Using AI to Detect Pain through Facial Expressions: A Review
When a patient cannot say how much pain they are in, such as when they are sedated, have dementia, or are nonverbal, clinicians turn to facial expressions to guide treatment. Tension, frowning, or grimacing may indicate pain, and bedside assessment scales consider those elements. Clinicians typically must be with patients to complete those measures, however, […]
Physiotherapy For Chronic Pelvic Pain: A Review Of The Latest Evidence
Chronic pelvic pain (CPP) is a complex and debilitating condition that is preva- lent worldwide. The symptoms of the condition fit a biopsychosocial model of pain, and can include bladder, bowel and sexual dysfunction. The cause of CPP is often unclear, as are the most effective interventions. There is a shortage of skilled physiotherapists in the UK, […]
Divided By A Lack of Common Language? – A Qualitative Study Exploring The Use Of Language By Health Professionals Treating Back Pain
Recognizing the significance of employing a common language in discussing back pain when communicating with others is well-documented in the literature. There are three main areas where challenges in communicating about back pain emerge. First, patients seeking information from healthcare providers may encounter difficulties in comprehending both their explanations and the medical literature. Second, misunderstandings […]
Identifying the Presence of Ethics Concepts in Chronic Pain Research: A Scoping Review of Neuroscience Journals
Persistent pain is an all-encompassing and inconspicuous state that impacts individuals across various aspects of their lives, encompassing their well-being, independence, mental and physical wellness, societal integration, and effectiveness. The ethical considerations regarding neuroscience investigations into persistent pain are abundant, owing to the prospect of alleviating distress and enhancing the daily existence of those enduring […]
Efficacy, Safety, and Tolerability Of Antidepressants For Pain in Adults: Overview Of Systematic Reviews
Frequent and incapacitating, chronic pain impacts approximately 20% of the world’s population. Musculoskeletal issues, like back pain, usually top the list of conditions causing persistent pain, followed by headaches, orofacial discomfort, and visceral pain (such as abdominal, pelvic, or genital pain).
Astrocytes Mediate Migraine-related Intracranial Meningeal Mechanical Hypersensitivity
The onset of the headache phase in migraine with aura is believed to be influenced by cortical spreading depression (CSD) and the subsequent activation and sensitization of primary afferent neurons that innervate the intracranial meninges and their associated large vessels. However, the specific mechanisms behind this peripheral meningeal nociceptive response are not well understood. To […]
Evaluation of Buprenorphine Rotation in Patients Receiving Long-term Opioids for Chronic Pain- A Systematic Review
The potential harms of long-term opioids are well known. However, it is unclear whether rotation from a full opioid agonist to a partial opioid agonist, buprenorphine, is associated with improved pain-related outcomes and acceptable adverse effects in patients with chronic pain and long-term use of opioids. This systematic review of 22 studies that addressed prespecified […]
Musculoskeletal Care – “Pacing does help you get your life back”: The Acceptability Of A Newly Developed Activity Pacing Framework For Chronic Pain/Fatigue
We’ve created and conducted a feasibility test on an activity pacing framework designed for clinicians. The goal is to establish a standardized approach for clinicians to provide activity pacing guidance to patients dealing with chronic pain or fatigue. The primary objective of this study was to assess the level of acceptance and adherence to this […]
Acute Pain and Development of Opioid Use Disorder: Patient Risk Factors
In order to mitigate the risk of Opioid Use Disorder (OUD), healthcare professionals need to assess a patient’s specific risk factors and their preferences when determining the appropriate timing and dosage of opioid prescriptions. It’s advisable to opt for short-term prescriptions while keeping a vigilant eye on patients who may be at risk. It’s crucial […]
Applying Modern Pain Neuroscience in Clinical Practice: Criteria for the Classification of Central Sensitization Pain
There is a growing recognition that central sensitization plays a pivotal role in the evaluation and treatment of chronic pain. However, clinically categorizing it presents a challenge because there is no universally accepted standard method for its assessment. Read more