Pain managementPub Date : 2024-12-01Epub Date: 2024-12-23DOI: 10.1080/17581869.2024.2442898
Pedro Iván Arias-Vázquez, Russell Arcila-Novelo, Mauro Nicolás Guzzardo, Duilio Román Guzzardo, Miguel Ángel Nazul Ake-Montiel, André Sulub-Herrera
{"title":"Subcutaneous injections of dextrose in musculoskeletal pain, a potential therapeutic intervention: scoping review.","authors":"Pedro Iván Arias-Vázquez, Russell Arcila-Novelo, Mauro Nicolás Guzzardo, Duilio Román Guzzardo, Miguel Ángel Nazul Ake-Montiel, André Sulub-Herrera","doi":"10.1080/17581869.2024.2442898","DOIUrl":"10.1080/17581869.2024.2442898","url":null,"abstract":"<p><strong>Background: </strong>The aims of this review were to identify and to analyze the clinical studies that used subcutaneous injections of dextrose for treating musculoskeletal pain, in order to establish an overview.</p><p><strong>Methods: </strong>A systematic search was carried out in scientific databases including Web of Science, Cochrane Central Register of Controlled Trials, PUBMED and other sources, up until March 2024. We included clinical studies that used subcutaneous injections of dextrose in the treatment of individuals with musculoskeletal pain associated with tendinopathies, enthesopathy, osteoarthritis, ligament sprains, muscle strains or bursitis of various locations.</p><p><strong>Results: </strong>Twenty studies that met the criteria were included in this review; of those, 13 were randomized clinical trials, one non-randomized comparative study and six were case series studies, comprising a total of 1226 patients. In all included studies, efficacy in pain reduction was reported in the groups treated with dextrose when comparing evaluations at baseline, short term and medium term.</p><p><strong>Conclusions: </strong>Subcutaneous injections of dextrose could be a beneficial treatment for reducing musculoskeletal pain; however, factors such as the high heterogeneity in the treatment schemes, uncertainty in the mechanisms of action and the level of evidence found, indicate that this technique is still under development.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"653-663"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877645","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 : 2024-12-01Epub Date: 2024-12-23DOI: 10.1080/17581869.2024.2443380
John DesRochers, Samantha Fry, Arwa Khadr, Neel Rana, Gilbert Siu
{"title":"Cryoneurolysis for management of post-mastectomy pain: a systematic review.","authors":"John DesRochers, Samantha Fry, Arwa Khadr, Neel Rana, Gilbert Siu","doi":"10.1080/17581869.2024.2443380","DOIUrl":"10.1080/17581869.2024.2443380","url":null,"abstract":"<p><strong>Aims: </strong>Post-mastectomy pain syndrome is a common postoperative complication that can impact patient quality of life and function. The aim of this systematic review is to evaluate the effectiveness of cryoneurolysis as an intervention for the management of post-mastectomy pain.</p><p><strong>Methods: </strong>A prospero-registered systematic review was performed following PRISMA 2020 guidelines. An initial screening consisted of 53 articles imported from the following databases: PubMed, Embase, Web of Science, Cochrane, and Scopus. Google Scholar and WorldCat were also searched to pull any further articles.</p><p><strong>Results: </strong>Three clinical trials, one case series, and one case report were included. Primary outcome measure of patient reported pain score (VAS or NRS) showed clinically significant reduction in pain in all five studies. Three of the studies also reported reduction in opioid use with cryoneurolysis intervention. A pooled effect size of Hedges g = -0.963, (95% CI [-1.55, -0.373]), with heterogeneity (I<sup>2</sup> = 0.70).</p><p><strong>Conclusion: </strong>Cryoneurolysis intervention shows promising and clinically significant relief in post-mastectomy pain in patients and further studies are encouraged.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"665-671"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882481","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 : 2024-12-01Epub Date: 2024-12-12DOI: 10.1080/17581869.2024.2430832
Dawn C Buse, Roger Cady, Amaal J Starling, Meghan Buzby, Kevin Lenaburg
{"title":"Headache-related stigma and quality of life in adults with frequent headaches/migraine and frequent medication use: a plain language summary.","authors":"Dawn C Buse, Roger Cady, Amaal J Starling, Meghan Buzby, Kevin Lenaburg","doi":"10.1080/17581869.2024.2430832","DOIUrl":"10.1080/17581869.2024.2430832","url":null,"abstract":"","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"599-610"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818824","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 : 2024-12-01Epub Date: 2024-12-20DOI: 10.1080/17581869.2024.2441650
