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


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
2 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
12 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
1 Read

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
6 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
10 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

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
1 Read

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

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
1 Read

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
7 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
2 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
15 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

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

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
Publisher Site
http://dx.doi.org/10.1177/2049463718756431DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058457PMC
August 2018
1 Read

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
2 Reads

Opioid prescribing in general practice: use of a two-stage review tool to identify and assess high-dose prescribing.

Br J Pain 2018 Aug 15;12(3):171-182. Epub 2017 Nov 15.

Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

Background: Long-term opioid analgesic prescribing in chronic non-cancer pain (CNCP) is a growing worldwide concern. This has implications for optimal healthcare management in general and chronic pain management specifically. This work documents the development of a review tool and its use in the South West of England in a locality that showed opioid prescribing levels higher than surrounding localities. Read More

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http://dx.doi.org/10.1177/2049463717742420DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058458PMC
August 2018
1 Read

'Put the illness in a box': a longitudinal interpretative phenomenological analysis of changes in a sufferer's pictorial representations of pain following participation in a pain management programme.

Br J Pain 2018 Aug 26;12(3):163-170. Epub 2017 Oct 26.

Kent Community Health NHS Foundation Trust, Ashford, UK.

Combining participant drawings with interviews can stimulate deep reflection and allow the inexpressible to be expressed. This case study uses visual methods to illustrate the 9-month self-management journey of a female chronic pain sufferer. The participant drew a picture of her pain at each of three interviews, and the drawings were used to discuss the changing impact pain was having on her life. Read More

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http://dx.doi.org/10.1177/2049463717738804DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058454PMC
August 2018
9 Reads

The use of fentanyl in pain management in head and neck cancer patients: a narrative review.

Br J Pain 2018 Aug 10;12(3):155-162. Epub 2017 Oct 10.

Medical Oncology Unit, Sant'Andrea Hospital of Rome, Rome, Italy.

Background: Head and neck (H&N) cancers account for about 5% of all malignant tumours. Pain is one of the most feared consequences of H&N neoplasms and is experienced by up to 80% of patients and worsens their quality of life inhibiting speaking, eating, drinking or swallowing. Nevertheless, pain is still often underestimated and undertreated. Read More

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http://dx.doi.org/10.1177/2049463717736787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058455PMC

Ultrasound-guided radiofrequency ablation of genicular nerves of knee for relief of intractable pain from knee osteoarthritis: a case series.

Br J Pain 2018 Aug 19;12(3):145-154. Epub 2017 Sep 19.

Department of Anesthesiology and Pain Medicine, Asian Institute of Medical Sciences, Faridabad, India.

Introduction: The knee arthroplasty is the best option for patients with advanced osteoarthritis who have failed all other conservative options, but regrettably many patients fail to undergo surgery due to co-morbidities or other reasons. So, new alternative modes are always in demand for these patients.

Methods: The ultrasound-guided radiofrequency ablation (RFA) of all the genicular nerves of knee joint was done in patients with grade III and IV osteoarthritis of knee joint, with severe pain (numerical rating scale (NRS) > 7) who had failed conservative management and intra-articular injections after a positive genicular nerve block with local anaesthetics. Read More

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http://dx.doi.org/10.1177/2049463717730433DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058456PMC
August 2018
3 Reads

Chronic pain, loss and the future - Development and evaluation of an innovative, interactive pain education tool.

Br J Pain 2018 Aug 12;12(3):136-144. Epub 2017 Sep 12.

Keeping Pace With Pain, Southampton, UK.

Background: The development of chronic pain can result in multiple losses to an individual, which can negatively impact their quality of life. Presentation of the concepts of loss and grief as an interactive educational tool may help those who live with chronic pain gain a deeper understanding of their condition. This in turn may enable more effective management of their pain. Read More

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http://dx.doi.org/10.1177/2049463717728809DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058453PMC

Retraction notice.

Authors:

Br J Pain 2018 May 15;12(2):131. Epub 2018 Mar 15.

