1,282 results match your criteria Current Pain and Headache Reports [Journal]


Perioperative Pain Management in the Critically Ill Patient.

Curr Pain Headache Rep 2019 Apr 11;23(5):34. Epub 2019 Apr 11.

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, 02115, USA.

Purpose Of Review: The assessment and management of perioperative pain in an intensive care setting is complex and challenging, requiring several patient-specific considerations. Administering analgesia is difficult due to interacting effects of pre-existing conditions, interventions, and deviation from standard levels of expressiveness of pain. A significant part of this complexity also arises from the reduced capacity of critically ill patients to fully communicate the severity and nature of their pain. Read More

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http://link.springer.com/10.1007/s11916-019-0771-3
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http://dx.doi.org/10.1007/s11916-019-0771-3DOI Listing
April 2019
5 Reads

Metabolic and the Surgical Stress Response Considerations to Improve Postoperative Recovery.

Curr Pain Headache Rep 2019 Apr 11;23(5):33. Epub 2019 Apr 11.

Department of Anesthesiology, LSU School of Medicine, Room 656, 1542 Tulane Ave., New Orleans, LA, 70112, USA.

Purpose Of Review: Enhanced recovery pathways are a multimodal, multidisciplinary approach to patient care that aims to reduce the surgical stress response and maintain organ function resulting in faster recovery and improved outcomes.

Recent Findings: A PubMed literature search was performed for articles that included the terms of metabolic surgical stress response considerations to improve postoperative recovery. The surgical stress response occurs due to direct and indirect injuries during surgery. Read More

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http://dx.doi.org/10.1007/s11916-019-0770-4DOI Listing
April 2019
1 Read

Neurogenic Claudication: a Review of Current Understanding and Treatment Options.

Curr Pain Headache Rep 2019 Mar 19;23(5):32. Epub 2019 Mar 19.

Department of Anesthesiology, Advocate Illinois Masonic Medical Center, 836 W. Wellington Ave. Suite 4815, Chicago, IL, 60657, USA.

Purpose Of Review: With an aging population and increased prevalence of the disease, we set out to evaluate the validity of current diagnostic criteria for neurogenic claudication as well as the efficacy of the treatment options for the main cause, lumbar spinal stenosis (LSS).

Recent Findings: Epidural steroid injections (ESI) were most efficacious when the injectate is a steroid combined with lidocaine or lidocaine only. There are promising results regarding the efficacy of the minimally invasive lumbar decompression (MILD) procedure as well as interspinous process spacers (IPS) compared to surgical alternatives. Read More

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http://link.springer.com/10.1007/s11916-019-0769-x
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http://dx.doi.org/10.1007/s11916-019-0769-xDOI Listing
March 2019
7 Reads

The Utilization of Mu-Opioid Receptor Biased Agonists: Oliceridine, an Opioid Analgesic with Reduced Adverse Effects.

Curr Pain Headache Rep 2019 Mar 18;23(5):31. Epub 2019 Mar 18.

Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA.

Purpose Of Review: The purpose of this review is to summarize the current understanding of opioid pathways in mediating and/or modulating analgesia and adverse effects. Oliceridine is highlighted as a novel mu-opioid receptor agonist with selective activation of G protein and β-arrestin signaling pathways.

Recent Findings: Oliceridine (TRV130; [(3-methoxythiophen-2-yl)methyl]({2-[(9R)-9-(pyridin-2-yl)-6-oxaspiro[4. Read More

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http://dx.doi.org/10.1007/s11916-019-0773-1DOI Listing
March 2019
1 Read

CGRP Antagonists for the Treatment of Chronic Migraines: a Comprehensive Review.

Curr Pain Headache Rep 2019 Mar 14;23(5):29. Epub 2019 Mar 14.

Valley Anesthesiology and Pain Consultants, Phoenix, AZ, USA.

Purpose Of Review: The purpose of the following review is to summarize the most recent understanding of migraine pathophysiology, as well as of basic and clinical science pharmacologic literature regarding the development of calcitonin gene receptor peptide (CGRP) antagonists as a novel therapeutic modality for the treatment of migraine headaches. A review is provided of erenumab, the first of its class FDA approved CGRP antagonist.

Recent Findings: Despite its high prevalence, the occurrence and treatment of migraine headaches is poorly understood. Read More

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http://dx.doi.org/10.1007/s11916-019-0768-yDOI Listing
March 2019
8 Reads

The Hypertensive Headache: a Review.

Curr Pain Headache Rep 2019 Mar 14;23(5):30. Epub 2019 Mar 14.

Mayo Clinic Arizona, 13400 E Shea Blvd, Scottsdale, AZ, 85259, USA.

Purpose Of Review: The purpose of this review is to provide an overview and update on the common causes of headache attributed to arterial hypertension with a focus on secondary headache disorders. We will also highlight uncommon and recent findings in this area of research.