Hanna Brancaccio, Brandon Goodwin, John DesRochers, Alec Birnbaum, Uzay Cagatay, Bianna Koutsenko, Connor Flatley, Gilbert Siu
{"title":"Cryoneurolysis for phantom limb pain: a systematic review.","authors":"Hanna Brancaccio, Brandon Goodwin, John DesRochers, Alec Birnbaum, Uzay Cagatay, Bianna Koutsenko, Connor Flatley, Gilbert Siu","doi":"10.1080/17581869.2024.2441650","DOIUrl":"10.1080/17581869.2024.2441650","url":null,"abstract":"<p><strong>Aims: </strong>Phantom limb pain (PLP) is a painful sensation occurring in patients around the site of an amputation. The aim of this systematic review is to evaluate the efficacy of cryoneurolysis in the management of phantom limb pain.</p><p><strong>Materials and methods: </strong>A systematic review was performed according to the PRISMA 2020 guidelines. An initial search yielded 200 articles from four major scientific databases (PubMed, Embase, Cochrane Library, WebOfScience). Five articles met inclusion criteria, four of which underwent additional pooled statistical analysis.</p><p><strong>Results: </strong>Pooled analysis of the included trials revealed a cumulative Cohen's d effect size of 1.55 (95% CI [0.24, 2.87]; <i>p</i> = 0.02; z = 2.32) for the reduction of pain on a 10-point pain scale following cryoneurolysis intervention. The remaining article that did not meet inclusion criteria for statistical analysis was a case report that reported a reduction in pain from 9/10 to 1/10 one week following intervention.</p><p><strong>Conclusions: </strong>The large effect size demonstrated a statistically and clinically significant improvement in patient-reported pain. Additionally, patients may be able to reduce their amount of pharmaceutical pain management with successful cryoneurolysis treatment. However, these findings are limited by the small sample size and high heterogeneity between studies. Further high-quality studies should be performed to corroborate these findings.</p><p><strong>Protocol registration: </strong>www.crd.york.ac.uk/prospero identifier is CRD42024543085.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"673-680"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872785","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 : 2024-12-01Epub Date: 2024-12-06DOI: 10.1080/17581869.2024.2436836
Cindy McIntyre, Jerry Draper-Rodi, Ana Paula Antunes Ferreira, Lee Muddle, Gopi Anne McLeod, Kesava Kovanur Sampath, Niklas Sinderholm Sposato, Brett Vaughan
{"title":"Characteristics of the practice of New Zealand osteopaths who manage patients with chronic pain.","authors":"Cindy McIntyre, Jerry Draper-Rodi, Ana Paula Antunes Ferreira, Lee Muddle, Gopi Anne McLeod, Kesava Kovanur Sampath, Niklas Sinderholm Sposato, Brett Vaughan","doi":"10.1080/17581869.2024.2436836","DOIUrl":"10.1080/17581869.2024.2436836","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain management is challenging. Those with chronic pain present to health professionals, including osteopaths.</p><p><strong>Methods: </strong>Secondary analysis of a cross-sectional survey of the Osteopathy Research Connect - New Zealand (ORC-NZ), a practice-based research network (PBRN). Demographic, practice, and treatment characteristics of osteopaths who 'often' and 'not often' treat chronic pain patients were collected.</p><p><strong>Results: </strong>Two hundred and seventy-seven (277) NZ osteopaths responded and just over half (50.7% <i>N</i> = 138) reported 'often' treating chronic pain patients. This group, who have a similar male-to-female ratio, often use a diagnostic screening questionnaire (aOR 3.78), and often treat patients with non-musculoskeletal complaints (aOR 3.12) and tendinopathies (aOR 3.41).</p><p><strong>Conclusions: </strong>This study highlights practice and clinical management characteristics of NZ osteopaths who manage chronic pain patients.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"625-632"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789632","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 : 2024-12-01Epub Date: 2024-12-11DOI: 10.1080/17581869.2024.2439236
Minghui Dong, Bo He, Chengxin Liu, Hao Han, Jian Na, Xiaodong Zhang, Gengyao Zhu, Jinhui Bu, Guangwang Liu
