Current Pain and Headache Reports最新文献

Applications of Celiac Plexus Block in Chronic Pancreatitis or Pancreatic Cancer. 腹腔丛阻滞在慢性胰腺炎或胰腺癌中的应用。

IF 3.5 2区医学

Current Pain and Headache Reports Pub Date : 2026-05-07 DOI: 10.1007/s11916-026-01495-3

Xijian Ke, Christopher L Robinson, Henry Liu, Wei Mei, Sahar Shekoohi, Alan D Kaye

{"title":"Applications of Celiac Plexus Block in Chronic Pancreatitis or Pancreatic Cancer.","authors":"Xijian Ke, Christopher L Robinson, Henry Liu, Wei Mei, Sahar Shekoohi, Alan D Kaye","doi":"10.1007/s11916-026-01495-3","DOIUrl":"https://doi.org/10.1007/s11916-026-01495-3","url":null,"abstract":"Purpose of review: Celiac plexus block (CPB) is an established interventional technique for the management of severe upper abdominal pain, particularly in patients with chronic pancreatitis (CP) and pancreatic cancer (PC). Pain in these conditions is complex, involving visceral and neuropathic mechanisms and, in CP, additional contributions from neuropathic remodeling, central sensitization, and altered descending modulation play a role.Recent findings: CPB provides targeted neural blockade to disrupt nociceptive transmission from the upper abdominal viscera, thereby improving analgesia, reducing opioid requirements, and enhancing quality of life. This chapter emphasizes the role of CPB in treating pain resulting from CP and PC, with a specific focus on therapeutic timing, procedural approaches, technical considerations, efficacy, durability of pain relief, side effects, and recent advances. Current evidence suggests that CPB is highly effective in PC pain but provides only modest and short-lived benefit in CP, where it should be reserved for carefully selected refractory cases. Future directions include advanced imaging modalities, improved neurolytic agents, and integration of CPB into multimodal, mechanism-based strategies for comprehensive pain control.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"30 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paravertebral Block for Postoperative Pain Management After Open Thoracotomy: A Review of Efficacy and Risks. 椎旁阻滞治疗开胸术后疼痛：疗效和风险综述。

IF 3.5 2区医学

Current Pain and Headache Reports Pub Date : 2026-05-04 DOI: 10.1007/s11916-026-01493-5

Drake P Duplechin, Joseph G Wentling, Tucker L Apgar, Ethan J Cazayoux, Shahab Ahmadzadeh, Varsha Allampalli, Sahar Shekoohi, Matthew R Eng, Alan D Kaye

{"title":"Paravertebral Block for Postoperative Pain Management After Open Thoracotomy: A Review of Efficacy and Risks.","authors":"Drake P Duplechin, Joseph G Wentling, Tucker L Apgar, Ethan J Cazayoux, Shahab Ahmadzadeh, Varsha Allampalli, Sahar Shekoohi, Matthew R Eng, Alan D Kaye","doi":"10.1007/s11916-026-01493-5","DOIUrl":"https://doi.org/10.1007/s11916-026-01493-5","url":null,"abstract":"Purpose of review: Paravertebral block (PVB) is an increasingly utilized regional anesthesia technique for managing postoperative pain in patients undergoing open thoracotomy. Effective pain control following thoracic surgery is crucial for optimizing patient recovery, reducing opioid consumption, and minimizing respiratory complications.Recent findings: PVB provides unilateral analgesia by delivering local anesthetic to the paravertebral space, effectively blocking somatic and sympathetic nerve fibers. PVB has gained popularity as an alternative to epidural analgesia due to its efficacy and improved safety profile. While epidural analgesia remains the traditional gold standard for thoracic procedures, it is associated with complications such as hypotension, urinary retention, motor blockade, and the need for catheter placement. In contrast, PVB is easier to administer, produces less hemodynamic instability, and reduce systemic side effects. Recent literature suggests that PVB offers similar or improved pain control, reduced opiod requirements, and fewer postoperative complications. Risks such as vascular puncture, local anesthetic systemic toxicity, and incomplete spread persists; however, ultrasound guidance has iproved block reliability. Given its favorable safety profile and efficacy, PVB is emerging as a preferred option for postoperative pain control in open thoracotomy patients. Further research and randomized trials are needed to standardize technique, dosing, and peroperative protocols.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"30 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Metabolic Dysfunction and Metabolic Management in Episodic Migraine. 发作性偏头痛的代谢功能障碍和代谢管理。

IF 3.5 2区医学

Current Pain and Headache Reports Pub Date : 2026-05-02 DOI: 10.1007/s11916-026-01500-9

Delora E Denney, Michael J Marmura

引用次数: 0

Pain Unraveled: Kinesio Taping as a Novel Approach to Myofascial Pain Management. 疼痛解开：肌内效贴敷作为一种治疗肌筋膜疼痛的新方法。

IF 3.5 2区医学

Current Pain and Headache Reports Pub Date : 2026-05-02 DOI: 10.1007/s11916-026-01498-0

