Pain management最新文献_第4页

Buvidal/Brixadi - a long-acting injectable buprenorphine formulation for the treatment of opioid dependence. Buvidal/Brixadi -用于治疗阿片类药物依赖的长效注射丁丙诺啡制剂。

IF 1.5

Pain management Pub Date : 2025-09-02 DOI: 10.1080/17581869.2025.2555164

Nicholas Lintzeris, Adrian J Dunlop

引用次数: 0

Effects of transcutaneous electrical nerve stimulation in complex regional pain syndrome: a systematic review. 经皮神经电刺激对复杂局部疼痛综合征的影响：系统综述。

IF 1.5

Pain management Pub Date : 2025-09-01 Epub Date: 2025-07-14 DOI: 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":"10.1080/17581869.2025.2529150","url":null,"abstract":"Introduction: 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.Methods: 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.Results: 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.Conclusion: 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.Systematic review: registration number CRD42024554290.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"621-627"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","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}

引用次数: 0

Management of analgesia in cardiac surgery. 心脏手术中镇痛的处理。

IF 1.5

Pain management Pub Date : 2025-09-01 Epub Date: 2025-07-10 DOI: 10.1080/17581869.2025.2532359

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

{"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":"10.1080/17581869.2025.2532359","url":null,"abstract":"Background: 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.Methods: 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.Results: 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.Conclusions: 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.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"595-609"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","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}

引用次数: 0

Evaluating patient satisfaction and perceived accuracy in questionnaires completed before vs. during a pain clinic visit. 评估患者满意度和在疼痛门诊访问之前和期间完成问卷的感知准确性。

IF 1.5

Pain management Pub Date : 2025-09-01 Epub Date: 2025-07-07 DOI: 10.1080/17581869.2025.2529773

Guy Feigin, Elad Dana, Victoria Bains, Anuj Bhatia

{"title":"Evaluating patient satisfaction and perceived accuracy in questionnaires completed before vs. during a pain clinic visit.","authors":"Guy Feigin, Elad Dana, Victoria Bains, Anuj Bhatia","doi":"10.1080/17581869.2025.2529773","DOIUrl":"10.1080/17581869.2025.2529773","url":null,"abstract":"Introduction: Effective assessment is essential for planning treatment in chronic pain management. This study compared patient satisfaction and perceived data accuracy between completing pre-assessment questionnaires at home versus in the clinic prior to a neuromodulation consultation.Methods: In this prospective, single-center study, adult patients referred for neuromodulation assessment were randomized to complete intake questionnaires either at home (\"Home\" group) or upon arrival at the clinic (\"Clinic\" group). Prior the appointment, all participants completed a satisfaction survey assessing perceived accuracy, time efficiency, and preference.Results: Forty-two patients participated (Home: 17; Clinic: 25). Overall satisfaction was not significantly different between groups (88.2% vs. 64%, p = 0.202). However, perceived response accuracy (88.2% vs. 36%, p < 0.001) and time efficiency (82.4% vs. 28%, p = 0.002) were significantly higher in the Home group. More than half of Clinic group participants stated they would have preferred to complete the questionnaires at home (52% vs. 5.9%, p = 0.001).Conclusions: Completing pre-assessment questionnaires at home resulted in higher perceived accuracy and time efficiency without compromising satisfaction. These findings support incorporating remote pre-visit assessments into chronic pain clinic workflows to optimize patient experience.Clinical trial registration: www.clinicaltrials.gov identifier is NCT03852381.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"571-576"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584543","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}

引用次数: 0

Effect of coenzyme Q10 on post-extraction tissue healing in wisdom tooth Surgery: double-blind randomized clinical trial. 辅酶Q10对智齿手术拔牙后组织愈合的影响：双盲随机临床试验。

IF 1.5

Pain management Pub Date : 2025-09-01 Epub Date: 2025-07-05 DOI: 10.1080/17581869.2025.2528590