Recent Findings: There is some controversy in the relationship between chronic hypertension and headache, particularly migraine; recent research suggests that there may be a link, but it is likely complex and multifactorial. Read More

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http://link.springer.com/10.1007/s11916-019-0767-z
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http://dx.doi.org/10.1007/s11916-019-0767-zDOI Listing
March 2019
3 Reads

Enhanced Recovery for Breast Reconstruction Surgery.

Curr Pain Headache Rep 2019 Mar 14;23(4):27. Epub 2019 Mar 14.

Department of Anesthesiology, LSU Health Science Center, 1542 Tulane Avenue, Suite 659, New Orleans, LA, 70112, USA.

Purpose Of Review: Enhanced recovery pathways are a well-described perioperative healthcare program involving evidence-based interventions. Enhanced recovery is designed to standardize techniques such as drug selection and nerve blocks in order to speed recovery and reduce overall hospital costs.

Recent Findings: A PubMed literature search was performed for articles that included the terms enhanced recovery and breast reconstruction surgery. Read More

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http://dx.doi.org/10.1007/s11916-019-0761-5DOI Listing
March 2019
2 Reads

Spinal Cord Stimulation: Comparing Traditional Low-frequency Tonic Waveforms to Novel High Frequency and Burst Stimulation for the Treatment of Chronic Low Back Pain.

Curr Pain Headache Rep 2019 Mar 14;23(4):25. Epub 2019 Mar 14.

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.

Purpose Of Review: The purpose of the present investigation is to summarize supporting evidence for novel sub-perception spinal cord stimulation (SCS) therapy over traditional paresthesia inducing low-frequency waveforms for the treatment of chronic pain. The focus of this review is to summarize key studies comparing traditional low-frequency tonic waveforms to modern high frequency and burst stimulation for the treatment of patients with chronic intractable low back pain and/or leg pain.

Recent Findings: Several recent studies have demonstrated the benefit of novel SCS therapies over traditional low-frequency SCS for the treatment of patients with chronic low back and/or leg pain. Read More

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http://dx.doi.org/10.1007/s11916-019-0763-3DOI Listing
March 2019
3 Reads

Enhanced Recovery Pathways for Cardiac Surgery.

Curr Pain Headache Rep 2019 Mar 14;23(4):28. Epub 2019 Mar 14.

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, USA.

Purpose Of Review: Enhanced recovery after surgery (ERAS) has become a widespread topic in perioperative medicine over the past 20 years. The goals of ERAS are to improve patient outcomes and perioperative experience, reduce length of hospital stay, minimize complications, and reduce cost. Interventions and factors before, during, and after surgery all potentially play a role with the cumulative effect being superior quality of patient care. Read More

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http://link.springer.com/10.1007/s11916-019-0764-2
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http://dx.doi.org/10.1007/s11916-019-0764-2DOI Listing
March 2019
4 Reads

Current Approach to Undifferentiated Headache Management in the Emergency Department.

Curr Pain Headache Rep 2019 Mar 14;23(4):26. Epub 2019 Mar 14.

Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, 2120 L St., Washington, DC, 20037, USA.

Purpose Of Review: To discuss pharmacological interventions in the emergency department (ED) setting for the management of acute primary headache.

Recent Findings: Acute headache treatment in the ED has seen an expansion in terms of possible pharmacological interventions in recent years. After a thorough evaluation ruling out dangerous causes of headache, providers should take the patient's history, comorbidities, and prior therapy into consideration. Read More

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http://dx.doi.org/10.1007/s11916-019-0765-1DOI Listing
March 2019
2 Reads

Regional Catheters for Outpatient Surgery-a Comprehensive Review.

Curr Pain Headache Rep 2019 Mar 14;23(4):24. Epub 2019 Mar 14.

Department of Anesthesiology, Louisiana State University Health Science Center, New Orleans, LA, USA.

Purpose Of Review: This review summarizes and discusses the history of continuous catheter blockade (CCB), its current applications, clinical considerations, economic benefits, potential complications, patient education, and best practice techniques.

Recent Findings: Regional catheters for outpatient surgery have greatly impacted acute post-operative pain management and recovery. Prior to development, options for acute pain management were limited to the use of opioid pain medications, NSAIDS, neuropathic agents, and the like as local anesthetic duration of action is limited to 4-8 h. Read More

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http://link.springer.com/10.1007/s11916-019-0762-4
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http://dx.doi.org/10.1007/s11916-019-0762-4DOI Listing
March 2019
5 Reads

Essential Elements for Enhanced Recovery After Intra-abdominal Surgery.

Curr Pain Headache Rep 2019 Mar 11;23(3):21. Epub 2019 Mar 11.

Department of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, USA.

Purpose Of Review: Enhanced recovery pathways provide a framework outlining the best perioperative care for intra-abdominal surgical procedures. To date, no evidence-based umbrella guidelines exist for all intra-abdominal surgeries.

Recent Findings: A PubMed and worldwide web search was performed with the keywords: "ERAS," "enhanced recovery after surgery", ± "protocol. Read More

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http://dx.doi.org/10.1007/s11916-019-0753-5DOI Listing

Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment.

