Pain Medicine

Cover image for Vol. 11 Issue 9

September 2010

Volume 11, Issue 9

Pages 1311–1436

  1. EDITORIAL

    1. Top of page
    2. EDITORIAL
    3. ORIGINAL RESEARCH ARTICLE
    4. SPINE SECTION
    5. PAIN & AGING SECTION
    6. PALLIATIVE CARE SECTION
    7. PSYCHOLOGY, PSYCHIATRY & BRAIN NEUROSCIENCE
    8. NEUROPATHIC PAIN SECTION
    9. FORENSIC PAIN MEDICINE SECTION
    10. ACUTE PAIN SECTION
    11. BOOK REVIEW SECTION
  2. ORIGINAL RESEARCH ARTICLE

    1. Top of page
    2. EDITORIAL
    3. ORIGINAL RESEARCH ARTICLE
    4. SPINE SECTION
    5. PAIN & AGING SECTION
    6. PALLIATIVE CARE SECTION
    7. PSYCHOLOGY, PSYCHIATRY & BRAIN NEUROSCIENCE
    8. NEUROPATHIC PAIN SECTION
    9. FORENSIC PAIN MEDICINE SECTION
    10. ACUTE PAIN SECTION
    11. BOOK REVIEW SECTION
    1. A Novel 12-Week Study, with Three Randomized, Double-Blind Placebo-Controlled Periods to Evaluate Fentanyl Buccal Tablets for the Relief of Breakthrough Pain in Opioid-Tolerant Patients with Noncancer-Related Chronic Pain (pages 1313–1327)

      John T. Farrar, John Messina, Fang Xie and Russell K. Portenoy

      Article first published online: 30 AUG 2010 | DOI: 10.1111/j.1526-4637.2010.00939.x

      A novel approach to the study of fentanyl buccal tablets was conducted using a 12 week open-label treatment interspersed with three randomized, doube-blind, placebo-controlled, multi-crossover clinical trials. Fentanyl buccal tablets had a rapid onset of efficacy in non-cancer chronic pain patients for the treatment of break-through-pain over the 12 weeks.

  3. SPINE SECTION

    1. Top of page
    2. EDITORIAL
    3. ORIGINAL RESEARCH ARTICLE
    4. SPINE SECTION
    5. PAIN & AGING SECTION
    6. PALLIATIVE CARE SECTION
    7. PSYCHOLOGY, PSYCHIATRY & BRAIN NEUROSCIENCE
    8. NEUROPATHIC PAIN SECTION
    9. FORENSIC PAIN MEDICINE SECTION
    10. ACUTE PAIN SECTION
    11. BOOK REVIEW SECTION
    1. Original Research Articles

      Efficacy of Fluoroscopically Guided, Contrast-Enhanced Lumbosacral Interlaminar Epidural Steroid Injections: A Pilot Study (pages 1328–1334)

      Michael B. Furman, Gautam Kothari, Tejas Parikh, Jason G. Anderson and Ali Khawaja

      Article first published online: 27 JUL 2010 | DOI: 10.1111/j.1526-4637.2010.00926.x

      This prospective, single-arm pilot study demonstrates that subjects who have had fluoroscopically guided, contrast-enhanced lumbar IL-ESIs for radicular > axial pain have improved (lowered) NPRS for at least 3 months.

    2. Analgesic Discography: Effect of Adding a Local Anesthetic to Routine Lumbar Provocation Discography (pages 1335–1342)

      Richard Derby, Jeong-Eun Lee and Sang-Heon Lee

      Article first published online: 23 AUG 2010 | DOI: 10.1111/j.1526-4637.2010.00930.x

      This study compares pre and post patient reported total subjective pain relief and the change in pain numerical rating score to range of motion testing and to static and dynamic loading postures following pressure controlled provocative discography performed with an equal mixture of contrast and either 4% xylocaine or 0.75% bupivicaine.

