Assessment of patient’s pain-related behavior at physical examination may allow diagnosis of recent osteoporotic vertebral fracture

Pain-related behavior evaluation of patients with osteoporotic VCF during their movements on the examining table may allow to suspect, or even diagnose, the presence of a fracture, particularly in the initial 4 to 6 weeks after the occurrence. Even orthopedic surgeons not particularly familiar with spine care may be able to suspect the injury during physical examination.

via Assessment of patient’s pain-related behavior at physical examination may allow diagnosis of recent osteoporotic vertebral fracture.

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Pain Medicine News – Use of Topical Analgesics in Treating Neuropathic and Musculoskeletal Pain 

Topical administration of anesthetics and analgesics can allow for the efficient, painless delivery of medications that may reduce systemic side effects associated with the medication while providing clinical advantages over injected or oral administration for the same clinical situation.  Topical administration of nonsteroidal anti-inflammatory drugs (NSAIDs), lidocaine, capsaicin, and other agents is useful for a range of conditions including acute and chronic musculoskeletal pain.

via Pain Medicine News – Use of Topical Analgesics in Treating Neuropathic and Musculoskeletal Pain .

Pain Medicine News – Management of Opioid-Induced Constipation in Patients With Advanced Illness

This Special Report discusses the management of OIC in patients with advanced illness, including RELISTOR (methylnaltrexone bromide), a second-line therapeutic option that inhibits opioids from binding to target receptors within the GI tract and does not cross the blood-brain barrier.

via Pain Medicine News – Management of Opioid-Induced Constipation in Patients With Advanced Illness.

What Analgesics Do Older People Use Prior to Initiating Oxycodone for Non-Cancer Pain? A Retrospective Database Study – Online First – Springer

Oxycodone is frequently initiated for non-cancer pain without first trialing other analgesics. This highlights the need for prescribing practices to be reviewed in light of increasing concerns about adverse drugs events and death due to oxycodone, particularly in older people.

via What Analgesics Do Older People Use Prior to Initiating Oxycodone for Non-Cancer Pain? A Retrospective Database Study – Online First – Springer.

Communicating with chronic pain patients about opioids: Three patterns found : Family Practice News

Reassurance, agreeing to avoid opioids, and information gathering were the three most common communication strategies used by physicians and their patients with chronic pain. Those are the findings from a small pilot study conducted to determine how doctors and patients approach the inherent uncertainty of opioid use, given the absence of long-term data about opioids’ efficacy in noncancer or end-of-life pain treatment.

via Communicating with chronic pain patients about opioids: Three patterns found : Family Practice News.

Experiences with Spinal Cord Stimulator in Patients with Chronic Neuropathic Back Pain

Two thematic findings emerged: (1) pain relief with spinal cord stimulation as a complex and individual experience and (2) challenges in adaptations in everyday life with spinal cord stimulation. Findings indicate that spinal cord stimulation can offer pain relief that can help patients achieve a meaningful life despite chronic pain.

via Experiences with Spinal Cord Stimulator in Patients with Chronic Neuropathic Back Pain.

Pain in chemotherapy-induced neuropathy – more than neuropathic?

The detrimental effect of chemotherapy on large fibers failed to differentiate painful from painless CIN. Patients stratified for musculoskeletal or neuropathic pain, however, differed in psychological and somatosensory parameters. This stratification might allow for the application of a more specific therapy.

via Pain in chemotherapy-induced neuropathy – more than neuropathic?.

Behavioral Pain Indicators in People With Intellectual Disabilities: A Systematic Review

This review focuses on categories of behavior indicators related to pain in people with IDs. The quality of evidence is critically discussed per category. This set of indicators could potentially help clinicians to recognize pain in this population, especially when unique individual pain responses are also identified.

via Behavioral Pain Indicators in People With Intellectual Disabilities: A Systematic Review.

Developing a Model of Associations Between Chronic Pain, Depressive Mood, Chronic Fatigue, and Self-Efficacy in People With Spinal Cord Injury

The relationship between pain, negative mood, fatigue, and self-efficacy in adults with SCI was explored. Results support a model that proposes that chronic pain lowers mood, which is mediated (lessened) by self-efficacy, whereas pain and mood independently increase chronic fatigue. Results provide direction for treating chronic pain in SCI.

via Developing a Model of Associations Between Chronic Pain, Depressive Mood, Chronic Fatigue, and Self-Efficacy in People With Spinal Cord Injury.

Pain Treatment for Older Adults During Prehospital Emergency Care: Variations by Patient Gender and Pain Severity

Among women with mild or moderate pain, older women were less likely than younger women to receive either form of pain treatment, but among women with more severe pain (pain score 8 or more), older women were more likely than younger women to receive pain treatment. Further, among women with mild or moderate pain, the oldest patients (aged 85 and older) were the least likely to receive any analgesic or an opioid, but among women with severe pain the oldest patients were the most likely to receive treatment. Further research is needed to assess the generalizability of this interaction between age, gender, and pain severity on pain treatment.

via Pain Treatment for Older Adults During Prehospital Emergency Care: Variations by Patient Gender and Pain Severity.