New AAPM SIG: Interventional and Neuromodulation

AAPM recently created a new Interventional and Neuromodulation Shared Interest Group. This SIG is dedicated to supporting interventional pain medicine through: Research and evaluation by identifying knowledge gaps and pr...
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Anxiety Among Patient Factors Linked to More Opioid Use After Surgery

New research from Michigan Medicine could help clinicians identify which patients are more likely to continue to use opioids after surgery recovery.

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Best Treatment for Herniated Disc

Researchers from the Mechanical System Engineering Lab at Empa and the Department of Orthopaedic Surgery at the University of Pittsburgh were now able to show that the vertebrae do not move linearly during movement. This...
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Trump Administration Announces $1.8 Billion in Funding to States to Continue Combating Opioid Crisis

The U.S. Department of Health and Human Services (HHS) announced more than $1.8 billion in funding to states to continue the Trump administration's efforts to combat the opioid crisis by expanding access to treatment and supporting near real-time data on the drug overdose crisis.

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Chronic Pain, Couples, and Physical Activity

Chronic pain affects more than 50 million adults in the United States (Dahlhamer, Lucas, Zelaya, Nahin, Mackey, DeBar et al., 2018) and is estimated to cost the nation more than $560 billion dollars each year (Gaskin &am...
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The Fear Reduction Exercised Early (FREE) Approach to Management of Low Back Pain in General Practice: A Pragmatic Cluster-Randomized Controlled Trial

Effective and cost-effective primary care treatments for low back pain (LBP) are required to reduce the burden of the world's most disabling condition. This study aimed to compare the clinical effectiveness and cost-effectiveness of the Fear Reduction Exercised Early (FREE) approach to LBP (intervention) with usual general practitioner (GP) care (control).

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A Cell-Penetrating Scorpion Toxin Enables Mode-Specific Modulation of TRPA1 and Pain

TRPA1 is a chemosensory ion channel that functions as a sentinel for structurally diverse electrophilic irritants. Channel activation occurs through an unusual mechanism involving covalent modification of cysteine residu...
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Mortality After Discontinuation of Primary Care–Based Chronic Opioid Therapy for Pain: A Retrospective Cohort Study

 Despite known risks of using chronic opioid therapy (COT) for pain, the risks of discontinuation of COT are largely uncharacterized. The objective of this study was to evaluate mortality, prescription opioid use, and primary care utilization of patients discontinued from COT, compared with patients maintained on opioids.

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Facial Presentations of Migraine, TACs, and Other Paroxysmal Facial Pain Syndromes

The objective of this study was to assess the prevalence of facial pain (V2 and/or V3) presentations among nearly 3,000 patients with headache treated in a university tertiary care center.

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Popular Pain Medication Associated with Greater Risk of Hypoglycemia

In a new paper in Scientific Reports, researchers at Skaggs School of Pharmacy and Pharmaceutical Sciences at University of California San Diego show that patients who take tramadol are at greater risk for developing hypoglycemia, or abnormally low blood sugar. 

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Virtual Physical Therapy Could Help Fill Gaps in Treating All Too Real Pain

There are now a wide array of remote rehabilitation—or telerehab—options, ranging from high-tech, interactive systems to video-chat sessions with individual physical therapists to app-based programs.

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6 Key Steps that States Should Take Now to End the Opioid Epidemic

The AMA has released a national policy road map based on in-depth analysis of the response to the opioid epidemic by four states: Colorado, Mississippi, North Carolina and Pennsylvania. The report , " National Roadmap on...
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Mixing Marijuana with Opioids May Not Be Good for Mental Health

AAPM Secretary W. Michael Hooten, MD comments on a new study on opioid and cannabis co-use, pointing out that the study shows us "that individuals with chronic pain who use opioids and cannabis concurrently are more likely to have mental health problems and other substance use issues, and that is very important." Dr. Hooten was not an author in the study.

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Pain, Psychological, and Endocannabinoid Responses to Yoga in Breast Cancer Survivors with Chemotherapy-Induced Neuropathic Pain

This study evaluates the acute effect of aerobic exercise and yoga on pain, plasma levels of endocannabinoids, and mood (i.e., mood disturbance and anxiety). Participants will complete three separate sessions on differen...
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Prospective Cohort Study of Caffeinated Beverage Intake as a Potential Trigger of Headaches Among Migraineurs

 The purpose of the study was to evaluate the role of caffeinated beverage intake as a potential trigger of migraine headaches on that day or on the following day.

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Chronic Pain Research: Linking Psychology, Sociology, and Neuroscience

Despite its prevalence, scientists do not know why some people develop chronic pain. A new study approaches this question from all angles, exploring the role of money and the mind.