    3. Brief Research Report

      The Effect of Repeated Zygapophysial Joint Radiofrequency Neurotomy on Pain, Disability, and Improvement Duration (pages 1343–1347)

      Brian Rambaransingh, Gordon Stanford and Robert Burnham

      Article first published online: 27 JUL 2010 | DOI: 10.1111/j.1526-4637.2010.00923.x

      Repeated cervical and lumbar RFN reduces pain and disability with equal effectiveness for approximately 10 months in patients with facetogenic chronic neck and back pain.

    4. Case Report

      Complex Regional Pain Syndrome Associated with Cervical Disc Protrusion and Foraminotomy (pages 1348–1351)

      George M. Weisz, Michael Houang and Nikolai Bogduk

      Article first published online: 27 JUL 2010 | DOI: 10.1111/j.1526-4637.2010.00925.x

      After surgery for cervical nerve root compression a patient developed complex regional pain syndrome. Although previously reported after lumbar surgery, this is the first report of this complication after cervical spine surgery.

  4. PAIN & AGING SECTION

    1. Top of page
    2. EDITORIAL
    3. ORIGINAL RESEARCH ARTICLE
    4. SPINE SECTION
    5. PAIN & AGING SECTION
    6. PALLIATIVE CARE SECTION
    7. PSYCHOLOGY, PSYCHIATRY & BRAIN NEUROSCIENCE
    8. NEUROPATHIC PAIN SECTION
    9. FORENSIC PAIN MEDICINE SECTION
    10. ACUTE PAIN SECTION
    11. BOOK REVIEW SECTION
    1. Original Research Article

      Longitudinal Treatment Outcomes for Geriatric Patients with Chronic Non-Cancer Pain at an Interdisciplinary Pain Rehabilitation Program (pages 1352–1364)

      Kathleen M. Darchuk, Cynthia O. Townsend, Jeffrey D. Rome, Barbara K. Bruce and W. Michael Hooten

      Article first published online: 23 AUG 2010 | DOI: 10.1111/j.1526-4637.2010.00937.x

      This study examined treatment outcomes for geriatric patients admitted to an interdisciplinary pain rehabilitation program incorporating opioid withdrawal. Results indicated that interdisciplinary pain rehabilitation incorporating opioid withdrawal can improve long-term depression, pain catastrophizing, psychosocial functioning, and health attributes for geriatric chronic pain patients.

  5. PALLIATIVE CARE SECTION

    1. Top of page
    2. EDITORIAL
    3. ORIGINAL RESEARCH ARTICLE
    4. SPINE SECTION
    5. PAIN & AGING SECTION
    6. PALLIATIVE CARE SECTION
    7. PSYCHOLOGY, PSYCHIATRY & BRAIN NEUROSCIENCE
    8. NEUROPATHIC PAIN SECTION
    9. FORENSIC PAIN MEDICINE SECTION
    10. ACUTE PAIN SECTION
    11. BOOK REVIEW SECTION
    1. Original Research Article

      Factors Associated with Clinician Intention to Address Diverse Aspects of Pain in Seriously Ill Outpatients (pages 1365–1372)

      Lisa R. Shugarman, Steven M. Asch, Lisa S. Meredith, Cathy D. Sherbourne, Emily Hagenmeier, Li Wen, Angela Cohen, Lisa V. Rubenstein, Joy Goebel, Andy Lanto and Karl A. Lorenz

      Article first published online: 30 AUG 2010 | DOI: 10.1111/j.1526-4637.2010.00931.x

      Using vignettes, this study evaluated clinician intention to manage physical, emotional and existential pain dimensions pain in advanced cancer. Existential aspects were least likely to be addressed, and generalists were more likely to provide comprehensive care, as were clinicians with greater pain management confidence. Time and administrative constraints affected intentions.

