Pain managementPub Date : 2024-01-01Epub Date: 2024-10-08DOI: 10.1080/17581869.2024.2406217
Karina Alejandra Ortega Agon, Karol Nathalia Cabeza Diaz, Anamaria Camargo Cardenas, Mario Andres Leotau, German William Rangel Jaimes, David Jose Garay Barbosa
{"title":"Radiofrequency ablation of bilateral splanchnic nerves in a 15-year-old patient with visceral abdominal pain cancer.","authors":"Karina Alejandra Ortega Agon, Karol Nathalia Cabeza Diaz, Anamaria Camargo Cardenas, Mario Andres Leotau, German William Rangel Jaimes, David Jose Garay Barbosa","doi":"10.1080/17581869.2024.2406217","DOIUrl":"10.1080/17581869.2024.2406217","url":null,"abstract":"<p><p>Pain, a prevalent and debilitating symptom in cancer patients, significantly diminishes the quality of life for both individuals and their families. Addressing this critical issue, our study presents the case of a 15-year-old diagnosed with synchronous multifocal multicentric osteosarcoma. We utilized radiofrequency ablation of bilateral splanchnic nerves, a strategy of multimodal pain and palliative care. This approach not only proved to be safe and effective but also markedly improved the patient's quality of life. Our findings shine a light of hope, emphasizing the paramount importance of innovative pain management in pediatric oncology, especially in the final stages of life. This case report highlights the unwavering dedication to excellence in relieving suffering, offering hope for patients grappling with cancer.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"407-412"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2024-01-01Epub Date: 2024-05-08DOI: 10.1080/17581869.2024.2343648
Beatriz Sora, Rubén Nieto, Helena Vall-Roqué, Jordi Conesa, Antoni Pérez-Navarro, Francesc Saigí-Rubió
{"title":"Chronic neck and low back pain from personal experiences: a written narrative approach.","authors":"Beatriz Sora, Rubén Nieto, Helena Vall-Roqué, Jordi Conesa, Antoni Pérez-Navarro, Francesc Saigí-Rubió","doi":"10.1080/17581869.2024.2343648","DOIUrl":"10.1080/17581869.2024.2343648","url":null,"abstract":"<p><p><b>Background:</b> Chronic neck and low back pain are very common and have detrimental effects for people and society. In this study, we explore the experiences of individuals with neck and/or back pain using a written narrative methodology. <b>Materials & methods:</b> A total of 92 individuals explained their pain experience using written narratives. Narratives were analyzed through thematic analysis and text data mining. <b>Results:</b> Participants wrote about their experience in terms of pain characteristics, diagnosis process, pain consequences, coping strategies, pain triggers, well-being and future expectations. Text data mining allowed us to identify concurrent networks that were basically related with pain characteristics, management and triggers. <b>Conclusion:</b> Written narratives are useful to understand individuals' experiences from their point of view.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"183-194"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2024-01-01Epub Date: 2024-09-26DOI: 10.1080/17581869.2024.2400951
Lara Zador
{"title":"Pain specialists in the management of sickle cell disease: a call to action.","authors":"Lara Zador","doi":"10.1080/17581869.2024.2400951","DOIUrl":"10.1080/17581869.2024.2400951","url":null,"abstract":"","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"397-399"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142351885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2024-01-01Epub Date: 2024-10-08DOI: 10.1080/17581869.2024.2408215
Márcio José Leão Nunes Filho, Eduardo Silva Reis Barreto, César Romero Antunes Júnior, Vinicius Borges Alencar, Liliane Elze Falcão Lins-Kusterer, Liana Maria Torres de Araujo Azi, Durval Campos Kraychete
