A Capsule History of Pain Management

JAMA ◽  
2003 ◽  
Vol 290 (18) ◽  
pp. 2470 ◽  
Author(s):  
Marcia L. Meldrum
Author(s):  
Anita M. Unruh ◽  
Patrick J. McGrath

The problem of pain has always concerned humankind, as pain is a compelling call for attention and a signal to escape. Early efforts to understand pain, and its origins, features, and treatment reflected the duality between spiritual conceptualizations of pain and physiological explanations depending on the predominance of such views in a given culture. When spiritual perspectives dominated, prayer, amulets, supplication, and religious rites controlled approaches to pain treatment. Herbal remedies were often part of such strategies and might themselves been physiologically effective. In ancient writings about pain and disease, treatments for children were often given alongside discussions about the health of women. In this chapter, we trace early approaches to pain in children to the modern era, highlighting points of transition and improvements in pediatric pain management.


Author(s):  
Anita M. Unruh ◽  
Patrick J. McGrath

The problem of pain has likely concerned humankind from the beginning as pain is a compelling call for attention and a signal to escape from its source. Early efforts to understand pain, and its origins, features, and treatment reflected the duality between spiritual conceptualizations of pain and physiological explanations depending on the predominance of such views in a given culture in any given historical period (McGrath and Unruh, 1987). In the absence of physiological or behavioural explanations to explain persistent pain without obvious injury, when spiritual perspectives dominated, prayer, amulets, supplication, and religious rites dominated approaches to pain treatment. Herbal remedies were often part of such strategies and might themselves have had potent properties (Unruh, 1992, 2007). In ancient writings about pain and disease, treatments for children were often given alongside discussions about the health issues of women. In this chapter, we trace early approaches to pain in children to the modern era highlighting points of transition and improvements in paediatric pain management.


1997 ◽  
Vol 8 (3) ◽  
pp. 157-162 ◽  
Author(s):  
H Merskey
Keyword(s):  

2021 ◽  
Vol 14 (1) ◽  
pp. e238690
Author(s):  
Takuro Endo ◽  
Taku Sugawara ◽  
Naoki Higashiyama

A 67-year-old man presented with a 2-month history of pain in his right buttock and lower limb. MRI depicted right L5/S1 lateral recess stenosis requiring surgical treatment; however, preoperative CT showed an approximately 7 cm long, thin, rod-shaped structure in the rectum, which was ultimately determined to be an accidentally ingested toothpick. It was removed surgically 6 days after diagnosis, because right leg pain worsened rapidly. The pain disappeared thereafter, and the symptoms have not recurred since. The pain might have been localised to the right buttock and posterior thigh in the early stages because the fine tip of the toothpick was positioned to the right of the anterior ramus of the S2 spinal nerve. Although sacral plexus disorder caused by a rectal foreign body is extremely rare, physicians should be mindful to avoid misdiagnosis.


2021 ◽  
Vol 22 (5) ◽  
pp. 607-608
Author(s):  
Lana Mucalo ◽  
Amanda Brandow ◽  
Mahua Dasgupta ◽  
Sadie Mason ◽  
Pippa Simpson ◽  
...  

1989 ◽  
Vol 11 (4) ◽  
pp. 109-115
Author(s):  
William H. Dietz ◽  
Linda Bandini

CASE HISTORY G.R. is a 7-year-old boy with spastic quadriplegia evident since birth and a seizure disorder for which he currently is being treated with phenobarbitol and phenytoin (diphenylhydantoin). His medical history includes a pathologic fracture of his right femur. At the time of his fracture, a radiograph of his femur was described as "markedly osteoporotic." He is currently being treated with 1200 IU of vitamin D. His diet as presented is balanced with respect to nutrients. Although spillage is not substantial, eating requires great effort, and each meal lasts approximately 1 hour. He is fed breakfast and supper at home by his mother and lunch in school. There is no history of pain with food intake, no vomiting, and no diarrhea. He weighs 14 kg (far below the 5th percentile), and his length is 112 (at the 5th percentile). His weight for height is far less than the 5th percentile. His mother is 157.5 cm (5 ft 2 in) tall and his father is 167.5 cm (5 ft 6 in) tall. His midarm circumference is 154 mm (less than the 5th percentile), his triceps skinfold is 5 mm (5th percentile), and his midarm muscle circumference is 138 mm (less than the 5th percentile).


2003 ◽  
Vol 40 (4) ◽  
pp. 251-255 ◽  
Author(s):  
Carlos Augusto Real Martinez ◽  
Rogério Tadeu Palma ◽  
Jaques Waisberg

BACKGROUND: Retroperitoneal lipoma is an extremely rare neoplasm. AIMS: The authors report a case of giant retroperitoneal lipoma in a 32-year-old white female, with a history of pain and an abdominal mass over a 2-year period. Total abdominal ultrasonography and barium enema showed a large mass located in the retroperitoneal space behind the ascending colon. Laparotomy showed a large encapsulated tumor measuring 20 x 13 x 10 cm and weighing 3.400 g. The histological study revealed a benign neoplasm of fatty cells. CONCLUSION: The patient remains well 17 years after surgery, without recurrentce of the disease.


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