  6. PSYCHOLOGY, PSYCHIATRY & BRAIN NEUROSCIENCE

    1. Top of page
    2. EDITORIAL
    3. ORIGINAL RESEARCH ARTICLE
    4. SPINE SECTION
    5. PAIN & AGING SECTION
    6. PALLIATIVE CARE SECTION
    7. PSYCHOLOGY, PSYCHIATRY & BRAIN NEUROSCIENCE
    8. NEUROPATHIC PAIN SECTION
    9. FORENSIC PAIN MEDICINE SECTION
    10. ACUTE PAIN SECTION
    11. BOOK REVIEW SECTION
    1. Original Research Articles

      Differences in Pain, Psychological Symptoms, and Gender Distribution among Patients with Left- vs Right-Sided Chronic Spinal Pain (pages 1373–1380)

      Ajay D. Wasan, Nina K. Anderson and Donald B. Giddon

      Article first published online: 27 JUL 2010 | DOI: 10.1111/j.1526-4637.2010.00922.x

      This study provides clinical confirmation in a larger sample of patients with chronic back or neck pain of basic neuroscience findings in smaller samples of human subjects. These studies, along with the present study, indicate that the right cerebral hemisphere is preferentially involved in the processing of pain and negative affect, particularly in men.

    2. The Moderating Effect of Obesity on Cognitive–Behavioral Pain Treatment Outcomes (pages 1381–1390)

      John J. Sellinger, Elizabeth A. Clark, Marc Shulman, Patricia H. Rosenberger, Alicia A. Heapy and Robert D. Kerns

      Article first published online: 23 AUG 2010 | DOI: 10.1111/j.1526-4637.2010.00935.x

      This study examined the impact of body mass index on outcomes from a clinical trial of cognitive-behavioral therapy for chronic low back pain. Despite no difference in reports of pain intensity, non-obese participants reported greater post-treatment improvements in disability, emotional functioning, and quality of life than did their obese peers.

    3. Psychiatric Disorders and Risk of Transition to Chronicity in Men with First Onset Low Back Pain (pages 1391–1400)

      William S. Shaw, Adrienne J. Means-Christensen, Mark A. Slater, John S. Webster, Thomas L. Patterson, Igor Grant, Steven R. Garfin, Dennis R. Wahlgren, Shetal Patel and J. Hampton Atkinson

      Article first published online: 23 AUG 2010 | DOI: 10.1111/j.1526-4637.2010.00934.x

      Men with first-time onset of low back pain (N = 140) were examined for lifetime psychiatric disorders and re-evaluated for pain and function at 6 months post pain-onset. Transition to chronic pain was more likely in those with a history of major depression, generalized anxiety, post-traumatic stress, or nicotine dependence.

  7. NEUROPATHIC PAIN SECTION

    1. Top of page
    2. EDITORIAL
    3. ORIGINAL RESEARCH ARTICLE
    4. SPINE SECTION
    5. PAIN & AGING SECTION
    6. PALLIATIVE CARE SECTION
    7. PSYCHOLOGY, PSYCHIATRY & BRAIN NEUROSCIENCE
    8. NEUROPATHIC PAIN SECTION
    9. FORENSIC PAIN MEDICINE SECTION
    10. ACUTE PAIN SECTION
    11. BOOK REVIEW SECTION
    1. Original Research Article

      Insulin Is Essential for the Recovery from Allodynia Induced by Complete Freund's Adjuvant (pages 1401–1410)

      Gregory P. Casey, Dennis Paul and Harry J. Gould, III

      Article first published online: 23 AUG 2010 | DOI: 10.1111/j.1526-4637.2010.00936.x

      We have shown that hypoinsulinemia selectively prevents the recovery of mechanical allodynia produced by inflammation. The maintenance of insulin control following tissue injury may reduce or prevent persistent pain in diabetes.

    2. Preliminary Research

      Botulinum Toxin A for Treatment of Allodynia of Complex Regional Pain Syndrome: A Pilot Study (pages 1411–1414)

      Delaram Safarpour, Arash Salardini, Diana Richardson and Bahman Jabbari

      Article first published online: 30 JUN 2010 | DOI: 10.1111/j.1526-4637.2010.00897.x

      This pilot study investigates the efficacy and tolerability of intradermal and subcutaneous injection of botulinum toxin A for treatment of allodynia associated with complex regional pain syndrome. None of the 10 patients who received botulinum toxin A demonstrated significant pain relief. The injections were painful and poorly tolerated.