[This retracts the article DOI: 10.1177/2049463717728039.]. Read More

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http://dx.doi.org/10.1177/2049463718766270DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958517PMC

Using patient experiences to develop services for chronic pain.

Br J Pain 2018 May 28;12(2):122-131. Epub 2018 Feb 28.

Anaesthetics and Pain Management, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.

Purpose: The aim of this study was to improve the overall experience for patients using chronic pain services at a large teaching hospital in England. Experience-based co-design methodology was used to gain a greater understanding of patients' experiences and to produce a list of priorities for change when improving the patient experience.

Method: A total of seven video-recorded patient interviews were conducted to capture a range of patient experiences of using the chronic pain service. Read More

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http://dx.doi.org/10.1177/2049463718759782DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958516PMC

Five years of a community pain service solution-focused pain management programme: extended data and reflections.

Br J Pain 2018 May 5;12(2):113-121. Epub 2017 Dec 5.

Southport and Ormskirk Hospital NHS Trust, Southport, UK.

1. This article aims to provide a long-term update 2 years on from our initial paper and summarises service evaluation data collected from 21 pain management programmes, using a solution-focused approach in a community pain service. 2. Read More

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http://journals.sagepub.com/doi/10.1177/2049463717744358
Publisher Site
http://dx.doi.org/10.1177/2049463717744358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958514PMC
May 2018
1 Read

Evaluation of uptake and effect on patient-reported outcomes of a clinician and patient co-led chronic musculoskeletal pain self-management programme provided by the UK National Health Service.

Br J Pain 2018 May 26;12(2):104-112. Epub 2017 Sep 26.

Faculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, UK.

In the United Kingdom, chronic pain affects approximately 28 million adults, creating significant healthcare and socio-economic costs. The aim was to establish whether a programme designed to use best evidence of content and delivery will be used by patients with significant musculoskeletal pain problems. Of 528 patients recruited, 376 participated in a 7-week-long group-based self-management programme (SMP) co-delivered by clinical and lay tutors. Read More

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http://dx.doi.org/10.1177/2049463717734015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958511PMC
May 2018
7 Reads

Listening to and letting pain speak: poetic reflections.

Br J Pain 2018 May 3;12(2):95-103. Epub 2017 Nov 3.

Montreal Pain Support Group, Montreal, QC, Canada.

The humanities invite opportunities for people to describe through their metaphors, symbols and language a means in which to interpret their pain and reinterpret their new lived experiences. The patient and family all live with pain and can only use their pain narratives of that experience to confront or even to begin to understand the quantifiable discipline of medicine. The patient and family narratives act to retain meaning within a lived pained experience. Read More

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http://dx.doi.org/10.1177/2049463717741146DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958513PMC

Understanding the link between feelings of mental defeat, self-efficacy and the experience of chronic pain.

Br J Pain 2018 May 16;12(2):87-94. Epub 2018 Feb 16.

Bath Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, Bath, UK.

Objectives: 'Mental defeat' (MD) has been identified among people with chronic pain as a type of self-processing related to social role and rank. Research has linked it to anxiety, pain interference and functional disability. The relationship between MD and other cognitive constructs, such as hopelessness and depression, remains poorly understood. Read More

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http://dx.doi.org/10.1177/2049463718759131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958515PMC

Analgesic reduction during an interdisciplinary pain management programme: treatment effects and processes of change.

Br J Pain 2018 May 2;12(2):72-86. Epub 2017 Oct 2.

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

Long-term use of opioid medication is associated with a host of negative effects on health and quality of life. Guidelines state that people with chronic pain taking high doses of opioids without benefit should be supported to discontinue them. Little research has investigated psychological processes associated with analgesic use and tapering. Read More

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http://dx.doi.org/10.1177/2049463717734016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958512PMC

Guest editorial for May issue.

Authors:
Zoey Malpus

Br J Pain 2018 May 30;12(2):69-71. Epub 2018 Apr 30.

