Social inequity is linked to lower use of epidural in childbirth

In a study of women in labor in the U. S., social inequity was associated with lower use of neuraxial analgesia — an epidural or spinal pain reliever– among non-Hispanic White women and, to a greater extent, among African American women, according to research at Columbia University Mailman School of Public Health and Columbia Vagelos College of Physicians and Surgeons (P&S).

Opioid limits didn’t change surgery patients’ experience, study shows

Worries that surgery patients would have a tougher recovery if their doctors had to abide by a five-day limit on opioid pain medication prescriptions didn’t play out as expected, a new study finds.
Instead, patient-reported pain levels and satisfaction didn’t change at all for Michigan adults who had their appendix or gallbladder removed, a hernia repaired, a hysterectomy or other common operations after the state’s largest insurer put the limit in place, the study shows.

U.S. Drug Overdose Deaths More Than Quadrupled from 1999 to 2020

Regardless of race, age, geography or urbanization, drug overdose deaths in the U.S. more than quadrupled from 1999 to 2020, causing 1,013,852 deaths. The rates increased 4.4 times from 6.9 per 100,000 in 1999 to 30 per 100,000 in 2020.

When Blood Is a New Alternative Medicine for Pain Relief at Chula Pain Clinic

Chula Medicine researchers have successfully published an article on the injection of patient’s own platelets rich plasma into the shoulder ligaments resulting in pain reduction, heal torn ligaments and restore torn muscles as an alternative to surgery while reducing the side effects of prolonged use of pain medications.

9 Warning Signs of a Heart Attack from Your Body a Month Before

The No. 1 cause of death in both men and women is heart disease. Heart attacks do not always happen like they do in the movies. Heart attacks can happen suddenly or silently, but warning signs may occur for many…

Debunking pain myths could help teens recover faster

Whether it’s headaches, abdominal pain, or unrelenting joint soreness, up to a third of young people in Australia experience chronic pain. Now, a world-first study from the University of South Australia is providing valuable insights about how young people understand chronic pain, potentially helping thousands of sufferers to better manage their symptoms and long-term wellbeing.

CBD oil doesn’t reduce pain after common treatment for urinary stones

Treatment with an FDA-approved cannabidiol (CBD) oil product does not lower pain scores after surgical treatment and stent placement for patients with urinary stones, reports a clinical trial in the April issue of The Journal of Urology®, an Official Journal of the American Urological Association (AUA). The journal is published in the Lippincott portfolio by Wolters Kluwer.

Pain management pathway reduces use of opioids after urethral repair surgery

For men undergoing surgery to repair scarring in the urethra (urethroplasty), a new approach to pain management can reduce the need for strong opioid drugs without compromising pain control, reports a study in Urology Practice®, an Official Journal of the American Urological Association (AUA). The journal is published in the Lippincott portfolio by Wolters Kluwer.

Study Unravels Interplay Between Sleep, Chronic Pain and Spinal Cord Stimulation

Spinal cord stimulation uses low levels of electricity to relieve pain. A study is the first to measure this treatment’s effects on patients by gauging improvement in insomnia after spinal cord stimulation. Results showed a 30 percent or more improvement of both nighttime and daytime components of insomnia in 39.1 percent of study participants and a 30 percent or more improvement of daytime sleepiness in 28.1 percent of participants. Findings correlated with improvement in disability and depression and revealed associations with sleep and both pain and depression. Results will help clinicians gain a better understanding of the type of patient most likely to benefit from this treatment.

Ultrasound Device for Pain Gets ‘Nod’ from Shark Tank and NIH Funding

A project using focused ultrasound is one of seven selected by the NIH, which also has received successful reviews from ABC’s “Shark Tank.” Researchers are developing a handheld probe to provide a noninvasive, non-opioid-based treatment for aggravated chronic pain for use in a physician’s office or potentially even at home. The device directs low-intensity ultrasound at the dorsal root ganglia – small bundles of nerves along the spine that control pain signals reaching the spinal cord – to provide means for precise treatment of back and leg pain.

A new way to control pain after knee replacement surgery

Houston Methodist researchers present clinical evidence supporting the safety and efficacy of injecting pain medication directly into the tibia during knee replacement surgery for better postoperative pain management. The study revealed patients receiving a mixture of morphine and vancomycin injected into the shin bone have less pain post-surgery than those who received the infusion without morphine during surgery.

Hackensack University Medical Center Offers Innovative Nonsurgical Treatment for Knee Pain Nerve-Freezing Approach Reduces Need for Opioids

Hackensack University Medical Center physicians are now offering ioverao, a handheld device that is applied in the doctor’s office before knee replacement surgery to relieve postoperative knee pain, as well as to reduce the chronic pain of knee osteoarthritis. This cryotherapy treatment has been shown to decrease patients’ use of opioids and restore mobility by reducing stiffness and discomfort.

Histamine-producing gut bacteria can trigger chronic abdominal pain

The McMaster-Queen’s research team pinpointed the bacterium Klebsiella aerogenes as the key histamine producer by studying germ-free mice colonized with gut microbiota from patients with IBS. They also colonized some mice with gut microbiota from healthy volunteers as a control group.

The study found that the bacterium Klebsiella aerogenes converts dietary histidine, an essential amino acid present in animal and plant protein, into histamine, a known mediator of pain.

AI Could Predict Ideal Chronic Pain Patients for Spinal Cord Stimulation

Spinal cord stimulation is a minimally invasive FDA-approved treatment to manage chronic pain such as back and neck pain. The ability to accurately predict which patients will benefit from this treatment in the long term is unclear and currently relies on the subjective experience of the implanting physician. A study is the first to use machine-learning algorithms in the neuromodulation field to predict long-term patient response to spinal cord stimulation.

Pain in the Neck? New Surgical Method Could be Game-changing

Anterior cervical discectomy and fusion is widely used to treat spinal disorders. The fusion involves placing a bone graft or “cage” and/or implants where the surgically removed damaged disc was originally located to stabilize and strengthen the area. The risk factors for cage migration are multifactorial and include patient, radiological characteristics, surgical techniques and postoperative factors. A study is the first to evaluate the effect of the range of motion, cage migration and penetration using variable angle screws and cervical spine models. The plate developed and tested by the researchers provided directional stability and excellent fusion, showing promising clinical outcomes for patients with degenerative cervical spine disease.

Weather can affect pain tolerance, reports study in PAIN®

Can the weather affect pain from conditions like arthritis or migraine? It may sound like an old superstition – but on some standard quantitative sensory tests, weather-related factors do indeed affect pain tolerance, suggests a study in PAIN®, the official publication of the International Association for the Study of Pain (IASP). The journal is published in the Lippincott portfolio by Wolters Kluwer.

Older Adults Need More Than Clichés Like ‘Exercise is Good for You’ to Stay Active

More than 80 percent of adults get the recommended 150 minutes of moderate intensity or 75 minutes of vigorous-intensity physical activity per week. Moreover, 40 percent of Americans 75 and older are entirely inactive. Little is known about factors associated with increasing, sustaining, or declining physical activity levels over time. A study explored what drives older adults from diverse backgrounds to start or sustain physical activity and what stops them. The bottom line: knowledge and old clichés alone aren’t enough to keep them moving.