Pain managementPub Date : 2025-06-01Epub Date: 2025-05-26DOI: 10.1080/17581869.2025.2511464
Tianhong Cai, Rong Zhang, Kai Chen, Ting Deng, Tenghui Zhan
{"title":"Safety and efficacy of intra-arterial lidocaine administration for pain control in uterine artery embolization for cesarean scar pregnancy.","authors":"Tianhong Cai, Rong Zhang, Kai Chen, Ting Deng, Tenghui Zhan","doi":"10.1080/17581869.2025.2511464","DOIUrl":"10.1080/17581869.2025.2511464","url":null,"abstract":"<p><strong>Background: </strong>Uterine artery embolization (UAE) for cesarean scar pregnancy (CSP) can cause significant pain.</p><p><strong>Objectives: </strong>To evaluate safety and efficacy of intra-arterial lidocaine during UAE for CSP.</p><p><strong>Methods: </strong>Retrospective study of 255 CSP patients: Control Group (184) without lidocaine; Study Group I (39) with unilateral lidocaine; Study Group II (32) with bilateral lidocaine. Outcomes included VAS pain scores and morphine usage.</p><p><strong>Results: </strong>Early postoperative VAS scores (0-2 hours) were significantly lower in study groups (<i>p</i> < 0.001). No differences in later VAS scores (4-24 hours), maximal VAS scores, morphine dosage, or safety indicators.</p><p><strong>Conclusion: </strong>Intra-arterial lidocaine during UAE for CSP provides effective analgesia immediately post-procedure but only for the first 2-4 hours, without reducing overall opioid requirements.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"325-332"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143119","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 : 2025-06-01Epub Date: 2025-05-22DOI: 10.1080/17581869.2025.2510191
Zhengqin Shi, Hong Sun, Junlei Wu, Yude Jin, Sujie Cao, Jianli Cai
{"title":"Chinese acupoint therapies in cancer pain management: research advances and future perspectives.","authors":"Zhengqin Shi, Hong Sun, Junlei Wu, Yude Jin, Sujie Cao, Jianli Cai","doi":"10.1080/17581869.2025.2510191","DOIUrl":"10.1080/17581869.2025.2510191","url":null,"abstract":"<p><p>Cancer pain management (CPM) is crucial in oncology care, with current approaches including pharmacotherapy, radiotherapy, chemotherapy, nerve blocks, and psychological support. However, long-term drug use risks adverse effects and addiction, while physiotherapies often lack sustained efficacy. Therefore, identifying safer adjuvant analgesic therapies has become an urgent issue. Traditional Chinese Medicine (TCM) acupoint therapies (acupuncture, moxibustion, and acupoint injection) offer safer adjuvant analgesia with growing clinical validation. This narrative review aims to introduce the research progress of acupoint therapy in alleviating cancer pain and the role of emerging technologies in advancing acupoint therapy. All literature selections were sourced exclusively from PubMed and CNKI databases. First, we briefly introduce the mechanisms of cancer pain, outline relevant evaluation methods, and summarize the limitations of existing CPM strategies. Additionally, we discuss the therapeutic effects, underlying mechanisms, and potential improvements of acupoint therapies in CPM. Notably, recent advancements in information technology, artificial intelligence, and materials science, along with the development of noninvasive stimulation methods and innovative devices, have significantly advanced the understanding of acupoint treatment mechanisms and expanded their clinical applications. Finally, we highlight the challenges and future directions for TCM acupoint therapies. This study provides clinical insights and recommendations for CPM.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"345-358"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120567","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 : 2025-05-01Epub Date: 2025-05-08DOI: 10.1080/17581869.2025.2502311
Fanny Jogna, Adriana Graenicher A, Quentin Rey-Millet, Alexandra Groz, Jehanne De Grasset, Fabiola Stollar, Matteo Coen, Anna Faivre
