scholarly journals Cumulative Childhood Adversity as a Risk Factor for Common Chronic Pain Conditions in Young Adults

Pain Medicine ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 486-494 ◽  
Author(s):  
Dokyoung S You ◽  
Sergiu Albu ◽  
Hans Lisenbardt ◽  
Mary W Meagher
Keyword(s):  
Chronic Pain ◽  
Young Adults ◽  
Risk Factor ◽  
Childhood Adversity ◽  
Chronic Pain Conditions

Retrospective analysis on the effect of spinal cord stimulation on opioid consumption

2020 ◽  
Author(s):  
Awinita Barpujari ◽  
Michael A Erdek
Keyword(s):  
Spinal Cord ◽  
Chronic Pain ◽  
Retrospective Analysis ◽  
Spinal Cord Stimulation ◽  
Alternative Therapy ◽  
Opioid Consumption ◽  
Opioid Use ◽  
Number Of Patients ◽  
Chronic Pain Conditions ◽  
Post Trial

Aim: Spinal cord stimulation (SCS) is used to clinically manage and/or treat several chronic pain etiologies. A limited amount is known about the influence on patients' use of opioid pain medication. This retrospective analysis evaluated SCS effect on opioid consumption in patients presenting with chronic pain conditions. Materials & methods: Sixty-seven patients underwent a temporary trial device, permanent implant or both. Patients were divided for assessment based on the nature of their procedure(s). Primary outcome was change in morphine equivalent dose (MED), ascertained from preoperative and postoperative medication reports. Results: Postoperative MED was significantly lower in patients who received some form of neuromodulation therapy. Pretrial patients reported an average MED of 41.01 ± 10.23 mg per day while post-trial patients reported an average of 13.30 ± 5.34 mg per day (p < 0.001). Pre-implant patients reported an average MED of 39.14 ± 13.52 mg per day while post-implant patients reported an average MED of 20.23 ± 9.01 mg per day (p < 0.001). There were no significant differences between pre-trial and pre-implant MED, nor between post-trial and post-implant MED. Of the 42 study subjects who reported some amount of pre-intervention opioid use, 78.57% indicated a lower MED (n = 33; p < 0.001), 16.67% indicated no change (n = 7) and 4.76% (n = 2) indicated a higher MED, following intervention. Moreover, SCS therapy resulted in a 26.83% reduction (p < 0.001) in the number of patients with MED >50 mg per day. Conclusion: Spinal cord stimulation may reduce opioid use when implemented appropriately. Neuromodulation may represent alternative therapy for alleviating chronic pain which may avoid a number of deleterious side effects commonly associated with opioid consumption.

scholarly journals Central sensitisation in chronic pain conditions: latest discoveries and their potential for precision medicine

2021 ◽  
Vol 3 (5) ◽  
pp. e383-e392
Author(s):  
Jo Nijs ◽  
Steven Z George ◽  
Daniel J Clauw ◽  
César Fernández-de-las-Peñas ◽  
Eva Kosek ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Precision Medicine ◽  
Central Sensitisation ◽  
Chronic Pain Conditions

Childhood adversity and death of young adults in an affluent society

The Lancet ◽  
2020 ◽  
Vol 396 (10249) ◽  
pp. 449-451
Author(s):  
Michael P Dunne ◽  
Franziska Meinck
Keyword(s):  
Young Adults ◽  
Childhood Adversity ◽  
Affluent Society

scholarly journals Why should medical students (not) be recruited to care for patients with COVID-19?

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ivan Bank ◽  
Marjo Wijnen-Meijer
Keyword(s):  
Young Adults ◽  
Risk Factor ◽  
Medical Students ◽  
Mental Disorders ◽  
Medical Care ◽  
Well Being ◽  
Direct Care ◽  
Hygiene Measures ◽  
Development Of Anxiety ◽  
Mental Well Being

Abstract Worldwide it is being discussed whether medical students might be of help during the present COVID-19 epidemic. Although this question is probably a legitimate one, one should however discuss this thoroughly before deciding whether medical students are to be included in this kind of medical care on a larger scale. Various arguments should be weighted, and potential tasks should be chosen carefully. This period could however be also an opportunity for medical students to learn things they would probably never learn about. Nevertheless, medical students have a deficit concerning knowledge about epidemics, and they are also not really well skilled in many hygiene measures. Furthermore, some of the known medical students’ behaviour could be a risk factor for further spread of the virus as well. Then, young adults are at risk of getting infected themselves. Last but not least, medical students in general are under a great deal of pressure from their studies which could lead to the development of anxiety and other mental disorders. One could only speculate on the effects of this epidemic on their further mental well-being. Therefore, medical students participating in direct care of patients with COVID-19 should first be trained well, and then properly supervised at all times. Only then it might be a really useful and exceptional experience, for healthcare, medical schools as well as for society.

Interdisciplinary Teams in Endometriosis Care

2020 ◽  
Vol 38 (02/03) ◽  
pp. 227-234
Author(s):  
Catherine Allaire ◽  
Alicia Jean Long ◽  
Mohamed A. Bedaiwy ◽  
Paul J. Yong
Keyword(s):  
Chronic Pain ◽  
Interdisciplinary Team ◽  
Multidisciplinary Care ◽  
Complex Problem ◽  
Interdisciplinary Teams ◽  
Team Approach ◽  
Team Care ◽  
Psychological Therapies ◽  
Published Evidence ◽  
Chronic Pain Conditions

AbstractEndometriosis-associated chronic pelvic pain can at times be a complex problem that is resistant to standard medical and surgical therapies. Multiple comorbidities and central sensitization may be at play and must be recognized with the help of a thorough history and physical examination. If a complex pain problem is identified, most endometriosis expert reviews and guidelines recommend multidisciplinary care. However, there are no specific recommendations about what should be the components of this approach and how that type of team care should be delivered. There is evidence showing the effectiveness of specific interventions such as pain education, physical therapy, psychological therapies, and pharmacotherapies for the treatment of chronic pain. Interdisciplinary team models have been well studied and validated in other chronic pain conditions such as low back pain. The published evidence in support of interdisciplinary teams for endometriosis-associated chronic pain is more limited but appears promising. Based on the available evidence, a model for an interdisciplinary team approach for endometriosis care is outlined.

Sign in / Sign up

Export Citation Format

Share Document