246 results match your criteria British journal of pain[Journal]


Brief cognitive analytic therapy for adults with chronic pain: a preliminary evaluation of treatment outcome.

Br J Pain 2020 Feb 17;14(1):57-67. Epub 2019 Jun 17.

West Suffolk Community Pain Management Service, Suffolk GP Federation, Ipswich, UK.

Background: Cognitive analytic therapy (CAT) has diversified in its application to a broad range of presenting difficulties and formats and there has been growing interest in its use in clinical health settings including Pain Management Services. Despite its growing popularity, to date, no studies have examined the application of CAT for chronic pain.

Aims: The purpose of this study was to examine the effectiveness of time-limited, individual CAT for adults with chronic pain as delivered in a publicly funded Community Pain Management Service. Read More

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http://dx.doi.org/10.1177/2049463719858119DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026827PMC
February 2020

Best practice in radiofrequency denervation of the lumbar facet joints: a consensus technique.

Br J Pain 2020 Feb 3;14(1):47-56. Epub 2019 Apr 3.

Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.

Background: Radiofrequency denervation is used to treat selected people with low back pain. Recent trials have been criticised for using a sub-optimal intervention technique.

Objectives: To achieve consensus on a best practice technique for administering radiofrequency denervation of the lumbar facet joints to selected people with low back pain. Read More

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http://dx.doi.org/10.1177/2049463719840053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026831PMC
February 2020

Assessment of the utility of the National Health Service England Low Back and Radicular Pain Pathway: analysis of patient reported outcomes.

Br J Pain 2020 Feb 13;14(1):42-46. Epub 2019 May 13.

Department of Physiotherapy, Musgrave Park Hospital, Belfast Health and Social Care Trust, Belfast, UK.

Introduction: Lumbar disc herniation causing radiculopathy is a common reason for referral to spinal out-patient clinics. At our centre following routine referral, patients wait a mean of 109 weeks for a consultation with a spinal surgeon. A pathway in keeping with the National Health Service England Low Back and Radicular Pain Pathway was introduced with two objectives. Read More

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http://dx.doi.org/10.1177/2049463719846913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026830PMC
February 2020

'All these things don't take the pain away but they do help you to accept it': making the case for compassion-focused therapy in the management of persistent pain.

Br J Pain 2020 Feb 17;14(1):31-41. Epub 2019 Jun 17.

Devon Partnership Trust, Exeter, UK.

Background: People with persistent pain are frequently offered a pain management programme (PMP) as part of their care plan. Cognitive behavioural therapy (CBT) principles often underpin PMPs and has a good evidence base; nevertheless, more recent systematic reviews have suggested that its effectiveness is limited. Compassion-focused therapy (CFT) is a form of 'third-wave CBT' that offers an alternative and complementary view of pain, encouraging the person to be alongside their experience of pain and respond to it using skills of compassion they have learnt. Read More

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http://dx.doi.org/10.1177/2049463719857099DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026828PMC
February 2020

Identification of the cerebral effects of paracetamol in healthy subjects: an fMRI study.

Br J Pain 2020 Feb 4;14(1):23-30. Epub 2019 Jun 4.

Pain Clinic, Department of Anesthesiology and Perioperative Medicine, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.

Introduction: Paracetamol is commonly used for its antipyretic properties and analgesic effects, but the central mechanism remains elusive. We designed a study in healthy volunteers to detect the central functional working mechanism of paracetamol.

Subjects Material And Methods: A total of 20 subjects had a baseline functional magnetic resonance imaging (fMRI) before the intake of 1000 mg paracetamol orally; 60 minutes later, a second fMRI was made aiming detection of regional blood flow differences. Read More

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http://dx.doi.org/10.1177/2049463719854483DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026835PMC
February 2020

Patient satisfaction with pain relief following major abdominal surgery is influenced by good communication, pain relief and empathic caring: a qualitative interview study.

Br J Pain 2020 Feb 17;14(1):14-22. Epub 2019 Jun 17.

