scholarly journals Ultrasound and management strategies in chronic pain

2020 ◽  
Vol 24 (6) ◽  
pp. 579-581
Author(s):  
Hanik Badriyah Hidayati
Keyword(s):  
Chronic Pain ◽  
Intensive Care ◽  
Pain Management ◽  
Imaging Techniques ◽  
Management Strategies ◽  
Medical Advice ◽  
Chronic Pain Management ◽  
The Us ◽  
Keywords Chronic Pain ◽  
Interventional Pain Management

Pain is the most common reason for seeking medical advice. Chronic pain remains a significant major problem. Imaging techniques are essential tools in interventional pain management (IPM). Ultrasound (US) has been comparatively a recent technology and its wider use has and an increased interest in imaging in IPM. This editorial briefly introduces the application of the US in chronic pain management strategies, and highlights its application, benefits, evidence and limitations in IPM. Keywords: Chronic pain; Interventional pain management; Ultrasound; Imaging Citation: Hidayati HB. Ultrasound and management strategies in chronic pain. Anaesth. pain intensive care 2020;24(6):__ Received: 15 September 2020, Reviewed: 26 September 2020, Accepted: 15 November 2020

scholarly journals Pain Management Strategies and Lessons from the Military: A Narrative Review

2015 ◽  
Vol 20 (5) ◽  
pp. 261-268 ◽  
Author(s):  
April Hazard Vallerand ◽  
Patricia Cosler ◽  
Jack E. Henningfield ◽  
Pam Galassini
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
General Population ◽  
Management Strategies ◽  
The United States ◽  
Narrative Review ◽  
Chronic Pain Management ◽  
Management Guidelines ◽  
Us Military ◽  
The Us

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.

scholarly journals Chronic pain management strategies used by low-income overweight Latinos

2012 ◽  
Vol 9 (2) ◽  
pp. 133-144 ◽  
Author(s):  
Dana N Rutledge ◽  
Patricia J Cantero ◽  
Jeanette E Ruiz
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Low Income ◽  
Management Strategies ◽  
Chronic Pain Management

scholarly journals Patient expectations for chronic pain management

2015 ◽  
Vol 7 (2) ◽  
pp. 130 ◽  
Author(s):  
Neela Bhana ◽  
Lee Thompson ◽  
John Alchin ◽  
Bronwyn Thompson
Keyword(s):  
Qualitative Research ◽  
Chronic Pain ◽  
Patient Satisfaction ◽  
Pain Management ◽  
Relevant Information ◽  
Pain Reduction ◽  
Patient Expectations ◽  
Free Text ◽  
Chronic Pain Management ◽  
Keywords Chronic Pain

INTRODUCTION: In New Zealand, one in six people report chronic pain, but the literature indicates only a 30% pain reduction is typically achieved in about half of treated patients. Most patients expecting a cure of their pain, or even substantial pain reduction, are therefore likely to be disappointed. It is important to align patient expectations with this reality. METHODS: This study analysed the responses of 250 patients referred to a Pain Management Centre to the free-text question: 'What are your main goals or reasons for attending the Pain Management Centre?' Free-text comments were analysed using ethnographic content analysis, an inductive approach in which the themes and subthemes are not predetermined, but emerge from the data during analysis, and thus reflect the issues of importance to patients themselves. FINDINGS: Three themes emerged from the analysis: patients' desire to understand their pain, regain 'normality', and concerns about medication. Responses were divided into those with an expectation of cure, and those who seemed to be more accepting of their pain and who desired management. CONCLUSION: Patients hope to return to what they perceive as normal and to have clear, relevant information about their diagnosis, prognosis and medications. Those desiring cure, or significant pain reduction, present more of a challenge to their general practitioners and the Pain Management Centre. When referring a patient for chronic pain management, there is a need to align patient expectations at the point of referral with what can realistically be achieved. KEYWORDS: Chronic pain; pain management; patient satisfaction; qualitative research

scholarly journals Impact of the COVID-19 pandemic on chronic pain management

2021 ◽  
Vol 2 (3) ◽  
pp. 197-212
Author(s):  
Andrew Auyeung ◽  
Hank Wang ◽  
Iulia Pirvulescu ◽  
Nebojša Knežević
Keyword(s):  
United States ◽  
Chronic Pain ◽  
Pain Management ◽  
The United States ◽  
Chronic Pain Management ◽  
Steroid Use ◽  
Chronic Pain Patients ◽  
Interventional Pain Management ◽  
Tools And Techniques ◽  
Pain Patients

Introduction: The COVID-19 pandemic has generated considerable turmoil in the interventional pain management (IPM) community. Due to IPM being classified as 'elective', numerous pain practices across the United States were forced to close during the pandemic, leaving chronic pain patients untreated for indefinite periods, and IPM physicians with increased stress and burnout. Results: In response to these detrimental effects, various re-opening tools and techniques have been created to facilitate a cautious resumption of in-person interventional pain practice. Due to their ability to minimize person-to-person contact, telehealth and pharmacotherapy played a more significant role in IPM during the pandemic, but their increased utilization has also led to the exacerbation of substance abuse and the opioid epidemic. The interplay between steroid use and its immunosuppressive effects, in relation to the COVID-19 infection and the COVID-19 vaccine, has also arisen as an issue of concern. Conclusion: As practices begin to safely re-open throughout the United States, the effects felt by chronic pain patients during the pandemic must be emphasized and not ignored. This review emphasizes the struggles pain patients have had to face during the pandemic and the need to update and redefine regulations regarding interventional and chronic pain management.

Neuromodulation and Spinal Cord Stimulators

2018 ◽  
Author(s):  
Anh L. Ngo ◽  
Bruce A. Piszel ◽  
Mark R. Jones ◽  
Hector J. Cases ◽  
Alan D. Kaye ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Chronic Pain ◽  
Pain Management ◽  
Heart Attack ◽  
Standard Of Care ◽  
Interventional Therapy ◽  
Chronic Pain Management ◽  
Modern Approach ◽  
Interventional Pain Management ◽  
Pain Care

The Interventional Pain Management Ladder reflects a possible paradigm disruption in chronic pain management. For treatment of chronic pain after failure of pharmacotherapy, the standard of care should shift to less-invasive interventional pain management as the preferred second-line treatment prior to more tissue-disruptive spine surgery. Spinal cord stimulation with neuromodulation is an effective, reversible, and minimally invasive interventional therapy for many types of chronic and difficult-to-treat pain. This chapter presents a modern approach of least invasive therapies first prior to more tissue disruptive measures and aligns chronic pain care with treatment of other serious medical conditions, such as heart attack and stroke.

scholarly journals Diagnosing and Treating Chronic Pain: Are We Doing This Right?

2021 ◽  
Vol 12 ◽  
pp. 215013272110080
Author(s):  
Lisa Carnago ◽  
Amy O’Regan ◽  
Jaime M. Hughes
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Pain Management ◽  
Management Strategies ◽  
Shared Responsibility ◽  
Patient Needs ◽  
Chronic Pain Management ◽  
Primary Care Settings ◽  
Provider Perspective ◽  
Competing Priorities

The diagnosis, treatment, and management of chronic pain is complex, nuanced, and challenging in primary care settings. These challenges often give rise to internal provider conflicts around appropriate management strategies, perhaps avoiding diagnosis all together. Factors that contribute to internal provider conflict include knowledge, responsibility, and uncertainties surrounding chronic pain management. This piece acknowledges the complexity and competing priorities of chronic pain management from a provider perspective. We advocate for coordinated and committed care of patients with chronic pain and a sense of shared responsibility among providers to adequately address patient needs.

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