to the control group. Between-group analysis revealed significant differences favoring the intervention group in VAS (<i>t</i> = 10.63), NDI (<i>t</i> = 7.81), HDI (<i>t</i> = 8.00), and PPT (<i>t</i> = 2.60), indicating that trigger point release in the temporo-parietal fascia was more effective in reducing symptoms and enhancing pain threshold.</p><p><strong>Conclusion: </strong>The study concluded that Myofascial trigger points (MTrPs) release is notably effective in pain reduction, as evidenced by greater clinical improvement in the intervention group compared to the control group. Both groups experienced similar benefits in reducing head and neck-related disabilities and increasing pain pressure thresholds.</p><p><strong>Clinical trial registration: </strong>www.ctri.nic.in, identifier: CTRI/2023/06/054085.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-9"},"PeriodicalIF":1.4,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144619690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-07-12DOI: 10.1080/17581869.2025.2533104
Maha Mostafa, Ahmed Hasanin, Mohamed Elsayad
{"title":"Post-cesarean delivery pain management.","authors":"Maha Mostafa, Ahmed Hasanin, Mohamed Elsayad","doi":"10.1080/17581869.2025.2533104","DOIUrl":"https://doi.org/10.1080/17581869.2025.2533104","url":null,"abstract":"<p><p>Cesarean delivery is one of the most common surgical procedures worldwide and is associated with moderate-to-severe postoperative pain. This review summarizes current evidence and guidelines for optimizing postoperative pain management while minimizing opioid-related side effects. Neuraxial long-acting opioids remain the gold standard but are limited by side effects such as pruritus, nausea, and urinary retention. Field blocks, including quadratus lumborum and erector spinae blocks, offer promising alternatives, though no single technique has demonstrated clear superiority over the other. Epidural analgesia provides effective pain control; however, its impact on early recovery limits its use in many settings. Routine administration of paracetamol and nonsteroidal anti-inflammatory drugs forms the foundation of multimodal analgesia and is universally recommended for being a simple intervention with minimal side effects. A single intraoperative dose of dexamethasone enhances analgesia and reduces opioid consumption without increasing risk of wound complications. Adjuvant analgesic techniques such as transcutaneous electrical nerve stimulation show potential benefits; however, more high-quality evidence is required before its implementation in routine practice. Finally, this review highlights gaps in current knowledge and emphasizes the need for standardized protocols and high-quality comparative studies to refine analgesic strategies for cesarean delivery.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-9"},"PeriodicalIF":1.4,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144619691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of analgesia in cardiac surgery.","authors":"Alessandro Strumia, Mario Lusini, Fabio Costa, Elisabetta Stefani, Elena Cipollone, Livio Cusimano, Francesca Libri, Massimiliano Ricci, Alessandro Ruggiero, Domenico Sarubbi, Alessia Mattei, Lorenzo Schiavoni, Raffaele Barbato, Ciro Mastroianni, Mohamad Jawabra, Felice Eugenio Agrò, Massimo Chello, Rita Cataldo, Massimiliano Carassiti, Giuseppe Pascarella","doi":"10.1080/17581869.2025.2532359","DOIUrl":"https://doi.org/10.1080/17581869.2025.2532359","url":null,"abstract":"<p><strong>Background: </strong>Pain management in cardiac surgery remains a critical component of perioperative care, influencing recovery, patient satisfaction, and outcomes. Traditional opioid-based analgesia is associated with significant adverse effects, prompting the exploration of multimodal strategies, including regional anesthesia (RA), non-opioid analgesics, and enhanced recovery after surgery (ERAS) protocols.This review evaluates the evolution of cardiac surgery pain management, from conventional opioid-based regimens to multimodal approaches with regional anesthesia.</p><p><strong>Methods: </strong>A comprehensive analysis of existing literature was conducted, assessing the efficacy, safety, and integration of different pain management strategies in cardiac surgery on PubMed, Google Scholar, MEDLINE, UpToDate, Embase and Web of Science until 1 November 2024. Studies on opioids, adjunct analgesics (e.g. NSAIDs, acetaminophen, ketamine, dexmedetomidine), RA techniques, and ERAS frameworks were reviewed to provide a comparative perspective.</p><p><strong>Results: </strong>Multimodal analgesia significantly reduces opioid consumption, enhances pain control, and minimizes complications such as respiratory depression and postoperative nausea. RA techniques, including fascial plane blocks, offer promising opioid-sparing benefits. ERAS protocols further optimize recovery, yet challenges remain in standardizing approaches across institutions.</p><p><strong>Conclusions: </strong>The future of cardiac surgery pain management lies in individualized, multimodal strategies following ERAS principles. Standardized guidelines and further research are needed to refine these protocols for widespread adoption.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-15"},"PeriodicalIF":1.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-07-08DOI: 10.1080/17581869.2025.2514425
Messoud Ashina, Elena Ruiz de la Torre, Line Pickering Boserup, Anders Ettrup, Amaal J Starling
{"title":"Eptinezumab for migraine prevention after other treatments fail: a plain language summary of publications.","authors":"Messoud Ashina, Elena Ruiz de la Torre, Line Pickering Boserup, Anders Ettrup, Amaal J Starling","doi":"10.1080/17581869.2025.2514425","DOIUrl":"https://doi.org/10.1080/17581869.2025.2514425","url":null,"abstract":"","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-14"},"PeriodicalIF":1.4,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}