Division of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.

Background: Monitoring and improving the quality of care is an ever increasing concern for health care organisations. Measuring the effectiveness of clinical outcomes is done by looking at specific markers of high quality care. Pain management is considered one of the markers of high quality care and satisfaction with pain management is a crucial and important quality assurance marker; yet, we know little about what contributes to a patient's decision about satisfaction. Read More

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http://dx.doi.org/10.1177/2049463719854471DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026829PMC
February 2020

Multidimensional investigation of chronic pain experience and physical functioning following hip fracture surgery: clinical implications.

Br J Pain 2020 Feb 3;14(1):5-13. Epub 2019 Jul 3.

Universidade Cidade de São Paulo, São Paulo, Brazil.

Introduction: Older adults experience significant chronic pain after hip fracture, resulting in decreased physical functioning. However, pain investigation in this population is mostly limited to self-reported pain intensity. Detailed pain assessment may identify intervention targets other than pain relief. Read More

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http://dx.doi.org/10.1177/2049463719861994DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026833PMC
February 2020

Pain is complex.

Authors:

Br J Pain 2020 Feb 13;14(1). Epub 2020 Feb 13.

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http://dx.doi.org/10.1177/2049463720905209DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026834PMC
February 2020

Chronic pelvic pain in women: an embedded qualitative study to evaluate the perceived benefits of the meridian balance method electro-acupuncture treatment, health consultation and National Health Service standard care.

Br J Pain 2019 Nov 21;13(4):244-255. Epub 2018 Nov 21.

St Columba's Hospice/Queen Margaret University, Edinburgh, UK.

Introduction: Chronic pelvic pain (CPP) - defined as intermittent or constant pain in the lower abdomen or pelvis of at least 6 months' duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy - is estimated to affect 6-27% of women worldwide. In the United Kingdom, over 1 million women suffer from CPP, which has been highlighted as a key area of unmet need. Current medical treatments for CPP are often associated with unacceptable side effects. Read More

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http://dx.doi.org/10.1177/2049463718814870DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791054PMC
November 2019
1 Read

Treatment of chronic post-herpetic neuralgia with autologous fat grafts: a first-in-the-world case report.

Br J Pain 2019 Nov 28;13(4):239-243. Epub 2018 Nov 28.

Department of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Denmark.

A 60-year-old woman suffering from severe chronic post-herpetic neuralgia (PHN) was treated with simple autologous fat grafting to the affected area of skin. Post-operatively, she reported a great improvement in her symptoms. The effect was stable throughout the 3-month follow-up period. Read More

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http://dx.doi.org/10.1177/2049463718817570DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791055PMC
November 2019

The role of positive goal engagement in increased mental well-being among individuals with chronic non-cancer pain.

Br J Pain 2019 Nov 18;13(4):230-238. Epub 2019 Jan 18.

School of Arts and Humanities, Psychology Department, Edith Cowan University, Joondalup, WA, Australia.

Individuals with chronic pain commonly report significant functional impairment and reduced quality of life. Despite this, little is known about psychological processes and mechanisms underpinning enhancements in well-being within this population. The study aimed to investigate whether (1) increased levels of pain intensity and interference were associated with lower levels of mental well-being, (2) increased positive goal engagement was associated with higher levels of mental well-being and (3) whether the relationships between pain characteristics and mental well-being were mediated by increased positive goal engagement. Read More

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http://dx.doi.org/10.1177/2049463718824857DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791052PMC
November 2019
1 Read

Do not follow the bone, follow the nerve ultrasound-guided stellate ganglion block: a reconfirmation.

Br J Pain 2019 Nov 1;13(4):226-229. Epub 2019 Feb 1.

Department of Anesthesia, UT Health San Antonio, San Antonio, TX, USA.