Curr Pain Headache Rep 2019 Mar 11;23(3):23. Epub 2019 Mar 11.

Department of Anesthesiology, Louisiana State University Health Science Center, New Orleans, LA, 70112, USA.

Purpose Of Review: Low back pain encompasses three distinct sources: axial lumbosacral, radicular, and referred pain. Annually, the prevalence of low back pain in the general US adult population is 10-30%, and the lifetime prevalence of US adults is as high as 65-80%.

Recent Findings: Patient history, physical exam, and diagnostic testing are important components to accurate diagnosis and identification of patient pathophysiology. Read More

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http://dx.doi.org/10.1007/s11916-019-0757-1DOI Listing
March 2019
2 Reads

Regenerative Techniques for Neuraxial Back Pain: a Systematic Review.

Curr Pain Headache Rep 2019 Mar 11;23(3):20. Epub 2019 Mar 11.

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.

Purpose Of Review: Regenerative modalities have been identified in numerous clinical studies as beneficial in various settings. The focus of this review is to summarize key studies and current concepts for the role of regenerative medicine in the treatment of neuraxial back pain.

Recent Findings: Recent studies have demonstrated the benefit of regenerative therapies for the treatment of neuraxial back pain. Read More

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http://dx.doi.org/10.1007/s11916-019-0758-0DOI Listing
March 2019
4 Reads

Analysis of Multiple Routes of Analgesic Administration in the Immediate Postoperative Period: a 10-Year Experience.

Curr Pain Headache Rep 2019 Mar 11;23(3):22. Epub 2019 Mar 11.

Department of Anesthesiology, Yale University School of Medicine, TMP3 333, Cedar Street, New Haven, CT, USA.

Purpose Of Review: An increasing amount of literature supports a multimodal approach to analgesic administration in the management of postoperative pain. The purpose of this study and review was to further evaluate the differences in efficacy in controlling immediate postoperative pain among the various routes of analgesia administration.

Recent Findings: This study consisted of an analysis of the various routes of analgesic administration (parental, neuraxial, and oral/rectal) in 107,671 consecutive surgical cases performed over a 10-year period at Yale New Haven Hospital. Read More

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http://dx.doi.org/10.1007/s11916-019-0754-4DOI Listing

Pavlov's Pain: the Effect of Classical Conditioning on Pain Perception and its Clinical Implications.

Curr Pain Headache Rep 2019 Mar 5;23(3):19. Epub 2019 Mar 5.

CAS Key Laboratory of Mental Health, Institute of Psychology Chinese Academy of Sciences, Beijing, China.

Purpose Of Review: It has been known for decades that classical conditioning influences pain perception. However, the precise relationship between conditioning and pain remains unclear. In addition, the clinical implications of their relationship are vastly underappreciated. Read More

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http://dx.doi.org/10.1007/s11916-019-0766-0DOI Listing
March 2019
3 Reads

Is There Support for the Paradigm 'Spinal Posture as a Trigger for Episodic Headache'? A Comprehensive Review.

Curr Pain Headache Rep 2019 Mar 4;23(3):17. Epub 2019 Mar 4.

REVAL Rehabilitation Research Centre, Biomedical Research Institute, Faculty of Rehabilitation Sciences, Hasselt University, Martelarenlaan 42, 3500, Hasselt, Belgium.

Purpose Of Review: The International Classification of Headache Disorders provides an extensive framework to classify headaches. Physiotherapy is indicated if neuromusculoskeletal dysfunctions are involved in the pathophysiology. Maladaptive postures seem a dominant trigger in tension-type and cervicogenic headache. Read More

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http://dx.doi.org/10.1007/s11916-019-0756-2DOI Listing
March 2019
4 Reads

Radiofrequency Ablation for Treating Headache.

Curr Pain Headache Rep 2019 Mar 4;23(3):18. Epub 2019 Mar 4.

Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, B6/319 CSC, Madison, WI, 53792-3272, USA.

Purpose Of Review: Examining the efficacy of radiofrequency ablation in treating headache conditions.

Recent Findings: The efficacy of radiofrequency ablation in treating headache conditions is not well studied. Chronic headache conditions can be difficult to treat with little consensus on management of headaches associated with pericranial neuralgias. Read More

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http://dx.doi.org/10.1007/s11916-019-0755-3DOI Listing

Current Therapeutic Interventions in Lower Extremity Venous Insufficiency: a Comprehensive Review.

Curr Pain Headache Rep 2019 Mar 4;23(3):16. Epub 2019 Mar 4.

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Purpose Of Review: Chronic venous disease (CVD), although affecting up to 40% of the US population, is often underdiagnosed by healthcare professionals due to an incomplete understanding of the presenting symptoms. CVD is a common cause of lower extremity pain and discomfort, including aching, cramping, tingling, burning, swelling, heaviness, restlessness, and fatigue, and may lead to significant morbidity if left untreated. The negative impact of CVD on quality of life is well established and the optimization of management strategies is an important area of evolving research. Read More

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http://dx.doi.org/10.1007/s11916-019-0759-zDOI Listing
March 2019
3 Reads

Oxycodone's Unparalleled Addictive Potential: Is it Time for a Moratorium?

