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Pain Medicine

Guidelines for the diagnosis of fibromyalgia

29 Aug, 2017 | 15:05h | UTC

New guidelines for the diagnosis of fibromyalgia – Revista Brasileira de Reumatologia (free)

 


Study: Local Anesthetic With or Without Corticosteroid for Lumbar Spinal Stenosis

26 Aug, 2017 | 16:22h | UTC

Long-Term Effects of Repeated Injections of Local Anesthetic With or Without Corticosteroid for Lumbar Spinal Stenosis: A Randomized Trial – Archives of Physical Medicine and Rehabilitation (free)

Source: ACP Journal Wise ($)

“Epidural injections of corticosteroid plus lidocaine offered no benefits from 6 weeks to 12 months beyond that of injections of lidocaine alone”

 


Guideline: Opioid Use and Opioid Use Disorder in Pregnancy

22 Aug, 2017 | 14:16h | UTC

Guideline: Opioid Use and Opioid Use Disorder in Pregnancy – American College of Obstetricians and Gynecologists  (free)

See also: Summary

Related: Opioid Use in Pregnancy, Neonatal Abstinence Syndrome, and Childhood Outcomes: Executive Summary of a Joint Workshop by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, American College of Obstetricians and Gynecologists, American Academy of Pediatrics, Society for Maternal-Fetal Medicine, Centers for Disease Control and Prevention, and the March of Dimes Foundation (free)

 


Benefits and safety of gabapentinoids in chronic low back pain

16 Aug, 2017 | 23:04h | UTC

Benefits and safety of gabapentinoids in chronic low back pain: A systematic review and meta-analysis of randomized controlled trials – PLOS Medicine (free)

Commentaries: Gabapentinoids Seem to Offer Little Benefit, Substantial Risks in Low Back Pain – Physician’s First Watch (free) AND Evidence does not support the use of gabapentinoids for chronic low back pain – PLOS, via Science Daily (free) AND Gabapentinoids for Chronic Low Back Pain? Not So Fast – Practical Pain Management (free)

Pregabalin and gabapentin have significant risk of adverse effects without any demonstrated benefit in chronic low back pain.

 


The Effects of Cannabis Among Adults With Chronic Pain

15 Aug, 2017 | 22:25h | UTC

The Effects of Cannabis Among Adults With Chronic Pain and an Overview of General Harms: A Systematic Review – Annals of Internal Medicine (free)

Related article: Benefits and Harms of Plant-Based Cannabis for Posttraumatic Stress Disorder: A Systematic Review – Annals of Internal Medicine (free)

Commentaries: Evidence on cannabis for chronic pain and PTSD – American College of Physician’s, via EurekAlert (free) AND Evidence Lacking on Benefits of Cannabis for Treating Chronic Pain, PTSD – Physician’s First Watch (free) AND Limited evidence available to determine effectiveness and safety of cannabis to treat chronic pain – 2 Minute Medicine (free) AND Little evidence that marijuana helps chronic pain, PTSD, studies find – CNN (free text and video)

 


Skin-to-skin care: can it reduce procedural pain in neonates?

15 Aug, 2017 | 15:54h | UTC

Skin-to-skin care: can it reduce procedural pain in neonates? – Evidently Cochrane Blog (free)

Original systematic review: Skin-to-skin care for procedural pain in neonates – Cochrane Library (link to abstract – $ for full-text)

“Skin-to-skin care probably is an effective intervention for pain during procedures for neonates”.

 


Chronic Pancreatitis: Current Status and Challenges for Prevention and Treatment

15 Aug, 2017 | 15:41h | UTC

Review: Chronic Pancreatitis: Current Status and Challenges for Prevention and Treatment – Digestive Diseases and Sciences (free)

Related guidelines: United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis (free) AND Guidelines for the understanding and management of pain in chronic pancreatitis – Pancreatology (free)

 


Advances in the diagnosis and management of neck pain

15 Aug, 2017 | 00:33h | UTC

State of the Art Review: Advances in the diagnosis and management of neck pain – The BMJ (free)

Related guideline: Neck Pain: Revision 2017 – Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health from the Orthopaedic Section of the American Physical Therapy Association (free)

 


Lifestyle Risk Factors Increase the Risk of Hospitalization for Sciatica

11 Aug, 2017 | 16:04h | UTC

Lifestyle Risk Factors Increase the Risk of Hospitalization for Sciatica: Findings of Four Prospective Cohort Studies – The American Journal of Medicine (link to abstract – $ for full-text)

Commentary: Walking and biking tied to lower risk of hospitalization with sciatica – Reuters (free)

Related guideline: Low back pain and sciatica in over 16s: assessment and management – NICE (free)

 


Functional Gain and Pain Relief After Total Joint Replacement According to Obesity Status

10 Aug, 2017 | 19:27h | UTC

Functional Gain and Pain Relief After Total Joint Replacement According to Obesity Status – The Journal of Bone & Joint Surgery (link to abstract – $ for full-text)

Commentaries: Joint Replacement Weight Loss Requirements Challenged – Medscape (free registration required) AND Pain relief, functional outcomes after joint replacement similar in obese and normal-weight patients – News Medical (free)