Indirect and direct methods have been used to localize the stellate ganglion. Identifying the C6 and C7 transverse process can be a technical challenge for practitioners when performing an ultrasound-guided stellate ganglion block. Following the nerve roots from the interscalene plexus into the corresponding foramen can serve as a reconfirmation for identifying the C6 and C7 transverse process. Read More

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http://dx.doi.org/10.1177/2049463719826210DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791051PMC
November 2019
5 Reads

What influences chronic pain management? A best-worst scaling experiment with final year medical students and general practitioners.

Br J Pain 2019 Nov 26;13(4):214-225. Epub 2019 Feb 26.

School of Medicine, The University of Notre Dame Australia, Sydney, NSW, Australia.

Background: Chronic pain education is an essential determinant for optimal chronic pain management. Given that attitudes and preferences are involved in making treatment decisions, identifying which factors are most influential to final year medical students' and general practitioners' (GPs) chronic pain management choices is of importance. This study investigates Swedish and Australian students' preferences with respect to a chronic pain condition, using a best-worst scaling (BWS) experiment, which is designed to rank alternatives. Read More

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http://dx.doi.org/10.1177/2049463719832331DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791048PMC
November 2019

'It's about willpower in the end. You've got to keep going': a qualitative study exploring the experience of pain in inflammatory bowel disease.

Br J Pain 2019 Nov 11;13(4):201-213. Epub 2019 Apr 11.

Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.

Background: Pain is a widely experienced symptom of inflammatory bowel disease (IBD), which has significant psychological and functional impacts on patients. Understanding the aetiology and management of chronic pain is a poorly understood area of IBD research. This qualitative study aimed to explore the experiences of individuals with IBD and pain, the pain management strategies they use and any needs for future pain management interventions. Read More

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http://dx.doi.org/10.1177/2049463719844539DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791049PMC
November 2019

The National Pain Audit for specialist pain services in England and Wales 2010-2014.

Br J Pain 2019 Aug 7;13(3):185-193. Epub 2018 Dec 7.

Dr Foster Unit, Imperial College London, London, UK.

Introduction: Numerous reports highlight variations in pain clinic provision between services, particularly in the provision of multidisciplinary services and length of waiting times. A National Audit aims to identify and quantify these variations, to facilitate raising standards of care in identified areas of need. This article describes a Quality Improvement Programme cycle covering England and Wales that used such an approach to remedy the paucity of data on the current state of UK pain clinics. Read More

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http://dx.doi.org/10.1177/2049463718814277DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6613069PMC

Comparison of early postoperative pain after partial tumour nephrectomy by flank, transabdominal or laparoscopic access.

Br J Pain 2019 Aug 23;13(3):177-184. Epub 2018 Oct 23.

Department of Urology, Medical University of Graz, Graz, Austria.

Aim: To explore whether the total pain experience differs after (partial) kidney tumour nephrectomies via flank, transabdominal or laparoscopic access.

Materials And Methods: We analyzed retrospectively 107 patients with flank, 12 with transabdominal and 21 with laparoscopic interventions. For pain treatment, conventional analgesics (A) or intravenous patient-controlled analgesia (PCIA) or thoracic peridural analgesia (tPDA) were used. Read More

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http://dx.doi.org/10.1177/2049463718808542DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6613070PMC
August 2019
2 Reads

'If you can't see a dilemma in this situation you should probably regard it as a warning': a metasynthesis and theoretical modelling of general practitioners' opioid prescription experiences in primary care.

Br J Pain 2019 Aug 22;13(3):159-176. Epub 2018 Oct 22.

School of Healthcare, University of Leeds, Leeds, UK.

Introduction: The prescribing of opioids has increased internationally in developed countries in recent decades within primary and secondary care. The majority of patients with chronic non-malignant pain (CNMP) are managed by their general practitioner (GP). Recent qualitative studies have examined the issue of opioid prescribing for CNMP from a GP viewpoint. Read More

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http://dx.doi.org/10.1177/2049463718804572DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6613071PMC

Examining patterns in opioid prescribing for non-cancer-related pain in Wales: preliminary data from a retrospective cross-sectional study using large datasets.

