Current Pain and Headache Reports最新文献_第9页

Functional Magnetic Resonance Imaging of Post-Traumatic Headache: A Systematic Review. 创伤后头痛的功能磁共振成像：系统综述。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-15 DOI: 10.1007/s11916-024-01351-2

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

{"title":"Functional 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/s11916-024-01351-2","DOIUrl":"10.1007/s11916-024-01351-2","url":null,"abstract":"Purpose of review: To evaluate existing functional magnetic resonance imaging (fMRI) studies on post-traumatic headache (PTH) following traumatic brain injury (TBI).Recent findings: We conducted a systematic search of PubMed and Embase databases from inception to February 1, 2024. Eligible fMRI studies were required to include adult participants diagnosed with acute or persistent PTH post-TBI in accordance with any edition of the International Classification of Headache Disorders. We identified five eligible fMRI studies: two on acute PTH and three on persistent PTH. These studies assessed resting-state functional connectivity involving comparisons with one or more of the following groups: people with migraine, those with mild TBI but no PTH, and healthy controls. In acute PTH, studies focused exclusively on functional connectivity between the periaqueductal gray or hypothalamus and other brain regions. In persistent PTH, evidence of altered functional connectivity was identified primarily within cingulate, sensorimotor, and visual regions, indicating a hypersensitivity to sensory stimuli in PTH. Despite these insights, the fMRI data remains sparse and is limited by inconsistent results and small samples. The paucity of fMRI studies on PTH limits our understanding of its neurobiological basis. The available evidence suggests that alterations in functional connectivity occur within brain areas involved in emotional and sensory discriminative aspects of pain processing. However, inconsistent results and small sample sizes underscore a critical need for larger, more rigorous fMRI studies. Future studies should also consider using task-based fMRI to investigate possible hypersensitivity to different sensory stimuli in PTH after TBI.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"27"},"PeriodicalIF":3.2,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985472","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

Ketamine Infusion for Complex Regional Pain Syndrome Treatment: A Narrative Review. 氯胺酮输注治疗复杂局部疼痛综合征：叙述性综述。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-14 DOI: 10.1007/s11916-025-01360-9

Alan D Kaye, Brynne E Tynes, Coplen D Johnson, Bryan C Strong, Brennan M Abbott, Jelena Vučenović, Omar Viswanath, Charles J Fox, Shahab Ahmadzadeh, Sam N Amarasinghe, Saurabh Kataria, Sahar Shekoohi

{"title":"Ketamine Infusion for Complex Regional Pain Syndrome Treatment: A Narrative Review.","authors":"Alan D Kaye, Brynne E Tynes, Coplen D Johnson, Bryan C Strong, Brennan M Abbott, Jelena Vučenović, Omar Viswanath, Charles J Fox, Shahab Ahmadzadeh, Sam N Amarasinghe, Saurabh Kataria, Sahar Shekoohi","doi":"10.1007/s11916-025-01360-9","DOIUrl":"10.1007/s11916-025-01360-9","url":null,"abstract":"Purpose of review: Complex Regional Pain Syndrome (CRPS) is a neuropathic pain disorder characterized by pain disproportionate to the inciting event that is constant for an extended duration. Numerous treatment options for this condition have been explored with unsatisfactory results in many cases. Ketamine, an N-methyl-D-aspartate (NMDA) receptor antagonist typically used as an anesthetic and analgesic, presents a promising potential treatment for CRPS in patients who fail to respond to traditional therapies.Recent findings: Numerous studies report significant improvement in the degree of pain, mobility of extremities, and other parameters after ketamine infusion in patients with CRPS. Although adverse effects were not reported often, some subjects experienced nausea, vomiting, headache or psychotropic or psychomimetic symptoms which could be mitigated with cessation of the drug. Although more research is needed to determine optimal dosing and duration, ketamine seems to be a safe and effective treatment for refractory cases of CRPS.Conclusion: The present investigation summarizes existing knowledge and research surrounding ketamine infusions for CRPS to provide a well-rounded depiction of advantages and disadvantages for physicians who may be considering it for patients with this challenging and complex condition.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"26"},"PeriodicalIF":3.2,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980597","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 Review of the Prospera Spinal Cord Stimulation System with Multiphase Stimulation and Proactive Care. 多期刺激和主动护理的Prospera脊髓刺激系统的研究进展。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-13 DOI: 10.1007/s11916-024-01318-3

