Pain Medicine
Systematic Reviews on Headache and migraine Prevention and Treatment
6 Sep, 2017 | 18:35h | UTCHeadache and migraine: interventions for preventing or treating headache and migraine – Cochrane Library (free) (RT @CochraneUK see Tweet)
Migraine awareness week (3-9 September). Latest Cochrane Evidence on interventions for preventing or treating headache and migraine.
Meta-analysis: Drug-Free Interventions to Reduce Pain After Total Knee Arthroplasty
31 Aug, 2017 | 15:43h | UTCCommentaries: Acupuncture, Electrotherapy after Knee Replacement Associated with Reduced and Delayed Opioid Use – The JAMA Network (free) AND Electrotherapy, Acupuncture Tied to Less Opioid Use After Knee Arthroscopy – Medscape (free registration required) AND Meta-Analysis: Electrotherapy, Acupuncture May Help Reduce Opioid Use After Knee Arthroplasty – Physician’s First Watch (free)
Guidelines for the diagnosis of fibromyalgia
29 Aug, 2017 | 15:05h | UTCNew 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 | UTCSource: 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 | UTCGuideline: Opioid Use and Opioid Use Disorder in Pregnancy – American College of Obstetricians and Gynecologists (free)
See also: Summary
Benefits and safety of gabapentinoids in chronic low back pain
16 Aug, 2017 | 23:04h | UTCCommentaries: 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 | UTCRelated 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 | UTCSkin-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 | UTCReview: 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 | UTCState 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 | UTCLifestyle 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 | UTCFunctional 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 | UTCGuideline: 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 | UTCA 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
Effectiveness of oral glucosamine for knee and hip osteoarthritis
3 Aug, 2017 | 14:03h | UTCSubgroup 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
Low back, Cervical and Thoracic Spine Disorders Guidelines
1 Aug, 2017 | 17:32h | UTCNew 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 | UTCReview: 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 | UTCSystematic 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 | UTCEffectiveness 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 | UTCReview: Recent advances in understanding and managing cancer pain – F1000 Research (free)
One year in review 2017: fibromyalgia
27 Jul, 2017 | 16:49h | UTCOne 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 | UTCGuidelines for the understanding and management of pain in chronic pancreatitis – Pancreatology (free)
Is cyclobenzaprine useful for pain?
25 Jul, 2017 | 00:24h | UTCIs 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”.