{"title":"Pharmacological and non-pharmacological approaches to temporomandibular disorder chronic pain: a narrative review.","authors":"Fanny Jogna, Adriana Graenicher A, Quentin Rey-Millet, Alexandra Groz, Jehanne De Grasset, Fabiola Stollar, Matteo Coen, Anna Faivre","doi":"10.1080/17581869.2025.2502311","DOIUrl":"10.1080/17581869.2025.2502311","url":null,"abstract":"<p><p>Temporomandibular disorders (TMD) involve the temporomandibular joint and related structures, causing chronic pain, impaired jaw function, and reduced quality of life. TMD has multifactorial origins, including mechanical, neuromuscular, and inflammatory factors. Chronic TMD pain is difficult to manage due to its complex pathophysiology and the limited long-term effectiveness of existing treatments. A combination of pharmacological and non-pharmacological strategies is essential for optimal pain management. This narrative review provides an integrative overview of current treatments for TMD-associated chronic pain. Pharmacological options discussed include analgesics, muscle relaxants, antidepressants, anticonvulsants, and botulinum toxin injections. Non-pharmacological strategies include physical therapy, cognitive-behavioral therapy, acupuncture, and lifestyle modifications. A comprehensive literature search was conducted using PubMed, Embase.com, Cochrane, and Evidence Alerts databases through October 2024. We focused on original research articles, randomized controlled trials, narrative and systematic reviews, and meta-analyses. Effective management of chronic TMD pain requires a multidisciplinary approach tailored to individual needs. Evidence supports the integration of physical and psychological therapies into treatment plans. Future research should aim to develop targeted interventions that address underlying mechanisms of TMD pain and evaluate the long-term outcomes of noninvasive therapies.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"285-296"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011406","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 : 2025-05-01Epub Date: 2025-04-28DOI: 10.1080/17581869.2025.2494495
Mathieos Belayneh, Samar Hejazi, Bruno Gagnon, Philippa Hawley
{"title":"Methadone to treat chemotherapy-induced peripheral neuropathy (METACIN): study protocol.","authors":"Mathieos Belayneh, Samar Hejazi, Bruno Gagnon, Philippa Hawley","doi":"10.1080/17581869.2025.2494495","DOIUrl":"10.1080/17581869.2025.2494495","url":null,"abstract":"<p><strong>Rationale: </strong>Chronic chemotherapy-induced peripheral neuropathy (CIPN) affects 70% of cancer patients, causing neuropathic pain. Duloxetine is the most recommended treatment for CIPN per most guidelines. However, Methadone, an alternative and effective treatment for refractory neuropathic cancer pain has been under-recognized and under-studied in patients with CIPN.</p><p><strong>Participants: </strong>Adult patients with cancer and life expectancy greater than 12 weeks who have >grade 1 CIPN based on National Cancer Institute Common Toxicity Criteria for Adverse Events version 5.0 grading scale lasting ≥3 months beyond chemotherapy completion.</p><p><strong>Intervention: </strong>A triple-blind, double-dummy randomized controlled trial, participants randomized to either methadone or duloxetine, followed weekly over 5 weeks with dose titration.</p><p><strong>Outcomes: </strong>Primary outcome is the efficacy of methadone versus duloxetine in reducing average pain intensity from baseline to study end. Secondary outcomes include improvements in functional and quality-of-life interference. Exploratory outcomes include proportion of participants achieving ≥30% or ≥50% pain reduction, patient-reported global impression of change, incidence of adverse events, and methadone dose escalation over a 24-week follow up period.</p><p><strong>Anticipated impact: </strong>This study will determine if methadone is a viable treatment for CIPN; a very common, distressing, and debilitating condition that otherwise has limited treatment options.</p><p><strong>Clinical trial registration: </strong>www.clinicaltrials.gov identifier is NCT05786599.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"235-243"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048013","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 : 2025-05-01Epub Date: 2025-05-20DOI: 10.1080/17581869.2025.2508680
Masataka Umeda, Youngdeok Kim
{"title":"The role of anxiety in the association between physical pain and social pain sensitivity in young adults.","authors":"Masataka Umeda, Youngdeok Kim","doi":"10.1080/17581869.2025.2508680","DOIUrl":"10.1080/17581869.2025.2508680","url":null,"abstract":"<p><strong>Background: </strong>We experience physical pain and social pain. While rejection sensitivity measures, such as Brief Fear of Negative Evaluation Scale (BFNES), were previously used to evaluate social pain sensitivity, Social Pain Questionnaire (SPQ) has been developed to specifically evaluate social pain sensitivity. Although physical pain and social pain seem quite distinct from each other, research shows a close link between them. However, the association between physical pain sensitivity and SPQ remains unclear. This study examined the association of SPQ with BFNES and Pain Sensitivity Questionnaire (PSQ), an instrument to evaluate physical pain sensitivity, and involvement of anxiety in the association between physical pain and social pain sensitivity.