Best Practice & Research in Clinical Rheumatology最新文献_第5页

Response to kollas. Letter to the editor, “problems with opioids beyond misuse” 回应 Kollas。致编辑的信，"阿片类药物的问题不仅仅是滥用"。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2024-03-01 DOI: 10.1016/j.berh.2024.101946

引用次数: 0

Problems with opioids - beyond misuse 阿片类药物的问题不仅仅是滥用。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2024-03-01 DOI: 10.1016/j.berh.2024.101935

{"title":"Problems with opioids - beyond misuse","authors":"","doi":"10.1016/j.berh.2024.101935","DOIUrl":"10.1016/j.berh.2024.101935","url":null,"abstract":"<div><p><span>The U.S. is grappling with an opioid epidemic, with millions of adults on long-term opioid therapy (LTOT). Although patients often report pain relief and improved daily function with opioids, research shows no significant differences in short-term outcomes between opioid and non-opioid users, as well as no long-term opioid benefits. This scoping review aims to identify lesser-known side effects of long-term opioid use and increase awareness of them, allowing healthcare providers and patients to better assess the risks and benefits of opioid use. Our data search from PubMed and Google Scholar used keywords related to opioids, chronic pain, </span>hypogonadism<span>, endocrinopathies<span>, cancer progression, cardiovascular events, renovascular events, sleep disturbances, mood disorders and others, narrowing down to English-language full articles published from January 2018 to April 2023. This review emphasizes the probable serious adverse consequences of long-term opioid use on various body systems in patients with chronic pain. Given the lack of long-term benefits and significant adverse effects, our review underscores the critical need for healthcare providers to include these risks in discussions with patients when considering the long-term use of opioid therapy.</span></span></p></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"38 1","pages":"Article 101935"},"PeriodicalIF":4.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140013652","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

Problems with “Problems with opioids beyond misuse” 阿片类药物滥用之外的问题"。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2024-03-01 DOI: 10.1016/j.berh.2024.101947

引用次数: 0

Nutrients and Nocioception: Diet in the management of pain 营养素与痛觉：疼痛治疗中的饮食。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2024-03-01 DOI: 10.1016/j.berh.2024.101963

引用次数: 0

Enthesopathies – Mechanical, inflammatory or both? 内脏病变--机械性、炎症性还是两者兼有？

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2024-03-01 DOI: 10.1016/j.berh.2024.101966

Ricardo Sabido-Sauri , Xenofon Baraliakos , Sibel Zehra Aydin

{"title":"Enthesopathies – Mechanical, inflammatory or both?","authors":"Ricardo Sabido-Sauri , Xenofon Baraliakos , Sibel Zehra Aydin","doi":"10.1016/j.berh.2024.101966","DOIUrl":"10.1016/j.berh.2024.101966","url":null,"abstract":"<div><p><span><span>Entheses have the challenging task of transferring biomechanical forces between tendon and bone, two tissues that differ greatly in composition and mechanical properties. Consequently, entheses are adapted to withstand these forces through continuous repair mechanisms. Locally specialized cells (mechanosensitive tenocytes) are crucial in the repair, physiologically triggering </span>biochemical processes to maintain </span>hemostasis.</p><p><span>When repetitive forces cause \"material fatigue,\" or trauma exceeds the entheses' repair capacity, structural changes occur, and patients become symptomatic. Clinical assessment of </span>enthesopathies<span> mainly depends on subjective reports by the patient and lacks specificity, especially in patients with central sensitization syndromes. Ultrasonography<span> has been increasingly used to improve the diagnosis of enthesopathies. In this article, the literature on how biomechanical forces lead to entheseal inflammation, including factors contributing to differentiation into a \"clinical enthesitis\" state and the value of ultrasound to diagnose enthesopathies will be reviewed, as well as providing clues to overcome the pitfalls of imaging.</span></span></p></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"38 1","pages":"Article 101966"},"PeriodicalIF":4.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635596","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

