Current Pain and Headache Reports最新文献

Pecto-Intercostal Fascial Plane Block for Pain Management after Cardiothoracic Surgery. 胸外科手术后胸肋间筋膜平面阻滞治疗疼痛。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-05-15 DOI: 10.1007/s11916-025-01398-9

Alan D Kaye, Christopher A Vuong, Alison M Hawkins, Macie A Serio, Drew R Dethloff, Alex V Hollander, Shahab Ahmadzadeh, Kimberly L Skidmore, Zachary R Palowsky, Sahar Shekoohi

引用次数: 0

Epidural Contrast Patterns and Clinical Implications: An Educational Review. 硬膜外对比模式和临床意义：一项教育综述。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-05-14 DOI: 10.1007/s11916-025-01396-x

Giuliano Lo Bianco, Barnabas T Shiferaw, Max Y Jin, Alaa Abd-Elsayed

{"title":"Epidural Contrast Patterns and Clinical Implications: An Educational Review.","authors":"Giuliano Lo Bianco, Barnabas T Shiferaw, Max Y Jin, Alaa Abd-Elsayed","doi":"10.1007/s11916-025-01396-x","DOIUrl":"https://doi.org/10.1007/s11916-025-01396-x","url":null,"abstract":"Purpose of review: The purpose of this educational review is to describe the contrast spread patterns that indicate accurate needle placement in the epidural space and spread patterns associated with erroneous needle insertion.Recent findings: Epidural injections are minimally invasive and commonly used for patients with acute and chronic back pain that does not respond to conservative management. Imaging with contrast is frequently used during this procedure to improve accuracy and reduce adverse events. Contrast spread patterns are an important tool that can help identify where the needle is placed and whether the placement is accurate. Despite this, there may be discrepancies in the interpretation of spread patterns which ultimately reduce the utility of contrast. Inaccurate needle placement may result in intrathecal/subarachnoid, subdural, fascial, or retrodural space of Okada injections. The correct interpretation of contrast spread patterns on imaging is crucial for confirming accurate epidural needle placement. Furthermore, understanding contrast patterns of improper needle placement can prevent adverse events that result from injection outside of the epidural space.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"83"},"PeriodicalIF":3.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Atypical Applications of Neuromodulation for Non-Painful Conditions. 神经调节在非疼痛性疾病中的非典型应用。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-05-03 DOI: 10.1007/s11916-025-01389-w

Ashlyn Brown, Loc Lam, Billy Huh, Ryan S D'Souza, Saba Javed

{"title":"Atypical Applications of Neuromodulation for Non-Painful Conditions.","authors":"Ashlyn Brown, Loc Lam, Billy Huh, Ryan S D'Souza, Saba Javed","doi":"10.1007/s11916-025-01389-w","DOIUrl":"https://doi.org/10.1007/s11916-025-01389-w","url":null,"abstract":"Purpose of review: This narrative review explores the expanding applications of neuromodulation beyond pain management, focusing on its use in treating non-painful conditions such as heart failure, renal failure, spinal cord injuries, overactive bladder syndrome, and cognitive impairment in neurodegenerative diseases.Recent findings: Neuromodulation techniques, including dorsal root ganglion stimulation, sacral neurostimulation, and deep brain stimulation, have shown promising results in various non-painful medical conditions: Heart and Renal Failure: Dorsal root ganglion stimulation induces diuresis in diuretic-resistant patients, offering a novel approach to managing fluid overload. Spinal Cord Injuries: Epidural spinal cord stimulation and brain-spine interfaces have demonstrated the potential to restore motor function, enhancing mobility and quality of life for paralyzed individuals. Overactive Bladder Syndrome: Sacral neurostimulation and tibial nerve stimulation have proven effective in improving urinary continence and reducing symptoms in patients unresponsive to conventional treatments. Cognitive Impairment in Neurodegenerative Diseases: Techniques such as deep brain stimulation and transcranial magnetic stimulation are being investigated for their ability to enhance cognitive and motor functions in conditions like Parkinson's and Alzheimer's disease. The review highlights the transformative potential of neuromodulation in non-painful conditions, demonstrating its ability to address complex medical issues beyond its traditional scope. Continued research and optimization of these techniques may lead to broader therapeutic applications and improved patient outcomes.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"82"},"PeriodicalIF":3.2,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004327","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

The Ganglia of the Head and Neck: Clinical Relevance for the Interventional Pain Physician. 头颈部神经节：介入疼痛医师的临床相关性。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-04-30 DOI: 10.1007/s11916-025-01387-y