Curr Pain Headache Rep 2019 Feb 28;23(2):15. Epub 2019 Feb 28.

Northern Anesthesia and Pain Medicine, LLC, 10928 Eagle River Rd. #240, Eagle River, AK, 99577, USA.

Purpose Of Review: This study and literature review were carried out to investigate whether oxycodone is the most addictive prescription opioid.

Recent Findings: This was a cross-sectional survey from a pain management practice in south-central Alaska and review of the literature involving 86 patients diagnosed with opioid dependence/opioid use disorder from 2013 to 2018. Patients were given a list of prescription opioids and asked to identify the one (1) most desirable to themselves, (2) most desirable among drug-using associates or community, and (3) they deemed most addictive. Read More

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http://dx.doi.org/10.1007/s11916-019-0751-7DOI Listing
February 2019
1 Read

Perioperative Considerations in the Management of Anticoagulation Therapy for Patients Undergoing Surgery.

Curr Pain Headache Rep 2019 Feb 22;23(2):13. Epub 2019 Feb 22.

Department of Anesthesiology, Yale University School of Medicine, TMP3 333, Cedar Street, New Haven, CT, USA.

Purpose Of Review: As ambulatory surgery has become increasingly more common, the appropriate management of anticoagulation therapy in patients undergoing invasive procedures has become progressively more relevant to healthcare professionals. The purpose of this literature review is to provide an overview of current common anaticoagulants and their pharmacological properties and to evaluate recent relevant literature and bridging therapy and provide recommendations on risk-guided therapy.

Recent Findings: With the development of new drugs and the advancing study and practice of anticoagulation use, clinicians must keep up-to-date on the optimal management of patients requiring anticoagulation. Read More

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http://link.springer.com/10.1007/s11916-019-0747-3
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http://dx.doi.org/10.1007/s11916-019-0747-3DOI Listing
February 2019
6 Reads

Functional Improvements Utilizing the Short Physical Performance Battery (SPPB) in the Elderly after Epidural Steroid Injections.

Curr Pain Headache Rep 2019 Feb 22;23(2):14. Epub 2019 Feb 22.

Internal Medicine-Geriatrics, University of Texas Medical Branch, Galveston, TX, USA.

Purpose Of Review: The treatment of debilitating pain and loss of function secondary to lumbar stenosis is in high demand with the aging patient population. Options, including epidural steroid injections (ESIs) and medication therapy, are limited and it is unclear if they provide any functional improvements. In this prospective study, we evaluate functional outcomes in older adults with symptomatic lumbar stenosis treated with ESIs compared to those managed with medications by introducing the Short Physical Performance Battery (SPPB). Read More

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http://dx.doi.org/10.1007/s11916-019-0748-2DOI Listing
February 2019

Complementary and Integrative Medicine for Episodic Migraine: an Update of Evidence from the Last 3 Years.

Curr Pain Headache Rep 2019 Feb 21;23(2):10. Epub 2019 Feb 21.

Department of Neurology, Wake Forest Baptist Health, Winston-Salem, NC, USA.

Purpose Of Review: The purpose of this review is to evaluate evidence from the last 3 years on complementary and integrative medicine treatment options for episodic migraine. Using Pubmed, Embase, and Cochrane databases, research published from 2015-2018 evaluating the modalities of mind/body therapies, supplements, and manual therapies for treatment of migraine were assessed.

Recent Findings: Although many studies had major methodological challenges that limit interpretation, several studies reported decreased headache frequency, improved quality of life, or less affective responses to pain. Read More

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http://dx.doi.org/10.1007/s11916-019-0750-8DOI Listing
February 2019

Geographical Differences in Trigger Factors of Tension-Type Headaches and Migraines.

Curr Pain Headache Rep 2019 Feb 21;23(2):12. Epub 2019 Feb 21.

Division of Neurology, Department of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.

In this review, we discussed the types and frequencies of trigger factors of primary headache [migraine and tension-type headache (TTH)] among adult patients. We assessed the influence of geographical location, ethnicity and gender on the various trigger factors of a migraine and a TTH. We also evaluated the trigger factors among the multi-ethnic Southeast Asian adult patients. Read More

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http://dx.doi.org/10.1007/s11916-019-0760-6DOI Listing
February 2019

Safety and Efficacy of Radiofrequency Ablation of the Medial Branch Nerves with Preexisting Spinal Hardware. A Case Series and Review of Literature.

Curr Pain Headache Rep 2019 Feb 21;23(2):11. Epub 2019 Feb 21.

Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, B6/319 CSC, Madison, WI, 53792-3272, USA.

Purpose Of Review: To explore the efficacy of radio frequency ablation in treating pain in patients with hardware at site of the procedure.

