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
Citations
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Journal ArticleDOI
The Effect of Psychological Interventions on the Prevention of Chronic Pain in Adults: A Systematic Review and Meta-analysis.
Mélanie Bérubé,Geraldine Martorella,Caroline Côté,Céline Gélinas,Nancy Feeley,Manon Choinière,Stefan Parent,David L. Streiner +7 more
TL;DR: In this paper, a systematic review and meta-analysis of randomized controlled trials was conducted to assess the effect of psychological interventions within 3 months after pain onset. But, they found no significant effect of these interventions on pain intensity.
Dissertation
A Qualitative Descriptive Study: Older Adults' Postoperative Pain Medication Usage After Total Knee Arthroplasty
TL;DR: The study suggests that when developing postoperative pain management plans, health care providers may need to increase the time they spend addressing patients' concerns and considering patients’ preferences.
Genetics of chronic post-surgical pain: a crucial step toward personal pain medicine Genetique de la douleur chronique post chirurgicale: une etape cruciale vers une medecine personnalisee de la douleur
TL;DR: In this article, the authors provide an update on the current state of CPSP genetics and its future potential, including the incorporation of genetic knowledge is expected to lead to the development of more effective means to prevent and manage CPSP using tools of personalized pain medicine.
Journal ArticleDOI
Intrathecal Oxytocin Improves Spontaneous Behavior and Reduces Mechanical Hypersensitivity in a Rat Model of Postoperative Pain.
Antonio Espinosa de los Monteros-Zúñiga,Guadalupe Martínez-Lorenzana,Miguel Condés-Lara,Abimael González-Hernández +3 more
TL;DR: It is found that animals pretreated with spinal oxytocin before plantar incision showed a diminution of hypersensitivity and an improvement of spontaneous behavior (particularly total distance and vertical activity episodes), providing a basis for addressing the therapeutic relevance of Oxytocin as a potential preemptive analgesic molecule.
Journal ArticleDOI
Prevention of Craniofacial Pain Secondary to Harvesting of Temporalis Fascia - A Novel Technique.
TL;DR: This novel technique involving silastic sheet interposition can decimate early post-operative temporal pain, tenderness and masticatory pain in a majority of the patients.
References
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Book
Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms
Journal ArticleDOI
Comparison of Upper Gastrointestinal Toxicity of Rofecoxib and Naproxen in Patients with Rheumatoid Arthritis
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Journal ArticleDOI
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TL;DR: Here, a conceptual framework for the contribution of plasticity in primary sensory and dorsal horn neurons to the pathogenesis of pain is developed, identifying distinct forms of Plasticity, which are term activation, modulation, and modification, that by increasing gain, elicit pain hypersensitivity.