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Pain assessment in context: a state of the science review of the McGill pain questionnaire 40 years on
Abstract: The McGill pain questionnaire (MPQ) and its later derivative the short form-MPQ have been used widely both in experimental and clinical pain studies. They have been of considerable importance in stimulating research into the perception of pain and now, with the publication of its latest variant, the short form-MPQ-2, it is appropriate to appraise their utility in the light of subsequent research into the nature of pain and the purpose of pain assessment. Following a description of the content and development of the questionnaires, issues of validity, reliability, and utility are addressed, not only in terms of th...
Source: Pain - July 1, 2016 Category: Anesthesiology Tags: Pain Classics Source Type: research

A survey on teaching ultrasound-guided chronic pain procedures in pain medicine fellowship programs.
CONCLUSION: The teaching of ultrasound guided chronic pain procedures varies significantly between individual programs. Though many program directors do require that fellows demonstrate competency in the technique before graduation, as of today there is no ACGME guideline regarding this. The advancement in ultrasound technology and the increase in number of trained faculty may significantly impact the use of USG in training fellows to perform chronic pain procedures. PMID: 25415783 [PubMed - in process]
Source: Pain Physician - November 25, 2014 Category: Anesthesiology Authors: Asaad BO, Reinsel RA, DeVeaux E, Moten H, Durkin B Tags: Pain Physician Source Type: research

The effects of regular exercise on capsaicin-induced pulpal pain and pain-induced changes in passive avoidance learning and memory in rats.
Conclusions: Taken together, the present data showed that regular exercise has inhibitory effects on capsaicin-induced pulpal pain as well as pain-induced cognitive dysfunction in rats. PMID: 29123620 [PubMed]
Source: Korean Journal of Pain - November 12, 2017 Category: Anesthesiology Tags: Korean J Pain Source Type: research

Chronic Pain? Don’t Make a Meal Out of It
I chat with and hear from many other people who live with chronic pain. Like any other jolt in life, we each react differently when we’re shaken up, according to our attitude, our families and our physicians. I am constantly amazed by the reactions, the sorrows and the amazing joys in my own life and in others. These vessels, these bodies we walk around in are fragile and destined for extinction. Once we accept that fact, it makes the whole process of suffering chronic daily pain so much simpler to deal with. The suffering is not going to last forever; neither are the joys, the opportunities and experiences. There is a...
Source: Life with Chronic Pain - February 1, 2013 Category: Other Conditions Authors: admin Tags: Uncategorized emotional health and pain survivng chronic pain Source Type: blogs

Developing a Sense of Knowing and Acquiring the Skills to Manage Pain in Children with Profound Cognitive Impairments: Mothers' Perspectives.
Abstract Children with profound cognitive impairment (PCI) are a heterogenous group who often experience frequent and persistent pain. Those people closest to the child are key to assessing their pain. This mixed method study aimed to explore how parents acquire knowledge and skills in assessing and managing their child's pain. Eight mothers completed a weekly pain diary and were interviewed at weeks 1 and 8. Qualitative data were analysed using thematic analysis and the quantitative data using descriptive statistics. Mothers talked of learning through a system of trial and error ("learning to get on with it"); th...
Source: Pain Research and Management - May 3, 2017 Category: Anesthesiology Authors: Carter B, Arnott J, Simons J, Bray L Tags: Pain Res Manag Source Type: research

Continuing methadone for pain in palliative care.
CONCLUSIONS: <⁄span> Responding family physicians had mostly received little education regarding methadone for pain, but were aware of their need for education and were willing to learn. Physicians who had already become authorized were generally satisfied with the process of authorization, and believed the process of education through authorization was appropriate and not onerous. PMID: 23662290 [PubMed - in process]
Source: Pain Research and Management - March 1, 2013 Category: Anesthesiology Authors: Hawley P, Liebscher R, Wilford J Tags: Pain Res Manag Source Type: research

“I Hate You Chronic Pain!”
There are some days in this way of life one just has to speak the ugly side of truth. It’s isn’t always pretty. I sometimes believe after the many years I’ve been writing this blog, some of my readers think I’m Little Mary Sunshine ; I assure you, I am not. We often find ourselves in one particularly pitiable state I like to call, “My life is worse than your life.” It’s only human of us to feel that way but it is most definitely a dead end road but a path we occasionally drive down. Life is hard enough for the jolly and the totally healthy but for those of us who face pain each day of our lives, usually in ...
Source: Life with Chronic Pain - February 14, 2013 Category: Other Conditions Authors: Sue Falkner-Wood Tags: Pain Management chronic pain and emotional health chronic pain and forgiveness Source Type: blogs