{"title":"Efficacy of antidepressants in the treatment of chronic nonspecific low back pain: a systematic review and meta-analysis.","authors":"Márcio José Leão Nunes Filho, Eduardo Silva Reis Barreto, César Romero Antunes Júnior, Vinicius Borges Alencar, Liliane Elze Falcão Lins-Kusterer, Liana Maria Torres de Araujo Azi, Durval Campos Kraychete","doi":"10.1080/17581869.2024.2408215","DOIUrl":"10.1080/17581869.2024.2408215","url":null,"abstract":"<p><p><b>Aim:</b> This study reassesses the efficacy and safety of antidepressants in treating nonspecific chronic low back pain (NCLBP).<b>Materials & methods:</b> A systematic review was conducted following PRISMA guidelines, including randomized clinical trials (RCTs) from PubMed, Embase, Scopus, LILACS, SciELO and Cochrane CENTRAL, published through August 2024. Studies compared antidepressants with placebo or active comparators. The primary outcomes were pain relief and quality of life. Protocol registration: www.crd.york.ac.uk/prospero identifier is CRD42023307516.<b>Results:</b> Nine RCTs involving 1758 patients were analyzed. The antidepressants examined included duloxetine, escitalopram, bupropion, amitriptyline, imipramine and desipramine. Duloxetine 60 mg significantly reduced pain (MD = -0.57; 95% CI = -0.78 to -0.36) and improved quality of life compared with placebo, with side effects that were generally tolerable. Notably, higher doses of duloxetine (120 mg) were associated with an increase in adverse events. However, other antidepressants like amitriptyline and escitalopram demonstrated only modest or inconsistent effects.<b>Conclusion:</b> Duloxetine at 60 mg provides consistent pain relief and improves the quality of life in NCLBP, but higher doses increase adverse events. Escitalopram might offer modest benefits but should be considered a third-line treatment. Other antidepressants, such as amitriptyline, bupropion, imipramine and desipramine, have limited evidence supporting their efficacy and are associated with adverse effects.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"437-451"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2024-01-01Epub Date: 2024-09-24DOI: 10.1080/17581869.2024.2402213
William Tyler Crawley, Timbre Backen, Barbara Melendez, Stephen Annest
{"title":"A surgical approach to complex regional pain syndrome with neurogenic thoracic outlet syndrome in a reoperation patient.","authors":"William Tyler Crawley, Timbre Backen, Barbara Melendez, Stephen Annest","doi":"10.1080/17581869.2024.2402213","DOIUrl":"10.1080/17581869.2024.2402213","url":null,"abstract":"<p><p>Thoracic outlet syndrome (TOS) and complex regional pain syndrome (CRPS) are two etiologies of chronic pain. TOS is a group of conditions that occur due to compression of the neurovascular structures of the upper extremity while CRPS is a disorder characterized by chronic and unremitting pain. This case highlights the experience of a 22-year-old female who presented following a traumatic injury to her left arm and was initially diagnosed with neurogenic TOS and later CRPS. Over a 10-year-period, she underwent a total of four operations to try and address her debilitating pain. In our third-time reoperation, symptoms of both pathologies nearly completely resolved with extensive neurolysis of the left brachial plexus and application of a scar tissue barrier.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"401-406"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2024-01-01Epub Date: 2024-01-09DOI: 10.2217/pmt-2023-0080
Alice L Ye, Emily W Sudek, Daniela Magdaleno, Carlos J Roldan
{"title":"Diagnostic and therapeutic value of intracellular biomarker testing in chronic pain.","authors":"Alice L Ye, Emily W Sudek, Daniela Magdaleno, Carlos J Roldan","doi":"10.2217/pmt-2023-0080","DOIUrl":"10.2217/pmt-2023-0080","url":null,"abstract":"<p><p><b>Aim:</b> Micronutrient and metabolic compound supplementation as a method of treating chronic pain is not well understood. <b>Case:</b> A 58 year-old woman presented with refractory painful neuropathy. She did not respond to conservative treatment and was seeking spinal cord stimulator implantation. She underwent a biomarker panel that revealed low intracellular levels of multiple compounds. As she supplemented her deficiencies, her symptoms fully resolved, and the implant was no longer indicated. <b>Discussion:</b> Micronutrient and metabolic compound testing could potentially expand non-invasive treatment options for patients with refractory chronic pain. Caution should be exercised given limited regulatory oversight in the supplement industry and actively ongoing nutritional research. <b>Conclusion:</b> Biomarker testing panels may be a useful adjunct in the management of refractory neuropathic pain.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"21-27"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404012","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 : 2024-01-01Epub Date: 2024-03-05DOI: 10.2217/pmt-2023-0121
Vincent Raymaekers, Gert Roosen, Eric Put, Steven Vanvolsem, Salah-Eddine Achahbar, Sacha Meeuws, Maarten Wissels, Sven Bamps, Dirk De Ridder, Tomas Menovsky, Mark Plazier
