Current Pain and Headache Reports最新文献

{"title":"Efficacy of Suprainguinal Fascia Iliaca Block for Pain Management in Hip Surgeries: A Narrative Review.","authors":"Alan D Kaye, Trevor P Giles, Emily O'Brien, Allison M Picou, Austin Thomassen, Nicholas L Thomas, Shahab Ahmadzadeh, Jeffrey Sterritt, Matthew A Slitzky, Prabandh Reddy Buchhanolla, Sahar Shekoohi","doi":"10.1007/s11916-025-01368-1","DOIUrl":"https://doi.org/10.1007/s11916-025-01368-1","url":null,"abstract":"<p><strong>Purpose of review: </strong>Hip surgeries are commonly associated with significant postoperative pain, which can hinder early mobilization, prolong hospital stays, and increase healthcare costs. Effective pain management in this patient population is crucial to improving outcomes and reducing complications.</p><p><strong>Recent findings: </strong>Traditional pain control methods, such as systemic opioids, are often associated with adverse effects, including respiratory depression, nausea, and delayed recovery. Regional anesthesia techniques, particularly the suprainguinal fascia iliaca block (SFIB), have gained attention for the potential to provide targeted, long-lasting analgesia with fewer systemic side effects.</p><p><strong>Conclusion: </strong>This narrative review evaluates efficacy of the SFIB, an effective and safe technique for postoperative pain management in hip surgeries. The fascia iliaca block, initially described as a low-volume alternative to the lumbar plexus block, has evolved, with the suprainguinal approach demonstrating particular promise. By accessing the lumbar plexus and blocking the femoral, obturator, and lateral femoral cutaneous nerves, the SIFIB provides broad analgesia to the hip region. Recent studies have highlighted that, compared to traditional infrainguinal approaches, the suprainguinal technique offers superior spread and more consistent pain control related to its targeted proximity to the inguinal ligament. Consequently, this technique may optimize perioperative pain management and improve functional recovery in patients undergoing hip surgeries.</p>","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"52"},"PeriodicalIF":3.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460437","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}

{"title":"Psychological Support for Chronic Low Back Pain: A Systematic Review on the Validity of a Growing Remote Approach.","authors":"Anna Anselmo, Maria Pagano, Irene Cappadona, Davide Cardile, Rocco Salvatore Calabrò, Francesco Corallo","doi":"10.1007/s11916-024-01340-5","DOIUrl":"https://doi.org/10.1007/s11916-024-01340-5","url":null,"abstract":"<p><strong>Background and objective: </strong>Low back pain (LBP) is one of the main health problems imposing a significant burden both personally and socially. It is estimated that 70-85% of people experience LBP during their lifetime, with nearly 20% of cases becoming chronic (CLBP). Interest in psychosocial factors and their correlations with the onset and outcome of low back pain has increased in recent years. The primary objective of this study is to demonstrate the validity and promote the adoption of psychological therapies delivered through remote platforms for the treatment and management of chronic pain related to LBP.</p><p><strong>Methods: </strong>The clinical studies we reviewed in our research were identified from the PubMed, Web of Science, Scopus, and Cochrane Library databases. Out of the initial 11,859 studies, only 20 met the inclusion criteria.</p><p><strong>Results: </strong>The results of our study confirm the effectiveness of psychological therapy delivered remotely in the treatment and management of chronic pain caused by low back pain. This highlights the importance of psychological intervention to improve the quality of life for these patients. Remote therapy can indeed facilitate treatment adherence and patient empowerment.</p><p><strong>Conclusion: </strong>Living with a chronic illness requires continuous support and the development of personalized interventions where the patient is accompanied and supported daily through active intervention. This underscores the importance of expanding the availability of traditionally available psychological strategies to remote delivery to support a growing number of people affected by CLBP.</p>","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"51"},"PeriodicalIF":3.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460539","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}

{"title":"An Overview of Prosopagnosia as a Symptom of Migraine: A Literature Review.","authors":"Sidney Ley","doi":"10.1007/s11916-025-01363-6","DOIUrl":"10.1007/s11916-025-01363-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>Prosopagnosia is a neurological phenotype, characterized by the inability to recognize faces, typically resulting from damage or dysfunction in specific brain regions such as the fusiform gyrus. In contrast, migraine is a disease process, a complex neurological disorder with a range of symptoms including severe headache and visual disturbances.</p><p><strong>Recent findings: </strong>The brain regions involved in migraine and prosopagnosia are located in close proximity to each other, and perhaps as an unsurprising yet rarely reported result of this, there have been several cases of migraineurs, the majority presenting with aura, who manifested prosopagnosia as a symptom during an attack. While rarely reported, the fact that prosopagnosia can occasionally manifest during migraine episodes, particularly during the aura phase, emphasizes the importance of exploring the cortical processes involved in both conditions. This review discusses migraine and prosopagnosia in the context of comorbidity, explores and summarizes current and key historical knowledge on the reported occurrences of prosopagnosia manifesting as a symptom of migraine, and emphasizes the importance of reporting this phenomenon.</p>","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"50"},"PeriodicalIF":3.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11839693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450378","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}

