Pain management最新文献_第3页

Chronic pain prevalence and severity in females before & after menopause versus males in a large multi-center database. 在一个大型多中心数据库中，绝经前后女性与男性的慢性疼痛患病率和严重程度。

IF 1.5

Pain management Pub Date : 2025-09-20 DOI: 10.1080/17581869.2025.2561399

Adam Ricker, Nicole Farley, Jesse J McClure, Lisa Goudman, Deepak Berwal, Olga Khazen, Ilknur Telkes, Umm E Hani Abdullah, Candy Wilson, Julie G Pilitsis

{"title":"Chronic pain prevalence and severity in females before & after menopause versus males in a large multi-center database.","authors":"Adam Ricker, Nicole Farley, Jesse J McClure, Lisa Goudman, Deepak Berwal, Olga Khazen, Ilknur Telkes, Umm E Hani Abdullah, Candy Wilson, Julie G Pilitsis","doi":"10.1080/17581869.2025.2561399","DOIUrl":"https://doi.org/10.1080/17581869.2025.2561399","url":null,"abstract":"Aims: This observational study aimed to explore the prevalence and severity of chronic pain in menopausal-aged females.Materials & methods: We identified participants in the NIH-sponsored All of Us database with a diagnosis of chronic pain. We examined the severity of pain based on numeric rating scale score (NRS). Among those with chronic pain, we generated four sub-cohorts: females ≥ 51 years old who were menopausal, females 18-50 years who were considered pre-menopausal, and age matched male cohorts.Results: The 53,289 participants were separated into four cohorts by age and sex: females 18-50 (10,269), females ≥ 51 (20,182), males 18-50 (4,989), and males ≥ 51 (17,849). Both older females and older males had lower pain levels than the sex-matched 18-50 group (p < 0.001). Findings were consistent in White, Black, and non-Hispanic cohorts. When comparing older adults, females ≥ 51 had higher pain levels than males ≥ 51 (p < 0.001).Conclusions: We found that independent of sex, NRS scores were lower in older adults compared to younger cohorts. Older women however had more pain than their male counterparts. These findings have implications for the design of patient-tailored therapeutic treatments and warrant further exploration of physiological and psychosocial causes.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092256","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}

引用次数: 0

Wearable sensor technologies for individuals with back pain: a scoping review. 针对背痛患者的可穿戴传感器技术：范围审查。

IF 1.5

Pain management Pub Date : 2025-09-18 DOI: 10.1080/17581869.2025.2561394

Jordan J Ryan, Emma Bowden, Matthew M Hancock, Kali Power, N Wesley Edwards, Emily White, David T Fullwood, Ulrike Mitchell, Jennifer A Bowden, Anton E Bowden

{"title":"Wearable sensor technologies for individuals with back pain: a scoping review.","authors":"Jordan J Ryan, Emma Bowden, Matthew M Hancock, Kali Power, N Wesley Edwards, Emily White, David T Fullwood, Ulrike Mitchell, Jennifer A Bowden, Anton E Bowden","doi":"10.1080/17581869.2025.2561394","DOIUrl":"10.1080/17581869.2025.2561394","url":null,"abstract":"Recent advancements in wearable data measurement technologies have allowed for real-time collection of biosignals related to spinal function and back pain. These data also have the potential to completely transform back pain treatment paradigms, to improve diagnostic movement phenotyping and to track treatment effectiveness longitudinally. The primary objective of the present scoping review was to investigate the status of development and trends in the use of wearable sensor technologies employed to measure biosignals related to spinal function and back pain, to identify the major developments and future trends for this field.Until recently, much of the wearable sensor data related to spinal function and back pain have come from a relatively small number of technologies, were sampled by a judiciously placed single device, and were analyzed using traditional statistical modeling techniques. However, based on the state of the literature, the field of wearable sensors for spine appears to have reached an inflection point where the previous limiting factors are no longer significant barriers. The growing number of wearable sensor types, combined with real-time interpretation using machine-learning algorithms, is paving the way for objective and comprehensive evaluations of spinal movements that can guide both research and clinical practice.Literature Search: PubMed, Web of Science and EMBASE, all articles prior to 9 April 2025.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-22"},"PeriodicalIF":1.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081263","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}

引用次数: 0

Pain-relieving effect of dynamic orthosis for lateral epicondylitis: a pilot crossover study. 动态矫形器治疗外侧上髁炎的镇痛效果：一项交叉试验研究。