Ramana K Naidu, Leonardo Kapural, Sean Li, Caitlin Tourjé, Joseph Rutledge, David Dickerson, Timothy R Lubenow

{"title":"A Review of the Prospera Spinal Cord Stimulation System with Multiphase Stimulation and Proactive Care.","authors":"Ramana K Naidu, Leonardo Kapural, Sean Li, Caitlin Tourjé, Joseph Rutledge, David Dickerson, Timothy R Lubenow","doi":"10.1007/s11916-024-01318-3","DOIUrl":"10.1007/s11916-024-01318-3","url":null,"abstract":"Purpose of review: The purpose of this review is to describe the development and key features of the Prospera™ Spinal Cord Stimulation (SCS) System, as well as the clinical evidence supporting its use. Prospera delivers therapy using a proprietary multiphase stimulation paradigm and is the first SCS system to offer proactive care through automatic, objective, daily, remote device monitoring and remote programming capabilities.Recent findings: Results from the recently published BENEFIT-02 trial support the short-term safety and efficacy of multiphase stimulation in patients with chronic pain. BENEFIT-03 is an ongoing, multicenter, single-arm study with 24-month follow-up; interim analyses suggest that multiphase therapy is safe and effective and that patients and clinicians have positive experiences with remote device management. Preliminary evidence suggests that the Prospera SCS System represents an opportunity to improve patient care by combining an effective multiphase stimulation paradigm with an efficient proactive care model.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"25"},"PeriodicalIF":3.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973047","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

Pain Management Services Can Be a Cost-Effective Option over Surgery for the Treatment of Chronic Pain. 对于慢性疼痛的治疗，疼痛管理服务是比手术更划算的选择。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-13 DOI: 10.1007/s11916-025-01359-2

Alaa Abd-Elsayed, Max Y Jin

{"title":"Pain Management Services Can Be a Cost-Effective Option over Surgery for the Treatment of Chronic Pain.","authors":"Alaa Abd-Elsayed, Max Y Jin","doi":"10.1007/s11916-025-01359-2","DOIUrl":"10.1007/s11916-025-01359-2","url":null,"abstract":"Purpose of commentary: The number of facilities and physicians that offer pain management services has grown significantly since the 1970s. Despite the rise in prevalence of individuals with chronic pain during that time, interventional pain physicians remain underutilized. One reason why this may be the case is a large number of patients are referred directly to surgical specialists prior to being seen by an interventional pain physician. With the rising cost of healthcare, a shift away from surgical specialists and towards pain specialists as part of a multidisciplinary care team may help reduce the cost of care for chronic pain patients.Recent findings: Through comparing the costs for patients with various types of chronic back pain, it was found that those who were treated by a pain physician rather than a surgeon saved up to over $8000 USD. Despite the cost benefits, it is important to recognize that healthcare disparities still exist which prevent patients from accessing interventional pain physicians. These disparities include patient location and insurance coverage. Overall, the treatment paradigm should start with non-invasive treatments, followed by minimally invasive procedures, with surgical interventions reserved as a last resort for when less invasive measures fail. Early incorporation of a multidisciplinary care team that includes chronic pain management services is critical for providing appropriate and cost-effective patient care.","PeriodicalId":50602,"journal":{"name":"Current Pain and Headache Reports","volume":"29 1","pages":"24"},"PeriodicalIF":3.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973048","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

Cognitive Behavioral Therapy and Biofeedback. 认知行为疗法和生物反馈。

IF 3.2 2区医学

Current Pain and Headache Reports Pub Date : 2025-01-09 DOI: 10.1007/s11916-024-01348-x

Christopher Wie, Tyler Dunn, Jeannie Sperry, Natalie Strand, Aziza Dawodu, John Freeman, Stephen Covington, Scott Pew, Lopa Misra, Jillian Maloney

引用次数: 0

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