{"title":"Allodynia: A Review Article.","authors":"Brittany Melvin, Raven Wright, Alexandra McNally, Dalia Elmofty","doi":"10.1007/s11916-025-01370-7","DOIUrl":"https://doi.org/10.1007/s11916-025-01370-7","url":null,"abstract":"<p><strong>Purpose of review: </strong>Allodynia is characterized by a painful response to a non-noxious stimulus. This article reviews the pathophysiology, clinical presentation, differential diagnosis, diagnostic testing, and management approaches for the causes of allodynia.</p><p><strong>Recent findings: </strong>Allodynia remains difficult to evaluate and manage. Despite ongoing research, significant progress is still needed to optimize the management of allodynia. Allodynia is a debilitating condition that can be difficult to treat. Diagnostic modalities and treatment options are limited. Advancements in diagnostic and treatment options are necessary to improve patient care.</p>","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"49"},"PeriodicalIF":3.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442578","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}

{"title":"Update on Neuromodulation for Migraine and Other Primary Headache Disorders: Recent Advances and New Indications.","authors":"Alexandra N Cocores, Liza Smirnoff, Guy Greco, Ricardo Herrera, Teshamae S Monteith","doi":"10.1007/s11916-024-01314-7","DOIUrl":"10.1007/s11916-024-01314-7","url":null,"abstract":"<p><strong>Purpose of review: </strong>Neuromodulation techniques currently available for headache management are reviewed in this article, with a focus on recent advances in non-invasive devices for migraine and trigeminal autonomic cephalalgias.</p><p><strong>Recent findings: </strong>The currently available FDA-cleared non-invasive devices for migraine include transcutaneous supraorbital and supratrochlear nerve stimulation, single-pulse transcranial magnetic stimulation (sTMS), external concurrent occipital and trigeminal neurostimulation (eCOT-NS), remote electrical neuromodulation (REN), and non-invasive vagal nerve stimulation (nVNS) with indications for migraine and trigeminal autonomic cephalalgias. Emerging non-invasive techniques being explored for use in migraine include transcranial direct current stimulation (tDCS), kinetic oscillation stimulation (KOS), and auricular transcutaneous vagal nerve stimulation (at-VNS). In addition to primary headache, non-invasive neuromodulation is being investigated for comorbid conditions such as depression. Non-invasive neuromodulation devices remain a safe, well-tolerated, and effective therapy for patients with primarily migraine and trigeminal autonomic cephalalgias. Ongoing research is needed to determine efficacy in other headache disorders and comorbid conditions.</p>","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"47"},"PeriodicalIF":3.2,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426557","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}

{"title":"Periosteal Electrical Dry Needling Efficacy in Knee Osteoarthritis: A Systematic Review.","authors":"Alan D Kaye, Olivia Mipro, Brynne E Tynes, Brennan Abbott, Caylin Roberts, Jelena Vučenović, Kyle Jenks, Matthew Sharpe, Isabella B Lentz, Shahab Ahmadzadeh, Varsha Allampalli, Saajid Azhar, Noah Embry, Sahar Shekoohi","doi":"10.1007/s11916-025-01362-7","DOIUrl":"https://doi.org/10.1007/s11916-025-01362-7","url":null,"abstract":"<p><strong>Purpose of review: </strong>Osteoarthritis is a \"wear and tear\" injury characterized by degeneration of articular cartilage, formation of osteophytes, microfractures, and sclerosis. These physiological changes result in joint pain, stiffness, and deformity. One potential treatment for this is periosteal electrical dry needling.</p><p><strong>Recent findings: </strong>We performed a systematic search for studies in PubMed, Google Scholar, Embase, and Cochrane. Sources published from 2014 to the present were eligible for inclusion in the review. After an initial search, 48 studies were identified, 22 of which were duplicates that were subsequently removed. The remaining 26 were filtered by title and abstract, resulting in six studies approved for final analysis. Of the six, four found significant improvement in pain and mobility after dry needling was administered as either an adjuvant or stand-alone therapy. Electrical Dry Needling is a promising treatment for Knee Osteoarthritis. More large-scale randomized control trials are needed to evaluate its efficacy as a stand-alone treatment more fully. This review demonstrates some support for dry needling in alleviating knee pain and immobility. Future studies are needed to examine the long-term effects of dry needling and its comparative efficacy to standard treatment.</p>","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"48"},"PeriodicalIF":3.2,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426555","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}

{"title":"Biologic Therapies for Discogenic Pain.","authors":"Jesse Lou, Rabiul Ryan, Dajie Wang","doi":"10.1007/s11916-024-01325-4","DOIUrl":"https://doi.org/10.1007/s11916-024-01325-4","url":null,"abstract":"<p><strong>Purpose of review: </strong>The purpose of this review is to provide an update on recent developments in the field of regenerative medicine, specifically focusing on emerging data related to biologics, including platelet-rich plasma and mesenchymal cells, for the treatment of discogenic back pain.</p><p><strong>Recent findings: </strong>There has been a notable surge of interest in biologics, as evidenced by a wealth of recent reviews and studies. While serious adverse events are generally uncommon, considerable heterogeneity exists in study designs. More robust investigations are warranted to thoroughly evaluate the safety and efficacy of biologics in treating discogenic back pain. Continued research and funding are needed to better understand the underlying mechanisms of disc degeneration and to develop targeted therapies that can alleviate and reduce the burden of this debilitating condition. Biologics may offer effective treatments for discogenic pain; however, more multi-center, prospective, double-blinded, randomized placebo-controlled trials are essential to further establish their effectiveness.</p>","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"45"},"PeriodicalIF":3.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392385","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}

