Pain

How Can the Intractable Problem of Chronic Musculoskeletal Pain (CMP) Be Effectively Managed? The Need for a Well-Integrated Systems Approach – Full Text

Cherkin, D.C. J GEN INTERN MED (2018). https://doi.org/10.1007/s11606-018-4362-5 Chronic musculoskeletal pain (CMP) has long been one of the most clinically challenging conditions. The inability of clinicians to identify specific underlying causes of CMP for most patients and the lack of highly effective treatments continues to frustrate both clinicians and patients. Clinician desires to relieve their […]

Acupuncture for Chronic Pain: Update of an Individual Patient Data Meta-Analysis

Andrew J. Vickers, PhD The Journal of Pain.  Published online:November 30, 2017 Highlights – Acupuncture has a clinically relevant effect on chronic pain that persists over time – The effect of acupuncture cannot be explained only by placebo effects – Factors in addition to the specific effects of needling are important contributors – Referral for […]

Addressing Neuroplastic Changes in Distributed Areas of the Nervous System Associated With Chronic Musculoskeletal Disorders – Full Text Article

René Pelletier Physical Therapy, Volume 95, Issue 11, 1 November 2015, Pages 1582–1591, https://doi.org/10.2522/ptj.20140575 Published: 01 November 2015 Present interventions utilized in musculoskeletal rehabilitation are guided, in large part, by a biomedical model where peripheral structural injury is believed to be the sole driver of the disorder. There are, however, neurophysiological changes across different areas […]

Acupuncture for Chronic Pain: Unprecedented Advances

Pauline Anderson October 30, 2017 SAN DIEGO — The last two decades have seen “unprecedented advances” in the use of acupuncture to treat pain conditions, with a “rapid rise” in the number and quality of related published studies, according to a physician who is an experienced acupuncture practitioner. “Right now, we have a pretty solid […]

The Association Between Self-reported Low Back Pain and Radiographic Lumbar Disc Degeneration of the Cohort Hip and Cohort Knee (CHECK) Study

van den Berg, Roxanne M Spine: 1 October 2017 – Volume 42 – Issue 19 – p 1464–1471 doi: 10.1097/BRS.0000000000002228 Study Design. Cross-sectional study, nested in a prospective cohort (Cohort Hip and Knee, CHECK). Objective. Low back pain (LBP) is very common and the main cause of activity limitations and work absence throughout the world. […]

The Effects of Cannabis Among Adults With Chronic Pain

August 28, 2017 Annals of Internal Medicine TAKE-HOME MESSAGE The authors of this systematic review evaluated the benefits and harms of using cannabis preparations for the treatment of chronic pain. There is limited evidence to support the efficacy of cannabis for neuropathic pain in select patients but little evidence to support the use of cannabis […]

Evidence Lacking for Current Pharmacologic Treatment of Neuropathic Pain

MAY 19, 2017 Successful management of neuropathic pain remains elusive despite the variety of pharmacologic classes prescribed to treat it, new research suggests. Furthermore, the actual evidence supporting drugs used on an everyday basis is remarkably deficient, according to Richard W. Rosenquist, MD, the study’s author and chairman of the Department of Pain Management at […]

FDA proposes that doctors learn about acupuncture and chiropractic for pain management

By MEGAN THIELKING @meggophone MAY 10, 2017 Chiropractors and acupuncturists who have lobbied for a bigger role in treating pain have won a preliminary endorsement from federal health officials. The Food and Drug Administration released proposed changes Wednesday to its blueprint on educating health care providers about treating pain. The guidelines now recommend that doctors get information about chiropractic care and […]

Capsaicin 8% Patch Is Effective in Painful Diabetic Peripheral Neuropathy

March 20, 2017 The Journal of Pain TAKE-HOME MESSAGE In this study, 369 patients with painful diabetic peripheral neuropathy and stable HbA1c scores <11% were randomized to receive a one-time, 30-minute application of the 8% capsaicin patch or a placebo patch to a painful area on the foot. Patients then reported pain and sleep at […]

Can staying active help to prevent chronic pain? Physical activity affects pain modulation in older adults

Date: February 24, 2017 Source: Wolters Kluwer Health Summary: Older adults with higher levels of physical activity have pain modulation patterns that might help lower their risk of developing chronic pain, reports a study. Older adults with higher levels of physical activity have pain modulation patterns that might help lower their risk of developing chronic […]

