Showing papers in "The Journal of Pain in 2003"

TL;DR: In this article, a reanalysis of data from two randomized controlled trials of postoperative pain (N = 123 and N = 125) was performed to determine the meaning of VAS pain intensity ratings and change scores.

TL;DR: TENS is a noninvasive modality that is easy to apply with relatively few contraindications, however, the clinical efficacy of TENS will remain equivocal until the publication of sufficient numbers of high quality, randomized, controlled clinical trials.

TL;DR: A systematic review as discussed by the authors assessed the management of opioid side effects in the context of cancer pain management or, in the event that no evidence was available for cancer pain, for chronic noncancer pain.

TL;DR: The results indicate that commonly used single-item ratings of pain intensity are all valid and adequately reliable as measures of painintensity, although some scales appear to be easier for patients with cancer to understand and to use than others.

TL;DR: The results improve on previous nerve injury models in mouse, demonstrate similar behavioral changes as in rat, and provide novel information on the topographic organization of small diameter peripheral afferents in the mouse spinal cord.

TL;DR: In this paper, the authors evaluate whether health professionals and patients can understand currently accurate information about the neurophysiology of pain and health professionals accurately estimate the ability of patients to understand the neurophysics of pain.

TL;DR: There is a need to determine whether (and which) motivation enhancement interventions increase active participation in self-management treatment programs for chronic pain, and there is a call for research to better understand motivation as it applies to chronic pain self- management.

TL;DR: The findings suggest that the acute effects of pulsed radiofrequency are more reversible and less destructive in nature than the classic continuous radiofrequency mode, even in normothermal conditions.

TL;DR: Results suggest that nociception captures the animal's attention with only a relatively small amount of attention directed at responding to the fear of the novel object.

TL;DR: Manifestation of central sensitization in women with endometriosis is demonstrated by increased muscle nociceptor input in the form of increased post-saline pain intensity, pain areas at the FDI, and hypersensitivity to pressure stimulation.

TL;DR: Moderate intensity cycling exercise has promise as a useful experimental model for the study of naturally occurring muscle pain and prior reports showing caffeine improves endurance exercise performance might be partially explained by caffeine's hypoalgesic properties.

TL;DR: This is the first empirical study to show that manipulation of expectations alters sex differences in laboratory pain, and men and women did not differ in their pain tolerance, pain threshold, or pain ratings.

TL;DR: TENS reduces pain intensity during walking and deep breathing and increases walking function postoperatively when used as a supplement to pharmacologic analgesia, and the hypothesis that TENS works through reducing hyperalgesia is supported.

TL;DR: The results showed that on initial assessment, black Americans with chronic pain report significantly more pain and sleep disturbance as well as more symptoms consistent with post-traumatic stress disorder and depression than white Americans, and experience a higher prevalence of self-identified comorbidities.

TL;DR: It is suggested that chronic pain adversely affects the quality of life and health status of black Americans to a greater extent than white Americans before initial presentation for treatment at a multidisciplinary pain center.

TL;DR: It is demonstrated that patients with refractory cancer pain or intolerable side effects achieved better analgesia when managed with patient-activated intrathecal delivery of morphine sulfate via an implanted delivery system.

TL;DR: A need for research on zoster-associated itch, including prospective studies on frequency, impact, and treatment of postherpetic neuralgia is indicated, because pruritus, usually mild or moderate, commonly accompanies both acute zoster and PHN.

TL;DR: Findings provide initial support for the existence of opioid-induced hyperalgesia, which has been conceptualized as a coexisting opponent process to opioid- induced analgesia and proposed to be an alternative explanation for the development of analgesic tolerance to opioids.

TL;DR: Vagus nerve stimulation (VNS) inhibits nociceptive behavior in animals and might be beneficial for prophylactic therapy of migraine in patients with VNS therapy for intractable epilepsy.

TL;DR: Findings challenge a fairly extensive literature suggesting that physicians treat women and minorities less aggressively for their pain, and offer further evidence that pain treatment decisions are influenced physician gender.

TL;DR: This work identified 2 groups of 100 patients each with chronic low back pain and identified 4 variables of age, depression, personality disorder, and history of substance abuse as being closely linked to the use of opioids for the treatment of back pain in preference to nonsteroidal anti-inflammatory drugs alone.

TL;DR: Etoricoxib given once daily provided significant relief of symptoms, and disability associated with chronic LBP that was observed 1 week after initiating therapy, was maximal at 4 weeks, and was maintained over 3 months.

TL;DR: The simultaneous hypoesthesia and allodynia, with paradoxical decrease in sensation and increased pain thresholds in RA and OA patients, may reflect peripheral and central alterations in neuronal responsiveness to mechanical stimulation and suggests activation of a descending inhibitory system.

TL;DR: It is demonstrated that the provision of adequate pain management may be influenced by patient characteristics and physician variability, and lower goals for chronic pain relief may lead to the undertreatment of chronic pain.

TL;DR: Rekindling seems to be the important factor in maintaining stable and long-lasting cutaneous sensitization and the within day reproducibility was better with heat/capsaicin than with either stimulation alone.

TL;DR: The results suggest controlled heat might be used to significantly shorten the time needed to reach clinically important fentanyl concentrations and might be useful to produce rapid increases in serum concentrations for the rapid treatment of breakthrough pain.

TL;DR: Results showed a statistically significant increase from baseline (45%) to follow-up (72%) in the presence of structural elements that are critical to improving pain management and further research is needed to determine how to translate the excellent results obtained for structure and process into meaningful outcomes for patients.

TL;DR: This peripheral manipulative therapy treatment technique appeared to have a similar effect profile to previously studied spinal manipulative therapy techniques, thereby contributing to the body of knowledge that indicates that manipulative therapy most likely induces a predominant non-opioid form of analgesia.

TL;DR: It is suggested that persons with concurrent chronic pain and substance use disorders are responsive to an integrated treatment model of pain management and relapse prevention.

TL;DR: This work proposes an algorithm for therapeutic decision making in the treatment of coccygodynia, a well-known but rarely studied painful syndrome affecting the coccyx region.