    3. Case Report

      Botulinum Toxin A (Botox) for Treatment of Proximal Myofascial Pain in Complex Regional Pain Syndrome: Two Cases (pages 1415–1418)

      Delaram Safarpour and Bahman Jabbari

      Article first published online: 23 AUG 2010 | DOI: 10.1111/j.1526-4637.2010.00929.x

      We describe two patients with Complex Regional Pain Syndrome and distal allodynia in whom severe myofascial pain gradually developed in the ipsilateral proximal muscles. Treatment with botulinum toxin A in to the proximal muscles resulted in improvement of myofascial pain, swelling and allodynia in distal part of the limb.

  8. FORENSIC PAIN MEDICINE SECTION

    1. Top of page
    2. EDITORIAL
    3. ORIGINAL RESEARCH ARTICLE
    4. SPINE SECTION
    5. PAIN & AGING SECTION
    6. PALLIATIVE CARE SECTION
    7. PSYCHOLOGY, PSYCHIATRY & BRAIN NEUROSCIENCE
    8. NEUROPATHIC PAIN SECTION
    9. FORENSIC PAIN MEDICINE SECTION
    10. ACUTE PAIN SECTION
    11. BOOK REVIEW SECTION
    1. Case Report

      Allegations of Medical Malpractice in Chronic Opioid Analgesic Therapy Possibly Related to Collaborative/Split Treatment and the P-450 Enzyme System: Forensic Case Report (pages 1419–1425)

      David A. Fishbain, John E. Lewis and Jinrun Gao

      Article first published online: 23 AUG 2010 | DOI: 10.1111/j.1526-4637.2010.00928.x

      A medicolegal forensic case report of allegations of medical malpractice during chronic opioid analgesic therapy is presented. Here, issues relating to split treatment and the P450 enzyme system are discussed.

  9. ACUTE PAIN SECTION

    1. Top of page
    2. EDITORIAL
    3. ORIGINAL RESEARCH ARTICLE
    4. SPINE SECTION
    5. PAIN & AGING SECTION
    6. PALLIATIVE CARE SECTION
    7. PSYCHOLOGY, PSYCHIATRY & BRAIN NEUROSCIENCE
    8. NEUROPATHIC PAIN SECTION
    9. FORENSIC PAIN MEDICINE SECTION
    10. ACUTE PAIN SECTION
    11. BOOK REVIEW SECTION
    1. Case Report

      Continuous Transversus Abdominis Plane (TAP) Block Catheters in a Combat Surgical Environment (pages 1426–1429)

      Edward Allcock, Eliot Spencer, R. Frazer, Gregory Applegate and Chester Buckenmaier III

      Article first published online: 7 SEP 2010 | DOI: 10.1111/j.1526-4637.2010.00894.x

      We report successful use of ultrasound-guided continuous transversus abdominis plane (TAP) block in two war casuualties who sustained major trauma with coagulopathy. Multiple benefits shared by both patients included early extubation, excellent analgesia and minimal postoperative morphine requirements despite the setting of a massive blood transfusion.

    2. Dercum's Disease: An Unusual Presentation (pages 1430–1434)

      Semann Kosseifi, Ervin Anaya, Goutham Dronovalli and Stuart Leicht

      Article first published online: 23 JUL 2010 | DOI: 10.1111/j.1526-4637.2010.00828.x

      Dercum's disease is characterized by the accumulation of painful subcutaneous deposits of mature adult fatty tissue in a multifocal distribution. We are reporting an unusual presentation of Dercum's disease, presenting as a single painful, erythematous lesion around the left hip in a 71-year-old post-menopausal woman.

  10. BOOK REVIEW SECTION

    1. Top of page
    2. EDITORIAL
    3. ORIGINAL RESEARCH ARTICLE
    4. SPINE SECTION
    5. PAIN & AGING SECTION
    6. PALLIATIVE CARE SECTION
    7. PSYCHOLOGY, PSYCHIATRY & BRAIN NEUROSCIENCE
    8. NEUROPATHIC PAIN SECTION
    9. FORENSIC PAIN MEDICINE SECTION
    10. ACUTE PAIN SECTION
    11. BOOK REVIEW SECTION
    1. Obstetric Anesthesia Handbook (pages 1435–1436)

      Emily Baird

      Article first published online: 27 JUL 2010 | DOI: 10.1111/j.1526-4637.2010.00924.x

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