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Practice of Pain Management by Indian Healthcare Practitioners: Results of a Paper Based Questionnaire Survey.
Conclusion. Patient's age, duration of therapy, comorbid conditions, frequency of dosing, and severity of pain are important parameters while selecting analgesics. Paracetamol and its combinations are commonly used for mild and moderate pain, respectively. Pain clinics currently have limited presence in India. PMID: 26366295 [PubMed]
Source: Pain Research and Treatment - September 15, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research

Acidosis and Formaldehyde Secretion as a Possible Pathway of Cancer Pain and Options for Improved Cancer Pain Control.
This report reviews evidence that cancer pain may be produced by the metabolic effects of two byproducts of cancer-high acidity in the cancer microenvironment and the secretion of formaldehyde and its metabolites. We propose the research and development of therapeutic approaches for preemptive, short- and long-term management of cancer pain using available drugs or nutraceutical agents that can suppress or neutralize lactic acid production in combination with formaldehyde scavengers. We believe this approach may not only improve cancer pain control but may also enhance the quality of life for patients. PMID: 26368037 ...
Source: Journal of Pain and Palliative Care Pharmacotherapy - November 20, 2015 Category: Palliative Care Tags: J Pain Palliat Care Pharmacother Source Type: research

Review of Medical Dispute Cases in the Pain Management in Korea: A Medical Malpractice Liability Insurance Database Study.
CONCLUSIONS: More systemic guidelines and recommendations on interventional pain management are needed, especially those focused on medico-legal cases. Complications arising from pain management procedures and treatments may be avoided by physicians who have the required knowledge and expertise regarding anatomy and pain intervention procedures and know how to recognize procedural aberrations as soon as they occur. PMID: 26495080 [PubMed]
Source: Korean Journal of Pain - December 1, 2015 Category: Anesthesiology Tags: Korean J Pain Source Type: research

Reducing Irrational Beliefs and Pain Severity in Patients Suffering from Non-Cardiac Chest Pain (NCCP): A Comparison of Relaxation Training and Metaphor Therapy.
CONCLUSIONS: Regarding the effectiveness of the relaxation method as compared with metaphor therapy and the lack of treatment in the control group, this study suggests that relaxation should be paid greater attention as a method for improving the status of patients. In addition, more studies are needed to determine the effectiveness of metaphor therapy in this area. PMID: 25852829 [PubMed]
Source: Korean Journal of Pain - December 1, 2015 Category: Anesthesiology Tags: Korean J Pain Source Type: research

What is the Role of Epidural Injections in the Treatment of Lumbar Discogenic Pain: A Systematic Review of Comparative Analysis with Fusion.
CONCLUSIONS: The available evidence suggests fluoroscopically directed epidural injections provide long-term improvement in back and lower extremity pain for patients with lumbar discogenic pain. There is also limited evidence showing the potential effectiveness of surgical interventions compared to nonsurgical treatments. PMID: 25852828 [PubMed]
Source: Korean Journal of Pain - December 1, 2015 Category: Anesthesiology Tags: Korean J Pain Source Type: research

Acute systemic infusion of bupropion decrease formalin induced pain behavior in rat.
CONCLUSIONS: The results showed that bupropion has analgesic effects at systemic application. The change of second phase of the pain behavior was significant and it revealed that central mechanisms involve in bupropion analgesia. PMID: 24748939 [PubMed]
Source: Korean Journal of Pain - December 1, 2015 Category: Anesthesiology Tags: Korean J Pain Source Type: research

Comparison of Dry Needling versus Orthopedic Manual Therapy in Patients with Myofascial Chronic Neck Pain: A Single-Blind, Randomized Pilot Study.
Conclusions. The three interventions are all effective in reducing pain intensity. Reduction in mechanical hyperalgesia and pain catastrophizing was only observed in the OMT group. Cervical ROM improved in the DN-S and OMT groups and also neck disability being only clinically relevant for OMT group. PMID: 26640708 [PubMed - as supplied by publisher]
Source: Pain Research and Treatment - December 8, 2015 Category: Anesthesiology Tags: Pain Res Treat Source Type: research

Barriers to Pediatric Pain Management in Children Undergoing Surgery: A Survey of Health Care Providers.
Authors: Bawa M, Mahajan JK, Aggerwal N, Sundaram J, Rao KL Abstract The appropriate pain management in neonates and children is lacking. Factors that prevent the execution of proper pain relief vary from center to center. We studied the factors responsible for it in a surgical unit. We conducted a survey at a tertiary-level institute among the resident doctors and nursing staff by means of an informal questionnaire analyzing their basic knowledge. The questions pertained mainly to pain assessment, analgesic usage, role of opioids, and formal training, and the responses so obtained were analyzed under these four he...
Source: Journal of Pain and Palliative Care Pharmacotherapy - December 17, 2015 Category: Palliative Care Tags: J Pain Palliat Care Pharmacother Source Type: research