Br J Pain 2019 Aug 25;13(3):145-158. Epub 2018 Sep 25.

Swansea Centre for Health Economics, College of Human and Health Sciences, Swansea University, Swansea, UK.

Objectives: To examine trends in strong opioid prescribing in a primary care population in Wales and identify if factors such as age, deprivation and recorded diagnosis of depression or anxiety may have influenced any changes noted.

Design: Trend, cross-sectional and longitudinal analyses of routine data from the Primary Care General Practice database and accessed via the Secure Anonymised Information Linkage (SAIL) databank.

Setting: A total of 345 Primary Care practices in Wales. Read More

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http://dx.doi.org/10.1177/2049463718800737DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6613067PMC

Up to a quarter of patients with certain chronic recalcitrant tendinopathies may have central sensitisation: a prospective cohort of more than 300 patients.

Br J Pain 2019 Aug 21;13(3):137-144. Epub 2018 Sep 21.

Department of Sport and Exercise Medicine, Leicester General Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK.

Introduction: To identify the possible prevalence of 'central sensitisation', in patients with chronic recalcitrant lower limb tendinopathy conditions, with the Central Sensitisation Inventory (CSI) questionnaire.

Methods: Patients with chronic lower limb tendinopathy conditions treated within a single hospital outpatient clinic specialising in tendinopathy were identified from clinical records. As part of routine care, self-reported numerical markers of pain, global function (using the EuroQol-5D (EQ-5D) questionnaire) and the CSI score to investigate the possibility of central sensitisation were completed. Read More

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http://dx.doi.org/10.1177/2049463718800352DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6613072PMC
August 2019
9 Reads

Opioids, opioids and more opioids.

Authors:
Roger Knaggs

Br J Pain 2019 Aug 31;13(3):135-136. Epub 2019 May 31.

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http://dx.doi.org/10.1177/2049463719854779DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6613068PMC

'The Doctor doesn't need to see you now': reduction in general practice appointments following group pain management.

Br J Pain 2019 May 16;13(2):121-129. Epub 2018 Nov 16.

Centre for Active Lifestyle Management (CALM), Lewisham and Greenwich NHS Trust, London, UK.

Background: Patients living with chronic, non-malignant, musculoskeletal pain are frequent visitors to general practice (GP) services, placing a large burden on resources. Pain management programmes (PMPs) are recommended for chronic pain patients and aim to teach self-management techniques. While there is evidence for their clinical effectiveness, few studies have explored whether there is a reduction in primary care healthcare use after attending a PMP. Read More

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http://dx.doi.org/10.1177/2049463718812501DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463353PMC
May 2019
3 Reads

Investigating the role of beliefs about emotions, emotional suppression and distress within a pain management programme for fibromyalgia.

Br J Pain 2019 May 9;13(2):112-120. Epub 2019 Jan 9.

Department of Psychology, Royal Holloway University of London, Egham, UK.

Introduction: This study aims to explore the relationships between beliefs about emotions, emotional suppression, distress and global impact (i.e. the extent to which a patient's symptoms impact their life) in a longitudinal design with patients who are taking part in a pain management programme. Read More

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http://dx.doi.org/10.1177/2049463718820882DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463351PMC
May 2019
21 Reads

The use of high-dose intrathecal diamorphine in laparoscopic bariatric surgery: a single-centre retrospective cohort study.

Br J Pain 2019 May 19;13(2):106-111. Epub 2018 Sep 19.

Department of Anaesthesia, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.

Introduction: The use of intrathecal diamorphine is not commonplace in laparoscopic bariatric surgery. At our institution, a major UK bariatric centre, high-dose intrathecal diamorphine is routinely utilised.

Methods: Data were analysed retrospectively. Read More

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http://dx.doi.org/10.1177/2049463718800521DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463352PMC
May 2019
1 Read

The context of litigation in evaluating physical and psychological outcomes from pain management programmes.