Zahra Nejati, Babak Ghadirzadeh, Hady Mohammadi, Maryam Afraie, Yousef Moradi

{"title":"Effect of coenzyme Q10 on post-extraction tissue healing in wisdom tooth Surgery: double-blind randomized clinical trial.","authors":"Zahra Nejati, Babak Ghadirzadeh, Hady Mohammadi, Maryam Afraie, Yousef Moradi","doi":"10.1080/17581869.2025.2528590","DOIUrl":"10.1080/17581869.2025.2528590","url":null,"abstract":"Aim: This study primarily aimed to evaluate the efficacy of Coenzyme Q10 supplementation in improving post-extraction tissue healing and, secondarily, its effects on reducing temporomandibular disorders (TMD), dry socket and enhancing quality of life following wisdom tooth extraction.Patients and methods: This parallel randomized, double-blind, placebo-controlled trial included 70 participants, randomly assigned to receive either CoQ10 or placebo. The primary outcome was tissue healing, measured by clinical assessments on days 7, 14 and 30 post-surgeries; alongside secondary outcomes including the occurrence of TMD and dry socket occurrence. Additional secondary outcomes included physical and psychological recovery, assessed using the 36-item short form survey (SF36) and the 12-item general health questionnaire (GHQ12), which measure psychological distress and health-related quality of life.Results: On day 7, the CoQ10 group showed a significant 45% improvement in tissue healing, compared to its counterpart and by day 14, showed a 55% improvement. TMD occurred in 12% of the CoQ10 group vs. 30% in the placebo group; and dry socket was 6% in the CoQ10 group vs. 18% in the placebo group.Conclusion: Coenzyme Q10 supplementation significantly accelerates tissue healing, reduces TMD and dry socket incidence and improves physical and mental health outcomes following wisdom tooth extraction.Trial registration: ClinicalTrials.gov [registration number NCT06452134].","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"555-569"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567734","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

"You get tired of saying, this doesn't work": A qualitative study of chronic pain treatments among older Latino adults. “你厌倦了说，这不起作用”：一项针对拉丁裔老年人慢性疼痛治疗的定性研究。

IF 1.5

Pain management Pub Date : 2025-09-01 Epub Date: 2025-07-14 DOI: 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":"10.1080/17581869.2025.2532363","url":null,"abstract":"Aims: 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.Methods: 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.Results: 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.Conclusion: 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.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"577-586"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","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}

引用次数: 0

Post-cesarean delivery pain management. 剖宫产后疼痛处理。

IF 1.5

Pain management Pub Date : 2025-09-01 Epub Date: 2025-07-12 DOI: 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":"10.1080/17581869.2025.2533104","url":null,"abstract":"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.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"611-619"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","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}

引用次数: 0

Ultrasound-guided neuromodulation for neuropathic pain after radial forearm flap reconstruction: a case report. 超声引导下神经调节治疗前臂桡侧皮瓣重建后神经性疼痛1例。

IF 1.5

Pain management Pub Date : 2025-09-01 Epub Date: 2025-07-07 DOI: 10.1080/17581869.2025.2530379

Tomás Caroço, Bruno Paiva, Jorge Ribeiro, Daniela Teixeira, Ivone Rodrigues, Gisela Henriques Leandro

{"title":"Ultrasound-guided neuromodulation for neuropathic pain after radial forearm flap reconstruction: a case report.","authors":"Tomás Caroço, Bruno Paiva, Jorge Ribeiro, Daniela Teixeira, Ivone Rodrigues, Gisela Henriques Leandro","doi":"10.1080/17581869.2025.2530379","DOIUrl":"10.1080/17581869.2025.2530379","url":null,"abstract":"Neuropathic pain is a common complication following radial forearm free flap (RFFF) reconstruction, often associated with damage to the superficial branch of the radial nerve (SBRN) and lateral antebrachial cutaneous nerve (LACN). Traditional treatment approaches, including pharmacologic and non-pharmacologic interventions, frequently provide incomplete pain relief. This case report describes the innovative use of ultrasound-guided musculocutaneous and SBRN blocks combined with pulsed radiofrequency (PRF) neuromodulation in a 70-year-old male with severe neuropathic pain following RFFF for tongue carcinoma reconstruction. The intervention provided immediate and complete pain relief, maintained for three days post-procedure. Partial symptom improvement persisted beyond the initial phase. Although complete pain relief was not sustained over the longer term, the significant initial response confirmed the targeted nerves as viable candidates for neuromodulation. This confirmation opens potential pathways for exploring longer-lasting neuromodulation techniques, such as cryoneurolysis or peripheral nerve stimulation, to achieve sustained pain relief. Further research into these modalities is recommended to optimize long-term outcomes for patients experiencing neuropathic pain post-RFFF reconstruction.","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"549-553"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576102","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

Approach to treating cancer-induced bone pain. 治疗癌性骨痛的方法。

IF 1.5

Pain management Pub Date : 2025-09-01 Epub Date: 2025-07-09 DOI: 10.1080/17581869.2025.2531738

Rahul Chaturvedi, Amitabh Gulati

引用次数: 0

Oral rimegepant as a preventive treatment of migraine: a plain language summary of a clinical study. 口服利莫止作为偏头痛的预防性治疗：一项临床研究的简明语言总结。

IF 1.5

Pain management Pub Date : 2025-09-01 Epub Date: 2025-07-14 DOI: 10.1080/17581869.2025.2522640

Robert Croop, Richard B Lipton, David Kudrow, Lisa Kamen, Charles M Conway, Peter J Goadsby

引用次数: 0