Pulsed Radiofrequency Application for the Treatment of Pain Secondary to Sacroiliac Joint Metastases.
Authors: Yi YR, Lee NR, Kwon YS, Jang JS, Lim SY Abstract Sacroiliac (SI) joint pain can result from degeneration, infection, malignancy, and trauma. Patients with metastatic bone pain who do not respond to conventional treatment may need more aggressive neuroinvasive approaches. Recently, pulsed radiofrequency (PRF) neuromodulation has emerged as a promising treatment alternative for refractory cases of SI joint pain. Nevertheless, there is no report on the treatment of pain arising from SI joint metastases with PRF. We are reporting about a 63-year-old woman suffering from buttock pain due to breast cancer metast...
Source: Korean Journal of Pain - February 5, 2016 Category: Anesthesiology Tags: Korean J Pain Source Type: research

Cost-Saving Early Diagnosis of Functional Pain in Nonmalignant Pain: A Noninferiority Study of Diagnostic Accuracy.
Conclusions. Routine diagnostic testing by peg, which is accessible for general practitioners, is at least as accurate as specialized equipment. This may shorten time-to-treatment in general practices, thereby improving the prognosis and quality of life. PMID: 27088013 [PubMed]
Source: Pain Research and Treatment - April 20, 2016 Category: Anesthesiology Tags: Pain Res Treat Source Type: research

Satisfaction with Life in Orofacial Pain Disorders: Associations and Theoretical Implications.
CONCLUSIONS: Results suggest that reduced satisfaction with life in patients with centrally mediated myalgia is not due only to pain intensity. There may be other factors that predispose people to both reduced satisfaction with life and centrally mediated myalgia. Furthermore, the results suggest that satisfaction with life is differentially influenced by physical, emotional, and social functioning in different orofacial pain disorders. PMID: 27128473 [PubMed - as supplied by publisher]
Source: Journal of Orofacial Pain - April 30, 2016 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Novel method for assessing age-related differences in the temporal summation of pain
This study used a new TS protocol that examined changes in the perceived size of the painful area in 22 younger adults and 20 older adults. Four trials of ten brief heat pulses delivered at a constant intensity were administered on the volar forearm. Interpulse intervals (IPIs) were 2.5 seconds or 3.5 seconds. Subjects rated the peak pain intensity (trials 1 and 3) or the size of the painful area (trials 2 and 4) after each pulse on a 0–100 scale. The magnitude of summation was calculated for each trial. Three seconds and 6 seconds after delivering the last heat pulse, the subjects rated the intensity or the size of ...
Source: Journal of Pain Research - April 7, 2016 Category: Anesthesiology Tags: Journal of Pain Research Source Type: research

Management of chronic pain in osteoporosis: challenges and solutions
Teresa Paolucci,* Vincenzo Maria Saraceni, Giulia Piccinini* Physical Medicine and Rehabilitation Unit, Azienda Policlinico Umberto I, Rome, Italy *These authors contributed equally to this work Abstract: Osteoporosis (OP) is a pathological condition that manifests clinically as pain, fractures, and physical disability, resulting in the loss of independence and the need for long-term care. Chronic pain is a multidimensional experience with sensory, affective, and cognitive aspects. Age can affect each of these dimensions and the pain that is experienced. In OP, chronic pain appears to have sensory characteristics and prope...
Source: Journal of Pain Research - April 1, 2016 Category: Anesthesiology Tags: Journal of Pain Research Source Type: research

Categorizing the severity of pain using questions from the 2012 National Health Interview Survey
Conclusion: Additional support was provided for the Miller and Loeb coding of pain persistence and bothersomeness to produce discrete categories of increasing pain severity. This two-question coding scheme may prove to be a viable option for assessing pain severity in clinical settings where clinician time and patient burden are limiting factors. Keywords: cross-sectional study, pain frequency, pain severity, MANOVA 
Source: Journal of Pain Research - March 1, 2016 Category: Anesthesiology Tags: Journal of Pain Research Source Type: research

Prevalence and Correlates of Pain in People Aged 60 Years and above in Singapore: Results from the WiSE Study.
Conclusion. Study findings showed that disability related to pain among the elderly is considerable making it a priority to reduce the morbidity and disability among the elderly with pain. PMID: 27445628 [PubMed - in process]
Source: Pain Research and Management - July 26, 2016 Category: Anesthesiology Authors: Satghare P, Chong SA, Vaingankar J, Picco L, Abdin E, Chua BY, Subramaniam M Tags: Pain Res Manag Source Type: research