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More Common Procedures for Painful Facial Tics Carry High Costs, Reports Study in Neurosurgery

For patients who need surgery for facial pain caused by trigeminal neuralgia, the most cost-effective procedure is the least often used, reports a study in the September issue of Neurosurgery, official journal of the Congress of Neurological Surgeons. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

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Pain Treatments Less Effective for Those with Irritable Bowel

University of Adelaide researchers have discovered that the immune system is defective in people suffering from irritable bowel syndrome, which is a major reason why sufferers have ongoing issues with pain.

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Opioid Users Breathe Easier with Novel Drug to Treat Respiratory Depression

People taking prescription opioids to treat moderate to severe pain may be able to breathe a little easier, literally. A study published in the September issue of Anesthesiology, the official medical journal of the American Society of Anesthesiologists® (ASA®), found that a new therapeutic drug, GAL-021, may reverse or prevent respiratory depression, or inadequate breathing, in patients taking opioid medication without compromising pain relief or increasing sedation.

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Studies Promoting Use of Antidepressants for Postoperative Pain May Be Premature, Review Finds

Antidepressants are known to provide effective pain relief for various chronic pain conditions; however, the jury is still out on their use in treating the millions of patients who suffer from acute or chronic pain following surgery. A first-of-its-kind literature review published in the September issue of Anesthesiology, the official medical journal of the American Society of Anesthesiologists® (ASA®), suggests although a majority of studies report positive outcomes, there is currently insufficient evidence to support the clinical use of antidepressants for the treatment of postoperative pain.

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Aspirin, Take Two

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In a new paper, published this week in the online early edition of PNAS, researchers at the University of California, San Diego School of Medicine conclude that aspirin has a second effect: Not only does it kill cyclooxygenase, thus preventing production of the prostaglandins that cause inflammation and pain, it also prompts the enzyme to generate another compound that hastens the end of inflammation, returning the affected cells to homeostatic health.

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High Prevalence of Opioid Use by Social Security Disability Recipients, Reports Medical Care

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More than 40 percent of Social Security Disability Insurance (SSDI) recipients take opioid pain relievers, while the prevalence of chronic opioid use is over 20 percent and rising, reports a study in the September issue of Medical Care. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

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Pregnancy Pain Focus of Loyola Study

Researchers at Loyola University Health System (LUHS) have a study under way to determine if an injectable anti-inflammatory medication and physical therapy can more effectively treat pregnancy-related pelvic pain than physical therapy alone. They are looking for English-speaking pregnant women between the ages of 21 and 50 who develop certain forms of pelvic girdle pain in their second trimester and who are not currently receiving treatment.

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Expert Panel Concludes Neurostimulation Can Be Life-Changing Therapy for Chronic Pain

Chronic pain, which persists despite the fact that an injury has healed, can last for many months or years and may affect up to 15 percent of the adult population at any point in time. While it is a condition in its own right, it can be a component of other conditions. Neurostimulation, which involves stimulating pain-sensing nerves to convert painful sensations into nonpainful ones, offers a minimally invasive and reversible alternative to medication. A new report from an international team of experts provides comprehensive information on the safety and effectiveness of this type of treatment for conditions including failed back surgery syndrome and complex regional pain syndrome. More studies are needed for conditions such as peripheral neuropathic pain, postamputation pain and nerve pain from shingles.

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Questions and Answers About Neurostimulation and the Neuromodulation Appropriateness Consensus Committee Recommendations Published in Neuromodulation: Technology at the Neural Interface

Neuromodulation appropriateness consensus committee questions and answers regarding neurostimulation and the committee findings

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Experts Issue Comprehensive Guidance on the Use of Neurostimulation in Chronic Pain

The Neuromodulation Appropriateness Consensus Committee consists of 60 neurostimulation experts convened by the International Neuromodulation Society to respond to the need to better define use of these advanced medical devices.

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