Symposium 15: Pain management and physical activity: Analysis of psychological pain control: A comparative study between athletes and nonathletes

Background Adequate pain control is critical after outpatient surgery where patients are not as closely monitored. A multimodal pain management regimen was compared to a conventional pain management method in patients undergoing operative fixation for distal radius fractures. We hypothesized that there would be a decrease in the amount of narcotics used by the multimodal group compared to the conventional pain management group, and that there would be no difference in bone healing postoperatively. Methods Forty-two patients were randomized into 2 groups based on pain protocols. Group 1, the control, received a regional block, acetaminophen, and oxycodone. Group 2 received a multimodal pain regimen consisting of daily doses of pregabalin, celecoxib, and acetaminophen up until postoperative day (POD) #3. They also received a regional block with oxycodone for breakthrough pain. Results From POD#3 to week 1, there was a significant increase in oxycodone use in the study group correlating with the point in time when the multimodal regimen was discontinued. The shortened Disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) scores taken at 2 weeks postoperation showed a significantly lower average score in the study group compared to the control. There was no difference in bone healing. Conclusions The 2 regimens yielded similar pain control after surgery. The rebound increase in narcotic use after the multimodal regimen was discontinued, and significant difference in QuickDASH scores seen at 2 weeks postoperatively supported that multimodal regimens may not necessarily lead to decreased narcotic use in outpatient upper extremity surgery, but in the short term are shown to improve functional status.

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Development of a hybrid sleep and physical activity improvement intervention for adults with osteoarthritis-related pain and sleep disturbance: a focus group study with potential users

British Journal of Pain ◽

10.1177/20494637211026049 ◽

2021 ◽

pp. 204946372110260

Author(s):

Daniel Whibley ◽

Kevin Stelfox ◽

Alasdair L Henry ◽

Nicole KY Tang ◽

Anna L Kratz

Keyword(s):

Physical Activity ◽

Pain Management ◽

Focus Groups ◽

Thematic Analysis ◽

Sleep Disturbances ◽

Physical Activity Intervention ◽

Focus Group Study ◽

Intervention Component ◽

Beneficial Impact ◽

Improvement Intervention

Objective: Suboptimal sleep and physical activity are common among people living with osteoarthritis (OA) and simultaneous improvements in both may have a beneficial impact on pain. This study aimed to gather perspectives of people living with OA on important aspects to incorporate in a hybrid sleep and physical activity improvement intervention for OA pain management. Design: Qualitative study using two rounds of two focus groups. Setting and participants: Focus groups were conducted with adults living with OA-related chronic pain and sleep disturbances. Eighteen people attended focus groups in January 2020 and, of these, 16 attended subsequent focus groups in February 2020. Methods: Discussion at the first round of focus groups informed generation of prototype intervention materials that were shared, discussed and refined at the second round of focus groups. Thematic analysis was used to identify themes and sub-themes from the data. Results: Three themes, each with three sub-themes, were identified: facilitators of engagement with the intervention (sub-themes: motivational language, accountability and education); barriers to engagement (sub-themes: suboptimal interaction with healthcare practitioners, recording behaviour as burdensome/disruptive and uncertainty about technique) and characteristics of a physical activity intervention component (sub-themes: tailored, sustainable and supported). Conclusion: We have identified important aspects to incorporate into the design and delivery of a hybrid sleep and physical activity improvement intervention for OA pain management. Insights will be incorporated into intervention materials and protocols, with feasibility and acceptability assessed in a future study.

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Pain management practice patterns after hip arthroscopy: an international survey

Journal of Hip Preservation Surgery ◽

10.1093/jhps/hnaa050 ◽

2020 ◽

Author(s):

Flávio L Garcia ◽

Brady T Williams ◽

Bhargavi Maheshwer ◽

Asheesh Bedi ◽

Ivan H Wong ◽

...

Keyword(s):

Pain Management ◽

Hip Arthroscopy ◽

Pain Control ◽

Sports Medicine ◽

Management Practice ◽

Professional Organizations ◽

International Survey ◽

Nerve Blocks ◽

Optimal Approach ◽

Answer Choice

Abstract Several post-operative pain control methods have been described for hip arthroscopy including systemic medications, intra-articular or peri-portal injection of local anesthetics and peripheral nerve blocks. The diversity of modalities used may reflect a lack of consensus regarding an optimal approach. The purpose of this investigation was to conduct an international survey to assess pain management patterns after hip arthroscopy. It was hypothesized that a lack of agreement would be present in the majority of the surgeons’ responses. A 25-question multiple-choice survey was designed and distributed to members of multiple orthopedic professional organizations related to sports medicine and hip arthroscopy. Clinical agreement was defined as > 80% of respondents selecting a single answer choice, while general agreement was defined as >60% of a given answer choice. Two hundred and fifteen surgeons completed the survey. Clinical agreement was only evident in the use of oral non-steroidal anti-inflammatory drugs (NSAIDs) for pain management after hip arthroscopy. A significant number of respondents (15.8%) had to readmit a patient to the hospital for pain control in the first 30 days after hip arthroscopy in the past year. There is significant variability in pain management practice after hip arthroscopy. The use of oral NSAIDs in the post-operative period was the only practice that reached a clinical agreement. As the field of hip preservation surgery continues to evolve and expand rapidly, further research on pain management after hip arthroscopy is clearly needed to establish evidence-based guidelines and improve clinical practice.