{"title":"The Potential of Wearable, Modular Devices in Monitoring Functional Clinical Metrics in Patients Suffering from Chronic Pain.","authors":"Jason L Chang, Parker Nguyen, Qing Zhao Ruan, Daniel J Pak, Christopher L Robinson, Moises Dominguez, Jaspal R Singh, Amitabh Gulati","doi":"10.1007/s11916-025-01367-2","DOIUrl":"https://doi.org/10.1007/s11916-025-01367-2","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review assesses the role of wearable technologies in pain management, emphasizing their capability to transcend subjective pain evaluations with objective functional outcome tracking. We explore the types and veracity of health metrics wearable devices track, illustrating how this technological evolution can significantly enhance patient care in the context of chronic pain prevention and management.</p><p><strong>Recent findings: </strong>The advancements in modular wearable technology offer new avenues to track a variety of health outcomes, including aerobic capacity, physical activity, stress, and sleep quality. This provides objective measurements that can aid in the management of chronic conditions and can offer a more comprehensive assessment of a patient's pain and function. Although the initial approach to pain management that emphasized pain as the fifth vital sign had unintended devastating consequences, leveraging wearable technology for objective outcomes tracking presents an opportunity to optimize pain management strategies. Wearable technologies capture functional metrics that provide insight into many aspects of the biopsychosocial model of pain. Utilizing function as the key performance indicator has the potential to improve treatment outcomes and, ultimately, patient care.</p>","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"46"},"PeriodicalIF":3.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392480","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}

{"title":"Consenting for Spinal Cord Stimulation - the Pitfalls and Solution.","authors":"Vivek Mehta, Rajesh Munglani, Giles Eyre, Gaurav Bajaj, Alaa Abd-Elsayed, Kavita Poply","doi":"10.1007/s11916-024-01349-w","DOIUrl":"10.1007/s11916-024-01349-w","url":null,"abstract":"<p><strong>Purpose of review: </strong>To discuss the importance of the consenting process for patients undergoing spinal cord stimulation (SCS) therapy and understanding related complications and effects.</p><p><strong>Recent findings: </strong>Litigation for SCS/DRG related complications can be very costly, with the mean average settlement in cases relating to SCS being $303,173 dollars in the USA. According to the US Anaesthesia Closed Claims Project database, 10,546 claims related to pain medicine were made between 1990 and 2013; 43 of which were associated with SCS complications. This article will further explore consenting and complications within the context of SCS. Consenting for SCS is a crucial and very important step which potentially reflect on patients' expectations and outcomes.</p>","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"44"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076295","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}

{"title":"The Impact of Racial and Low Socioeconomic Status on the Implementation of Spinal Cord Stimulation for Chronic Pain in the United States.","authors":"Gabriel Howard, Luis Guinand, Eric Xu, Alex Kervyn, Behnum Habibi","doi":"10.1007/s11916-024-01315-6","DOIUrl":"10.1007/s11916-024-01315-6","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to review the societal, economic, and racial factors that impact the usage of spinal cord stimulation for chronic pain. Our working hypothesis is that patients of ethnic minority groups or of lower socioeconomic status (SES) status may have lower implantation rates and usage of spinal cord stimulation (SCS).</p><p><strong>Materials and methods: </strong>Our study sourced publications from PubMed, Embase, and Cochrane Library on December 21st, 2023 for SCS for the purposes of pain management. Articles were excluded from the review if the study was not USA based, did not involve SCS for the purpose of pain or did not allow for the subgroup analysis. There were 1028 reports that resulted after the initial search with 184 duplicates which were removed. Six reports met the inclusion and exclusionary criteria and were included in the review.</p><p><strong>Results: </strong>Several trends were able to be extrapolated from the pooled reviews. Orhurhu et al. found that Black and Hispanic minorities had a higher utilization rate of SCSs than their White and Asian counterparts in the inpatient setting. Jones and Missios et al. found that in the outpatient setting, White and privately insured patients were more likely to utilize SCS. Ovrom et al. observed an increased cost associated with Hispanic ethnicity and inpatient SCS utilization. Wondwossen et al. found that in the US military system White patients were more likely to receive SCS earlier in their care than Black patients. Labaran et al. concluded the Southern US completed more SCS implants, particularly in White patients with Medicare insurance.</p><p><strong>Conclusions: </strong>White patients are recipients of SCS earlier and more frequently than minority patients in the outpatient setting. There is mixed evidence regarding inpatient SCS and how household income relates to SCS usage. Insurance type and coverage may be more accurately predictive than simple household income for SCS utilization.</p>","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"42"},"PeriodicalIF":3.2,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069380","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}