Chronic Musculoskeletal Pain Symposium

1991 ◽  
Vol 69 (5) ◽  
pp. 606-606 ◽  
Author(s):  
James P. Lund ◽  
M. Catherine Bushnell ◽  
C. Elaine Chapman
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Musculoskeletal Pain ◽  
Muscle Pain ◽  
Pain Control ◽  
Financial Support ◽  
Unknown Etiology ◽  
Pain Syndromes ◽  
Chronic Pain Conditions

The aim of this year's symposium was to bring together basic and clinical scientists working towards the understanding of several chronic pain conditions of muscles and joints that are of unknown etiology. All of these are difficult to treat and their impact on the quality of life is wide-ranging.The organizers wish to acknowledge the financial support of Sterling-Winthrop, Fonds de la recherche en santé du Québec, Merck Frosst Canada, the Faculté de médecine and the Faculté de médecine dentaire of Université de Montréal, and to thank the following people for their assistance with the local organization: Helene Auzat, Gérald Beauchamp, Suzanne Cabana, Daniel Cyr, Michel Dumas, Giovanni Filosi, Claude Gauthier, and Claire Lamarche.The chairmen of the sessions have provided excellent introductions to the four themes: Basic Mechanisms, Arthritis and Headache, Muscle Pain Syndromes, and Pain Control. We are particularly grateful to our colleague, Dr. Gilles Lavigne, for his assistance and to Dr. Jonathan Dostrovsky, who agreed to help with the task of editing the papers.

scholarly journals The role of illness perception and emotions on quality of life in fibromyalgia compared with other chronic pain conditions

Reumatismo ◽  
2012 ◽  
Vol 64 (3) ◽  
Author(s):  
M. Capraro ◽  
M. Della Valle ◽  
M. Podswiadek ◽  
P. De Sandre ◽  
E. Sgnaolin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Illness Perception ◽  
Chronic Pain Conditions

Quality of Life following Treatment: A Preliminary Study of In- and Outpatients with Chronic Pain

1989 ◽  
Vol 18 (3) ◽  
pp. 271-282 ◽  
Author(s):  
Raymond C. Tait ◽  
Paul N. Duckro ◽  
Ronald B. Margolis ◽  
Richard Wiener
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Pain Syndromes ◽  
Before And After ◽  
Patient Groups ◽  
Methodological Problems ◽  
Preliminary Study ◽  
Different Levels ◽  
Chronic Pain Syndromes

Using a combination of standardized and Likert-type measures of health, disability, and psychological adjustment, this study compared the quality of life reported by thirty-seven inpatients and thirty-six outpatients approximately eight months after completing treatment. While both patient groups reported treatment-related changes, inpatients were significantly more dysfunctional than outpatients both before and after treatment. The pattern of perceived improvement among inpatients reflected particular changes in narcotic use and in “up” time. For outpatients, the pattern of change pointed to increased periods of activity. The data are interpreted to reflect the need for treatments that are tailored to meet the differing levels of dysfunction of patients who present with chronic pain syndromes. Methodological problems of this and other clinical studies that compare treatment effects on patients demonstrating different levels of dysfunction are discussed.

scholarly journals Patient Satisfaction with Spanish Pain Centers: Observational Study with More than 3,000 Patients

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Juan Antonio García García ◽  
Patricia Hernández-Puiggròs ◽  
Javier Tesedo Nieto ◽  
María Pilar Acín Lázaro ◽  
Alfredo Carrera González ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Patient Satisfaction ◽  
Pain Management ◽  
Pain Control ◽  
Short Form ◽  
Waiting Times ◽  
Brief Pain Inventory ◽  
Management Approach

Chronic pain is a serious problem in Spain. This multicenter, epidemiological 3-month follow-up study investigates pain management efficacy in Spanish centers using patient satisfaction criteria. 3,414 eligible adult patients (65,6% female) with moderate to severe chronic pain from 146 pain centers were included. Patient satisfaction was assessed based onto question 18 of Spanish healthcare barometer-CSI. Pain evolution (Brief Pain Inventory-Short Form (BPI-SF) and visual analog scale (VAS)), quality of life/EuroQol-5, and pain control expectations fulfillment were also assessed. Mean age was 61.3 years. 64.4% of participating centers employed multidisciplinary pain management approach. After 3 months, mean patient satisfaction was 7.8 (1–10) on the CIS barometer. Medical staff received the highest scores, whereas waiting for tests, appointment request to appointment date time, and waiting times at the center the lowest. Mean pain decreased from 7.4 to 4.0; BPI-SF intensity decreased from 6.5 to 3.8; pain control expectations were met in 78.7% of patients; EuroQoL-5D utility index increased from 0.37 to 0.62, p<0.001, and health status (VAS) from 40.6 to 61.9, p<0.001. Chronic pain patients (90%) are satisfied with Spanish centers care; 80% had their pain control expectations met. Quality of life improved remarkably: 71% felt moderately to significantly better. However, waiting times need improvement.

