Pain Medicine
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 (@_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
— Journal of the American College of Surgeons (JACS) (@acsJACS) 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
M-A: Little benefit from antidepressants for low back pain
11 Mar, 2021 | 08:02h | UTCCommentary: Antidepressants provide no important benefits for managing low back pain – News Medical
Related meta-analysis: Little benefit from antidepressants for the treatment of back pain and osteoarthritis (study and commentaries)
Opinion | Amplified Pain Syndrome—An Insupportable Assumption
10 Mar, 2021 | 08:13h | UTCAmplified Pain Syndrome—An Insupportable Assumption – JAMA Pediatrics
Guideline: Epidural interventions in the management of chronic spinal pain
5 Mar, 2021 | 08:09h | UTC
Comprehensive review of topical analgesics for chronic pain
4 Mar, 2021 | 08:19h | UTCComprehensive Review of Topical Analgesics for Chronic Pain – Current Pain and Headache Reports