Br J Pain 2019 May 18;13(2):99-105. Epub 2018 Dec 18.

Pain Management Programme, The Walton Centre NHS Foundation Trust, Liverpool, UK.

Objectives: There has been extensive research in evaluating chronic pain in the context of litigation while considering the implications that it can have on healthcare outcomes and rehabilitation progress. The aim of this article is to present retrospective observational data about the levels of disability and distress reported by patients with ongoing litigation at the start and following a UK-based multi-disciplinary pain management programme (PMP) when compared with those without litigation.

Method: Between June 2014 and September 2017, 859 patients attended and completed a 16-day PMP at a tertiary-level National Health Service (UK) pain clinic. Read More

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http://dx.doi.org/10.1177/2049463718820056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463350PMC
May 2019
17 Reads

Evaluation of analgesic efficacy of dexmedetomidine as adjuvant with ropivacaine in ultrasound-guided adductor canal block in patients following anterior cruciate ligament reconstruction surgeries.

Br J Pain 2019 May 30;13(2):91-98. Epub 2018 Aug 30.

Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India.

Introduction: Local anaesthetic (LA) with highly selective alpha-2 agonist dexmedetomidine has not been evaluated in adductor canal block (ACB) for arthroscopic anterior cruciate ligament (ACL) reconstruction surgeries. The study evaluates postoperative analgesic effect of ropivacaine with adjuvant dexmedetomidine following postoperative ultrasound-guided ACB.

Methods: 105 randomized subjects received ultrasound-guided ACB using 15 mL of 0. Read More

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http://dx.doi.org/10.1177/2049463718796865DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463348PMC
May 2019
6 Reads

Association between musculoskeletal pain with social isolation and loneliness: analysis of the English Longitudinal Study of Ageing.

Br J Pain 2019 May 20;13(2):82-90. Epub 2018 Sep 20.

Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.

Introduction: Musculoskeletal pain is a prevalent health challenge for all age groups worldwide, but most notably in older adults. Social isolation is the consequence of a decrease in social network size with a reduction in the number of social contacts. Loneliness is the psychological embodiment of social isolation and represents an individual's perception of dissatisfaction in the quality or quantity of their social contacts. Read More

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http://journals.sagepub.com/doi/10.1177/2049463718802868
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http://dx.doi.org/10.1177/2049463718802868DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463349PMC
May 2019
1 Read

Assessment and patient selection process for a pain management programme: a case study in specialty care.

Br J Pain 2019 May 19;13(2):74-81. Epub 2018 Nov 19.

INPUT Pain Management Unit, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, London, UK.

Introduction: The present study audited the process of assessing and selecting patients for a pain management programme with the aim of reviewing best practice in the light of the latest British Pain Society guidelines for pain management programmes for adults. The guidelines include defined inclusion/exclusion criteria and it was explored how they are used by clinicians providing a pain management service.

Method: The records of 200 consecutive patients who attended a multidisciplinary assessment for a central London specialist Pain Management Service from September 2014 to December 2014 were audited. Read More

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http://dx.doi.org/10.1177/2049463718813187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463347PMC
May 2019
11 Reads

Exploring a compassion-focused intervention for persistent pain in a group setting.

Authors:
Chris Penlington

Br J Pain 2019 Feb 24;13(1):59-66. Epub 2018 Apr 24.

School of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK.

Introduction: It is widely known that the mind and the body, although described medically almost as separate entities, are in fact highly interrelated. This is not, however, always reflected within medical settings where physical interventions are often favoured over more holistic management, even in the case of long-term symptoms and/or pain where there is a strong evidence to favour the use of the latter. Mindfulness is an established and evidence-based intervention which can help people living with pain and physical symptoms. Read More

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http://dx.doi.org/10.1177/2049463718772148DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327357PMC
February 2019
3 Reads

Differentiating overlapping symptoms of vulvodynia and pudendal neuralgia.