scholarly journals Chronic pain in people with HIV: a common comorbidity and threat to quality of life

2020 ◽  
Vol 10 (4) ◽  
pp. 253-260
Author(s):  
Victoria J Madden ◽  
Romy Parker ◽  
Burel R Goodin
Keyword(s):  
Quality Of Life ◽  
Substance Abuse ◽  
Chronic Pain ◽  
Peripheral Neuropathy ◽  
Musculoskeletal Pain ◽  
Antiretroviral Treatment ◽  
Immune Dysregulation ◽  
Neurotoxic Effects ◽  
Uncertain Etiology

Evidence indicates that over half of all people with HIV (PWH) will experience nonmalignant chronic pain throughout their lifetimes, with increasing prevalence as they age. Peripheral neuropathy resulting from the neurotoxic effects of HIV itself and the medications used to treat HIV were widely considered the primary cause of acute and chronic pain early on in the antiretroviral treatment era. However, recent studies suggest a predominance of non-neuropathic (e.g., musculoskeletal) pain in PWH with uncertain etiology. Chronic pain is often widespread in PWH, affecting multiple body locations. Additional research is needed to better understand contributors to chronic pain in PWH, which is likely to include biological (e.g., immune dysregulation), psychological (e.g., substance abuse) and social (e.g., stigma) factors.

scholarly journals Efficacy of Acupuncture in the Treatment of Chronic Abdominal Pain

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Amnon A. Berger ◽  
Yao Liu ◽  
Kevin Jin ◽  
Alicia Kaneb ◽  
Alexandra Welschmeyer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Abdominal Pain ◽  
Adult Population ◽  
Symptom Control ◽  
Chronic Abdominal Pain ◽  
Emergency Situations ◽  
Complementary Approach ◽  
Chronic Pain Conditions

Context: Abdominal pain is a widespread complaint and is one of the common reasons leading patients to seek medical care, either in emergency situations or with their primary providers. While acute abdominal pain is a better defined, usually surgical condition, chronic abdominal pain requires longer, typically lifelong, therapy. Chronic abdominal pain may also present with acute flares and complications. Here we review seminal and novel evidence discussing the use of acupuncture in the treatment of abdominal pain, indications, and conditions that may benefit from this approach. Evidence Acquisition: Chronic abdominal pain is a common complaint causing significant morbidity and disability and has a hefty price tag attached. Recent studies show it may be prevalent in as much as 25% of the adult population. It is defined as three episodes of severe abdominal pain over the course of three months. Chronic abdominal pain could be the result of chronicity of acute pain or of chronic pain syndromes, most commonly IBD syndromes and IBS. While a plethora of treatments exists for both conditions, these treatments usually fall short of complete symptom control, and there is a need for complementary measures to curb disability and increase the quality of life in these patients. Acupuncture is a form of integrative medicine that has long been used in Chinese and traditional medicine, based on the rebalancing of the patient’s Qi, or Ying/Yang balance. It has been shown to be effective in treating several other conditions, and novel evidence may expand its use into other fields as well. Clinical trials studying acupuncture in chronic pain conditions have been promising, and recent evidence supports the use of abdominal pain in chronic abdominal pain conditions as well. Though not curative, acupuncture is a complementary approach that helps reduce symptoms and improved quality of life. Conclusions: Chronic abdominal pain is a widespread condition, mostly affected by the IBS and IBD spectrum. Etiologies are still being studied for these conditions, and while novel treatment approaches are absolute game changers for these patients, many continue to experience some level of symptoms and disability. Acupuncture may provide further alleviation of these symptoms in select patients, thus improving quality of life, reducing disability, and saving healthcare dollars. It is a largely safe and inexpensive method that may significantly contribute to the quality of life of selected patients.

