Posttraumatic stress disorder is associated with a high incidence of chronic pain; what role headache plays in that relationship is not well known.
The VA and DoD issue a clinical practice guideline regarding opioid therapy for chronic pain in veterans.
Patients with successful spinal cord stimulation implants had significantly reduced opioid use 1 year post-implant.
After treatment, there were marked decreases in visual analog scale (VAS)-pain, VAS-asthenia, severity of waking unrefreshed, tender point count, and Beck Depression Inventory.
Kratom may be used to develop nonaddictive alternatives to opioids.
Alternative treatments include endomorphins, spinal cord stimulation, and psychotherapy.
Novice prescribers cited insufficient access to substance abuse counseling for patients, as well as insufficient access to more experienced prescribers, as reasons for not treating more patients.
Pain treatments often target either the brain or body, but data show that treatments often benefit both.
A patient with a baseline pain score of 60 on a scale of 0 to 100 would be expected to have a pain score of 45 after a non-acupuncture intervention; 35 after a sham acupuncture intervention; and 30 after true acupuncture.
Opioid usage may exacerbate the problem.
Sleep disruption alters positive affective pain modulation.
The study included 1,750 participants and had a 3-year follow up period.
Twenty-five percent of doctors write month-long opioid prescriptions.
The new guideline is the latest in an overhaul designed to curb opioid abuse.
Disordered sleep has been implicated in the impairment of descending inhibitory pain pathways that may contribute to abnormal pain sensitization present in fibromyalgia.
Some concerns include a lack of evidence underlying recommendations.
While mindfulness meditation has previously been associated with pain relief, the mechanistic action behind this has been unclear.
The new guidelines come in the wake of an opioid overdose epidemic in the U.S.
At 4 and 8 weeks after injection, 55% and 45%, respectively, reported pain relief of 20% or greater.
There were 18 893 deaths involving prescription opioids in the US in 2014.
While opioids can help patients have more comfort, they do nothing for the improvement of their chronic pain.
Long duration of opioid use associated with new onset depression.
More than 90% of patients with chronic pain continue to receive prescription opioids even after an overdose.
Investigators found that the intensity of neuropathic pain in those with SCI was negatively correlated with motor cortical remapping.
Comorbid disease types appear to elevate dysfunction in the brain.
Researchers have developed small, fully implantable devices that may one day be used to block pain signals before they reach the brain.
Musculoskeletal pain, especially in the shoulder/arm and leg, is significantly associated with RLS.
The pain thresholds of participants positively correlated with their opioid receptor availability.
Outpatient visits are what primarily drive costs.
An SCS system that delivered 10-kHz high-frequency therapy was nearly twice as effective at relieving pain as traditional low-frequency SCS.
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