Recent Findings: There is very limited data in literature about this topic. One study performed in 2016 indicated no complications when performing RFA close to hardware in patients with chronic pain conditions. Read More

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http://dx.doi.org/10.1007/s11916-019-0752-6DOI Listing
February 2019
1 Read

Unique Considerations for Special Populations in Episodic Migraine: the Underserved.

Curr Pain Headache Rep 2019 Feb 21;23(2). Epub 2019 Feb 21.

Department of Neurology, West Virginia University, Medical Center Drive, Suite 1310 HSS, Morgantown, WV, 26506, USA.

Purpose Of Review: People with migraine disease face many challenges, and these challenges can be magnified when someone is part of an "underserved" population. We set out to examine various categories of "underserved" populations, consider the unique challenges faced by these groups, and discuss mechanisms to mitigate these challenges as much as possible.

Recent Findings: Very little research has been performed to specifically evaluate underserved populations related to people with migraine disease. Read More

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http://dx.doi.org/10.1007/s11916-019-0749-1DOI Listing
February 2019

Migraine: Stigma in Society.

Curr Pain Headache Rep 2019 Feb 9;23(1). Epub 2019 Feb 9.

Department of Neurology, Thomas Jefferson University, Philadelphia, PA, USA.

Migraine is a prevalent disease with a substantial socioeconomic impact. However, stigma affects social attitude toward migraine, accruing additional burden on individuals with migraine and isolating them from a society that should be supporting them. PURPOSE OF THIS REVIEW: This review will discuss the following concepts: (1) the emergence of stigma toward migraine and its impact on medical care; (2) internalized stigma among those with migraine and its detrimental effect on quality of life and patient-physician relationships; (3) the structural impact of stigma on research funding, workplace support, and specialized care; and (4) strategies for "rebranding" the disease and alleviating stigma toward migraine. Read More

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http://dx.doi.org/10.1007/s11916-019-0743-7DOI Listing
February 2019
2 Reads

Sellar and Parasellar Pain Syndromes.

Authors:
Ajay P Abad

Curr Pain Headache Rep 2019 Feb 2;23(1). Epub 2019 Feb 2.

Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY, 14203, USA.

Purpose Of Review: Sellar and parasellar lesions are numerous and varying in terms of their patholphysiology and physical and radiographic characteristics but often incite pain syndromes that are similar in semiology. The goal of this review was to familiarize the reader with a variety of sellar and parasellar lesions grouped together based on common clinical symptomatology, with a focus on important imaging characteristics that are often distinguishing features diagnostically.

Recent Findings: In most cases, tissue acquisition via surgical resection or stereotactic biopsy are the mainstay for definitive diagnosis of sellar and parasellar lesions. Read More

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http://link.springer.com/10.1007/s11916-019-0740-x
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http://dx.doi.org/10.1007/s11916-019-0740-xDOI Listing
February 2019
7 Reads

History of NSAID Use in the Treatment of Headaches Pre and Post-industrial Revolution in the United States: the Rise and Fall of Antipyrine, Salicylic Acid, and Acetanilide.

Curr Pain Headache Rep 2019 Jan 23;23(1). Epub 2019 Jan 23.

Department of Neurology, Northwell Health Hofstra School of Medicine, 300 Community Drive Manhasset, Manhasset, NY, 11030, USA.

Purpose Of Review: Non-steroid anti-inflammatory drugs (NSAIDs) constitute a vital class of medications in today's headache regimen. However, up until the nineteenth century, they were largely unknown to most of the medical community. The purpose of this review is to explore the evolution of NSAIDs in the treatment of headaches spurred on by the Industrial Revolution in the USA. Read More

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http://dx.doi.org/10.1007/s11916-019-0744-6DOI Listing
January 2019
10 Reads

Adherence to Behavioral Therapy for Migraine: Knowledge to Date, Mechanisms for Assessing Adherence, and Methods for Improving Adherence.

Curr Pain Headache Rep 2019 Jan 19;23(1). Epub 2019 Jan 19.

NYU School of Medicine , New York, USA.

Purpose Of Review: In other disease states, adherence to behavioral therapies has gained attention, with a greater amount of studies discussing, defining, and optimizing adherence. For example, a meta-analysis formally discussed adherence in 25 studies of CBT for 11 different disorders, with only 6 of the 25 omitting addressing or defining adherence. Many studies have discussed the use of text messages, graph-based adherence rates, and email/telephone reminders to improve adherence. Read More

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http://link.springer.com/10.1007/s11916-019-0739-3
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http://dx.doi.org/10.1007/s11916-019-0739-3DOI Listing
January 2019
8 Reads

A Systematic Review of Radiofrequency Treatment of the Ankle for the Management of Chronic Foot and Ankle Pain.

Curr Pain Headache Rep 2019 Jan 19;23(1). Epub 2019 Jan 19.

Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, B6/319 CSC, Madison, WI, 53792-3272, USA.

Background: Chronic pain of the lower extremity remains challenging to manage. Radiofrequency treatment applies heat to nerve fibers with the goal of mitigating chronic pain conditions. The clinical efficacy has not yet been adequately established for pathologies of the ankle and foot. Read More

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http://dx.doi.org/10.1007/s11916-019-0745-5DOI Listing
January 2019
1 Read

Imaging of Carotid Dissection.