{"title":"Transforaminal epidural steroid injection for radiculopathy and the evolution to surgical treatment: a pragmatic prospective observational multicenter study.","authors":"Vincent Raymaekers, Gert Roosen, Eric Put, Steven Vanvolsem, Salah-Eddine Achahbar, Sacha Meeuws, Maarten Wissels, Sven Bamps, Dirk De Ridder, Tomas Menovsky, Mark Plazier","doi":"10.2217/pmt-2023-0121","DOIUrl":"10.2217/pmt-2023-0121","url":null,"abstract":"<p><p><b>Aim:</b> The aim of this study is to analyze the real-world outcomes of transforaminal epidural steroid injections (TFESIs) in all patients with radiculopathy and their long-term outcomes. <b>Methods:</b> Patients with radiculopathy and failure of conservative treatment were included in a prospective, multicenter, observational cohort study. <b>Results:</b> In total, 117 patients were treated with one or two TFESIs. The mean duration of follow-up was 116 (±14) weeks. In total 19,6% (95% CI: 12.9-28.0%) patients were treated with surgery after insufficient symptom improvement. The evolution to surgery was not associated with etiology, symptom duration or previous spine surgery. <b>Conclusion:</b> Real-world data confirms that TFESIs is an effective treatment with satisfactory results in about 80% of patients for a period of 2 years.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"173-182"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140028673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2024-01-01Epub Date: 2024-09-26DOI: 10.1080/17581869.2024.2401767
Soun Sheen, John Markman, Michael Sohn, Anuj Bhatia, Ram Haddas, Paul Geha, Jennifer Gewandter
{"title":"Multidevice spinal cord stimulation trials: shared decision making in the era of multiple neuromodulation paradigms.","authors":"Soun Sheen, John Markman, Michael Sohn, Anuj Bhatia, Ram Haddas, Paul Geha, Jennifer Gewandter","doi":"10.1080/17581869.2024.2401767","DOIUrl":"10.1080/17581869.2024.2401767","url":null,"abstract":"<p><p><b>Aim:</b> There is a lack of evidence-based standards for matching spinal cord stimulation (SCS) paradigm to individual patients. We aim to determine the feasibility and safety of a new alternative trial strategy, a sequential multidevice trial.<b>Materials & methods:</b> A retrospective analysis was performed on 116 patients who underwent SCS trials, single device or sequential multidevice (tonic and high-frequency), for chronic low back pain to assess feasibility and compare trial-to-implantation rate and explantation rate.<b>Results:</b> Multidevice SCS trials are feasible and safe. There was no statistically significant difference in the trial-to-implantation and explantation rates between the two groups.<b>Conclusion:</b> Multidevice SCS trial, prioritizing patient preference, may serve as an alternative trial strategy to improve long-term success of SCS.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"413-420"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142351884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dual effects of dulaglutide on glycemic control and knee osteoarthritis pain in elderly patients with Type 2 diabetes.","authors":"Shambo Samrat Samajdar, Gaurab Bhaduri, Pradip Kumar Ghoshal, Shatavisa Mukherjee, Jyotirmoy Pal, Nandini Chatterjee, Shashank R Joshi","doi":"10.1080/17581869.2024.2402214","DOIUrl":"10.1080/17581869.2024.2402214","url":null,"abstract":"<p><p><b>Aim:</b> This study aims to evaluate the dual benefits of dulaglutide in improving glycemic control and reducing knee OA pain.<b>Patients & methods:</b> Elderly T2DM patients diagnosed with bilateral knee OA on conventional OA treatment for at least 3 months were studied for their glycemic metrics, OA pain scores and NSAID consumption at baseline, 3 months and 6 months.<b>Results:</b> Significant improvements in glycemic control were observed, HbA1c decreased from 8.7% to 6.5% over 6 months. Pain scores, NSAID, body weight and BMI showed substantial reductions over time. Positive correlation (r = 0.73, <i>p</i> < 0.001) was found between glycemic control and pain reduction.<b>Conclusion:</b> Dulaglutide improves glycemic control, knee joint OA pain and weight management in elderly patients with T2DM.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"365-373"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11485723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142293120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}