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http://dx.doi.org/10.1177/2049463718769938DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958518PMC

A week of pain in the emergency department.

Br J Pain 2018 Feb 19;12(1):58-63. Epub 2017 Sep 19.

Emergency Medicine Academic Group, Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.

Background: Pain is a common complaint in patients attending the emergency department (ED), and historically, it is under-assessed and undertreated. Previous research is heterogeneous and does not well describe pain in EDs over time. Our aim was to describe pain in a UK ED using a sample that included every adult attendance over the course of 1 week. Read More

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http://dx.doi.org/10.1177/2049463717731898DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788115PMC
February 2018
1 Read

A national survey of pain clinics within the United Kingdom and Ireland focusing on the multidisciplinary team and the incorporation of the extended nursing role.

Br J Pain 2018 Feb 18;12(1):47-57. Epub 2017 Aug 18.

Imperial College London, London, UK.

Inconsistencies in the availability and quality of pain service provision have been noted nationally, as have lengthy waiting times for appointments and lack of awareness of the Pain Clinic role. The 2013 NHS England report stated that specialist pain services must offer multispecialty and multidisciplinary pain clinics. This national survey of multidisciplinary pain service provision in the United Kingdom and Ireland provides a snapshot of pain service provision in order to review and highlight what variations exist in multidisciplinary team (MDT) provision and working patterns. Read More

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http://journals.sagepub.com/doi/10.1177/2049463717725015
Publisher Site
http://dx.doi.org/10.1177/2049463717725015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788114PMC
February 2018
9 Reads

Dimension of pain-related quality of life and self-reported mental health in men and women of the European Prospective Investigation into Cancer-Norfolk cohort: a population-based cross-sectional study.

Br J Pain 2018 Feb 15;12(1):35-46. Epub 2017 Aug 15.

Ageing Clinical and Experimental Research Team, Institute of Applied Health Sciences, The School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.

Both cognitive and behavioural factors are linked to the experience of pain as well as its interference with quality of life. Psychological distress has been shown to be associated to several emotional and social impairments. Although, the association between pain and mental health has been widely discussed, the understanding of life interference and outcome is not fully understood. Read More

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http://dx.doi.org/10.1177/2049463717724566DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788113PMC
February 2018
15 Reads

Tramadol sparing effect of dexmedetomidine as an adjuvant with lignocaine in preoperative stellate ganglion block for postoperative pain relief following upper limb surgeries.

Br J Pain 2018 Feb 9;12(1):26-34. Epub 2017 Aug 9.

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

Background: Recent literature has established the role of stellate ganglion block (SGB) for management of acute postoperative pain. The effects of dexmedetomidine as an adjuvant to lignocaine in a preoperative SGB for postoperative pain relief have not been evaluated so far.

Methods: The following randomised, double-blinded, control trail included 54 patients scheduled for upper limb orthopaedic surgery under general anaesthesia. Read More

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http://dx.doi.org/10.1177/2049463717720788DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788112PMC
February 2018

Prevalence and management of intrathecal morphine-induced pruritus in New Zealand Māori healthcare recipients.

Br J Pain 2018 Feb 21;12(1):20-25. Epub 2017 Jul 21.

Department of Nursing, Building 503, 85 Park Rd, Auckland 1142, New Zealand.

Aims And Objectives: The aim of this article was to determine whether the incidence of intrathecal morphine-induced pruritus (ITMI) was influenced by ethnicity, age or gender in relation to orthopaedic versus caesarean surgeries.

Background: The use of intrathecal morphine for patients undergoing total hip and knee joint replacements and for lower segment caesarean sections (LSCS) has gained popularity worldwide since its introduction over 30 years ago. Several international studies show that morphine delivered via the intrathecal route is an effective and safe method of pain relief. Read More

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http://dx.doi.org/10.1177/2049463717719773DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788110PMC
February 2018
6 Reads

Better safe than sorry? Frequent attendance in a hospital emergency department: an exploratory study.