Br J Pain 2019 Feb 15;13(1):54-58. Epub 2018 May 15.

Department of Orthopaedics and Traumatology, University Hospital of Siena, Siena, Italy.

Context: Vulvodynia is defined as a chronic vulvar pain non-associated with infectious, inflammatory, neoplastic or hormonal disorders.

Objectives: To present a case demonstrating the difficulty in assessing concomitant disease in vulvodynia.

Methods: A 26-year-old woman, presented with persistent vulvodynia. Read More

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http://dx.doi.org/10.1177/2049463718776692DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327350PMC
February 2019
34 Reads

Chronic pain and associated factors in Maputo, Mozambique: a pilot study.

Br J Pain 2019 Feb 18;13(1):43-53. Epub 2018 May 18.

Vanderbilt University, Nashville, TN, USA.

Introduction: Studies estimate that 20% of adults suffer from chronic pain. A meta-analysis in low- and middle-income countries (LMICs) found 34% had chronic pain. There are few studies on pain prevalence gathered in Africa. Read More

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http://dx.doi.org/10.1177/2049463718777009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327355PMC
February 2019
5 Reads

The impact of mirror therapy on body schema perception in patients with complex regional pain syndrome after distal radius fractures.

Br J Pain 2019 Feb 13;13(1):35-42. Epub 2018 Jun 13.

SI 'Institute of Traumatology and Orthopedics of the Academy of Medical Sciences of Ukraine', Kyiv, Ukraine.

Introduction: Mirror therapy requires a minimum of equipment, is relatively simple to perform and effective for various pathological conditions. The effect of mirror therapy on body schema disturbances registered in complex regional pain syndrome type I (CRPS I) patients has not yet been determined.

Methods: The study is based on the analysis of the treatment results of 30 patients with CRPS I, developed as a result of the distal radius fractures, with help of mirror therapy together with exercise therapy and medications. Read More

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http://dx.doi.org/10.1177/2049463718782544DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327356PMC
February 2019
12 Reads

Retained catheter during placement of dorsal root ganglion stimulator: a case report.

Br J Pain 2019 Feb 3;13(1):32-34. Epub 2018 Jul 3.

Department of Neurological Surgery, New Jersey Medical School, Rutgers University, Newark, NJ, USA.

Dorsal root ganglion (DRG) stimulation is a novel therapeutic option that is being increasingly utilized for patients with neuropathic pain. The potential complications during the placement of this device remain unknown. We describe a potential complication during DRG stimulator placement not previously reported in the literature. Read More

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http://dx.doi.org/10.1177/2049463718784718DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327353PMC
February 2019
18 Reads

Attentional, interpretation and memory biases for sensory-pain words in individuals with chronic headache.

Br J Pain 2019 Feb 20;13(1):22-31. Epub 2018 Jul 20.

Pain Research Laboratory, Department of Psychology, University of Southampton, Southampton, UK.

Introduction: Cognitive biases in attention, interpretation and less consistently memory have been observed in individuals with chronic pain and play a critical role in the onset and maintenance of chronic pain. Despite operating in combination cognitive biases are typically explored in isolation.

Aim: The primary aim of this study was to explore attentional, interpretation and memory biases and their interrelationship in individuals with chronic headache. Read More

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http://dx.doi.org/10.1177/2049463718789445DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327358PMC
February 2019
1 Read

Chronic pain: a consequence of dysregulated protective action.

Authors:
Patrick Hill

Br J Pain 2019 Feb 10;13(1):13-21. Epub 2018 Sep 10.

Royal United Hospital, Bath, UK.

Introduction: Pain is considered to be one of a number of idiosyncratic, context-dependent 'protective actions' projected into the conscious domain by the central nervous system (CNS), as a result of a series of complex interactions in response to perceived threat. A model is described which proposes chronic pain and a variety of long-term, systemic functional neurological conditions to be a consequence of significant dysregulation of these protection systems.

