Current Pain and Headache Reports最新文献_第4页

Familial Mediterranean Fever (FMF): Emerging Concepts in Diagnosis, Pain Management, and Novel Treatment Options: A Narrative Review. 家族性地中海热（FMF）：诊断，疼痛管理和新治疗方案的新概念：叙述性回顾。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-09 DOI: 10.1007/s11916-024-01345-0

Alan D Kaye, Rahib K Islam, Ivan D Nguyen, Connor J Robin, Haley A Norwood, Carlo Jean Baptiste, David W McGregor, Sonnah Barrie, Tomasina Q Parker-Actlis, Shahab Ahmadzadeh, Kazi N Islam, Sahar Shekoohi

{"title":"Familial Mediterranean Fever (FMF): Emerging Concepts in Diagnosis, Pain Management, and Novel Treatment Options: A Narrative Review.","authors":"Alan D Kaye, Rahib K Islam, Ivan D Nguyen, Connor J Robin, Haley A Norwood, Carlo Jean Baptiste, David W McGregor, Sonnah Barrie, Tomasina Q Parker-Actlis, Shahab Ahmadzadeh, Kazi N Islam, Sahar Shekoohi","doi":"10.1007/s11916-024-01345-0","DOIUrl":"10.1007/s11916-024-01345-0","url":null,"abstract":"Purpose of review: Familial Mediterranean Fever (FMF) is a hereditary autoinflammatory disorder predominantly affecting individuals of Mediterranean and Middle Eastern descent, including those with certain heritages including Sephardic Jewish, Armenian, Turkish, and Arab. The disorder affects up to 1 in 200 people making it a very common etiology for pain states worldwide, including serositis mediated painful states of the chest, joint, and abdomen.Recent findings: Defined by recurrent episodes of fever and inflammation, FMF can lead to not only severe pain, but complications such as renal amyloidosis, if untreated. This narrative review explores the genetic basis, clinical manifestations, diagnostic criteria, and current management strategies for FMF. Mutations in the MEFV gene result in the dysregulation of the pyrin inflammasome, leading to excessive production of inflammatory cytokines. Diagnosis primarily relies on clinical criteria supported by genetic testing. Colchicine remains the cornerstone of treatment, effectively preventing inflammatory attacks and complications. For colchicine-resistant patients, IL-1 antagonists like anakinra and canakinumab show promise, although their long-term benefits require further investigation. The present investigation underscores the importance of early diagnosis and integrated treatment approaches to improve patient outcomes, pain management, and quality of life.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"22"},"PeriodicalIF":3.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958338","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 Role of Regional Anesthesia in ICU Pain Management. 区域麻醉在ICU疼痛管理中的作用。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-08 DOI: 10.1007/s11916-024-01328-1

Jared Katz, Sean Seongjou Bok, Anis Dizdarevic

引用次数: 0

Post-laparoscopic Shoulder Pain Management: A Narrative Review. 后腹腔镜肩部疼痛管理：叙述性回顾。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-08 DOI: 10.1007/s11916-024-01355-y

Yan Zhao, Wen Xin, Xiaohui Luo

{"title":"Post-laparoscopic Shoulder Pain Management: A Narrative Review.","authors":"Yan Zhao, Wen Xin, Xiaohui Luo","doi":"10.1007/s11916-024-01355-y","DOIUrl":"10.1007/s11916-024-01355-y","url":null,"abstract":"Purpose of review: Post-laparoscopic shoulder pain (PLSP) can slow patient recovery and extend hospital stays, making its management crucial for patients undergoing laparoscopic surgery. Current consensus guidelines say little about how to prevent or manage PLSP. In this context, a multimodal approach to PLSP management that maybe extend beyond the pharmaceutical interventions currently employed. A variety of devices comprising both invasive and noninvasive approaches are available to patients, serving as adjuvants to analgesics. In this review, we explore the potential causes of PLSP. Additionally, by searching relevant databases and reviewing existing literature, we provide a comprehensive summary of current PLSP management strategies excluding analgesics.Recent findings: A total of 30 articles were reviewed. The review identified a number of different treatments for PLSP, including trendelenburg position, discharge of residual gas, pulmonary recruitment manoeuvre, low-pressure pneumoperitoneum and phrenic nerve block, among others. However, the inconsistencies in the study designs resulted in disparate conclusions. While the current studies provide valuable insights, there is a clear need for further research in this area.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"18"},"PeriodicalIF":3.2,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958344","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

Diagnosis and Management of Mild Traumatic Brain Injury (mTBI): A Comprehensive, Patient-centered Approach. 轻度创伤性脑损伤（mTBI）的诊断和管理：一个全面的，以患者为中心的方法。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-08 DOI: 10.1007/s11916-024-01333-4

Yevgeniya Sergeyenko, Mollie E Andreae, Miriam Segal

引用次数: 0

Cryoneurolysis for Post Operative Pain Following Chest Surgery: Contemporary Evidence and Future Directions. 冷冻神经松解治疗胸外科术后疼痛：当代证据和未来方向。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-08 DOI: 10.1007/s11916-024-01352-1

