Integrating Pain Management in Clinical Practice

Jamison, Robert N.; Edwards, Robert R.

doi:10.1007/s10880-012-9295-2

Cited by 42 publications

(30 citation statements)

References 141 publications

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“…In effect, elevated CP intensity may change a person who normally expresses little anger into someone who might be described as “having a bad temper,” a change potentially associated with negative effects in the family and workplace. This is consistent with clinical findings that CP patients reported greater irritability when they experience prolonged pain flareups, even though they were by nature even-tempered and rarely “lost their temper” prior to the onset of their pain [30,58]. …”

Section: Discussionsupporting

confidence: 87%

Associations between daily chronic pain intensity, daily anger expression, and trait anger expressiveness: An ecological momentary assessment study

Bruehl

Liu

Burns

et al. 2012

Pain

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Links between elevated trait anger expressiveness (anger-out) and greater chronic pain intensity are well documented, but pain-related effects of expressive behaviors actually used to regulate anger when it is experienced have been little explored. This study used ecological momentary assessment methods to explore prospective associations between daily behavioral anger expression and daily chronic pain intensity. Forty-eight chronic low back pain (LBP) patients and 36 healthy controls completed electronic diary ratings of momentary pain and behavioral anger expression in response to random prompts 4 times daily for 7 days. Across groups, greater trait anger-out was associated with greater daily behavioral anger expression (P < 0.001). LBP participants showed higher levels of daily anger expression than controls (P < 0.001). Generalized estimating equation analyses in the LBP group revealed a lagged main effect of greater behavioral anger expression on increased chronic pain intensity in the subsequent assessment period (P < 0.05). Examination of a trait × situation model for anger-out revealed prospective associations between elevated chronic pain intensity and later increases in behavioral anger expression that were restricted largely to individuals low in trait anger-out (P < 0.001). Trait × situation interactions for trait anger suppression (anger-in) indicated similar influences of pain intensity on subsequent behavioral anger expression occurring among low anger-in persons (P < 0.001). Overlap with trait and state negative affect did not account for study findings. This study for the first time documents lagged within-day influences of behavioral anger expression on subsequent chronic pain intensity. Trait anger regulation style may moderate associations between behavioral anger expression and chronic pain intensity.

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Section: Discussionsupporting

confidence: 87%

Associations between daily chronic pain intensity, daily anger expression, and trait anger expressiveness: An ecological momentary assessment study

Bruehl

Liu

Burns

et al. 2012

Pain

Self Cite

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“…We think that surgeries for labral tear in this case were pertinent because he certainly experienced organic damage in hip joint observed in MRI and surgical findings, however, treatment strategy after first surgery had to be considered as a biopsyosocial model [16].…”

Section: Discussionmentioning

confidence: 93%

“…Patients with chronic pain fall into a vicious circle in which these psychological and social factors complicate their condition. In such cases, therapeutic approaches based on CBT using a multidisciplinary approach are recommended [16] [18]. CBT seeks to deepen the patient's understanding of his/her own pain and teach self-control and coping strategies in order to encourage behavioral modifications that allow the patient to better confront his or her pain and improve QOL as well [17].…”

Section: Discussionmentioning

confidence: 99%

Strategies for Managing Chronic Pain: Case of a Skilled Orthopaedic Physician and Mini-Review

Ikemoto

Arai²,

Nishihara³

et al. 2015

OJO

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Epidemiological surveys have recently revealed a high prevalence of chronic musculoskeletal pain in Japan; however, 30% of the patients in the survey were not satisfied with their pain treatment. This indicates that standard strategies in the management of chronic pain are poorly shared among physicians in Japan. Herein we report a case of a patient with intractable chronic pain who is a skilled orthopaedic physician. A 43-year-old man who was a skilled orthopaedic surgeon presented at our center complaining of severe buttock pain especially around the right hip region for more than three years. At begging of pain onset, he was diagnosed with femoacetabular impingement syndrome (FAI) with labral tear. Despite biophysical interventions including twice surgeries and alternative conservative treatment, his pain persisted, and he occasionally had to take a day off work due to the severe pain. Therefore we had to evaluate his pathological condition using a multidimensional approach based on a biopsychosocial model. We had provided him with cognitive behavioral therapy (CBT) approach, and simultaneously suggestion for short leaving from work. Three months after the start of CBT training, his disabilities had begun to improve. About six months later, he could continue to do his work. Finally, 19 months have passed since we started implementing the CBT approach; he has regained both his previous work-life balance and his health, although the pain has not completely subsided. In conclusion, we think it is important for physicians treating chronic pain to learn the management strategies for chronic pain and to reconsider their management policy when conventional biomedical interventions were not succeeded, even in cases where medication and surgical intervention are warranted.

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“…In addition, the presence of a long lasting pain syndrome is a leading risk factor for suicide. It is thus, a serious and costly public health problem [3].…”

Section: Introductionmentioning

confidence: 99%

Hydro-alcoholic extract of Otostegia integrifolia Benth (Lamiacae) produces peripheral antinociception and central analgesia in mice models

Ad¹,

2019

Preprint

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Objective Pain and inflammatory conditions are the commonest health problems reported to this date. The advent of numerous pharmacologic agents cannot still abated the demand due to the associated side effects, the search for satisfactory new molecule particularly from herbal sources is the main endeavor as experience shows. Thus, this study evaluated the analgesic activity of the 80% methanol leaf extract of Otostegia integrifolia in mice models of pain.Results Analgesic effect of various oral doses of the hydro-alcoholic extract (100, 200 and 400 mg/kg) was determined in hot plate and acetic acid induced writhing methods. In all models, the higher doses of the extract (400mg/kg) exhibited significant central and peripheral analgesic activities without significant difference compared to the standard drugs morphine and aspirin respectively. However, the lowest dose of the extract lacks central analgesic activity. The experimental finding from this study corroborates perhaps the presence of similar constituents within the genus Otostegia that might be responsible for the analgesic effects observed on other species. Thus, Otostegia integrifolia could be potential source for development of new analgesics.

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Integrating Pain Management in Clinical Practice

Cited by 42 publications

References 141 publications

Associations between daily chronic pain intensity, daily anger expression, and trait anger expressiveness: An ecological momentary assessment study

Associations between daily chronic pain intensity, daily anger expression, and trait anger expressiveness: An ecological momentary assessment study

Strategies for Managing Chronic Pain: Case of a Skilled Orthopaedic Physician and Mini-Review

Hydro-alcoholic extract of Otostegia integrifolia Benth (Lamiacae) produces peripheral antinociception and central analgesia in mice models

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