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Lower Back Pain? Self-Administered Acupressure Could Help

A recent study in Pain Medicine finds that acupressure, a traditional Chinese medicine technique, can improve chronic pain symptoms in the lower back. 

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Women May Be More Adept Than Men at Discerning Pain

AAPM member Roger B Fillingim, PhD discusses his continued research regarding gender differences and pain, and its importance toward finding more effective treatments for pain in this NPR interview.

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Perioperative Lidocaine and Ketamine in Abdominal Surgery

 The investigators propose to test the hypothesis that perioperative infusions of lidocaine and/or ketamine reduce opioid consumption and pain scores in adults recovering from elective inpatient abdominal surgery.

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Feeling Legs Again Improves Amputees’ Health

Two volunteers are the first above-knee amputees in the world to feel their prosthetic foot and knee in real time. Their bionic prosthesis, features sensors that connect to residual nerves in the thigh. The resulting neurofeedback greatly reduces physical and mental strain for users of the prosthesis.

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WHO Revision of Pain Management Guidelines: A Call for Experts

The World Health Organization (WHO) announces the revision process for two recently discontinued documents: "Ensuring balance in national policies on controlled substances: Guidance for availability and accessibility of controlled medicines" (2011) and "WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses" (2012). A Call for Experts was issued as part of identifying potential members of the guideline development groups.

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How To Teach Future Doctors About Pain in the Midst of the Opioid Crisis

AAPM member Beth B. Hogans, MD PhD comments in this NPR interview about the four-day course she helped create at Johns Hopkins for medical students about pain and pain management at the start of their medical education. 

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The AAPM 2020 Call for Poster Abstracts Deadline is Sept. 11

AAPM will accept scientific poster abstract submissions for possible presentation during AAPM 2020, February 26-March 1, in National Harbor, MD through September 11 at 5 pm CT . Submit your work and research for the chan...
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Virtual Reality for Management of Pain in Hospitalized Patients: A Randomized Comparative Effectiveness Trial

Objectives: Therapeutic virtual reality (VR) has emerged as an effective, drug-free tool for pain management, but there is a lack of randomized, controlled data evaluating its effectiveness in hospitalized patients. We s...
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New Pain Organ Discovered in the Skin

Researchers at Karolinska Institutet have now discovered a new sensory receptor organ in the skin that is sensitive to hazardous environmental irritation. It is comprised of glia cells with multiple long protrusions whic...
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New Route to Designing Safer Pain Medications Discovered

A team at Scripps Research in Florida has discovered a biological system that manages cells' response to opioid drug exposure. The unexpected discovery offers new ideas for improving the safety of the one of the most eff...
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Mayo Clinic’s Cancer Telerehab Program Boosts Quality of Life

A six-month telerehabilitation program yielded improvements in advance-stage cancer patients' pain and function. The gains in these areas reduced hospital lengths of stay and the need for post-acute care, demonstrating t...
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Don't Be the Don Quixote of Pain Management

AAPM Member and MedPage Today Pain Points blog contributor Heath McAnally, MD , discusses that the overzealous attention to gabapentinoids and its potential for non-indicated prescription, misuse, abuse and adverse effec...
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Analgesic Effect of Music Listening During Pain Elicitation in Fibromyalgia

Brief Summary: Patients with fibromyalgia (FM) are more sensitive to things that cause pain. Music lowers self-reported pain in patients with chronic pain. The investigators are able to measure pain sensitivity and pain ...
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Osteopathic Manipulation Makes a Neuropsychological Difference (BOD)

Brief Summary: Patients with pain commonly experience cognitive impairment. While symptoms of pain are effectively treated with osteopathic manipulative treatment (OMT), the cognitive piece is vastly ignored. Pain-induce...
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PRECISION Pain Research Registry

The Pain Registry for Epidemiological, Clinical, and Interventional Studies and Innovation is also known as the PRECISION Pain Research Registry. The registry gathers data from research participants to determine risk fac...
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Finding Non-Opioid Alternatives for Cancer Pain

Even without specific opioid prescription guidelines for cancer patients, UC Davis Comprehensive Cancer Center uses various pain treatment strategies, ranging from blocking nerves and stimulating the spinal cord to injec...
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Joint Lubricating Fluid Plays Key Role in Osteoarthritic Pain, Study Finds

A team at the University of Cambridge has shown how, in osteoarthritis patients, the viscous lubricant that ordinarily allows our joints to move smoothly triggers a pain response from nerve cells similar to that caused b...
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Peptides an Effective Way to Treat Arthritis

Peptides are currently one of a select list of treatments used to tackle arthritis. Peptides can help quell inflammation, while improving gut and bone health as well. At the same time, they can encourage adequate HGH pro...
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How a State’s Surgeons Cut Down on Opioids Without Putting Patients in More Pain