The Model: Previous research has demonstrated that a cognitive-behavioural model, first described in 1995 by Surawy et al. Read More

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http://dx.doi.org/10.1177/2049463718799784DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327352PMC
February 2019
2 Reads

A single case experimental design: how do different psychological outcome measures capture the experience of a client undergoing CBT for chronic pain.

Br J Pain 2019 Feb 1;13(1):6-12. Epub 2018 Oct 1.

Sheffield Chronic Pain Psychology Service, Sheffield Health and Social Care NHS Foundation Trust, Sheffield, UK.

Introduction: Reports suggest that many people who experience chronic pain also experience associated mental health difficulties. Currently the first line psychotherapeutic intervention for people who experience anxiety and depression within the context of chronic pain is Cognitive Behaviour Therapy. Anecdotal clinical reports suggest that commonly used psychological outcome measures do not truly reflect the experience and improvement of clients who experience chronic pain following CBT. Read More

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http://dx.doi.org/10.1177/2049463718802873DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327351PMC
February 2019
1 Read

A pilot study investigating whether quantitative sensory testing alters after treatment in patients with fibromyalgia.

Br J Pain 2018 Nov 15;12(4):250-256. Epub 2018 May 15.

Pain and Anaesthesia Research Centre, Barts Health NHS Trust, London, UK.

Background: Fibromyalgia is a chronic musculoskeletal pain condition that is often associated with sleep disturbances and fatigue. The pathophysiology of fibromyalgia is not understood, but indirect evidence suggests a central dysfunction of the nociceptive modulating system. The aim of this study was to evaluate whether quantitative sensory testing detects a change in pain thresholds in fibromyalgia patient receiving pregabalin treatment. Read More

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http://dx.doi.org/10.1177/2049463718776336DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194975PMC
November 2018
4 Reads

The impact of meridian balance method electro-acupuncture treatment on chronic pelvic pain in women: a three-armed randomised controlled feasibility study using a mixed-methods approach.

Br J Pain 2018 Nov 14;12(4):238-249. Epub 2018 May 14.

Edinburgh Cancer Research Centre (IGMM), University of Edinburgh, UK.

Introduction: Chronic pelvic pain (CPP) is estimated to affect 6%-27% of women worldwide. In the United Kingdom, over 1 million women suffer from CPP and it has been highlighted as a key area of unmet need. Standard treatments are associated with unacceptable side effects. Read More

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http://dx.doi.org/10.1177/2049463718776044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194971PMC
November 2018
9 Reads

Major lower limb amputation audit - introduction and implementation of a multimodal perioperative pain management guideline.

Br J Pain 2018 Nov 18;12(4):230-237. Epub 2018 Apr 18.

Department of Anaesthetics, Dudley Group of Hospitals NHS Foundation Trust, Dudley, UK.

Lower limb amputation is a frequent surgical intervention. It is well known to be associated with postoperative pain. Optimisation of perioperative pain has been shown to reduce the risk of chronic pain. Read More

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http://journals.sagepub.com/doi/10.1177/2049463718769339
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http://dx.doi.org/10.1177/2049463718769339DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194968PMC
November 2018
3 Reads

The impact of relocation of chronic pain service from hospital setting to community centre on patient experience: a single-centre audit.

Br J Pain 2018 Nov 20;12(4):220-229. Epub 2018 Mar 20.

Department of Anaesthesia, Critical Care and Pain Medicine, The University of Edinburgh, Edinburgh, UK.

Background And Aims: The Lothian Chronic Pain Service relocated from a university teaching hospital (Western General Hospital (WGH)) to a community centre (Leith Community Treatment Centre (LCTC)) in 2015. Transportation and geographical location were noted by staff to be potential challenges that could negatively impact on the patient experience. The objective of this study is to evaluate how relocating pain clinic from an urban-based hospital to a peripheral community centre on patient experience. Read More

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http://dx.doi.org/10.1177/2049463718762975DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194976PMC
November 2018
22 Reads

High-frequency spinal cord stimulation causing cardiac paresthesias after lead migration: a case report.

