Cognitive, emotional, and behavioral considerations for chronic pain management in the Ehlers–Danlos syndrome hypermobility-type: a narrative review

BACKGROUND: Wounded soldiers often experience substantial pain, which must be addressed before returning to active duty or civilian life. The United States (US) military has instituted several guidelines and initiatives aimed at improving pain management by providing rapid access to medical care, and developing interdisciplinary multimodal pain management strategies based on outcomes observed both in combat and hospital settings.OBJECTIVE: To provide a narrative review regarding US military pain management guidelines and initiatives, which may guide improvements in pain management, particularly chronic pain management and prevention, for the general population.METHODS: A literature review of US military pain management guidelines and initiatives was conducted, with a particular focus on the potential of these guidelines to address shortcomings in chronic pain management in the general population.DISCUSSION: The application of US military pain management guidelines has been shown to improve pain monitoring, education and relief. In addition, the US military has instituted the development of programs and guidelines to ensure proper use and discourage aberrant behaviours with regard to opioid use, because opioids are regarded as a critical part of acute and chronic pain management schemes. Inadequate pain management, particularly inadequate chronic pain management, remains a major problem for the general population in the US. Application of military strategies for pain management to the general US population may lead to more effective pain management and improved long-term patient outcomes.

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Limited Utility for Benzodiazepines in Chronic Pain Management: A Narrative Review

Advances in Therapy ◽

10.1007/s12325-020-01354-6 ◽

2020 ◽

Vol 37 (6) ◽

pp. 2604-2619

Author(s):

Steven L. Wright

Keyword(s):

Chronic Pain ◽

Pain Management ◽

Narrative Review ◽

Chronic Pain Management

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Utilization of Magnesium for the Treatment of Chronic Pain

Anesthesiology and Pain Medicine ◽

10.5812/aapm.112348 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Ivan Urits ◽

Jai Won Jung ◽

Ariunzaya Amgalan ◽

Luc Fortier ◽

Anthony Anya ◽

...

Keyword(s):

Chronic Pain ◽

Pain Management ◽

International Association ◽

Treatment Options ◽

Pharmacological Therapy ◽

Narrative Review ◽

Current Evidence ◽

Chronic Pain Management ◽

Surgical Interventions ◽

Psychological Therapies

Context: The International Association for the Study of Pain (IASP) defines chronic pain as pain that persists or recurs for longer than 3 months. Chronic pain has a significant global disease burden with profound effects on health, quality of life, and socioeconomic costs. Evidence Acquisition: Narrative review. Results: There are several treatment options, including pharmacological therapy, physical rehabilitation, psychological therapies, and surgical interventions, for chronic pain management. Magnesium has been FDA-approved for several indications including hypomagnesemia, arrhythmia, prevention of seizures in eclampsia/preeclampsia, and constipation. Magnesium has been used for numerous off-label uses, notably for acute and chronic pain management. The mechanism of magnesium in pain management is primarily through its action as a voltage-gated antagonist of NMDA receptors, which are involved in pain transduction. Conclusions: This narrative review will focus on the current evidence and data surrounding the utilization of magnesium as a treatment option for chronic pain.

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