In a new research letter in the New England Journal of Medicine , a team from the Michigan Opioid Prescribing Engagement Network reports the results of a collaborative effort to help surgical teams follow evidence-based ...
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New Data for Migraine Treatment

  New research showed that, overall, opioids are being used in place of medicines that are approved and indicated to treat migraine – particularly among those who experience migraine headaches more frequently. ...
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Ketamine Infusion for Pain Control in Elderly Patients with Multiple Rib Fractures: Results of a Randomized Controlled Trial

Abstract: INTRODUCTION: Rib fractures are associated with increased mortality, particularly in the elderly. While opiate-based pain regimens remain the cornerstone of rib fracture management, issues related to opioids ha...
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Pain Neurology

Abstract: Pain is often the initial complaint for which patients seek medical care presenting both a diagnostic and therapeutic challenge to the primary care provider. The appreciation of pain is not merely the result of...
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Remote Surveillance Technologies: Realizing the Aim of Right Patient, Right Data, Right Time

Abstract: The convergence of multiple recent developments in health care information technology and monitoring devices has made possible the creation of remote patient surveillance systems that increase the timeliness and quality of patient care. More convenient, less invasive monitoring devices, including patches, wearables, and biosensors, now allow for continuous physiological data to be gleaned from patients in a variety of care settings across the perioperative experience. These data can be bound into a single data repository, creating so-called data lakes. The high volume and diversity of data in these repositories must be processed into standard formats that can be queried in real time. These data can then be used by sophisticated prediction algorithms currently under development, enabling the early recognition of patterns of clinical deterioration otherwise undetectable to humans.

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Researchers Bridge the Gap between Animal Studies and New Treatments for Chronic Pain

By comparing results between rodent pain models and human spinal cord tissue, researchers have identified a new molecular mechanism of out-of-control pain signaling that is consistent between rodents and humans. Full sto...
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AAPM 2020 Call for Poster Abstracts Now Open

Submit your research and work as a scientific poster abstract for the chance to present during AAPM 2020, February 26-March 1, in National Harbor, MD. Up to six abstract winners will be selected to present their work dur...
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25 or 6 to 4 – Sleepless in Cytokines

AAPM Member and MedPage Today Pain Points blog contributor Heath McAnally, MD , discusses how pain clinicians can help their patients combat common contributors to chronic pain, such as poor sleep, exercise deprivation, ...
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Behavioral Strategies for Opioid Deprescribing Webinar Recording Now Available

AAPM members Beth Darnall, PhD , and Aram Mardian, MD , presented a webinar last month on navigating the challenges in an era of opioid deprescribing that shared behavioral strategies for patient engagement and success. ...
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Using AI to Manage Opioid Use in Hospital ICUs

In an effort to help clinicians provide better, more personalized pain management care, a Harvard-MIT research team announced last week the creation of an AI deep reinforcement learning algorithm for critical care pain m...
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Pain Rescue Team Helps Seriously Ill Kids Cope In Terrible Times

The Benioff Children's Hospital at the University of California, San Francisco integrative pediatric pain and palliative care — or IP3 — team is sort of an emergency response team for pain that combines traditional pharm...
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New Research Offers a Minimally Invasive Approach to Deep Brain Stimulation

The development of a less invasive technique to precisely control the activity of neurons nestled deep in the brain could help usher in the next-generation of noninvasive brain stimulation technologies. Full story.  ...
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Can I Call Myself a “Pain Specialist?”

  Who defines the role of pain specialists? Do you qualify as one, and do the courts agree? Inside the legal requirements. Full story.  
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Mechanisms of Change in Adolescent Pain Self-Management

Brief Summary: The MOCAS Study aims to describe the mechanisms through which sleep deficiency affects youth responses to an online pain self-management intervention over a 6-month period. The study is a single arm trial ...
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Mind Body Therapy for the Treatment of Chronic Pain

 Brief Summary: The goal of this study is to determine if mind body therapies can help people suffering from chronic back pain. The study is a randomized, partially blinded trial examining the effectiveness of mind body interventions (treatment arms) in reducing disability from back pain and alleviating back pain in participants as compared to usual care (control arm ). The investigators will secondarily investigate whether mind body interventions improve participant quality of life and reduce the need for pain-related hospitalization.

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Request for Information: Guidance on Current Education Curricula for Health Care Professionals Regarding Pain and Opioid Misuse and Use Disorder

NIH has issued a Request for Information to gather input from the scientific research and medical education communities and the general public regarding the Centers for Excellence in Pain Education (CoEPEs) program, gene...
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NIH

The AAPM Annual Meeting offers education and networking opportunities for all members of the pain care team.

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