</p><p><strong>Methods: </strong>One-hundred forty young adults participated in this cross-sectional survey study and completed the general information questionnaire, PSQ, BFNES, SPQ, and Trait Anxiety Inventory (TAI). Data were analyzed using correlation and partial correlation analyses.</p><p><strong>Results: </strong>SPQ was associated with both PSQ and BFNES, while TAI was associated with PSQ, BFNES, and SPQ. The association between PSQ and BFNES remained significant after controlling TAI, but the association between PSQ and SPQ disappeared.</p><p><strong>Conclusion: </strong>The results demonstrate convergent validity of SPQ in pain. Anxiety may explain the association between physical pain and social pain sensitivity.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"259-264"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110882","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 : 2025-05-01Epub Date: 2025-04-29DOI: 10.1080/17581869.2025.2494975
Isabel Patricia Serrano, Daniel Wang, Rochelle Angelica A Saratan, Melecio Iii Peña, Jeimylo C de Castro
{"title":"Dextrose-based Lyftogt perineural injection therapy on facial muscle strength in a Bell's palsy patient - a case report.","authors":"Isabel Patricia Serrano, Daniel Wang, Rochelle Angelica A Saratan, Melecio Iii Peña, Jeimylo C de Castro","doi":"10.1080/17581869.2025.2494975","DOIUrl":"10.1080/17581869.2025.2494975","url":null,"abstract":"<p><p>Bell's palsy, a unilateral peripheral facial nerve palsy, is one of the most common acute mononeuropathies. Chronic cases persisting beyond one year present significant challenges to conventional treatment methods. Standard treatment includes steroids and antiviral medications in the acute phase, and physical therapy, various supplements such as vitamin B12 and folic acid supplementation, and injections for chronic therapy. This case report describes the effect of a unique treatment, dextrose-based Lyftogt perineural injection therapy (LPIT), in a 22-year-old Filipino male with left-sided peripheral facial nerve palsy. His condition had persisted for a duration of 13 months and was refractory to standard management. LPIT was delivered at chronic constriction points and endpoints of the facial nerve in ten different sessions. The mechanism of LPIT involves addressing glycopenia in affected nerves, reducing neurogenic inflammation, and facilitating nerve repair by enhancing the flow of nerve growth factors. Following treatment, marked improvement was observed in the functional muscle strength of the left occipitofrontalis, zygomaticus, and buccinator muscles, progressing from weak functional to functional. This case underscores LPIT's potential as an adjunct therapy for chronic Bell's palsy, adding to the limited but a growing body of evidence supporting its role in managing neuropathic conditions.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"245-250"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008806","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 : 2025-05-01Epub Date: 2025-04-17DOI: 10.1080/17581869.2025.2493609
Lisa R LaRowe, Tony Pham, Claire Szapary, Ana-Maria Vranceanu
{"title":"Shaping the future of geriatric chronic pain care: a research agenda for progress.","authors":"Lisa R LaRowe, Tony Pham, Claire Szapary, Ana-Maria Vranceanu","doi":"10.1080/17581869.2025.2493609","DOIUrl":"10.1080/17581869.2025.2493609","url":null,"abstract":"<p><p>Chronic pain is highly prevalent among older adults and its burden will become increasingly significant as our population ages. Yet, chronic pain is often undertreated in this vulnerable population due to various barriers in health care delivery. To improve geriatric chronic pain management, we assert that older adults require a dedicated research agenda designed to inform the development, testing, and implementation of chronic pain treatments that account for the unique vulnerabilities and healthcare needs of this population. Specifically, we propose that the following four areas of research require immediate attention to better serve older adults with chronic pain: (1) health equity, (2) substance use, (3) dyadic interventions, and (4) digital health. Our proposed research agenda aims to create a more robust and comprehensive body of evidence that will ultimately transform and advance geriatric chronic pain management.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"265-277"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031166","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 : 2025-05-01Epub Date: 2025-04-25DOI: 10.1080/17581869.2025.2494978
