SMJ articles in the category "pain"

Original Article

Association between Opioids Prescribed to Medical Inpatients with Pain and Long-Term Opioid Use

Objectives: Opioid receipt during medical hospitalizations may be associated with subsequent long-term use. Studies, however, have not accounted for pain, which may explain chronic use. The objective of this study was to identify the association between opioid exposure during a medical hospitalization and use 6 to 12 months later. Methods:…

Posted in: opioids 10 pain 18

Original Article

Impact of Depressive Symptomology on Pain and Function during Recovery after Total Joint Arthroplasty

Objectives: To determine the effect of preoperative depressive symptoms on patient-reported function and pain following total joint arthroplasty (TJA) after controlling for potential confounding factors; how depressive symptoms changed after TJA; and the impact of postoperative depressive symptoms on recovery. Methods: A prospective cohort study undertaken in a metropolitan region…

Posted in: Depression 22 pain 18 patient-reported outcomes 3

Review Article

Battlefield Acupuncture as a Treatment for Pain

This study evaluated both randomized and nonrandomized trials of battlefield acupuncture for the treatment of both acute and chronic pain. Studies published between May 2016 and November 2019 were found through PubMed, the Cochrane Library, or Scopus, concerned with the treatment of pain using auricular acupuncture in accordance with battlefield…

Posted in: multidisciplinary 2 pain 18 Pain Management 4

Original Article

CME Article: Historical Alternans in the Emergency Department (H.A.t.E.D.) for Pain: An Analysis of Patient Pain Descriptors to Attending and Trainee Clinicians

Objectives: The concept of “historical alternans” (HA), a teaching folklore term referring to different descriptions of patient histories to trainees versus attending clinicians, can cause disjointed care and be a source of frustration for the trainee. Increased focus on the proper evaluation and treatment of pain in the emergency department…

Posted in: education 20 evaluation 3 history 5 pain 18 Residency 11

Original Article

Sickle Cell Disease, More Than Just Pain: The Mediating Role of Psychological Symptoms

Objectives: Perceived stress is associated with sickle cell disease (SCD) pain; however, little is known about psychological mechanisms that may clarify this link among adult patients. This study explored whether anxiety and depression symptoms explained the relation between perceived stress and SCD pain episode frequency among 70 African-American adults (51.4%…

Posted in: anxiety 8 Depression 22 pain 18 sickle cell disease 28 stress 8

Original Article

Group Battlefield Acupuncture in Primary Care for Veterans with Pain

Objective: To obtain preliminary data on the short- and intermediate-term effects of battlefield acupuncture (BFA) on self-reported pain intensity in a relatively large cohort of veterans to assess whether a more comprehensive clinical trial evaluation is warranted. Methods: The treatment, in an outpatient group setting, consisted of up to five…

Posted in: acupuncture 5 integrative medicine 4 pain 18 veterans 7

Review Article

Battlefield Acupuncture: Is It Ready for Widespread Dissemination?

The use of prescription opioids for chronic pain has increased markedly within the past few decades; thus, death rates associated with opioid overdoses have increased dramatically. Nonopioid pharmacologic therapies also are associated with adverse effects. Other pain-abatement modalities such as acupuncture may be useful in the treatment of several painful…

Posted in: acupuncture 5 alternative medicine 3 integrative medicine 4 meta-analysis 5 pain 18

Review Article

A Comprehensive Approach to the Patient at End of Life: Assessment of Multidimensional Suffering

Pain is a multidimensional, complex experience. There are many challenges in identifying and meeting the needs of patients experiencing pain. Evaluation of pain from a bio-psycho-social-spiritual framework is particularly germane for patients approaching the end of life. This review explores the relation between the psychospiritual dimensions of suffering and the…

Posted in: pain 18

Original Article

Pain Scores and Exposure Rates after Polypropylene Mesh for Pelvic Organ Prolapse