{"title":"Endoscopic obturator nerve radiofrequency ablation for femoral head necrosis: a case series.","authors":"Minghui Dong, Bo He, Chengxin Liu, Hao Han, Jian Na, Xiaodong Zhang, Gengyao Zhu, Jinhui Bu, Guangwang Liu","doi":"10.1080/17581869.2024.2439236","DOIUrl":"10.1080/17581869.2024.2439236","url":null,"abstract":"<p><strong>Background: </strong>This pilot case series evaluated the feasibility and effectiveness of using endoscopic radiofrequency ablation (RFA) of the articular branch of the anterior obturator nerve under endoscopic and fluoroscopic guidance for controlling pain in patients with osteonecrosis of the femoral head (ONFH).</p><p><strong>Methods: </strong>Data on 11 consecutive patients were collected with ONFH underwent endoscopic RFA of the anterior obturator nerve. Electromyography (EMG) examination was performed preoperatively and postoperatively. Visual Analogue Scale (VAS) scores, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, and analgesic usage were recorded preoperatively, on the day of surgery, and at 1, 3, and 6 months postoperatively.</p><p><strong>Results: </strong>The study included 5 males and 6 females, aged 45 to 91 years (mean age: 70.4 ± 14.6 years), with an average BMI of 29.5. All patients completed a minimum of 6 months of follow-up. Postoperative EMG showed no muscle damage. VAS and WOMAC scores demonstrated significant improvement, with reduced pain, stiffness, and improved hip function. Oral analgesic use also decreased.</p><p><strong>Conclusion: </strong>Endoscopic RFA of the anterior obturator nerve effectively reduces pain and improves function in ONFH patients over 6 months. Further studies are needed to confirm long-term outcomes.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"619-624"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807671","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 : 2024-12-01Epub Date: 2024-11-29DOI: 10.1080/17581869.2024.2435803
Michael Dakkak, Jason Genin, Lauren Wichman, Chao Zhang, Vikas Patel
{"title":"A team approach to adhesive capsulitis with ultrasound guided hydrodilatation: a retrospective study.","authors":"Michael Dakkak, Jason Genin, Lauren Wichman, Chao Zhang, Vikas Patel","doi":"10.1080/17581869.2024.2435803","DOIUrl":"10.1080/17581869.2024.2435803","url":null,"abstract":"<p><strong>Background: </strong>Adhesive capsulitis (AC) causes shoulder pain and limited range of motion. While ultrasound-guided suprascapular nerve block, glenohumeral joint hydrodilatation, and physical therapy are effective individually, their combined use is not well-studied.</p><p><strong>Objective: </strong>This study evaluates the effect and safety of combining ultrasound-guided suprascapular nerve block, glenohumeral joint hydrodilatation, and physical therapy on range of motion and pain, comparing diabetic and non-diabetic patients.</p><p><strong>Design: </strong>Retrospective Cohort; Level of Evidence 3.</p><p><strong>Methods: </strong>150 patients (30-75 years) with AC received ultrasound-guided suprascapular nerve block, glenohumeral joint hydrodilatation with corticosteroid injection, and subsequent physical therapy. Baseline Visual Analog Scale (VAS) pain score, active forward flexion, and external rotation range of motion were measured using a goniometer. At 3 months post-procedure, range of motion and pain were reevaluated.</p><p><strong>Results: </strong>Significant improvements in active forward flexion (median improvement of 25 degrees) and external rotation (median improvement of 19 degrees) were observed at 3 months (<i>p</i> < 0.001). No complications were reported.</p><p><strong>Conclusion: </strong>Combining ultrasound-guided suprascapular nerve block, glenohumeral joint hydrodilatation, and physical therapy is safe, effective, and improves pain, flexion, and external rotation range of motion in patients with adhesive capsulitis.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"633-640"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751460","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":"Effects of transcutaneous electrical nerve stimulation on acute postoperative breast augmentation pain: study protocol.","authors":"Kamylla Caroline Santos, Mariana Arias Avila, Gilberto Inacio Cardoso Neto, Alexandre Fabricio Martucci, Natiele Camponogara Righi, Richard Eloin Liebano","doi":"10.1080/17581869.2024.2434450","DOIUrl":"10.1080/17581869.2024.2434450","url":null,"abstract":"<p><p>The aim of this study is to describe a protocol for evaluating the effects of transcutaneous electrical nerve stimulation (TENS) on pain following breast augmentation surgery. Fifty-four women will be randomly allocated into two groups: active TENS and placebo. Pain will be assessed at rest and during movement, before and immediately after TENS application. Secondary outcomes include pain one-hour post-treatment, respiratory muscle strength, patient satisfaction, and analgesic use in the first four hours post-surgery. The results of this clinical trial could enhance the management of post-operative pain in breast augmentation surgery using non-pharmacological interventions, potentially reducing costs and improving patient experience.Clinical Trial Registration: RBR-96h3k97.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"611-618"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731818","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 : 2024-10-01Epub Date: 2024-11-24DOI: 10.1080/17581869.2024.2431474