Curr Pain Headache Rep 2019 Jan 19;23(1). Epub 2019 Jan 19.

Department of Medicine, Neurology Division, Univ. of South Carolina School of Medicine-Greenville, Greenville Health System, 200 Patewood Dr., Suite #B350, Greenville, SC, 29615, USA.

Purpose Of Review: Here, we describe the four primary imaging modalities for identification of carotid artery dissection, advantages, limitations, and clinical considerations. In addition, imaging characteristics of carotid dissection associated with each modality will be described.

Recent Findings: Recent advances in etiopathogenesis describe the genetic factors implicated in cervical artery dissection. Read More

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http://dx.doi.org/10.1007/s11916-019-0741-9DOI Listing
January 2019
6 Reads

The Status of Pain Research in Academia and how We Are Doing in the United States.

Curr Pain Headache Rep 2019 Jan 19;23(1). Epub 2019 Jan 19.

Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

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http://dx.doi.org/10.1007/s11916-019-0746-4DOI Listing
January 2019
1 Read

Episodic Migraine Comorbidities: Avoiding Pitfalls and Taking Therapeutic Opportunities.

Curr Pain Headache Rep 2019 Jan 12;23(1). Epub 2019 Jan 12.

Mount Sinai Beth Israel, New York, NY, USA.

Migraine is a common neurologic disorder. This article will discuss a few factors that influence migraine (mostly episodic) and its treatment, such as sleep, obstructive sleep apnea (OSA), obesity, and affective disorders, as well as autoimmune diseases. Practitioners must be aware of these coexisting conditions (comorbidities) as they affect treatment. Read More

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http://link.springer.com/10.1007/s11916-019-0742-8
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http://dx.doi.org/10.1007/s11916-019-0742-8DOI Listing
January 2019
12 Reads

Correction to: Migraine Aura Without Headache.

Curr Pain Headache Rep 2018 Oct 20;22(12):85. Epub 2018 Oct 20.

Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, MC 9322, Dallas, TX, 75390-9322, USA.

The original version of this article contains an error in the title. The title should be: Migraine Aura Without Headache. The title is corrected in this correction article. Read More

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http://dx.doi.org/10.1007/s11916-018-0738-9DOI Listing
October 2018
1 Read

What Are We Missing in the Diagnostic Criteria for Migraine?

Curr Pain Headache Rep 2018 Oct 5;22(12):84. Epub 2018 Oct 5.

George Washington University-Medical Faculty Associates, Washington, DC, USA.

Purpose Of Review: This review is intended to examine how the diagnostic criteria for migraine have evolved over the past 45 years and to evaluate the strengths and weaknesses of the current diagnostic criteria promulgated by the International Classification of Headache Disorders (ICHD).

Recent Findings: The ICHD is a comprehensive and systematic classification system for headache disorders. As the pathophysiology of migraine is more fully elucidated and more sophisticated diagnostic technologies are developed (e. Read More

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http://link.springer.com/10.1007/s11916-018-0733-1
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http://dx.doi.org/10.1007/s11916-018-0733-1DOI Listing
October 2018
7 Reads

Buprenorphine for Chronic Pain: a Systemic Review.

Curr Pain Headache Rep 2018 Oct 5;22(12):83. Epub 2018 Oct 5.

Center for Interventional Pain and Spine, Wilmington, DE, USA.

Purpose Of Review: The purpose of this review is to evaluate and explain our current understanding of the clinical use of buprenorphine in the treatment of chronic pain.

Recent Findings: There has been few high-quality, unbiased studies performed on the use of buprenorphine in the treatment of chronic pain. Buprenorphine is an effective and safe analgesic that is tolerated at least as well, if not better, than other opioids. Read More

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http://link.springer.com/10.1007/s11916-018-0732-2
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http://dx.doi.org/10.1007/s11916-018-0732-2DOI Listing
October 2018
10 Reads

Triggers, Protectors, and Predictors in Episodic Migraine.

Curr Pain Headache Rep 2018 Oct 5;22(12):81. Epub 2018 Oct 5.

Department of Neurology, Jefferson Headache Clinic, Thomas Jefferson University, Philadelphia, PA, USA.

Purpose Of Review: A wide variety of triggers prompt attacks in episodic migraine. Although experimental triggers such as glyceryl trinitrate reliably produce migraine, natural triggers are much less predictable and vary in importance between individuals. This review describes the most common triggers in episodic migraine and provides strategies for managing them in clinical practice. Read More

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http://link.springer.com/10.1007/s11916-018-0734-0
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http://dx.doi.org/10.1007/s11916-018-0734-0DOI Listing
October 2018
32 Reads

Episodic Migraine With and Without Aura: Key Differences and Implications for Pathophysiology, Management, and Assessing Risks.

Curr Pain Headache Rep 2018 Oct 5;22(12):78. Epub 2018 Oct 5.