 


Hip Pain and Mobility Deficits-Hip Osteoarthritis

9 Aug, 2017 | 15:57h | UTC

Guideline: Hip Pain and Mobility Deficits-Hip Osteoarthritis: Revision 2017 – Orthopaedic Section of the American Physical Therapy Association (APTA) (free)

 


A comprehensive guide to the new science of treating lower back pain

4 Aug, 2017 | 16:52h | UTC

A comprehensive guide to the new science of treating lower back pain – VOX (free)

“Mainstream medicine has failed people with chronic back pain”

 


Neck Pain: Updated Clinical Practice Guideline

3 Aug, 2017 | 13:59h | UTC

Neck Pain: Revision 2017 – Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health from the Orthopaedic Section of the American Physical Therapy Association (free)

 


Effectiveness of oral glucosamine for knee and hip osteoarthritis

3 Aug, 2017 | 14:03h | UTC

Subgroup analyses of the effectiveness of oral glucosamine for knee and hip osteoarthritis: a systematic review and individual patient data meta-analysis from the OA trail bank – Annals of Rheumatic Diseases (link to abstract – $ for full-text) (RT @PhysioMeScience see Tweet)

“Currently, there is no good evidence to support the use of glucosamine for hip or knee OA”

 


Opioid Use in Pregnancy, Neonatal Abstinence Syndrome, and Childhood Outcomes

3 Aug, 2017 | 13:37h | UTC

Opioid Use in Pregnancy, Neonatal Abstinence Syndrome, and Childhood Outcomes: Executive Summary of a Joint Workshop by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, American College of Obstetricians and Gynecologists, American Academy of Pediatrics, Society for Maternal-Fetal Medicine, Centers for Disease Control and Prevention, and the March of Dimes Foundation (free)

 


Low back, Cervical and Thoracic Spine Disorders Guidelines

1 Aug, 2017 | 17:32h | UTC

New National Guideline Clearinghouse (NGC) Summaries in Low back, Cervical and Thoracic Spine Disorders with focus on occupational health.

Low Back Disorders – American College of Occupational and Environmental Medicine (free summary from NGC – $ see original guideline in ACOEM website)

Cervical and thoracic spine disorders – American College of Occupational and Environmental Medicine (free summary from NGC – $ see original guideline in ACOEM website)

 


Improving quality of life in patients with advanced cancer: Targeting metastatic bone pain

1 Aug, 2017 | 17:09h | UTC

Review: Improving quality of life in patients with advanced cancer: Targeting metastatic bone pain – European Journal of Cancer (free)

 


Treatment Outcomes for Patients with Failed Back Surgery

1 Aug, 2017 | 17:09h | UTC

Systematic Review: Treatment Outcomes for Patients with Failed Back Surgery – Pain Physician (free PDF)

 


Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis

28 Jul, 2017 | 17:24h | UTC

Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: a network meta-analysis – The Lancet (link to abstract – $ for full-text)

Diclofenac 150 mg/day is the most effective NSAID available at present (are the cardiac and renal risks worth it?) and Paracetamol does not seem to work for this condition.

 


Recent advances in understanding and managing cancer pain

28 Jul, 2017 | 15:34h | UTC

Review: Recent advances in understanding and managing cancer pain – F1000 Research (free)

 


One year in review 2017: fibromyalgia

27 Jul, 2017 | 16:49h | UTC

One year in review 2017: fibromyalgia – Clinical and Experimental Rheumatology (free PDF)

 


Guidelines for the understanding and management of pain in chronic pancreatitis

27 Jul, 2017 | 16:06h | UTC

Guidelines for the understanding and management of pain in chronic pancreatitis – Pancreatology (free)

 


Is cyclobenzaprine useful for pain?

25 Jul, 2017 | 00:24h | UTC

Is cyclobenzaprine useful for pain? – Therapeutics Initiative (free)

“…cyclobenzaprine is a long-acting sedative, not a muscle relaxant, and questioning whether any potential benefits are worth the side effects”. (from TI Newsletter). “If prescribed, a dose of 5 mg at bedtime should be tried first.  Evidence suggests titration based on response and tolerability to a maximum dose of 15 mg/day, for no longer than one week”.

 


Effectiveness of Lateral Decubitus Position for Preventing Post-Dural Puncture Headache

23 Jul, 2017 | 23:17h | UTC

Effectiveness of Lateral Decubitus Position for Preventing Post-Dural Puncture Headache: A Meta-Analysis – Pain Physician (free PDF)

Source: Hospital Medicine Virtual Journal Club (free resource to find articles of interest)

Evidence suggests lateral decubitus position is associated with reduced incidence of post-dural puncture headache.

 


Report: Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use

23 Jul, 2017 | 16:32h | UTC

Report: Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use – National Academies Press (US) (free)

News Release: National Strategy to Reduce Opioid Epidemic, an Urgent Public Health Priority, Presented in New Report (free)

Commentary: National Academies Recommend Steps to Address Opioid Crisis – Physician’s First Watch (free)

 


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