Prateek Mittal, Saurabh Mittal

{"title":"Pain Unraveled: Kinesio Taping as a Novel Approach to Myofascial Pain Management.","authors":"Prateek Mittal, Saurabh Mittal","doi":"10.1007/s11916-026-01498-0","DOIUrl":"https://doi.org/10.1007/s11916-026-01498-0","url":null,"abstract":"Purpose of review: Myofascial pain syndrome (MPS) is a musculoskeletal system disorder that is exceedingly painful and distinct from other chronic pain syndromes. MPS can occur on its own or in conjunction with other muscle disorders. Symptoms of MPS include tense bands in muscles, weakening at the afflicted region, radial or repeated pain, restricted range of motion (ROM), and hot and red skin. In addition, symptoms of MTrPs include tense bands in muscles, weakening at the afflicted region, radial or repeated pain, restricted range of motion (ROM), and/or hot and red skin. Kenzo Kase, a Japanese chiropractor, invented Kinesiology Tape (KT) in the 1970s, with a potential role in modulating pain, enhancing muscle function and improving ROM. This review aims to examine the underlying mechanisms of MPS and evaluate current therapeutic strategies, with particular emphasis on the mechanism and clinical application of KT in managing MPS.Recent findings: Recent literature highlights the advances in understanding the pathophysiology of MTrP, conventional therapies and their limitations. KT is a dynamic, stretchable tape that resembles human skin which may be utilised to treat pain and muscle activity as well as increase range of motion (ROM). The majority of the time, KT is used in the treatment and prevention of sports injuries. Clinical studies report improvements in pain intensity, muscle flexibility, and ROM following KT application in individuals with MPS, particularly in sports and rehabilitation settings. MPS is a complex pain disorder requiring multimodal management. KT represents a promising non-invasive intervention that may address both pain and functional restoration through neurophysiological and biomechanical mechanisms. While clinical findings are promising, regulatory protocols are yet to be standardised to ensure long term safety and efficacy of KT in the treatment of MPS.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"30 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Discrepancies in Urine Drug Screening Among Patients Receiving Chronic Opioid Therapy for Non-Cancer Pain: A Retrospective Review. 接受慢性阿片类药物治疗的非癌性疼痛患者尿液药物筛查差异：一项回顾性研究。

IF 3.5 2区医学

Current Pain and Headache Reports Pub Date : 2026-04-30 DOI: 10.1007/s11916-026-01496-2

Jamal Hasoon, Omar Viswanath, Ivan Urits, Giustino Varrassi, Alan D Kaye

引用次数: 0

The OPRM1 A118G Polymorphism Revisited: Recent Developments and Implications for Personalized Treatment. 重新审视OPRM1 A118G多态性：最近的发展和个性化治疗的意义。

IF 3.5 2区医学

Current Pain and Headache Reports Pub Date : 2026-04-28 DOI: 10.1007/s11916-026-01485-5

Isaac Daybell, Christopher Wie, Brooks Johnson, Stephen Covington, John Freeman, Scott Pew, Jillian Maloney

引用次数: 0

Medication Overuse Headache in Children and Adolescents: A Narrative Review. 儿童和青少年药物过度使用头痛：叙述性回顾。

IF 3.5 2区医学

Current Pain and Headache Reports Pub Date : 2026-04-27 DOI: 10.1007/s11916-026-01497-1

Joshua Ransick, Juliana VanderPluym

引用次数: 0

Efficacy of Rectus Sheath Block in the Management of Laparoscopic Cholecystectomy Mediated Pain: A Narrative Review. 直肌鞘阻滞治疗腹腔镜胆囊切除术介导疼痛的疗效综述。

IF 3.5 2区医学

Current Pain and Headache Reports Pub Date : 2026-04-27 DOI: 10.1007/s11916-026-01484-6

Shahab Ahmadzadeh, Mary O'Dell Duplechin, Alex V Hollander, Francis C Thompson, Kristin Nicole Bembenick, Sahar Shekoohi, Alan D Kaye

引用次数: 0

Clinical Efficacy and Risks of Intra-Operative Intravenous Methadone in Spine Surgeries: A Narrative Review. 脊柱外科术中静脉注射美沙酮的临床疗效及风险综述。

IF 3.5 2区医学

Current Pain and Headache Reports Pub Date : 2026-04-27 DOI: 10.1007/s11916-026-01492-6

Alan D Kaye, Mary O'Dell Duplechin, Andrew T Bolton, Bennett M Ford, Alex V Hollander, Yair Lopez Torres, Sahar Shekoohi, Shahab Ahmadzadeh

引用次数: 0

Erector Spinae Plane Block for Pain Management in Pediatric Urologic Surgeries: A Narrative Review. 儿童泌尿外科手术疼痛管理的竖脊平面阻滞：叙述性回顾。

IF 3.5 2区医学

Current Pain and Headache Reports Pub Date : 2026-04-25 DOI: 10.1007/s11916-026-01491-7

Shahab Ahmadzadeh, Walid Khaled Mohammed, Saajid Zain Azhar, Francis Clay Thompson, Rachael Bartolina, Tomasina Q Parker-Actlis, Sahar Shekoohi, Alan D Kaye

引用次数: 0