Graham Headache Center, Brigham and Women's Hospital, Harvard Medical School, 1153 Centre St Suite 4H, Jamaica Plain, Boston, MA, 02130, USA.

Purpose Of Review: To review the pathophysiologic, epidemiologic, and clinical evidence for similarities and differences between migraine with and without aura.

Recent Findings: The ICHD-3 has recently refined the diagnostic criteria for aura to include positive symptomatology, which better differentiates aura from TIA. Although substantial evidence supports cortical spreading depression as the cause of visual aura, the role (if any) of CSD in headache pain is not well understood. Read More

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http://dx.doi.org/10.1007/s11916-018-0735-zDOI Listing
October 2018
4 Reads

A Short Review of the Treatment of Headaches Using Osteopathic Manipulative Treatment.

Curr Pain Headache Rep 2018 Oct 5;22(12):82. Epub 2018 Oct 5.

New York Institute of Technology College of Osteopathic Medicine, Glen Head, NY, USA.

Purpose Of Review: This review highlights the importance of osteopathic manipulative treatment (OMT) in headache sufferers. OMT is a viable option for patients who either do not wish to use pharmaceuticals or who have contraindications to pharmaceuticals. Patients with headaches that are refractory to other treatment options may also be candidates for OMT. Read More

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http://link.springer.com/10.1007/s11916-018-0736-y
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http://dx.doi.org/10.1007/s11916-018-0736-yDOI Listing
October 2018
25 Reads

A Critical Exploration of Migraine as a Health Disparity: the Imperative of an Equity-Oriented, Intersectional Approach.

Curr Pain Headache Rep 2018 Oct 5;22(12):79. Epub 2018 Oct 5.

Departments of Anesthesiology and Neurology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Purpose Of Review: Despite recognition of rising prevalence and significant burden, migraine remains underestimated, underdiagnosed, and undertreated. This is especially true among groups who have been historically, socially, and economically marginalized such as communities of color, women, people experiencing poverty, people with lower levels of education, and people who hold more than one of these marginalized identities. While there is growing public and professional interest in disparities in migraine prevalence, there is a paucity of research focusing on racial/ethnic and socioeconomic disparities, and the social and structural determinants of health and equity that perpetuate these disparities. Read More

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http://link.springer.com/10.1007/s11916-018-0731-3
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http://dx.doi.org/10.1007/s11916-018-0731-3DOI Listing
October 2018
4 Reads

Unique Populations with Episodic Migraine: Pregnant and Lactating Women.

Authors:
Simy K Parikh

Curr Pain Headache Rep 2018 Oct 5;22(12):80. Epub 2018 Oct 5.

Jefferson Headache Center, Thomas Jefferson University, Suite 200, Philadelphia, PA, 19107, USA.

Purpose Of Review: Migraine is a disabling and prevalent neurological disease, commonly affecting women during their reproductive years. It is crucial for providers to be able to adequately counsel women who are pregnant, planning pregnancy, or nursing, regarding preventive and abortive treatment options for episodic migraine. This review will discuss (1) the expected course of migraine during pregnancy and the post-partum period, (2) recommended preventive therapies for migraine during pregnancy and lactation, and (3) recommended abortive medications for migraine during pregnancy and lactation. Read More

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http://link.springer.com/10.1007/s11916-018-0737-x
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http://dx.doi.org/10.1007/s11916-018-0737-xDOI Listing
October 2018
20 Reads

Current Aura Without Headache.

Curr Pain Headache Rep 2018 Sep 17;22(11):77. Epub 2018 Sep 17.

Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, MC 9322, Dallas, TX, 75390-9322, USA.

Purpose Of Review: This review evaluates and explains our current understanding of a rare subtype of migraine, typical aura without headache, also known as migraine aura without headache or acephalgic migraine.

Recent Findings: Typical aura without headache is a known entity within the spectrum of migraine. Its pathophysiology is suggested to be similar to classic migraines, with cortical spreading depression leading to aura formation but without an associated headache. Read More

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http://link.springer.com/10.1007/s11916-018-0725-1
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http://dx.doi.org/10.1007/s11916-018-0725-1DOI Listing
September 2018
20 Reads

The Pivotal Role of Pediatric Psychology in Chronic Pain: Opportunities for Informing and Promoting New Research and Intervention in a Shifting Healthcare Landscape.

Curr Pain Headache Rep 2018 Sep 11;22(11):76. Epub 2018 Sep 11.

Department of Anesthesia, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, MA, 02115, USA.

Purpose Of Review: In the context of new efforts to formulate more comprehensive diagnostic and treatment processes for chronic pain conditions, this review aims to provide an overview of some of the most salient developments in the diagnosis and clinical treatment of pediatric chronic pain and to delineate the current and future role of clinical pediatric psychologists in these efforts.