IF 1.5

Pain management Pub Date : 2025-09-18 DOI: 10.1080/17581869.2025.2561396

Kazuhiro Ikeda, Akira Ikumi, Shinzo Onishi, Takeshi Ogawa, Sho Kohyama, Yuichi Yoshii

{"title":"Pain-relieving effect of dynamic orthosis for lateral epicondylitis: a pilot crossover study.","authors":"Kazuhiro Ikeda, Akira Ikumi, Shinzo Onishi, Takeshi Ogawa, Sho Kohyama, Yuichi Yoshii","doi":"10.1080/17581869.2025.2561396","DOIUrl":"https://doi.org/10.1080/17581869.2025.2561396","url":null,"abstract":"Aim: We developed a simple dynamic orthosis for lateral epicondylitis (DOLE) assisting wrist extensors. This study aimed to compare the pain-relieving effects of DOLE and the counterforce brace in patients with lateral epicondylitis during pickup motion.Patients & methods: Eighteen patients with lateral epicondylitis performed a pickup test using a 1 kg sandbag under three conditions: without a brace, with a counterforce brace, and with DOLE. Pain during the task was assessed using a visual analogue scale (VAS). The pain-relieving effect was calculated as the percentage reduction in VAS compared to baseline (without an orthosis).Results: The VAS in the pickup test was 63.2±18.8 mm without orthosis, 53.9±21.0 mm with the counterforce brace, and 38.9±17.0 mm with DOLE. The pain-relieving effect was 0.11 (0-0.20) for the counterforce brace and 0.38 (0.24-0.52) for DOLE, which was greater in DOLE than in the counterforce brace (p = 0.001).Conclusion: DOLE significantly reduced lateral elbow pain during pickup motion, outperforming the counterforce brace; however, given the relatively small sample size, these findings should be interpreted as preliminary evidence requiring confirmation in larger longitudinal studies. Its simple, worker-friendly design and strong pain-relief effect suggest its potential utility in treating lateral epicondylitis.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081298","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}

引用次数: 0

Hybrid in-person and internet-based pain management programs; an opportunity for improved patient experience and outcomes. 面对面和基于互联网的混合疼痛管理方案；改善患者体验和治疗效果的机会。

IF 1.5

Pain management Pub Date : 2025-09-16 DOI: 10.1080/17581869.2025.2561392

Roxaneh Zarnegar, Gregory Booth

引用次数: 0

Celiac plexus block and neurolysis procedure: treatment of chronic pain in pancreatic cancer. 腹腔神经丛阻滞和神经松解术：治疗胰腺癌慢性疼痛。

IF 1.5

Pain management Pub Date : 2025-09-15 DOI: 10.1080/17581869.2025.2555163

Colin Key Chen, Michael Anthony Erdek

引用次数: 0

Impact of preoperative quadratus lumborum block on postoperative opioid consumption after laparoscopic hysterectomy: a double-blind randomized controlled trial. 术前腰方肌阻滞对腹腔镜子宫切除术后阿片类药物消耗的影响：一项双盲随机对照试验。

IF 1.5

Pain management Pub Date : 2025-09-09 DOI: 10.1080/17581869.2025.2556648

Kathryn Edmonds, Kiley Hunkler, Christopher Creedon, Sara Drayer, Scott Endicott, Kathryn Eliasen, Candice Jones-Cox