Nondermatomal somatosensory deficits in chronic pain are associated with cerebral grey matter changes

The World Journal of Biological Psychiatry Volume 18, 2017 – Issue 3 Franz Riederer Abstract Objectives: Widespread sensory deficits occur in 20–40% of chronic pain patients on the side of pain, independent of pain aetiology, and are known as nondermatomal sensory deficits (NDSDs). NDSDs can occur in absence of central or peripheral nervous system lesions. […]

Dietary Intake Mediates the Relationship of Body Fat to Pain

January 26, 2017 Pain TAKE-HOME MESSAGE A 3-hour home visit was conducted with 98 healthy adults in the community to collect information on environment, food-related behaviors, and adiposity to evaluate the effect of dietary intake of anti-inflammatory foods on the relationship of body fat to body pain. Modelling revealed that quality of dietary intake mediated […]

Chronic Pain Negatively Associated With Employment

January 10, 2017 BMJ Open TAKE-HOME MESSAGE Adults of working age were interviewed to evaluate the effect of chronic pain on sick leave and employment in this Spanish study. The prevalence of sick leave as a result of chronic pain was 4.21%. Chronic pain is associated not only with an increase in sick leave but […]

Acupuncture for chronic pain and depression in primary care: a programme of research – Full Text

 Headline The programme of research found that acupuncture was more effective than usual care and sham acupuncture for chronic pain, that it was one of the more clinically effective physical therapies for osteoarthritis and that it showed benefits in the treatment of depression. Abstract Background: There has been an increase in the utilisation of acupuncture […]

The Cloward Sign…Cervical Referral Patterns

Ralph Bingham Cloward was an American Neurosurgeon born September 24th 1908 in Salt Lake City, Utah. He was a member of the Western Neurosurgical Society for 40 years and the President in 1975. “Like many contributors to medicine, the [interbody fusion] technique was developed as a wartime necessity. Dr. Cloward was the only neurosurgeon in […]

THE CLOWARD SIGN…CERVICAL REFERRAL PATTERNS

Ralph Bingham Cloward was an American Neurosurgeon born September 24th 1908 in Salt Lake City, Utah. He was a member of the Western Neurosurgical Society for 40 years and the President in 1975. “Like many contributors to medicine, the [interbody fusion] technique was developed as a wartime necessity. Dr. Cloward was the only neurosurgeon in […]

Ketogenic Diets and Pain (Full Text)

J Child Neurol. Author manuscript; available in PMC 2014 Aug 7. Published in final edited form as: J Child Neurol. 2013 Aug; 28(8): 993–1001. Published online 2013 May 16. doi: 10.1177/0883073813487595 PMCID: PMC4124736 NIHMSID: NIHMS506894 Susan A. Masino, Ph.D.* and David N. Ruskin, Ph.D. Abstract Ketogenic diets are well-established as a successful anticonvulsant therapy. Based […]

Neurofeedback: When output becomes part of input

Date: September 19, 2016 Source: Sissa Medialab Summary: Neurofeedback is a technique used for the treatment of clinical disorders (like depression, anxiety, chronic pain, ADHD and schizophrenia etc.) and enhancement of brain performance. It is based on the “self-regulation” of brain activations underpinned by the principles of feedback control systems. Feedback systems can be found […]

Complementary Health Approaches for Pain Management

September 13, 2016 Mayo Clinic Proceedings TAKE-HOME MESSAGE The authors of this review evaluated the available evidence regarding the use of complementary health approaches to assist in the management of chronic pain. There was positive evidence to show that some strategies may be beneficial for specific complaints. Select complementary health approaches may be beneficial for […]

Effect of Vitamin D Supplementation on Pain: A Systematic Review and Meta-analysis

Pain Physician. 2016 Sep-Oct;19(7):415-27. Wu Z, Malihi Z, Stewart AW, Lawes CM, Scragg R. Abstract BACKGROUND: There is conflicting evidence from previous qualitative reviews on the effect of vitamin D supplementation on pain. OBJECTIVE: To determine with quantitative methods if vitamin D supplementation lowers pain levels. STUDY DESIGN: Quantitative meta-analysis of published randomized controlled trials […]