Br J Pain 2018 Feb 21;12(1):10-19. Epub 2017 Jul 21.

Department of Psychology, University of Bath, Bath, UK.

Introduction: Pain accounts for the majority of attendances to the Emergency Department (ED), with insufficient alleviation of symptoms resulting in repeated attendance. People who frequently attend the ED are typically considered to be psychologically and socially vulnerable in addition to experiencing health difficulties. This service development study was commissioned to identify the defining characteristics and unmet needs of frequent attenders (FAs) in a UK acute district general hospital ED, with a view to developing strategies to meet the needs of this group. Read More

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http://dx.doi.org/10.1177/2049463717720635DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788111PMC
February 2018

Applying realistic medicine to intrathecal opioid utilisation in Scotland: do we have a standardised approach?

Br J Pain 2018 Feb 19;12(1):5-9. Epub 2017 Jun 19.

Department of Anaesthesia, Critical Care and Pain, Glasgow Royal Infirmary, Glasgow, UK.

Intrathecal opioids (ITOs) are commonly administered as part of a multimodal anaesthetic strategy for a variety of surgical procedures. The evolution of laparoscopic surgical techniques has seen the popularity of ITOs increase as they are effective, well tolerated and lack the cardiovascular side effects associated with epidural infusions. The risk of delayed respiratory depression remains a concern; therefore, high-quality post-operative monitoring is vital. Read More

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http://dx.doi.org/10.1177/2049463717717124DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788109PMC
February 2018

The characterisation of unexplained pain after knee replacement.

Br J Pain 2017 Nov 31;11(4):203-209. Epub 2017 Jul 31.

Royal Devon and Exeter Hospital, Exeter, UK.

Background: The aims of this study were to characterise the pain experienced by patients with chronic pain after knee replacement (KR), in whom no apparent 'orthopaedic' problem could be identified, and to establish how many have pain sensitisation problems (including neuropathic pain).

Methods: A total of 44 patients were prospectively evaluated at a multidisciplinary tertiary referral clinic by an orthopaedic surgeon, pain specialist, rheumatologist and physiotherapist. These patients had been pre-screened by an orthopaedic surgeon to remove cases where there was an obvious cause of pain that could be treated with revision surgery. Read More

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http://dx.doi.org/10.1177/2049463717719774DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661688PMC
November 2017
3 Reads

Chronic post-amputation pain: peri-operative management - Review.

Br J Pain 2017 Nov 9;11(4):192-202. Epub 2017 Oct 9.

Department of Anaesthesia, Raigmore Hospital, Inverness, Scotland, United Kingdom, IV2 3UJ.

Study Design: Narrative review.

Method: Eight bibliographic databases were searched for studies published in the (last five years up until Feb 2017). For the two database searches (Cochrane and DARE), the time frame was unlimited. Read More

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http://dx.doi.org/10.1177/2049463717736492DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661696PMC
November 2017

The role of intraoperative interventions to minimise chronic postsurgical pain.

Br J Pain 2017 Nov 18;11(4):186-191. Epub 2017 Jul 18.

Department of Perioperative Medicine, Barts Heart Centre, London, UK.

Chronic postsurgical pain (CPSP) is the most common complication following surgery, with increasing evidence of both its prevalence and severity. While awareness of the various risk factors for this long-term condition is also increasing, effective prevention remains elusive. In this review, we describe the increasing evidence for preventive or 'protective' strategies. Read More

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http://dx.doi.org/10.1177/2049463717720640DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661690PMC
November 2017
3 Reads

Chronic postsurgical pain: is there a possible genetic link?

Authors:
Sabu Kumar James

Br J Pain 2017 Nov 28;11(4):178-185. Epub 2017 Jul 28.

Monklands Hospital, Airdrie, UK.

