Pain Medicine
RCT: No benefit from posterior quadratus lumborum block in total hip arthroplasty.
6 Jun, 2021 | 23:35h | UTC
Commentary on Twitter
In the context of a multimodal postoperative analgesic strategy, providing a quadratus lumborum block using ropivacaine resulted in no less morphine consumption or pain in the first 24 postoperative hours compared to saline injection #visualabstract https://t.co/cvxuQ9AQPQ pic.twitter.com/HP5EwrKagx
— Anesthesiology journal (@_Anesthesiology) April 20, 2021
EULAR recommendations for intra-articular therapies.
28 May, 2021 | 08:16h | UTCEULAR recommendations for intra-articular therapies – Annals of Rheumatic Diseases
Systematic review: Prognostic factors for pain chronicity in low back pain – “Higher pain intensity, higher body weight, carrying heavy loads at work, difficult working positions, and depression were the most frequently observed risk factors for chronic low back pain”
20 May, 2021 | 08:32h | UTCPrognostic factors for pain chronicity in low back pain: a systematic review – Pain Reports
The catastrophization effects of an MRI report on the patient and surgeon and the benefits of ‘clinical reporting’: results from an RCT and blinded trials.
19 May, 2021 | 08:25h | UTCRelated: You cannot unsee your MRI report AND Direct communication between radiologists and patients improves the quality of imaging reports – European Radiology
Commentary on Twitter
Can viewing your MRI result in harm?
Interesting study in LBP patients. ?https://t.co/jTxMgWZip9You cannot forget your MRI result… https://t.co/AplRMQQZWj
— Howard Luks MD (@hjluks) May 11, 2021
NICE Guideline Update | Headaches in over 12s: diagnosis and management.
18 May, 2021 | 07:14h | UTCHeadaches in over 12s: diagnosis and management – National Institute for Health and Care Excellence
Simplified decision aid: neuropathic pain treatment options in primary care.
14 May, 2021 | 08:17h | UTC
2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis
13 May, 2021 | 05:49h | UTCCommentary: EULAR issues recommendations on self-management strategies for inflammatory arthritis – MedwireNews
Review: Diagnosis and management of headache.
12 May, 2021 | 08:36h | UTCDiagnosis and Management of Headache: A Review – JAMA (free for a limited period)
Audio clinical review: Diagnosis and Management of Headache, Part 1 – JAMA
Editorial | “Peeling off musculoskeletal labels: sticks and stones may break my bones, but diagnostic labels can hamstring me forever”
11 May, 2021 | 08:59h | UTC
Commentary on Twitter
Grateful to share our new @BJSM_BMJ editorial @KarimKhan_IMHA @DrLouiseTulloh
Peeling off musculoskeletal labels: sticks and stones may break my bones, but diagnostic labels can hamstring me forever
?? https://t.co/5LAEUNK6d2#PreventingOverdiagnosis #TooMuchMedicine pic.twitter.com/ZD0CyxmGHp
— Daniel Friedman (@ddfriedman) May 6, 2021
Perioperative Opioid Administration: A Critical Review of Opioid-free vs. Opioid-sparing Approaches
27 Apr, 2021 | 09:17h | UTC
Commentary on Twitter
An article published in @_Anesthesiology reviews perioperative #opioid use, especially in view of opioid-sparing versus opioid-free strategies. https://t.co/esQTr3Jd4X#anesthesiology #PainManagement pic.twitter.com/6bLwW6q1bT
— ASA® (@ASALifeline) April 15, 2021
M-A: Effectiveness of treatments for acute and subacute mechanical non-specific low back pain
14 Apr, 2021 | 01:39h | UTC
Commentary on Twitter
Just published in BJSM ???
