scholarly journals The Examination of non-pharmacologic treatment of pain after spinal cord injury

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
J. A. Piatt ◽  
L. Eldridge ◽  
J. M. Baker

Background: One of the primary debilitating secondary health conditions experienced by individuals living with a spinal cord injury (SCI) is chronic pain. Approximately, over 30% of SCI patients endure chronic pain after sustaining the injury, and engage in opioid pharmacotherapy as the first form of treatment. The increase in use and misuse of prescribed opioids for chronic pain can lead to both physical and psychological health risks. This danger is exacerbated by the notion that a large percentage of the SCI population have a pre-existing condition of drug and alcohol abuse and addiction. This study will examine how pain is actually being addressed through non-pharmaceutical methods among the SCI adult population.  Experimental Design: Employing a cross-sectional web survey design with a convenience sample of adults with a SCI. A Qualtrics survey is currently being administered to known individuals with SCIs via email. The survey questions will illuminate what pain management strategies are being implemented in the SCI population within the US.   Anticipated Results: The results from the data will provide insight on what non-pharmacological interventions can be employed in place of or in combination with the pharmacological management. This will allow community-based rehabilitation therapies to incorporate appropriate pain management strategies.   Potential Impact: Non-pharmacological interventions may hold the answer in treating chronic pain in the SCI population by limiting or eliminating the use of opioids. This study will help develop the most appropriate non-pharmacological intervention to test in quasi-experimental clinical trials, and ultimately minimize the use of opioids for chronic pain.

Author(s):  
Inga Boldt ◽  
Inge Eriks-Hoogland ◽  
Martin W.G. Brinkhof ◽  
Rob A Bie ◽  
Erik von Elm

Author(s):  
Inga Boldt ◽  
Inge Eriks-Hoogland ◽  
Martin WG Brinkhof ◽  
Rob de Bie ◽  
Daniel Joggi ◽  
...  

2018 ◽  
Vol 18 (2) ◽  
pp. 195-201
Author(s):  
Sagun Thapa ◽  
Luppana Kitrungrote ◽  
Jintana Damkliang

Abstract Background and aims: Chronic pain is the frequent and significantly challenging complications in persons with spinal cord injury (SCI). Socio-cultural background may lead people perceive and manage pain differently. The study aims to describe the chronic pain experience and pain management of SCI persons in Nepal. Methods: A descriptive cross sectional study was conducted among purposively selected sample of 120 SCI persons with chronic pain living in the eight districts of Bagmati Zone of Nepal. The data were collected using the International Spinal Cord Injury Pain Basic Data Set Version 2 (ISCIPBDS-2) and Open-ended Pain Management Questionnaire. The data were analyzed using descriptive statistics and content analysis method. Results: The back (n=84), lower legs/feet (n=63) and buttocks/hips (n=51) was found as the common pain locations. In common, the onset of pain was found within the first 6 month of the injury. Overall pain intensity and pain interference were found to be at the moderate level. The SCI persons used pain medications and non-pharmacological pain management. Ibuprofen was the commonly used pain medication and commonly used non-pharmacological pain management methods included physical support (e.g. massage, exercise), relaxation (e.g. distraction, substance abuse), coping (e.g. acceptance, praying), and traditional herbs. Conclusions: SCI persons had chronic pain experience which interfered with their daily living. They used pain medications and non-pharmacological pain management methods based on their beliefs, knowledge, and community resources in Nepal. Implications: This study provides some evidence to help the team of rehabilitation professional to plan and help SCI persons with chronic pain. Based on these findings, chronic pain management intervention for SCI persons should be developed and supported continuously from hospital to home based community context of Nepal.


Author(s):  
Zahid Hussain Khan ◽  
Hossein Majedi ◽  
Tahseen Asaad Hassan

Spinal cord injury (SCI) occurs due to any damage to the spinal cord and cauda equina. Most of the patients after spinal cord injury develop chronic pain, irrespective to the site and type of pain. This pain is severe in most of the cases and severely impairs the quality of life. The mechanisms responsible for the pain after spinal cord injury is poorly understood. The pain of SCI is basically classified in two main types: nociceptive or neuropathic. The objectives of this paper are to review the different treatment options for the SCI pain. The pain management after SCI includes pharmacological therapy and non-pharmacological therapy.


2013 ◽  
Author(s):  
Kimberly P. Raghubar ◽  
Adrianna Amari ◽  
Meg Nicholl ◽  
Valerie Paasch ◽  
Daniel Becker ◽  
...  

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