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A Bibliometric Analysis of Nonspecific Low Back Pain Research.
Conclusion: This study offers insights into the trend of NSLBP to determine major research countries and institutions, core journals, pivotal authors, overall development tendency, hot topics, and research frontiers. Moreover, it will help researchers extract hidden valuable information for further study. PMID: 32215136 [PubMed - in process]
Source: Pain Research and Management - March 29, 2020 Category: Anesthesiology Authors: Weng LM, Zheng YL, Peng MS, Chang TT, Wu B, Wang XQ Tags: Pain Res Manag Source Type: research

Unpalatable truths about pain
Recently I read a blog post about the way “Explain pain” had landed with a group of people in the general public. The point being made was that people found the ideas presented unpalatable. They didn’t agree with the points and they thought the ideas were dismissive of their experience. Now I am a critic of any recipe-based approach to helping people. I am especially a critic of clinicians using something they’ve picked up on a weekend course, or out of a book, being applied holus bolus to an individual without nuance. There have been outrageous claims made about the effectiveness of giving some...
Source: HealthSkills Weblog - June 11, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Pain conditions Professional topics biopsychosocial pain management Therapeutic approaches Source Type: blogs

Pain science is not a thing
Today’s post is occasioned by reading several discussions on various forums where the term “pain science” and various adjectives to describe this kind of practice. For those who don’t want to read the rest of my ramblings: no, it’s not a thing, science is an approach to understanding phenomena, and I would have thought all health professionals would use a science-based approach to treatment. I went on to Google, as you do, to find out when this term began its rise in popularity. Google wasn’t particularly helpful but did show that it’s been around since 2004 at least, and seems to...
Source: HealthSkills Weblog - November 4, 2018 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Chronic pain Clinical reasoning Education Low back pain Pain conditions Professional topics Research Science in practice biopsychosocial interprofessional multidimensional pain management pain science Source Type: blogs

Barriers to good pain rehabilitation
This is a long…… readooops, sorry, not. Low back pain is, we know, the greatest contributor to days lived with disability (Rice, Smith & Blyth, 2016). And no-one anywhere in the world has found a good mix of services to reduce the number of days lived with disability as a result of this problem. And yet billions of dollars are used to fund research into the many contributors to a shift from acute low back pain to ongoing disability associated with low back pain. At the same time, treatments that directly target disability, rather than pain (a target considered the most important outcome by Sullivan an...
Source: HealthSkills Weblog - June 9, 2019 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Low back pain Pain conditions Research Science in practice health funding health systems models of care Source Type: blogs

Occupational therapists ’ knowledge of pain
I am mightily bothered by health professionals’ lack of knowledge about pain. Perhaps it’s my “teacher” orientation, but it seems to me that if we work in an area, we should grab as much information about that area as possible – and pain and pain management is such an important part of practice for every health professional that I wonder why it’s so often neglected. So, to begin exploring this, I completed a search looking at occupational therapists’ knowledge of pain – and struck gold,  kinda. Angelica Reyes and Cary Brown conducted a survey of Canadian occupational therapi...
Source: HealthSkills Weblog - April 15, 2018 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Education Education/CME Occupational therapy Pain conditions Professional topics Research biopsychosocial Chronic pain Health pain management Source Type: blogs

Women, partner violence and pain
As the potential for greater repression of women’s autonomy grows (Afghanistan, United States, Mexico), along with racist and misogynist statements from business leaders (DGL CEO Simon Henry) it’s timely to look at pain in women. We already know that more women than men present with persistent pain (Blyth, n.d.), while women who are seen for their pain are more often misdiagnosed, offered psychiatric medication or psychological intervention only and have their experiences dismissed as “hysterical, fabricated, or nonexistent” (Samulowitz, et al., 2018). My daughter, when attending Emergency Departmen...
Source: HealthSkills Weblog - May 8, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Professional topics Research Science in practice biopsychosocial gender Health pain management partner violence Source Type: blogs

Systematic Review of Pain Medicine Content, Teaching, and Assessment in Medical School Curricula Internationally
ConclusionsThis systematic review has revealed that pain medicine education at medical schools internationally does not adequately respond to societal needs in terms of the prevalence and public health impact of inadequately managed pain.
Source: Pain and Therapy - July 30, 2018 Category: Anesthesiology Source Type: research