Gabriel Stapleton, Sahil Shah, Ethan Y Brovman

{"title":"Cryoneurolysis for Post Operative Pain Following Chest Surgery: Contemporary Evidence and Future Directions.","authors":"Gabriel Stapleton, Sahil Shah, Ethan Y Brovman","doi":"10.1007/s11916-024-01352-1","DOIUrl":"10.1007/s11916-024-01352-1","url":null,"abstract":"Management of acute and chronic pain following surgery remains a critical patient management challenge, with poor pain management associated with negative patient satisfaction, increased opioid consumption and a high incidence of adverse events. Chest surgery specifically carries a high incidence of significant early and chronic post operative pain. The high incidence, prolonged duration of pain, and adverse effects associated with chronic opioid analgesia, has given rise to the need for non-opioid pain management strategies. Cryoneurolysis, also known as cryoanalgesia, has emerged as a promising option for both acute and chronic pain management. While cryoneurolysis was first developed over fifty years ago, its utilization was limited by technical implementation challenges and limitations in identifying target structures percutaneously. Advances both in cryoneurolysis delivery devices as well as ultrasound have reinvigorated interest in the technique, with recent studies highlighting the advantages of cryoneurolysis, including its favorable side effect profile, long duration of efficacy and relative technical simplicity. The purpose of this review is to examine techniques for cryoneurolysis, and explore recent evidence for safety and efficacy of the technique following different surgical procedures.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"17"},"PeriodicalIF":3.2,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958332","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

Dialysis Headache: An Updated Literature Review. 透析头痛：最新文献综述。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-08 DOI: 10.1007/s11916-024-01313-8

Mark Barber

{"title":"Dialysis Headache: An Updated Literature Review.","authors":"Mark Barber","doi":"10.1007/s11916-024-01313-8","DOIUrl":"10.1007/s11916-024-01313-8","url":null,"abstract":"Purpose of review: The objective of this review is to describe recent updates in the understanding of dialysis headache. These recent findings will be placed in a historical context that reviews the clinical features, classification, epidemiology, pathophysiology, and treatment of dialysis headache.Recent findings: There is something intrinsic to the dialysis procedure itself that leads to headaches in susceptible individuals. Proposed mechanisms include fluid and electrolyte shifts, blood pressure parameters, the release of neuroinflammatory particles, and the mechanics of the dialysis procedure. Recent findings quantify the potential roles of CGRP and substance P in dialysis headache pathophysiology. Advances in dialysis techniques, like online hemodiafiltration, have also been found to vastly reduce headache incidence. Caffeine, which has anecdotally been considered potentially therapeutic for dialysis headache, may not actually provide benefit. Dialysis headache significantly impairs quality of life in many individuals on hemodialysis, a procedure which is itself already burdensome. A clearer understanding of the pathophysiology of dialysis headache has the potential to drive therapeutic advances.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"16"},"PeriodicalIF":3.2,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958335","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

Structural Magnetic Resonance Imaging of Post-Traumatic Headache: A Systematic Review. 创伤后头痛的结构磁共振成像：系统回顾。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-08 DOI: 10.1007/s11916-024-01341-4

Rune H Christensen, Haidar M Al-Khazali, Afrim Iljazi, Edina Szabo, Håkan Ashina

{"title":"Structural Magnetic Resonance Imaging of Post-Traumatic Headache: A Systematic Review.","authors":"Rune H Christensen, Haidar M Al-Khazali, Afrim Iljazi, Edina Szabo, Håkan Ashina","doi":"10.1007/s11916-024-01341-4","DOIUrl":"https://doi.org/10.1007/s11916-024-01341-4","url":null,"abstract":"Purpose of review: To evaluate the available studies on structural magnetic resonance imaging (MRI) of post-traumatic headache (PTH).Recent findings: A systematic search of PubMed and Embase databases (from inception to February 1, 2024) identified nine relevant structural MRI studies. These studies included adult participants diagnosed with acute or persistent PTH in adherence with any edition of the International Classification of Headache Disorders. Eight studies focused on PTH attributed to mild traumatic brain injury (TBI), while one examined PTH after whiplash injury. The comparison groups consisted of healthy individuals, people with mild TBI (without PTH), and/or individuals with migraine. The eligible studies assessed brain morphometry (n = 7), both cortical morphometry and diffusion tensor imaging (n = 1), or used structural brain images for machine learning (n = 1). The main findings indicated alterations in brain regions involved in affective pain processing and cognitive functions. However, the results were largely incongruent, likely due to small sample sizes and methodologic issues. Structural MRI has shown alterations in the brains of people with PTH, particularly in regions responsible for affective pain processing, cognitive control, and visual processing. These findings align well with the clinical features commonly observed in PTH. Nevertheless, most findings were inconsistent across studies, highlighting the need for methodologic standardization and investigations with larger sample sizes.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"20"},"PeriodicalIF":3.2,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958345","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