Paul W Millhouse, Robert W Bloom, Jason N Beckstrand, Matthew L McClure, Maxim S Eckmann, Kristofer J Feeko, Jeffrey J Mojica

{"title":"The Ganglia of the Head and Neck: Clinical Relevance for the Interventional Pain Physician.","authors":"Paul W Millhouse, Robert W Bloom, Jason N Beckstrand, Matthew L McClure, Maxim S Eckmann, Kristofer J Feeko, Jeffrey J Mojica","doi":"10.1007/s11916-025-01387-y","DOIUrl":"https://doi.org/10.1007/s11916-025-01387-y","url":null,"abstract":"Purpose of review: The purpose of this article is to provide a comprehensive review of the ganglia of the head and neck and their role in the interventional management of chronic headaches and facial pain disorders.Recent findings: Interventions targeting the sphenopalatine, stellate and gasserian ganglia are well described in the literature for headaches and facial pain disorders. There is a growing body of evidence supporting use of these techniques for clinical conditions outside of pain such as post-traumatic stress disorder and Long COVID symptoms. These findings increase the potential applications of such procedures, making them more relevant to the interventional physician tasked with managing symptoms in difficult to treat medical conditions. Nerve blocks of the head and neck are used for diagnostic and therapeutic purposes in the management of headaches and facial pain disorders. Headaches, whether acute or chronic, are common pain conditions with a wide-range of etiologies and are often difficult to treat. Chronic facial pain can have a variety of underlying causes, including direct or indirect nerve damage, infection, inflammation, and muscle dysfunction. Traditional pain management strategies such as medications and physical therapy often fail or are associated with significant adverse effects. Interventions such as nerve blocks and neuroablative procedures have shown promise in managing headaches and facial pain by directly targeting the underlying causes. This review article summarizes the most recent evidence regarding the efficacy, safety, applications and limitations of these interventional pain management techniques.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"80"},"PeriodicalIF":3.2,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027225","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

A Promising Route for Established Indications: A Systematic Review of Nebulized Ketamine in Pain. 建立适应症的有希望的途径：雾化氯胺酮治疗疼痛的系统综述。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-04-30 DOI: 10.1007/s11916-025-01394-z

Neveen A Kohaf, Tabia Imtiyaz Khan, Hamada Hamdy Elbana, Ro'a Azzam Hassouna, Mohamed Maher Abd Elfattah, Prashant Nasa, Sahar Shekoohi, Alan David Kaye, Islam Mohammad Shehata

{"title":"A Promising Route for Established Indications: A Systematic Review of Nebulized Ketamine in Pain.","authors":"Neveen A Kohaf, Tabia Imtiyaz Khan, Hamada Hamdy Elbana, Ro'a Azzam Hassouna, Mohamed Maher Abd Elfattah, Prashant Nasa, Sahar Shekoohi, Alan David Kaye, Islam Mohammad Shehata","doi":"10.1007/s11916-025-01394-z","DOIUrl":"https://doi.org/10.1007/s11916-025-01394-z","url":null,"abstract":"Background: Nebulized ketamine, an innovative route of drug delivery, has gained interest for its potential effectiveness in challenging clinical scenarios. The objective of this systematic review is to provide insights into the safety and effectiveness of nebulized ketamine in pain management.Method: A systematic search was performed on online databases including WOS, Cochrane, Scopus, and PubMed, using a specific search strategy. Our review focused on primary studies about the utilization of nebulized ketamine in various contexts regarding pain management. Additionally, we incorporated relevant secondary research, such as reviews presenting diverse perspectives.Results: Nebulized ketamine in pain management included nine studies.Conclusion: The advantages of nebulized ketamine over other forms of administration include its rapid absorption and effective delivery. The smaller volume required for nebulization can result in fewer side effects and enhanced patient compliance thereby facilitating efficient drug delivery while minimizing the systematic impact. Emerging evidence supports the administration of nebulized ketamine as a safe and efficacious treatment for acute pain. However, further investigations are needed for a better understanding of its pharmacokinetics, optimal dosing and efficacy across different populations.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"81"},"PeriodicalIF":3.2,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055997","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

Efficacy of Erector Spinae Plane Block for Pain Management after Hip Surgery: A Narrative Review. 竖脊肌平面阻滞治疗髋关节术后疼痛的疗效：综述。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-04-24 DOI: 10.1007/s11916-025-01393-0