Effectiveness of treatments for acute and subacute mechanical non-specific low back pain: a systematic review with network meta-analysis
?????https://t.co/bx06RPLTbT pic.twitter.com/RzHkwN2nTp
— Physio Meets Science (@PhysioMeScience) April 13, 2021
RCT: Effect of High-frequency (10-kHz) Spinal Cord Stimulation in Patients With Painful Diabetic Neuropathy
9 Apr, 2021 | 03:18h | UTCAuthor Interview: Effect of High-Frequency (10 kHz) Spinal Cord Stimulation in Patients With Painful Diabetic Neuropathy
Commentary on Twitter
Thrilled to see our publication out today in @JAMANeuro using #SCS to treat #diabetic #pain. 86% of patients with over 50% pain relief at 6 months with better sleep and walking! #progress #needherscience #neuromodulation @UAMSneurosurg @UAMSPain @uamshealth https://t.co/TJQPHsHvSa
— Dr. Erika Petersen (@ErikaPetersenMD) April 5, 2021
NICE Guideline: Assessment and Management of Chronic Pain in Over 16s
8 Apr, 2021 | 08:54h | UTC
Review: Regional anesthesia in patients at risk of bleeding
8 Apr, 2021 | 08:37h | UTCRegional anaesthesia in patients at risk of bleeding – BJA Education
RCT: Among patients with peripheral artery disease, low-intensity exercise was significantly less effective than high-intensity exercise for improving 6-minute walk distance
7 Apr, 2021 | 01:31h | UTCEffect of Low-Intensity vs High-Intensity Home-Based Walking Exercise on Walk Distance in Patients With Peripheral Artery Disease: The LITE Randomized Clinical Trial – JAMA (free for a limited period)
Commentary on Twitter
In this RCT of patients with PAD, low-intensity home-based exercise was less effective than high-intensity home-based exercise, and similar to the nonexercise control, for improving 6-min walk distance https://t.co/dVWCDx5hLM @NUFeinbergMed @StanfordMed @UChicagoMed @wakehealth
— JAMA (@JAMA_current) April 6, 2021
Practical Guide: Perioperative Pain Management and Opioid Stewardship
7 Apr, 2021 | 01:17h | UTCPerioperative Pain Management and Opioid Stewardship: A Practical Guide – Healthcare
Guide to Enhanced Recovery for Cancer Patients Undergoing Surgery
6 Apr, 2021 | 01:01h | UTCGuide to Enhanced Recovery for Cancer Patients Undergoing Surgery – Annals of Surgical Oncology
See also: Enhanced Recovery After Surgery (ERAS) Society Guidelines
RCT: Postoperative pain control is improved with Methadone + Ketamine vs. Methadone alone in spinal surgical patients
5 Apr, 2021 | 00:49h | UTCPerioperative Methadone and Ketamine for Postoperative Pain Control in Spinal Surgical Patients: A Randomized, Double-blind, Placebo-controlled Trial – Anesthesiology (link to abstract – $ for full-text)
Commentary on Twitter
In a randomized trial of 130 spinal surgery patients, adding ketamine to methadone reduced pain scores from 4 to 2 points on an 11-point Likert scale and roughly halved postoperative opioid use https://t.co/vGVuQ7z7HV
— Anesthesiology journal (@_Anesthesiology) March 19, 2021
Pilot study: Erector spinae plane block shows promise vs. non‐steroidal anti‐inflammatory drugs for severe renal colic pain
31 Mar, 2021 | 03:00h | UTCErector spinae plane block vs non‐steroidal anti‐inflammatory drugs for severe renal colic pain: A pilot clinical feasibility study – The International Journal of Clinical Practice (free article via Authorea)
Commentary: New Nerve Block for Renal Colic? – Journal Feed
RCT: A multi-modal analgesic strategy after trauma can reduce opioid exposure and achieve adequate acute pain control
30 Mar, 2021 | 02:57h | UTC
Commentary on Twitter
A generic multimodal pain regimen reduced opioids and discharge from the hospital with an opioid prescription while achieving similar pain control.https://t.co/7JURYCfbxa#VisualAbstract #SoMe4Surgery@johnaharvin @UTHealthACS @UTHealthSurg#AuthorVideo: https://t.co/F5YY06FiEe pic.twitter.com/XmdgNYkpfR
— JACS (@JAmCollSurg) March 16, 2021
NICE Guideline Update: Cannabis-based medicinal products
28 Mar, 2021 | 22:24h | UTCCannabis-based medicinal products – National Institute for Health and Care Excellence
RCT: Metoclopramide + diphenhydramine more efficacious than placebo for acute post-traumatic headache in the ED
26 Mar, 2021 | 08:24h | UTCRandomized Study of Metoclopramide Plus Diphenhydramine for Acute Posttraumatic Headache – Neurology (link to abstract – $ for full-text)
Commentary: Drug Combo Superior to Placebo for Posttraumatic Headache – HealthDay
RCT: Surgical microdiscectomy versus transforaminal epidural steroid injection in patients with sciatica secondary to herniated lumbar disc
25 Mar, 2021 | 08:12h | UTC
Commentary on Twitter
NEW RESEARCH—Surgical microdiscectomy and
transforaminal epidural steroid injection are similarly effective at reducing #pain and disability from #sciatica secondary to herniated lumbar disc https://t.co/xXOr1aOX8K #LancetRheumatology #OpenAccess pic.twitter.com/2CHh1YD2gm— The Lancet Rheumatology (@TheLancetRheum) March 19, 2021
A randomized, noninferiority, controlled trial of two doses of intravenous subdissociative ketamine for analgesia in the emergency department
17 Mar, 2021 | 02:13h | UTCA randomized, noninferiority, controlled trial of two doses of intravenous subdissociative ketamine for analgesia in the emergency department – Academic Emergency Medicine (link to abstract – $ for full-text)
Commentaries: Lower dose of ketamine is as effective as the standard dose to treat pain in adults – Loyola University Health System AND Lower doses of ketamine shown to be non-inferior for acute pain control in the emergency setting – 2 Minute Medicine
RCT: Little benefit from osteopathic manipulative treatment on activity limitations in patients with nonspecific subacute and chronic low back pain
16 Mar, 2021 | 01:39h | UTCEffect of Osteopathic Manipulative Treatment vs Sham Treatment on Activity Limitations in Patients With Nonspecific Subacute and Chronic Low Back Pain: A Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)
Visual abstract: Effect of Osteopathic Manipulative Treatment vs Sham Treatment on Activity Limitations in Patients With Nonspecific Subacute and Chronic Low Back Pain