{"title":"Impact of preoperative quadratus lumborum block on postoperative opioid consumption after laparoscopic hysterectomy: a double-blind randomized controlled trial.","authors":"Kathryn Edmonds, Kiley Hunkler, Christopher Creedon, Sara Drayer, Scott Endicott, Kathryn Eliasen, Candice Jones-Cox","doi":"10.1080/17581869.2025.2556648","DOIUrl":"https://doi.org/10.1080/17581869.2025.2556648","url":null,"abstract":"Background: Gynecologic enhanced recovery after surgery (ERAS) pathways have been developed to reduce postoperative narcotic use through multimodal pain management. While incisional injection of local anesthetic is standard practice, regional nerve blockades using liposomal agents are emerging as a promising adjunct technique for post-laparoscopy pain. Current data are conflicting regarding the benefits of regional nerve blocks on postoperative pain after laparoscopic hysterectomy.Objectives: To determine the impact of preoperative quadratus lumborum (QL) block on postoperative pain following laparoscopic hysterectomy. Our primary outcomes will be intraoperative and immediate postoperative opioid use (within 24 hours). Secondary outcomes will include pain scores, functional impact of pain, and postoperative complications.Study design: This is a prospective, double-blind, randomized-controlled trial comparing opioid use in women undergoing laparoscopic hysterectomy who receive a preoperative QL block to local injection. Seventy-six patients undergoing laparoscopic or robotic hysterectomy will be randomized to the study arm, preoperative QL block with liposomal bupivacaine and intraoperative placebo incisional injection of 0.9% saline, or the control arm, preoperative sham QL block with 0.9% saline and intraoperative incisional injection of 0.25% bupivacaine. Outcomes will be measured at several timepoints: intraoperative, postoperative prior to discharge, and 1, 3, 5, 14 days, and 4-6 weeks postoperatively.Clinical trial registration: www.clinicaltrials.gov identifier is NCT06709716.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023945","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}

引用次数: 0

Botulinum toxin injection of the piriformis muscle for refractory pudendal neuralgia after decompression surgery: case report. 梨状肌注射肉毒杆菌毒素治疗顽固性阴部神经痛减压术1例。

IF 1.5

Pain management Pub Date : 2025-09-09 DOI: 10.1080/17581869.2025.2555162

Tomás Caroço, Renaud Bollens, Diogo Portugal

{"title":"Botulinum toxin injection of the piriformis muscle for refractory pudendal neuralgia after decompression surgery: case report.","authors":"Tomás Caroço, Renaud Bollens, Diogo Portugal","doi":"10.1080/17581869.2025.2555162","DOIUrl":"https://doi.org/10.1080/17581869.2025.2555162","url":null,"abstract":"Pudendal neuropathy is a cause of pelvic pain, specifically pudendal neuralgia. The pudendal nerve is related to sensory, motor, and autonomic functions. We present the case of a 41-year-old man who suffered from chronic pelvic pain. In detail, the patient described stinging burning pain in the glans penis, proctalgia, lower urinary tract symptoms, sensation of \"muscle tension\" and squeezing pain. He was diagnosed with prostatitis and, following, pudendal neuralgia. Our patient was treated with antibiotics and analgesics, without improvement of symptoms. He was then submitted to decompression surgery of the pudendal nerve, with partial improvement. The patient started a rehabilitation program and was treated with OnabotulinumtoxinA (BoNT-A) injections into the piriformis muscle with benefit. BoNT-A positive effects on pain relief may corroborate piriformis muscle compression of the pudendal nerve. BoNT-A may also reduce the release of neurotransmitters from the pain pathways. Early identification of pudendal neuralgia could have prevented the progression to chronic pain. There is still not an established role for BoNT-A in post-operative pudendal nerve decompression patients. Our case corroborates that more studies should be performed to explore BoNT-A administration in these patients.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024003","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}

引用次数: 0

Epiduroscopy in spinal stenosis. Description of the procedure and safety measures to reduce complications. 硬膜外镜治疗椎管狭窄症。描述手术过程和减少并发症的安全措施。

IF 1.5

Pain management Pub Date : 2025-09-08 DOI: 10.1080/17581869.2025.2552636

Eva M Monzón, Alberto Rios, Javier Carrascoso, Pedro Moreno, David Abejón

{"title":"Epiduroscopy in spinal stenosis. Description of the procedure and safety measures to reduce complications.","authors":"Eva M Monzón, Alberto Rios, Javier Carrascoso, Pedro Moreno, David Abejón","doi":"10.1080/17581869.2025.2552636","DOIUrl":"https://doi.org/10.1080/17581869.2025.2552636","url":null,"abstract":"Aims: The aim of this observational study is to describe the use of epiduroscopy to decrease the enlargement of the ligamentum flavum (LF) in patients with spinal stenosis, as well as the selection of the appropriate patient and the safety measures that enhance procedural success.Materials & methods: We introduce the patient selection protocol, define the appropriate indication and the safety measures to use the epiduroscopy as a tool to decrease the size of the LF and increase space, reducing possible complications.Results: Among patients included in the study, there were no cases of access difficulty or coccydynia, and one case of urinary incontinence occurred in a patient with Schizas grade D (very severe) stenosis. In patients with grade C or lower stenosis, we have not found any case of sphincter incontinence.In four patients, we found paresthesias and in one patient a transient increase in pain. Dural puncture was performed in three patients, none developed headache.Conclusions: Exclusion of patients with very severe canal stenosis according to magnetic resonance imaging (MRI) criteria, the use of sacral hiatus measurements and the neurophysiological monitoring helps diminish the occurrence of neurological complications of epiduroscopy in patients with spinal stenosis.Clinical trial registration: https://www.clinicaltrials.gov identifier is NCT03863067.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016016","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}