Focused Cardiac Ultrasound for the Regional Anesthesiologist and Pain Specialist
This article in our point-of-care ultrasound (PoCUS) series discusses the benefits of focused cardiac ultrasound (FoCUS) for the regional anesthesiologist and pain specialist. Focused cardiac US is an important tool for all anesthesiologists assessing patients with critical conditions such as shock and cardiac arrest. However, given that ultrasound-guided regional anesthesia is emerging as the new standard of care, there is an expanding role for ultrasound in the perioperative setting for regional anesthesiologists to help improve patient assessment and management. In addition to providing valuable insight into cardiac phy...
Source: Regional Anesthesia and Pain Medicine - August 22, 2017 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Review Articles Source Type: research

Brain Aging and Chronic Pain: A Replication Study in Knee Osteoarthritis
We have previously reported that older adults with chronic musculoskeletal pain had significantly older-appearing brains compared to older controls in a small, mainly Non-Hispanic white sample of individuals. We employed a machine-learning derived brain aging biomarker that compares voxel-wise gray and white matter volume images to a statistical model that accurately predicts chronological age from neuroimaging data in healthy people. The present study aimed to extend our previous findings to a larger, younger, and more racially diverse sample of individuals with knee osteoarthritis (OA) pain.
Source: The Journal of Pain - May 1, 2021 Category: Materials Science Authors: Chavier Laffitte, Benjamin G. Griffith, Jessie Somerville, Julio A. Peraza, Soamy Montesino-Goicolea, Pedro Valdes-Hernandez, Zhiguang Huo, James H. Cole, Roger B. Fillingim, Yenisel Cruz-Almeida Tags: Geriatric Pain Source Type: research

Pain In The Back? Exercise May Help You Learn Not To Feel It : Shots - Health News : NPR
More than 1 in 4 adult Americans say they've recently suffered a bout of low-back pain. It's one of the most common reasons people go to the doctor. And more and more people are being treated for it. America spends more than $80 billion a year on back pain treatments. But many specialists say less treatment is usually more effective. In fact, there's evidence that many standard treatments for back pain — surgery, spinal injections and painkillers — are often ineffective and can even worsen and prolong the problem. Dr. Jerome Groopman agrees with that premise. He suffered back pain for almost 20 years. He...
Source: Psychology of Pain - January 15, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

The unmentionable pain down there
Chronic pain isn’t a popular topic in health, or even socially. Chronic pain “down there” (yes, I’m talking genitals and in both women AND men) must be the least popular topic in pain management. I think it might be a throwback to the Victorian past, or maybe that pelvic pain isn’t usually a compensable pain so it doesn’t get blamed for work loss, but whatever, it’s just not featured all that often in pain management. Courtesy of my wonderful friend Sandy Hilton from Entropy Physio Therapy I’ve been prodded into looking at this problem, and came across a preprint of the Briti...
Source: HealthSkills Weblog - January 12, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Chronic pain Clinical reasoning Interdisciplinary teams Pain conditions healthcare pelvic pain physiotherapy Source Type: blogs

How well do people understand their neuropathic pain?
In this study, 75 people with neuropathic pain were asked to sort a series of statements about neuropathic pain according to their level of agreement with them. This is known as Q-methodology. The sorted statements are then analysed to identify common features amongst them. Four factors were identified: Neuropathic pain is a nervous system problem, psychology influences the pain experience and acceptance, and being open to psychological interventions – this group of respondents had tried psychological treatments, their pain was on average about 6 – 7 years. Neuropathic pain is nerve damage, psychology is irrel...
Source: HealthSkills Weblog - March 10, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Cognitive skills Coping strategies Pain Pain conditions Research biopsychosocial CBT Chronic pain Education healthcare neuropathic pain Source Type: blogs

What is our goal in pain management?
One of the cool things about having worked in chronic pain management since the mid-1980’s is that I’ve seen a few things come and a few things go.  Some things remain, of course, and the things that seem most long-lived are debates about pain reduction vs living with pain. On one hand, there’s an enormous industry set up to help people reduce their pain experience through pharmacology, injection procedures, surgery, hands-on therapy, movement practice, and novel approaches like brain stimulation and even mirror therapy. On the other hand, there’s a smaller but equally well-established industry est...
Source: HealthSkills Weblog - June 19, 2016 Category: Anesthesiology Authors: adiemusfree Tags: ACT - Acceptance & Commitment Therapy Chronic pain Clinical reasoning Coping Skills Coping strategies Pain conditions Professional topics Research Resilience/Health pain management Therapeutic approaches treatment values Source Type: blogs