Br J Pain 2018 Nov 1;12(4):217-219. Epub 2018 Mar 1.

Department of Neurological Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, NJ, USA.

Introduction: High-frequency (HF) spinal cord stimulation (SCS), a relatively new form of spinal cord stimulation, provides stimulation frequencies of up to 10 kHz and allows for paresthesia-free pain relief, an advantage that distinguishes it from traditional stimulation therapy. Without paresthesias, patients with HF SCS do not experience position-dependent painful stimulation and do not have to experience treatment interruption during sleep. Lead migration is a well-known complication of conventional spinal cord stimulation and usually results in a loss of efficacy along with other unpleasant sensory symptoms. Read More

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http://dx.doi.org/10.1177/2049463718762970DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194969PMC
November 2018
3 Reads

Onset of analgesia by a topically administered flurbiprofen lozenge: a randomised controlled trial using the double stopwatch method.

Br J Pain 2018 Nov 25;12(4):208-216. Epub 2018 Jan 25.

Reckitt Benckiser, Parsippany, NJ, USA.

Background: The double stopwatch (DSW) method for determining the onset of analgesic activity has been implemented extensively by investigators studying orally administered drugs.

Objective: The aim of this randomised, placebo-controlled trial was to use the DSW method to determine the time to onset of analgesia of a single dose of a topically administered non-steroidal anti-inflammatory drug, flurbiprofen 8.75 mg lozenge. Read More

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http://dx.doi.org/10.1177/2049463718756152DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194974PMC
November 2018
10 Reads

Phantom limb pain: a review of pharmacological management.

Br J Pain 2018 Nov 15;12(4):202-207. Epub 2017 Dec 15.

The James Cook University Hospital, Middlesbrough, UK.

Introduction: Phantom limb pain (PLP) is a complex condition resulting in pain in the missing limb affecting 60-80% amputees. Increasing number of patients are undergoing amputations. Approximately 1 per every 1000 people in the United Kingdom is an amputee. Read More

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http://dx.doi.org/10.1177/2049463717747307DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194972PMC
November 2018
1 Read

Marvellous metrics.

Authors:
Felicia Cox

Br J Pain 2018 Nov 20;12(4):200. Epub 2018 Sep 20.

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http://dx.doi.org/10.1177/2049463718801695DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194970PMC
November 2018
1 Read

Lidocaine 5%-medicated plaster (Versatis) for localised neuropathic pain: results of a multicentre evaluation of use in children and adolescents.

Br J Pain 2018 Aug 31;12(3):189-193. Epub 2018 Jan 31.

Sheffield Children's NHS Foundation Trust, Sheffield, UK.

The Lidocaine 5% plaster is licensed for the symptomatic relief of neuropathic pain associated with post-herpetic neuralgia in adult patients over 18 years of age. Studies in adults also demonstrate efficacy of Lidocaine 5% plasters in other neuropathic pain conditions. Case reports and experience suggested efficacy of Lidocaine 5% plasters in children and adolescents with localised neuropathic pain. Read More

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http://journals.sagepub.com/doi/10.1177/2049463718756431
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http://dx.doi.org/10.1177/2049463718756431DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058457PMC
August 2018
2 Reads

A philosophical critique of the UK's National Institute for Health and Care Excellence guideline 'Palliative care for adults: strong opioids for pain relief'.

Br J Pain 2018 Aug 10;12(3):183-188. Epub 2018 Jan 10.

International Observatory on End of Life Care, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.

The National Institute for Health and Care Excellence (NICE) promotes evidence-based medicine throughout contemporary health care. Its guidelines are employed in the United Kingdom and elsewhere, influencing the type and quality of health care provided. NICE considers a range of evidence in the process of creating guidelines; however, the research accepted as evidence greatly relies on positivist methodologies. Read More

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http://dx.doi.org/10.1177/2049463717753021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058459PMC
August 2018
4 Reads