引用次数: 0

Mesencephalotomy for the treatment of facial cancer pain: a systematic review of the literature. 中脑切开术治疗面部癌性疼痛：文献系统综述。

IF 1.5

Pain management Pub Date : 2025-09-05 DOI: 10.1080/17581869.2025.2555800

Sarah Grunberg Almeida Prado, Lígia Del' Agnolo Mazer, Paulo Henrique Pires de Aguiar, Silvia de Oliveira

{"title":"Mesencephalotomy for the treatment of facial cancer pain: a systematic review of the literature.","authors":"Sarah Grunberg Almeida Prado, Lígia Del' Agnolo Mazer, Paulo Henrique Pires de Aguiar, Silvia de Oliveira","doi":"10.1080/17581869.2025.2555800","DOIUrl":"https://doi.org/10.1080/17581869.2025.2555800","url":null,"abstract":"Aims: This systematic review aims to analyze and explore the risks, benefits, and efficacy of performing Mesencephalotomy in patients with unilateral facial pain secondary to cancer.Methods: This study followed PRISMA guidelines and used the PubMed and \"Biblioteca Virtual em Saúde\" (BVS) databases. The risk of bias for all included studies was assessed individually with the \"Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I)\" tool.Results: Six articles were included in this review. The surgical outcomes were promising, supporting the safety and efficacy of mesencephalotomy for malignant facial pain and surpassing the general efficacy reported in the literature.Conclusions: Mesencephalotomy should be considered a viable approach to pain management in patients with facial pain secondary to malignant neoplasms. This intervention has the potential for broader application within the field of palliative Care. This research is not registered in any database.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001219","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}

引用次数: 0

Superficial and deep cervical plexus blocks versus patient-controlled analgesia in total laryngectomy; a randomized trial. 浅、深颈丛阻滞对全喉切除术患者自控镇痛的影响随机试验。

IF 1.5

Pain management Pub Date : 2025-09-03 DOI: 10.1080/17581869.2025.2552633

Nourhan Mohamed Elsherbiny, Mona Gad Mostafa Elebieby, Aboelnour Elmorsy Badran, Mohammed N Mohammed

{"title":"Superficial and deep cervical plexus blocks versus patient-controlled analgesia in total laryngectomy; a randomized trial.","authors":"Nourhan Mohamed Elsherbiny, Mona Gad Mostafa Elebieby, Aboelnour Elmorsy Badran, Mohammed N Mohammed","doi":"10.1080/17581869.2025.2552633","DOIUrl":"10.1080/17581869.2025.2552633","url":null,"abstract":"Introduction: The cervical plexus block (CPB) delivers analgesia for surgeries in the head and neck . Patient-controlled analgesia (PCA) has been utilized to enhance pain management. This study evaluates combined bilateral superficial and deep CPB versus PCA in postoperative pain management after total laryngectomy.Materials and methods: Randimized two equal groups: the CPB group (n = 25), who received combined bilateral US-guided superficial and deep CBP, and the PCA group (n = 25), who received PCA. The primary outcome was postoperative visual analog scale (VAS) . The secondary outcomes were hemodynamic changes, fentanyl consumption, first rescue analgesia, hospital stay, and postoperative complications.Results: Postoperative VAS scores (at 2 and 4 h) were greater in the PCA group compared to the CPB group, p values (0.031, 0.044), respectively. The results were comparable at 6 and 12 h; while at 18 and 24 h, they were elevated in the CPB. The intraoperative hemodynamics were elevated in the PCA group at skin incision and after 30 min. Fentanyl consumption, first rescue analgesia, hospital stay, and postoperative complications were comparable.Conclusion: Ultrasound-guided combined bilateral superficial and deep CPB provided superior analgesia in the early postoperative period compared to PCA.Clinical trial registration: https://pactr.samrc.ac.za PACTR202403682323400.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964665","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}

引用次数: 0