Objectives: To characterize pain and exposure after Prolift placement and identify risk factors. Methods: A case series of women who underwent Prolift vaginal mesh were surveyed. Pain was assessed using a visual analog scale. Exposure was evaluated clinically. Results: Of 183 eligible patients, 160 completed the survey, and 45 returned…

Posted in: mesh exposure 2 pain 18 pelvic organ prolapse 4 vaginal mesh 2

Review

Using Music Interventions in Perioperative Care

Anxiety and pain are common responses to surgery, and both can negatively affect patient outcomes. Music interventions have been suggested as a nonpharmacological intervention to alleviate pain and anxiety during surgical treatment. Although the data are somewhat mixed, the research suggests that music-based interventions are effective in reducing anxiety, pain…

Posted in: anxiety 8 music 3 pain 18 surgery 23

Case Report

Cocaine Abuse Complicating Acute Painful Episodes in Sickle Cell Disease

Abstract:We report three sickle cell patients with recent cocaine abuse who presented with typical symptoms of vaso-occlusion rapidly progressing to major organ dysfunction. Our experience suggests cocaine abuse is a risk factor for major complications of a sickle cell painful episode. Enhanced clinical and laboratory surveillance for organ dysfunction is…

Posted in: cocaine 5 pain 18 sickle cell 4

Original Article

Pain Outcome and Vertebral Body Height Restoration in Patients Undergoing Kyphoplasty

Introduction: Kyphoplasty, a minimally invasive technique, has recently been developed to provide immediate pain relief, biomechanical stabilization, prevention of fracture progression, vertebral height restoration, and prevention or reversal of kyphosis to patients with osteoporotic vertebral compression fractures (VCF). Materials and Methods: We retrospectively reviewed 24 patients treated with kyphoplasty. A…

Posted in: pain 18

Original Article

Physical Function and Quality of Life in Older Adults: Sex Differences

Objectives: Age is associated with deterioration in physical function (PF) and health-related quality of life (HRQL). Methods: We examined sex differences in the association between PF and HRQL among older adults. One hundred eight adults (ages 60 to 98 years) completed the Continuous Scale-Physical Function Performance test (CS-PFP10), Functional Status…

Posted in: aging 5 pain 18 well-being 8

Expired CME Article

Music as Therapy

Music is widely used to enhance well-being, reduce stress, and distract patients from unpleasant symptoms. Although there are wide variations in individual preferences, music appears to exert direct physiologic effects through the autonomic nervous system. It also has indirect effects by modifying caregiver behavior. Music effectively reduces anxiety and improves…

Posted in: anxiety 8 music 3 pain 18 stress 8

Expired CME Article

Pain Management in Children: Developmental Considerations and Mind-body Therapies

One of the most challenging roles of medical providers serving children is to appropriately assess and treat their pain. Pain is one of the most misunderstood, underdiagnosed, and undertreated/untreated medical problems, particularly in children. New JCAHO regulations regard pain as “the fifth vital sign” and require caregivers to regularly assess…

Posted in: attitudes 6 mind-body therapies 2 pain 18

Original Article

Does Intraoperative Electromyographic Monitoring in Lumbar Microdiscectomy Correlate with Postoperative Pain?

Objectives: Our objective was to correlate the findings of intraoperative electromyographic (EMG) monitoring with immediate postoperative pain in patients undergoing lumbar microdiscectomy. Methods: A total of 112 patients undergoing de novo lumbar microdiscectomy were prospectively randomized into a control group (n = 45) and a study group (n = 67)…

Posted in: pain 18

Original Article

Sex Differences in Analgesia: A Randomized Trial of μ versus κ Opioid Agonists

Objectives: We sought to evaluate whether there is a sex difference in the analgesic response to μ versus κ opioids in the management of acute moderate to severe pain of injury in the emergency department. Methods: The study was a randomized, double-blind, clinical trial comparing the prototypical μ-receptor agonist, morphine…

Posted in: gender 7 pain 18
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