Recent Findings: The acceptance and promotion of the multidisciplinary approach to pediatric pain management has had an especially significant impact on the field of pediatric psychology. Though chronic pain was historically conceptualized as a biomedical problem, psychology is increasingly viewed as a routine, integral, and component part of treatment. Read More

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http://dx.doi.org/10.1007/s11916-018-0726-0DOI Listing
September 2018
5 Reads

Factors Associated with Sport-Related Post-concussion Headache and Opportunities for Treatment.

Curr Pain Headache Rep 2018 Sep 10;22(11):75. Epub 2018 Sep 10.

Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, 125 Fetzer Hall, CB# 8700, Chapel Hill, NC, 27599, USA.

Purpose Of Review: The purpose of this review is to (1) describe factors both pre- and post-injury that are associated with post-concussion headache, (2) describe the influence of post-concussion headache on recovery following concussion, and (3) provide potential post-concussion treatment options that may reduce the burden of headache, as well as other symptoms to facilitate recovery.

Recent Findings: Various factors may be associated with post-concussion headache presentation. These may include pre-injury or historical factors such as sex, family and self-history of headache and migraine, concussion history, and mood disorders. Read More

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http://link.springer.com/10.1007/s11916-018-0724-2
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http://dx.doi.org/10.1007/s11916-018-0724-2DOI Listing
September 2018
19 Reads

The Evolution of Surgical Enhanced Recovery Pathways: a Review.

Curr Pain Headache Rep 2018 Aug 31;22(11):74. Epub 2018 Aug 31.

Departments of Anesthesiology and Pharmacology, LSU Health Science Center, 1542 Tulane Avenue, Suite 659, New Orleans, LA, 70112, USA.

Purpose Of Review: Enhanced recovery pathways are a well-defined perioperative health care program utilizing evidence-based interventions in a protocol-like manner designed to standardize techniques including drug selection and dosing to improve results and to reduce overall costs including facilitating earlier discharge from hospitals after surgery.

Recent Findings: A PubMed and World Wide Web search was performed with the following key words: enhanced recovery, surgical enhanced recovery, recovery pathways, and enhanced recovery pathways surgery. This introduction to enhanced recovery pathways reflects its 20-year history, worldwide appeal, and ever growing presence in our practices. Read More

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http://dx.doi.org/10.1007/s11916-018-0727-zDOI Listing
August 2018
16 Reads

The Evolving Landscape of Acute Pain Management in the Era of the Opioid Crisis.

Curr Pain Headache Rep 2018 Aug 27;22(11):73. Epub 2018 Aug 27.

Department of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC, USA.

Purpose Of Review: The purpose of the study is to evaluate and analyze the role of both opioid and non-opioid analgesics in the emergency department (ED).

Recent Findings: Studies have shown that the implementation of opioid-prescribing policies in the ED has the potential to reduce the opioid addiction burden. Clinical studies point to inconsistencies in providers' approach to pain treatment. Read More

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http://link.springer.com/10.1007/s11916-018-0728-y
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http://dx.doi.org/10.1007/s11916-018-0728-yDOI Listing
August 2018
41 Reads

Naloxone Academic Detailing: Role of Community Outreach Teaching.

Curr Pain Headache Rep 2018 Aug 27;22(11):72. Epub 2018 Aug 27.

Henry Predolin School of Nursing, Edgewood College, Madison, WI, USA.

Purpose Of Review: Testing the efficacy of academic detailing in improving the practice of prescribing naloxone for patients on high-dose opioids.

Recent Findings: Academic detailing has been identified as an effective method for improving health care practices through focused community education. We found that academic detailing is an effective method in improving health care providers' knowledge about the importance of prescribing naloxone for patients on high-dose opioids. Read More

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http://dx.doi.org/10.1007/s11916-018-0730-4DOI Listing
August 2018
2 Reads

Is Medication Overuse Drug Specific or Not? Data from a Review of Published Literature and from an Original Study on Italian MOH Patients.

Curr Pain Headache Rep 2018 Aug 27;22(11):71. Epub 2018 Aug 27.

Neurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.

Purpose Of Review: The aim is twofold. First, to give an insight on the role exerted by different classes of drugs in favouring migraine chronification. Second, to explore the relationship between type and amount of overused medications and history of previous withdrawal treatment and of frequent relapses. Read More

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http://link.springer.com/10.1007/s11916-018-0729-x
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http://dx.doi.org/10.1007/s11916-018-0729-xDOI Listing
August 2018
36 Reads

The Role of Imaging in the Management of Cystic Formations of the Mobile Spine (CYFMOS).

Curr Pain Headache Rep 2018 Aug 25;22(10):70. Epub 2018 Aug 25.

DENT Neurologic Institute, Amherst, NY, USA.

Purpose Of Review: The purpose of this review is to give a better understanding of the pathogenesis of cystic formations of the mobile spine (CYFMOS) and the correlating imaging findings. This would help with medical decision-making, given the plethora of conservative, interventional, and surgical treatment options.

Recent Findings: There has been a general understanding that CYFMOS are associated with degenerative spine changes. Read More

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http://dx.doi.org/10.1007/s11916-018-0723-3DOI Listing
August 2018
5 Reads