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International survey: real-world pain management strategies

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1183 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M Hagen ◽

A Georgescu

Keyword(s):

Pain Management ◽

Real World ◽

Pain Control ◽

Online Survey ◽

Management Strategies ◽

Pain Medication ◽

International Survey ◽

Nationally Representative ◽

Online Panels ◽

Control Pain

Abstract Background Pain is a nearly universal experience, but little is known about how people treat pain. This international survey assessed real-world pain management strategies. Methods From 13-31 January, 2020, an online survey funded by GSK Consumer Healthcare was conducted in local languages in Australia, Brazil, Canada, China, Colombia, France, Germany, India, Italy, Japan, Saudi Arabia, Malaysia, Mexico, Poland, Russia, Spain, Sweden, UK, and USA. Adults were recruited from online panels of people who agreed to participate in surveys. Quotas ensured nationally representative online populations based on age, gender, and region. Results Of 19,000 people (1000/country) who completed the survey, 18,602 (98%) had ever experienced physical pain; 76% said they would like to control their pain better. Presented with 17 pain-management strategies and asked to select the ones they use in the order of use, respondents chose an average of 4 strategies each. The most commonly selected strategies were pain medication (65%), rest/sleep (54%), consult a doctor (31%), physical therapy (31%), and nonpharmacologic action (eg, heat/cold application; 29%). Of those who use pain medication, 56% take some other action first. Only 36% of those who treat pain do so immediately; 56% first wait to see if it will resolve spontaneously. Top reasons for waiting include a desire to avoid medication (37%); willingness to tolerate less severe pain (33%); concerns about side effects (21%) or dependency (21%); and wanting to avoid a doctor's visit unless pain is severe or persistent (21%). Nearly half (42%) of those who take action to control pain have visited ≥1 healthcare professional (doctor 31%; pharmacist 18%; other 17%) about pain. Conclusions This large global survey shows that people employ a range of strategies to manage pain but still wish for better pain control. Although pain medication is the most commonly used strategy, many people postpone or avoid its use. Key messages More than three-quarters (76%) of respondents across countries seek better pain control. Pain medication and rest/sleep consultation are the most common pain management strategies. More than half of respondents (56%) wait to see if pain will resolve spontaneously before taking any action, and 56% of those who use pain medication try some other approach first.

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Fentanyl iontophoretic transdermal system for acute-pain management after orthopedic surgery: A comparative study with morphine intravenous patient-controlled analgesia

Acute Pain ◽

10.1016/j.acpain.2007.02.007 ◽

2007 ◽

Vol 9 (1) ◽

pp. 45

Author(s):

C.T. Hartrick ◽

M.H. Bourne ◽

K. Gargiulo ◽

C.V. Damaraju ◽

S. Vallow ◽

...

Keyword(s):

Pain Management ◽

Comparative Study ◽

Acute Pain ◽

Orthopedic Surgery ◽

Patient Controlled Analgesia ◽

Acute Pain Management ◽

Iontophoretic Transdermal System

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Comparative Study on Intravenous Catheter Insertion Pain control, Anxiety, and Satisfaction in Adult Same Day Surgery Patient; Using a Vibrating, Cold Device or Traditional Local Anesthetics Intradermal Injection

Journal of PeriAnesthesia Nursing ◽

10.1016/j.jopan.2021.06.072 ◽

2021 ◽

Vol 36 (4) ◽

pp. e24

Author(s):

Primary Investigator: Dawnmarie Devito ◽

Co-Investigators: Patricia Rich ◽

Susan Elliott

Keyword(s):

Comparative Study ◽

Local Anesthetics ◽

Pain Control ◽

Day Surgery ◽

Intradermal Injection ◽

Catheter Insertion ◽

Intravenous Catheter ◽

Surgery Patient

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Comparative Study of Ketoprofen and Ethyl Chloride With Two Different Steroids for Management of Pain in Injury of Athletes

Asian Journal of Allied Health Sciences (AJAHS) ◽

10.52229/ajahs.v2i1.283 ◽

2020 ◽

pp. 8-11

Author(s):

OJS Admin

Keyword(s):

Pain Management ◽

Comparative Study ◽

Ethyl Chloride ◽

Anesthetic Drug ◽

Inflammatory Drug ◽

Anti Inflammatory

Ketoprofen belongs to non-steroidal anti-inflammatory drug which has better results in pain management with combination of steroid and anesthetic drug. In this study compression of two combination had been observed.

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