Transition from acute to chronic postsurgical pain: risk factors and protective factors
Joel Katz,Ze'ev Seltzer +1 more
TLDR
It is argued that a focus on the transition from acute to chronic pain may reveal important cues that will help to predict who will go on to develop chronic pain and who will not and how to identify the risk factors and protective factors that predict the course of recovery.Abstract:
Most patients who undergo surgery recover uneventfully and resume their normal daily activities within weeks. Nevertheless, chronic postsurgical pain develops in an alarming proportion of patients. The prevailing approach of focusing on established chronic pain implicitly assumes that information generated during the acute injury phase is not important to the subsequent development of chronic pain. However, a rarely appreciated fact is that every chronic pain was once acute. Here, we argue that a focus on the transition from acute to chronic pain may reveal important cues that will help us to predict who will go on to develop chronic pain and who will not. Unlike other injuries, surgery presents a unique set of circumstances in which the precise timing of the physical insult and ensuing pain are known in advance. This provides an opportunity, before surgery, to identify the risk factors and protective factors that predict the course of recovery. In this paper, the epidemiology of chronic postsurgical pain...read more
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Factors Leading to Persistent Postsurgical Pain in Adolescents Undergoing Spinal Fusion: An Integrative Literature Review.
Mallory Perry,Angela Starkweather,Kyle M. Baumbauer,Kyle M. Baumbauer,Erin E. Young,Erin E. Young +5 more
TL;DR: Preoperative pain intensity is a significant risk factor in persistent postoperative pain (PPP) in pediatric spinal surgery and the Biobehavioral Pain Network model was proposed, to encompass biological, social and psychological domains which may be responsible for incidence of PPP in children undergoing SF.
Journal ArticleDOI
Neurophysiological and Clinical Effects of Laparoscopic Retroperitoneal Triple Neurectomy in Patients with Refractory Postherniorrhaphy Neuropathic Inguinodynia.
Martin F. Bjurström,Andrea L. Nicol,Parviz K. Amid,Christine H. Lee,Francis Michael Ferrante,David C. Chen +5 more
TL;DR: In the absence of recurrence or meshoma, laparoscopic retroperitoneal triple neurectomy (LRTN) has emerged as an effective surgical treatment of CPIP.
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Influences of COMT rs4680 and OPRM1 rs1799971 Polymorphisms on Chronic Postsurgical Pain, Acute Pain, and Analgesic Consumption After Elective Cesarean Delivery.
TL;DR: The results indicate that cathechol-O-methyl-transferase rs4860 and &mgr;-opioid receptor rs1799971 may not contribute to CPSP development after cesarean delivery, and no significant effects of interactions between the 2 single nucleotide polymorphisms on analgesic consumption were observed.
Journal ArticleDOI
Pendleton’s consultation model: assessing a patient
Cecily Harper,Alex Ajao +1 more
TL;DR: The fundamental issues behind successful dressing choice and the new products that are becoming available for use as tools in the ongoing wound care initiative are explored.
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Within-person variability in relationship satisfaction moderates partners' pain estimation in vulvodynia couples.
TL;DR: Results indicated that men's perceptions of women's pain were both accurate and biased in that they generally underestimated this pain, and men's variability in relationship satisfaction moderated tracking accuracy such that men with higher variability manifested lower tracking accuracy for women'sPain.
References
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