Syed Mohammad J Mahmood, Nikhil B Bhana, Clarence Kong, Nik Theyyunni, William J Schaeffer, Charles W Kropf, Nicole T Klekowski, Brendan W Munzer, Zachary B Rotter, Ashley E Hall, Jonathan D Porath, William J Peterson, Ryan V Tucker
{"title":"Ultrasound-guided regional anesthesia (UGRA) in the emergency department: a scoping review.","authors":"Syed Mohammad J Mahmood, Nikhil B Bhana, Clarence Kong, Nik Theyyunni, William J Schaeffer, Charles W Kropf, Nicole T Klekowski, Brendan W Munzer, Zachary B Rotter, Ashley E Hall, Jonathan D Porath, William J Peterson, Ryan V Tucker","doi":"10.1080/17581869.2024.2431474","DOIUrl":"10.1080/17581869.2024.2431474","url":null,"abstract":"<p><strong>Introduction: </strong>While many studies have been published on Ultrasound-guided regional anesthesia in the Emergency Department (ED), there has been no previous study assessing the current state of the literature based in the form of a scoping review.</p><p><strong>Objective: </strong>The purpose of this study is to evaluate the current state of the literature on UGRA performed in the ED setting.</p><p><strong>Methods: </strong>EMBASE, MEDLINE, CINAHL, and Cochrane databases were searched for studies. Following PRISMA-ScR guidelines (Figure 1), two reviewers evaluated each title and abstract and were included if they described a UGRA technique performed on patients in the ED by an ED provider. Cohen's kappa coefficients were calculated for each level of review.[Figure: see text].</p><p><strong>Results: </strong>Of the 1,456 abstracts, a total of 53 articles were included in the analysis, of which 28 (52.8%) were case series and 11 (20.8%) were randomized control trials (RCTs). The most common types of nerve block represented in these studies were femoral nerve/fascia iliaca (14), brachial plexus (7), and forearm (radial, ulnar, median nerves) (7). 47 of the 53 articles were published in or after the year 2010.</p><p><strong>Conclusion: </strong>Current literature supporting UGRA use in the ED is growing but unbalanced, requiring large population studies to demonstrate safety and efficacy of these techniques.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"571-578"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710892","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 : 2024-10-01Epub Date: 2024-11-29DOI: 10.1080/17581869.2024.2435243
Elise Cournoyer Lemaire, Michel Perreault
{"title":"The use of music in the treatment of chronic pain: a scoping review.","authors":"Elise Cournoyer Lemaire, Michel Perreault","doi":"10.1080/17581869.2024.2435243","DOIUrl":"10.1080/17581869.2024.2435243","url":null,"abstract":"<p><strong>Objective: </strong>Music is a promising strategy to address the physical, psychological, and social needs of people with chronic pain. To better understand its potential in the treatment of chronic pain, this study aims to assess the state of knowledge regarding the effects of music in the context of chronic pain treatment.</p><p><strong>Methods: </strong>A scoping review was conducted in eight databases using music, chronic pain, and treatment concepts and associated keywords. Studies were included in the review if they reported some effects of any form of music on chronic pain or concomitant conditions.</p><p><strong>Results: </strong>Sixty-three studies were identified. Results showed numerous benefits of music-based interventions on chronic pain and common concomitant difficulties including emotional regulation, anxiety and depression symptoms, and social issues. Though literature supports varied forms of music-based interventions, those that account for participants' preferences and that encourage self-management and autonomy appeared to be the most effective.</p><p><strong>Conclusions: </strong>Despite the benefits of music in the management of pain and concomitant difficulties, there remain few examples of applied music interventions in services designed for people who experience chronic pain. More research is needed to identify the musical modalities that would be the most adapted and effective to complement chronic pain services.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"579-589"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751465","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}