Associations Between Musculoskeletal Pain Experience and Pressure and Cold Pain Sensitivity: A Community-based Cross-sectional Study of Young Adults in the Raine Study
This study provides the most extensive investigation of the relationship between musculoskeletal pain experience and pressure and cold pain sensitivity in young adults. Heightened cold pain sensitivity in those classified as “Medium” and “High” pain experience may suggest altered nociceptive processing and has implications for clinical management.
Source: The Clinical Journal of Pain - December 6, 2018 Category: Anesthesiology Tags: Original Articles Source Type: research

Feasibility of Imported Self-Management Program for Elderly People with Chronic Pain: A Single-Arm Confirmatory Trial
ConclusionThese results suggest that the Japanese multidisciplinary program has a similar effect on pain disability as that reported by Nicholas et al. This finding has important implications for the development of pain services in community-dwelling elderly Japanese.
Source: Pain and Therapy - August 24, 2020 Category: Anesthesiology Source Type: research

Guided Self-Help for People with Chronic Pain: Integrated Care in a Public Tertiary Pain Clinic —A Pilot Study
ConclusionIntegrating a GSH program for people with chronic pain into a multidisciplinary tertiary pain clinic is an efficacious and scalable way to increase access to effective strategies that can increase self-efficacy and self-management. Novel, scalable, and effective solutions are needed to improve quality of life and address disparities for people with chronic pain. The psychological shifts and benefits observed support efficacy towards self-management strategies that can increase autonomy and quality of life.
Source: Pain and Therapy - January 3, 2023 Category: Anesthesiology Source Type: research

To treat back pain, look to the brain not the spine | Aeon Essays
For patient after patient seeking to cure chronic back pain, the experience is years of frustration. Whether they strive to treat their aching muscles, bones and ligaments through physical therapy, massage or rounds of surgery, relief is often elusive – if the pain has not been made even worse. Now a new working hypothesis explains why: persistent back pain with no obvious mechanical source does not always result from tissue damage. Instead, that pain is generated by the central nervous system (CNS) and lives within the brain itself.I caught my first whiff of this news about eight years ago, when I was starting the resea...
Source: Psychology of Pain - September 24, 2017 Category: Anesthesiology Source Type: blogs

Common Pediatric Pain Disorders and Their Clinical Associations
Conclusions: In light of their extensive associations, the common pain conditions, persistent pain, restless legs syndrome, iron deficiency, anxiety and depression, are likely to involve common etiological mechanisms that warrant further investigation.
Source: The Clinical Journal of Pain - November 8, 2017 Category: Anesthesiology Tags: Review Articles Source Type: research

Reciprocal associations of pain and post ‐traumatic stress symptoms after whiplash injury: A longitudinal, cross‐lagged study
ConclusionsThe results point to a temporal main effect of post‐traumatic stress symptoms on pain over and above the stability of pain itself within the first 3 months post‐injury and again in the chronic phase from 6 to 12 months with hyperarousal symptoms driving these effects. From 3 to 6 months, there was a slip in the maintenance patterns with no cross‐lagged effects. SignificanceInvestigating mutual maintenance of pain and PTSS in whiplash, the present study found evidence suggesting a maintaining effect of PTSS on pain within the first 3 months post‐injury and from 6 to 12 months driven by hyperarousal, ...
Source: European Journal of Pain - January 26, 2018 Category: Anesthesiology Authors: S.L. Ravn, M. Sterling, Y. Lahav, T.E. Andersen Tags: Original Article Source Type: research

Treatments Prescribed For Lower Back Pain Are Often Ineffective, Report Says : NPR
Chances are, you — or someone you know — has suffered from lower back pain.It can be debilitating. It's a leading cause of disability globally.And the number of people with the often-chronic condition is likely to increase.This warning comes via a series of articles published in the medical journal Lancet in March. They state that about 540 million people have lower back pain — and they predict that the number will jump as the world's population ages and as populations in lower- and middle-income countries move to urban centers and adopt more sedentary lives."We don't think about [back pain] the same...
Source: Psychology of Pain - May 10, 2018 Category: Anesthesiology Source Type: blogs