Cervicogenic headache – How to recognize and treat 颈源性头痛--如何识别和治疗。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2024-03-01 DOI: 10.1016/j.berh.2024.101931

{"title":"Cervicogenic headache – How to recognize and treat","authors":"","doi":"10.1016/j.berh.2024.101931","DOIUrl":"10.1016/j.berh.2024.101931","url":null,"abstract":"<div><p><span>Cervicogenic headache<span><span><span><span>, described almost 100 years ago, only had its clinical awakening at the end of the century with the work of Professor Sjaastad. Its classic definition is the induction of trigeminal symptoms from cervical disorders, thanks to trigeminocervical convergence mechanisms. For this reason, it can manifest several features typical of migraine, leading to diagnostic errors. Classically, subjects complain of fixed unilateral </span>headaches, with cervical onset and trigeminal irradiation, associated with reduced neck mobility and flexion strength. The headache is mild to moderate, described as pulsatile or compressive, accompanied by nausea, vomiting, </span>photophobia, </span>phonophobia<span>, and may present autonomic symptoms and dizziness. The pain duration varies from one day to weeks, and its frequency is unpredictable. A history of </span></span></span>whiplash injury<span> is common. The differential diagnosis<span> encompasses migraine and tension-type headache. Management includes physiotherapy rehabilitation, anesthetic blocks, and selectively surgical procedures. In this article, all these aspects were extensively covered.</span></span></p></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"38 1","pages":"Article 101931"},"PeriodicalIF":4.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934063","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

Myofascial pain – A major player in musculoskeletal pain 肌筋膜疼痛 - 肌肉骨骼疼痛的主要因素。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2024-03-01 DOI: 10.1016/j.berh.2024.101944

引用次数: 0

Pain mechanisms for the practicing rheumatologist 风湿病执业医师的疼痛机制。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2024-03-01 DOI: 10.1016/j.berh.2024.101942

引用次数: 0

Pain syndromes 疼痛综合征。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2024-03-01 DOI: 10.1016/j.berh.2024.101985

Eduardo S. Paiva, Deeba Minhas

引用次数: 0

“Fibromyalgia – are there any new approaches?” "纤维肌痛--有什么新方法吗？

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2024-03-01 DOI: 10.1016/j.berh.2024.101933

{"title":"“Fibromyalgia – are there any new approaches?”","authors":"","doi":"10.1016/j.berh.2024.101933","DOIUrl":"10.1016/j.berh.2024.101933","url":null,"abstract":"<div><h3>Introduction</h3><p>Approaching patients with fibromyalgia (FM) is challenging due to the limited availability of scientifically proven effective therapies.</p></div><div><h3>Objective</h3><p><span><span><span><span><span>Review the treatments in use for FM and present new knowledge that could benefit these patients. Non-pharmacological interventions are recommended as the first line of treatment: aerobic exercise, cognitive behavioral therapy and patient education, all aimed at improving pain and other symptoms. Additional approaches have been studied, such as, </span>digital health<span><span> interventions, combined treatments, noninvasive neuromodulation<span>, and others. Concerning pharmacological therapy, the mechanism of action of the medications currently used is to promote </span></span>pain modulation. Medications approved by Food and Drug Administration are </span></span>duloxetine, </span>milnacipran and </span>pregabalin<span><span>. Amitriptyline, </span>cyclobenzaprine<span><span>, gabapentin and </span>naltrexone<span> are considered for off-label use. Cannabinoids, </span></span></span></span>vitamin D supplementation are still controversial and further research is needed.</p></div><div><h3>Conclusion</h3><p>The combination of therapies, whether old, recent or reformulated, are the most effective strategy for managing symptoms in patients with fibromyalgia. Key Words: fibromyalgia, treatment, nonpharmacological interventions, pharmacological treatment.</p></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"38 1","pages":"Article 101933"},"PeriodicalIF":4.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736634","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