Pain and Perception: Exploring Psychedelics as Novel Therapeutic Agents in Chronic Pain Management. 疼痛和知觉：探索致幻剂作为慢性疼痛管理的新型治疗剂。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-07 DOI: 10.1007/s11916-024-01353-0

Natalie H Strand, Madeline Whitney, Brooks Johnson, Tyler Dunn, Sumedha Attanti, Jillian Maloney, Lopa Misra, Diego Gomez, Omar Viswanath, Eric Emami, James Leathem

{"title":"Pain and Perception: Exploring Psychedelics as Novel Therapeutic Agents in Chronic Pain Management.","authors":"Natalie H Strand, Madeline Whitney, Brooks Johnson, Tyler Dunn, Sumedha Attanti, Jillian Maloney, Lopa Misra, Diego Gomez, Omar Viswanath, Eric Emami, James Leathem","doi":"10.1007/s11916-024-01353-0","DOIUrl":"10.1007/s11916-024-01353-0","url":null,"abstract":"Purpose of review: Chronic pain affects approximately 1.5 billion people worldwide, representing the leading cause of disability and a significant financial burden on healthcare systems. Conventional treatments, such as opioids and non-steroidal anti-inflammatory drugs, are frequently linked to adverse effects, including dependency and gastrointestinal issues, and often offer limited long-term relief. This review explores the potential of psychedelics, including psilocybin, LSD, and ketamine, as alternative therapeutic agents in chronic pain management.Recent findings: These substances modulate pain perception through actions on serotonergic and glutamatergic systems and may promote neuroplasticity, offering novel pathways for pain relief. Specifically, the review details the pharmacologic actions of psychedelics, their effects on chronic pain syndromes such as cancer pain, migraines, and neuropathic pain, and their clinical implications. The safety profiles, patient responses, and analgesic properties of these compounds are examined, highlighting the need for further research to validate their efficacy and optimize their therapeutic use in pain management.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"15"},"PeriodicalIF":3.2,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958342","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

Neuromodulation for Headache Management in Pregnancy. 妊娠期头痛管理的神经调节。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-07 DOI: 10.1007/s11916-024-01344-1

Liza Smirnoff, Michelle Bravo, Tayina Hyppolite

引用次数: 0

Efficacy of Intra-Articular Platelet-Rich Plasma Injections in Treatment of Knee Osteoarthritis: A Systematic Review and Meta-Analysis. 关节内富血小板血浆注射治疗膝骨关节炎的疗效：系统回顾和荟萃分析。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-06 DOI: 10.1007/s11916-024-01320-9

Alan D Kaye, Jolie A Boullion, Mariem Abdelsalam, Melanie A Green, Angela Nguyen, Ellie M MacDonald, Mehdi Dastgah, Corrado Ballaera, Shahab Ahmadzadeh, George Mychaskiw Ii, Sahar Shekoohi, Christopher L Robinson

{"title":"Efficacy of Intra-Articular Platelet-Rich Plasma Injections in Treatment of Knee Osteoarthritis: A Systematic Review and Meta-Analysis.","authors":"Alan D Kaye, Jolie A Boullion, Mariem Abdelsalam, Melanie A Green, Angela Nguyen, Ellie M MacDonald, Mehdi Dastgah, Corrado Ballaera, Shahab Ahmadzadeh, George Mychaskiw Ii, Sahar Shekoohi, Christopher L Robinson","doi":"10.1007/s11916-024-01320-9","DOIUrl":"10.1007/s11916-024-01320-9","url":null,"abstract":"Purpose of review: Knee osteoarthritis (OA) is a gradual deterioration of articular cartilage characterized by pain and physical dysfunction. Although analgesic pharmacological agents are the first-line treatment for knee OA, they are not effective for all patients. In this study, we evaluate the efficacy of an intra-articular injection treatment using platelet-rich plasma (PRP) in reducing pain and improving functional ability.Recent findings: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, this systematic review and meta-analysis (SR/MA) provides an updated overview for the role of PRP in knee OA treatment. Ten articles, published between 2016 and 2023, met the inclusion criteria and compared PRP treatment to a placebo control at six-month follow-up. A total of 9,409 potential studies were identified from a review of four different databases: PubMed (n = 4595), Cochrane (n = 4252), VHL (n = 112), and OpenSigle (n = 450). After the titles and abstracts and inclusion and exclusion criteria were considered, a total of 10 studies were analyzed. Although a significant improvement among PRP-treated groups in some studies was found, there was variability such as where the aforementioned scores appeared to worsen and some only demonstrated trends. Overall, PRP may be a promising treatment for symptomatic knee OA. However, further research is necessary to determine the efficacy of PRP in treating knee OA, with specific considerations for times at follow-up, frequency and dosage of injections, and comorbidities, which were unaccounted for in this SR/MA.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"13"},"PeriodicalIF":3.2,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932249","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