Alan D Kaye, Angela Nguyen, Austin S Thomassen, Allison M Picou, Nicholas L Thomas, Coplen D Johnson, Charles J Fox, Shahab Ahmadzadeh, Yair Lopez Torres, Julian Kim, Sahar Shekoohi

{"title":"Efficacy of Erector Spinae Plane Block for Pain Management after Hip Surgery: A Narrative Review.","authors":"Alan D Kaye, Angela Nguyen, Austin S Thomassen, Allison M Picou, Nicholas L Thomas, Coplen D Johnson, Charles J Fox, Shahab Ahmadzadeh, Yair Lopez Torres, Julian Kim, Sahar Shekoohi","doi":"10.1007/s11916-025-01393-0","DOIUrl":"https://doi.org/10.1007/s11916-025-01393-0","url":null,"abstract":"Purpose of review: Managing pain after hip surgery can be challenging, especially with the need to balance effective relief and early movement. Traditional pain management methods, such as opioids and nerve blocks, have been demonstrated to be efficacious but come with risks, including side effects, potential for opioid dependency, and the possibility of delays in mobility.Recent findings: The erector spinae plane block (ESPB) has recently gained attention as a newer option that may offer unique benefits. ESPB is an ultrasound-guided technique targeting nerves along the spine, providing broad and long-lasting pain relief without significant muscle weakness. This allows patients to start moving sooner, which is critical to recovery. Studies suggest ESPB can reduce opioid use and maintain motor strength better than other approaches, although more research is needed to confirm these findings across larger groups.Conclusion: ESPB's technique, however, still needs standardization to ensure consistent results, as variations in dosage and application can impact its effectiveness. Further research focusing on larger, controlled studies could better clarify ESPB's role compared to traditional methods, especially regarding long-term recovery and quality of life. As more evidence accumulates, ESPB may become a valuable addition to pain management plans for hip surgery, especially for patients needing effective, low-risk analgesia.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"79"},"PeriodicalIF":3.2,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052225","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

Optimization of Postoperative Opioids Use Following Spine Surgery. 脊柱手术后阿片类药物使用的优化。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-04-23 DOI: 10.1007/s11916-025-01391-2

Alan D Kaye, Victoria T Tong, Rahib K Islam, Ivan Nguyen, Brennan M Abbott, Chandni Patel, Luke Muiznieks, Daniel Bass, Jon D Hirsch, Richard D Urman, Shahab Ahmadzadeh, Varsha Allampalli, Sahar Shekoohi

{"title":"Optimization of Postoperative Opioids Use Following Spine Surgery.","authors":"Alan D Kaye, Victoria T Tong, Rahib K Islam, Ivan Nguyen, Brennan M Abbott, Chandni Patel, Luke Muiznieks, Daniel Bass, Jon D Hirsch, Richard D Urman, Shahab Ahmadzadeh, Varsha Allampalli, Sahar Shekoohi","doi":"10.1007/s11916-025-01391-2","DOIUrl":"https://doi.org/10.1007/s11916-025-01391-2","url":null,"abstract":"Purpose of review: The present investigation evaluated the use of opioids for postoperative pain relief in spinal surgery patients.Recent findings: Pain management is a crucial component of postoperative care that greatly impacts patient outcomes. Postoperative pain management has been shown to allow for earlier mobility, discharge, and return to normal life. Opioids are the standard treatment for postoperative pharmacologic pain relief, but they are associated with the same adverse effects that pain management strives to mitigate. Opioids are associated with a large side effect profile, including a higher risk of various postoperative complications. Opioids are potentially highly addictive and postoperative use is associated with dependence, tolerance, and the current opioid epidemic. Some studies indicate that there are similar surgical outcomes amongst patients independent of whether opioids were prescribed opioids for pain relief.Conclusion: Opioids should only be recommended for postoperative pain management under strict guidance and supervision from physicians. All 50 states have acute pain guidelines in place limiting opioid prescribing. One of the strategies of reducing postoperative opioid consumption is the emphasis on opioid alternatives that should be actively considered and explored prior to resorting to opioids. There are pharmacological and non-pharmacological options available for pain relief that can provide similar levels of analgesia as prescription opioid without unwanted effects such as tolerance and dependency. Proper assessment of patient history and risk factors can aid physicians in tailoring a pain management regimen that is appropriate for each individual patient. More research into efficacy and safety of alternative treatments to opioids is warranted.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"78"},"PeriodicalIF":3.2,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048615","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