Persistent or chronic postsurgical pain (CPSP) has been defined as 'pain persisting beyond 2 months'. The cut-off limit of 2 months has been controversial, and some researchers argue for a 3-month period for the definition of CPSP. Multiple mechanisms, including both patient and surgical, have been shown to influence this transition. Read More

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http://dx.doi.org/10.1177/2049463717723222DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661692PMC
November 2017
1 Read

The psychology of chronic post-surgical pain: new frontiers in risk factor identification, prevention and management.

Br J Pain 2017 Nov 12;11(4):169-177. Epub 2017 Jul 12.

Transitional Pain Service, Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network Toronto, ON, Canada.

In an era of considerable advances in anaesthesiology and pain medicine, chronic pain after major surgery continues to be problematic. This article briefly reviews the known psychological risk and protective factors associated with the development of chronic postsurgical pain (CPSP). We begin with a definition of CPSP and then explain what we mean by a risk/protective factor. Read More

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http://dx.doi.org/10.1177/2049463717720636DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661689PMC
November 2017
18 Reads

Does perioperative ketamine have a role in the prevention of chronic postsurgical pain: the ROCKet trial.

Br J Pain 2017 Nov 6;11(4):166-168. Epub 2017 Oct 6.

Anaesthesia, Perioperative and Pain Medicine Unit (APPMU), Melbourne Medical School, The University of Melbourne, Parkville, VIC, Australia.

Identifying operations and individuals with an increased risk of chronic postsurgical pain (CPSP) has led to significant interest in interventions with the potential to achieve primary prevention of this condition. Pharmacological prevention remains controversial with a Cochrane review identifying perioperative ketamine administration as the only intervention with possible benefit although, with only small, heterogeneous studies, the authors called for a large randomised controlled trial (RCT) to confirm the validity of this result. In response to these data, a group of researchers from Australia and Hong Kong designed the ROCKet trial - Reduction Of Chronic Post-surgical Pain with Ketamine, endorsed by the Australian and New Zealand College of Anaesthetists (ANZCA) Clinical Trials Network (CTN). Read More

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http://dx.doi.org/10.1177/2049463717736076DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661694PMC
November 2017
3 Reads

'Why me?' The problem of chronic pain after surgery.

Br J Pain 2017 Nov 21;11(4):162-165. Epub 2017 Jul 21.

Université catholique de Louvain - Cliniques Universitaires Saint-Luc, Brussels, Belgium.

Chronic postsurgical pain (CPSP) has become a health priority and is scheduled to be included in the upcoming version of the International Classification of Diseases, 11th Revision (ICD-11). Recent studies on CPSP show unchanged prevalence despite progress made in fundamental research about underlying pathophysiological mechanisms. Nevertheless, clinical research has allowed better understanding of some CPSP aspects such as the development of neuropathic CPSP. Read More

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http://dx.doi.org/10.1177/2049463717722119DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661691PMC
November 2017

The puzzle of chronic post-surgical pain: collaborative problem solving at its best?

Authors:
Jane Quinlan

Br J Pain 2017 Nov 22;11(4):160-161. Epub 2017 Sep 22.

John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

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http://dx.doi.org/10.1177/2049463717733287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661693PMC
November 2017
1 Read

Pain after surgery.

Authors:
Roger D Knaggs

Br J Pain 2017 Nov 27;11(4):159. Epub 2017 Oct 27.

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http://dx.doi.org/10.1177/2049463717736625DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661697PMC
November 2017
3 Reads

Can images of pain enhance patient-clinician rapport in pain consultations?

Br J Pain 2017 Aug 26;11(3):144-152. Epub 2017 Jun 26.

Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.

A variety of treatment outcomes in chronic pain are influenced by patient-clinician rapport. Patients often report finding it difficult to explain their pain, and this potential obstacle to mutual understanding may impede patient-clinician rapport. Previous research has argued that the communication of both patients and clinicians is facilitated by the use of pain-related images in pain assessments. Read More

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http://dx.doi.org/10.1177/2049463717717125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5521352PMC
August 2017
25 Reads