Ogochukwu Izuegbuna, Israel Kolawole, Saliu Oguntola, Tiwalade Woods-Ali, Oyewale Saburi, Chijioke Chijindu Adindu, Samuel Olatoke, Olawale Adebayo Olakulehin
{"title":"Prevalence and factors associated with cancer-related neuropathic pain among cancer patients in Nigeria - a single-center cross-sectional study.","authors":"Ogochukwu Izuegbuna, Israel Kolawole, Saliu Oguntola, Tiwalade Woods-Ali, Oyewale Saburi, Chijioke Chijindu Adindu, Samuel Olatoke, Olawale Adebayo Olakulehin","doi":"10.1080/17581869.2025.2494978","DOIUrl":"10.1080/17581869.2025.2494978","url":null,"abstract":"<p><strong>Objectives: </strong>Neuropathic pain is a major challenge in supportive care management among cancer patients. This study aims to evaluate neuropathic pain in Nigerian cancer patients.</p><p><strong>Methods: </strong>This is a cross-sectional study with 126 cancer patients recruited from the University of Ilorin Teaching Hospital and are 18 years and above. Medical records were collected from their medical files and the patients. The painDETECT questionnaire (PDQ) and the numeric rating scale (NRS) were used to determine the level and form pain.</p><p><strong>Results: </strong>Neuropathic pain in the target populace of cancer patients was 23% in prevalence. The mean age of the cancer patients in the study was 53 years; 69.8% were females. A considerable association was seen between neuropathic pain and performance status (<i>p</i> < 0.001), morphine and pregabalin use (<i>p</i> < 0.001). Binary logistic regression analysis, performance status (b = 18.00, <i>p</i> = 0.009) and use of morphine (b = 11.52, <i>p</i> < 0.001) and pregabalin (b = 18.09, <i>p</i> < 0.001) were significantly associated with neuropathic pain. Performance status, and morphine use (<i>p</i> < 0.001) were associated with pain severity.</p><p><strong>Discussion: </strong>This being the first study in Nigeria, neuropathic pain incidence in Nigerian cancer patients is a work in progress. Performance status and some pain modifiers are predictors of neuropathic pain in Nigerian cancer patients.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"251-258"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007283","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":"Head-to-head relief: ubrogepant, rimegepant, and zavegepant in migraine treatment.","authors":"Lanfranco Pellesi, Budour Jedie, Fadia Barhum, Samah Al-Abdullah, Paolo Martelletti, Zheman Xiao","doi":"10.1080/17581869.2025.2494494","DOIUrl":"10.1080/17581869.2025.2494494","url":null,"abstract":"<p><p>Migraine, a significant cause of disability worldwide, heavily impacts daily functioning and quality of life. Despite various acute treatment options, including nonsteroidal anti-inflammatory drugs (NSAIDs) and triptans, patients experience limited relief or adverse effects. This review examines the efficacy and safety of gepants - ubrogepant, rimegepant, and zavegepant - in the acute treatment of migraine. We assessed phase II and III clinical trials, focusing on clinically relevant endpoints such as pain freedom and freedom from the most bothersome symptom at two hours post-treatment. We calculated the number needed to treat (NNT) to achieve significant endpoints for each gepant. Gepants are recommended for the acute treatment of migraine in individuals who do not respond to triptan monotherapy or combination therapy, who experience only partial effectiveness, or who cannot tolerate or have contraindications to triptans. The NNT values for achieving pain freedom at two hours were 9 for rimegepant, 11 for zavegepant, and 12 for ubrogepant, which are comparable to NSAIDs such as naproxen (NNT = 11). Paracetamol, although not an NSAID, showed similar efficacy (NNT = 12). Triptans demonstrated lower NNTs, indicating higher efficacy. Gepants offer effective, well-tolerated alternatives with no significant cardiovascular risk and minimal potential for medication-overuse headache.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"279-284"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036773","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}