Does Chemotherapy-Induced Peripheral Neuropathy Fall Within the Spectrum of Complex Regional Pain Syndrome? A Narrative Review. 化疗引起的周围神经病变是否属于复杂区域疼痛综合征？叙述性评论。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-04-21 DOI: 10.1007/s11916-025-01390-3

Aila Malik, Saba Javed

{"title":"Does Chemotherapy-Induced Peripheral Neuropathy Fall Within the Spectrum of Complex Regional Pain Syndrome? A Narrative Review.","authors":"Aila Malik, Saba Javed","doi":"10.1007/s11916-025-01390-3","DOIUrl":"https://doi.org/10.1007/s11916-025-01390-3","url":null,"abstract":"Purpose of review: Peripheral neuropathies and complex regional pain syndrome (CRPS) result in a similar clinical picture including shared sudomotor and vasomotor symptomatology. Chemotherapeutic agents can precipitate chemotherapy-induced peripheral neuropathy (CIPN) in cancer patients akin to development of CRPS following trauma. Below we review the areas of overlap between CRPS and CIPN including their shared pathophysiology, clinical presentation, diagnostics, and treatment options.Recent findings: The features of autonomic dysfunction, motor impairment, and reduced proprioception observed in both CRPS and CIPN may result from shared mechanisms include inflammatory reactions, immune dysregulation, autonomic changes, as well as central and peripheral sensitization. Both conditions are a clinical diagnosis of exclusion, and demand a personalized, multidisciplinary therapeutic approach inclusive of psychosocial interventions to reduce deleterious effects on an individual's quality of life. CIPN is recognized as a separate clinical entity albeit sharing a similar underlying pathology and clinical presentation with CRPS. It may be plausible to include CIPN on the CRPS clinical spectrum as our mechanistic understanding of its development and progression evolves.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"77"},"PeriodicalIF":3.2,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024468","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

SCS for CRPS: A Review of Cost-Effectiveness Models. CRPS的SCS：成本效益模型综述。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-04-21 DOI: 10.1007/s11916-025-01388-x

Daniel R Briggi, James Reilly, Josiel Garcia, Wyatt Kupperman

引用次数: 0

Efficacy and Safety of Posterior Minimally Invasive Sacroiliac Joint Fusion: A Narrative Review of Recent Evidence. 后路微创骶髂关节融合术的疗效和安全性：近期证据的叙述性回顾。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-04-21 DOI: 10.1007/s11916-025-01392-1

Macie A Serio, Madelyn C Aucoin, Jacqueline Davis, Sahar Shekoohi, Alan D Kaye

{"title":"Efficacy and Safety of Posterior Minimally Invasive Sacroiliac Joint Fusion: A Narrative Review of Recent Evidence.","authors":"Macie A Serio, Madelyn C Aucoin, Jacqueline Davis, Sahar Shekoohi, Alan D Kaye","doi":"10.1007/s11916-025-01392-1","DOIUrl":"https://doi.org/10.1007/s11916-025-01392-1","url":null,"abstract":"Purpose of review: Chronic low back pain is one of the top three causes of diminished quality of life in well-developed countries. There are many etiologies of lower back pain, and sometimes, the pain is of true spinal pathology. However, this is not always the case, and sacroiliac joint (SIJ) pain has been described as an etiology in 15-30% or more of patients who are experiencing low back pain. Overlooking SIJ dysfunction as the cause of low back pain has considerable consequences on the patient's quality of life and healthcare-associated costs. SIJ dysfunction has been gaining recognition through well-described algorithms and reports on how to diagnose and differentiate types of low back pain.Recent findings: When conservative management fails in patients with SIJ dysfunction, fusion of the SIJ is a possibility. SIJ fusion was introduced as an open procedure but was often seen as a \"last resort\" related to the high complication rates and intensity of the procedure consistent with long operative time, high blood loss, and extended hospital stays. Minimally invasive surgical techniques for SIJ fusion were developed and have produced quality relief for some patients. Most minimally invasive SIJ fusion procedures are performed through a lateral approach. However, newer studies have shown evidence of a posterior or posterior oblique approach that may be more desirable for patients. The posterior approach to SIJ fusion has demonstrated a shorter operative time, smaller incision, and quicker return to activities of daily living. This narrative review aims to highlight up to date evidence on the efficacy and safety posterior minimally invasive SIJ fusion.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"76"},"PeriodicalIF":3.2,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006462","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