Cultural Spectrum of Chronic Pain and Somatization Syndromes

2020 ◽  
pp. 371-388
Author(s):  
Geetha Desai ◽  
Santosh K. Chaturvedi ◽  
Dinesh Bhugra
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Psychological Distress ◽  
Help Seeking ◽  
Multidisciplinary Approach ◽  
Psychiatric Services ◽  
Sociocultural Factors ◽  
Psychiatric Illnesses ◽  
Pain Syndromes

Chronic pain and somatization are common reasons for consultation in health settings, including psychiatric services, in India. These are often manifestations of underlying psychiatric illnesses such as depression, anxiety, and other stress-related disorders. Assessment of chronic pain and somatization is essential because it may be a means for the patient to communicate psychological distress, arising out of stress and conflicts within the environment. Sociocultural factors have an important role in the manifestations, help-seeking, and management of these chronic pain and somatizing syndromes. Some specific pain syndromes and somatizing syndromes are seen in India, including that syndrome, sinking heart syndrome, and a variety of somatic neuroses. The management of pain and somatizing syndromes requires a multidisciplinary approach, with an aim to reduce distress and enhance quality of life, in an ethical way.

Management issues in chronic pain following cancer therapy

2015 ◽  
Author(s):  
Martin Chasen ◽  
Gordon Giddings
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Pain Control ◽  
Interdisciplinary Team ◽  
Long Term Effects ◽  
Team Members ◽  
Patients With Cancer ◽  
Management Issues

With improved surveillance, diagnoses, and treatment of patients with cancer, an increased life expectancy, and specifically an increased number of ‘cancer cured’ patients, is noted. However, the long-term effects of the disease and treatment have a bearing on obtaining optimal physical, psychological, and cognitive functioning for cancer survivors. Pain impacts on all dimensions of quality of life and is one of the most distressing symptoms for patients. Patients often under-recognize pain and are unsure if optimum pain control is achievable. In addition, members of the interdisciplinary team often fail to assess the patient’s pain adequately, due to a lack of knowledge of the principles of pain relief and side effect management. Treatment requires an interprofessional approach that details a comprehensive assessment, with ongoing reassessment, utilizing both pharmacological and non-pharmacological measures. Empowerment of the cancer survivor, respect for survivors’ individuality and collaboration among team members are key elements of any successful strategy to optimize a patient’s quality of life.

Self-Reported Sleep Quality and Quality of Life for Individuals With Chronic Pain Conditions

2000 ◽  
Vol 16 (4) ◽  
pp. 290-297 ◽  
Author(s):  
Lynette A. Menefee ◽  
Evan D. Frank ◽  
Karl Doghramji ◽  
Kim Picarello ◽  
John J. Park ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Sleep Quality ◽  
Chronic Pain Conditions

scholarly journals YouTube viewers’ comments on the opioid epidemic offer solutions to help chronic pain patients

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Bacon ◽  
L Ivanitskaya ◽  
E Erzikova ◽  
T Veverka
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Pain Control ◽  
Alternative Therapies ◽  
Opioid Overdose ◽  
Prescription Opioids ◽  
Opioid Epidemic ◽  
Chronic Pain Patients ◽  
Pain Patients

Abstract Background Approximately 34.3 million people used prescription opioids for non-medical reasons globally in 2016. In addition, many of the 1.5 billion people worldwide who suffer from chronic pain use opioids. According to the United Nations Office on Drugs and Crime, 76% of overdose deaths are caused by prescription and non-prescription opioids. Opioid use disorder and addiction encompass many aspects; such as, economic forces, cultural forces and individual genetic makeup. Because of this complexity, policymakers will have to address chronic pain and social determinants of health. Understanding the public's perspectives on the opioid epidemic is critical for policymakers to create awareness and treatment programs to decrease opioid related deaths while treating pain. Methods This inductive, iterative approach to content analysis of secondary data collected 8,761 comments posted by viewers on ten videos regarding the opioid epidemic on CNN's YouTube Channel and ten videos on Fox News' YouTube channel posted between January 1, 2017 and December 31, 2018. Results After analyzing 8,761 comments, from 20 videos, results indicated 618 (7%) were pain patients, 926 (10.6%) of the comments indicated stigma, (54.5% social stigma and 30% structural stigma). 5,453 (62.2%) of the comments posted claims regarding the opioid epidemic and 1,881 (21.5%) offered solutions. Three of the major solutions offered include legalizing cannabis (608, 7%), developing alternative therapies (174, 1.9%), and kratom (105, 1.2%). Conclusions Reducing access to opioids is harming legitimate pain patients. Policymakers need to take the public's opinions into consideration when developing policies and programs that help reduce opioid overdose. These policies must ensure that the 1.5 billion chronic pain patients worldwide receive adequate pain control in order to have a good quality of life that allows them to be contributing members of society. Key messages Worldwide, 1.5 billion people suffer from chronic pain, many without access to adequate pain control. Solutions posted by viewers include cannabis, alternative therapies and kratom. Understanding the public’s perspectives will help policymakers create programs that improve quality of life for chronic pain patients that minimize social, internalized and structural stigma.

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