عزيزتي مايو كلينك: أنا في أوائل الخمسينيات من عمري وأتمتع بنمط حياة نشط. سمعت مؤخرًا تقارير عن زيادة في إصابات التواء الكاحل وكسره خاصة لدى كبار السن، ويرجع ذلك جزئيًا إلى مقدار النشاط والشيخوخة. كيف يمكنني تجنب هذه الإصابات في المقام الأول؟
Spinal cord stimulation uses low levels of electricity to relieve pain. A study is the first to measure this treatment’s effects on patients by gauging improvement in insomnia after spinal cord stimulation. Results showed a 30 percent or more improvement of both nighttime and daytime components of insomnia in 39.1 percent of study participants and a 30 percent or more improvement of daytime sleepiness in 28.1 percent of participants. Findings correlated with improvement in disability and depression and revealed associations with sleep and both pain and depression. Results will help clinicians gain a better understanding of the type of patient most likely to benefit from this treatment.
Expanding anesthesiology residency programs — even in the absence of federal funding — may help medical institutions save staffing costs and address projected shortages of anesthesia care professionals, suggests a first-of-its-kind study being presented at the American Society of Anesthesiologists’ ADVANCE 2023, the Anesthesiology Business Event.
Inaccurately recording the start of anesthesia care during a procedure is common and results in significant lost billing time for anesthesia practices and medical centers, suggests a study being presented at the American Society of Anesthesiologists’ ADVANCE 2023, the Anesthesiology Business Event.
Pain in your breast means you better get a mammogram, right? Not always, says a Penn State Health radiologist, who sounds off on when it’s best to get your screening in this week’s Medical Minute.
An automated pattern recognition tool – developed using artificial intelligence (AI) technology – can detect whether surgery will be effective in reducing pain due to nerve compression headaches, reports a study in the February issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). The journal is published in the Lippincott portfolio by Wolters Kluwer.
Santhanam Suresh, MD, MBA, FAAP, FASA, has been named the 2023 Gaston Labat Award recipient and will present the Gaston Labat lecture at the ASRA Pain Medicine 48th Annual Regional Anesthesiology and Acute Pain Medicine Meeting, April 22, 2023, in Hollywood, FL.
This basic scientific research provides a comprehensive structural framework that should help drug developers rationally design safer drugs to relieve severe pain.
Indiana University researchers have potentially discovered a new way to block the brain’s reward response to opioids, reducing their potential for addiction without reducing their therapeutic aspects.
The award-winning CeCe Migraine Management app now offers users an unprecedented level of insight into their migraine treatments with the CEFALY Connected device.
Josee Guindon, DVM, Ph.D., has been named the 2023 William A Devane Young Investigator Award honoree by the International Cannabinoid Research Society.
Research at Roswell Park Comprehensive Cancer Center shows that putting a three-day limit on opioid prescriptions to treat surgical pain after hospital discharge reduces the number of patients who become chronic opioid users without compromising pain relief or recovery. It also reduces the amount of opioids circulating in the community — a grave concern, given that opioids are implicated in 130 overdose deaths in the U.S. every day.
All patients undergoing procedures requiring anesthesia should be asked about cannabis use, according to guidelines released by the American Society of Regional Anesthesia and Pain Medicine (ASRA Pain Medicine). The first U.S. guidelines on cannabis use in relation to surgery also notes regular use may worsen pain and nausea after surgery and increase the need for opioids.
Chula Medicine announced the discovery of “cytokines” in the body’s immune system that can determine the severity of osteoarthritis in elderly adults, hoping to facilitate the planning of follow-up and treatment of the disease, and reduction of its severity, while also recommending vitamin D and vitamin E supplements, body weight control, and proper exercise.
Wastewater sampling has shown the significant impact of removing the strong painkiller codeine from pharmacy counters to a prescription-only medication since 2018 in Australia. The move has led to a 37 per cent drop in codeine use, cutting dependency and potentially saving lives.
Cleveland Clinic was awarded $5.5 million from the National Institutes of Health to develop a stem cell treatment for complex regional pain syndrome, a disease that causes debilitating chronic pain.
The research shows long-term potential for providing patients suffering from chronic pain an alternative to addictive treatments like opioids.
The American Association of Nurse Anesthesiology (AANA) applauds the Centers for Disease Control and Prevention (CDC) for providing more flexibility and clarity in their updated Clinical Practice Guidelines for Prescribing Opioids. The final guidelines include acknowledgment of the role of Certified Registered Nurse Anesthetists (CRNAs) as pain care providers, how pain care is administered, and the consideration for nonopioid therapies for subacute and chronic pain.
A project using focused ultrasound is one of seven selected by the NIH, which also has received successful reviews from ABC’s “Shark Tank.” Researchers are developing a handheld probe to provide a noninvasive, non-opioid-based treatment for aggravated chronic pain for use in a physician’s office or potentially even at home. The device directs low-intensity ultrasound at the dorsal root ganglia – small bundles of nerves along the spine that control pain signals reaching the spinal cord – to provide means for precise treatment of back and leg pain.
In an article published in the journal Antioxidants, researchers from the Hospital de la Santa Creu i Sant Pau Research Institute (IIB Sant Pau) and the Universitat Autònoma de Barcelona demonstrate in animal models that water enriched with hydrogen molecules (H2) improves the symptomatology of neuropathic pain and related emotional disturbances.
A world-first study of stroke survivors shows how chronic pain can alter body perception, with the brain tricking patients into believing their affected hand is a different size, increasing the risk of accidents.
UC San Diego Health has been awarded the prestigious 2022 California Association of Public Hospitals and Health Systems Quality Leaders Award in the category of health equity.
Vast improvements in ankle replacement implants, technology and surgical techniques have made ankle replacement surgery a viable option for many patients suffering from severe arthritis. A Long Island woman says the surgery gave her a new lease on life.
Researchers from the Desai Sethi Urology Institute, part of the University of Miami Miller School of Medicine, have launched a study to determine if wearing virtual reality headsets during in-office vasectomy helps relieve patients of procedure-related pain and anxiety.
Henry Ford Health Orthopedic researchers looked at steroids as part of a multi-modal pain control regimen and an alternative to using opioids after outpatient knee replacement. The study won the 2022 American Association of Hip and Knee Surgeons Clinical Research Award.
A study is the first to use a large range of instruments/ tools and include older adults from many ethnic groups to determine factors affecting their physical activity. Results showed that age, education, social network, pain and depression accounted for a statistically significant proportion of unique variance in physical activity in this diverse older population living independently. Those who reported lower physical activity tended to be older, have less years of education and reported lower social engagement, networking, resilience, mental health, self-health rating, and higher levels of depression, anxiety, pain, and body mass index compared to the moderate to high physical activity groups.
People with autism have normal pain thresholds but increased sensitivity to painful stimuli, concludes a study in PAIN®, the official publication of the International Association for the Study of Pain (IASP). The journal is published in the Lippincott portfolio by Wolters Kluwer.
In cannabis trials against pain, people who take placebos report feeling largely the same level of pain relief as those who consume the active cannabinoid substance.
One in four retired Olympians reported a diagnosis of osteoarthritis, the form of arthritis that causes changes in the joint and can lead to discomfort, pain and disability, the research found.
Patients who take statins to lower high cholesterol levels often complain of muscle pains, which can lead them to stop taking the highly effective medication and put them at greater risk of heart attack or stroke.
It is difficult to assess brain health status and risk of cognitive impairment, particularly at the initial evaluation. To address this, researchers have developed the Brain Health Platform to quantify brain health and identify Alzheimer’s disease and related disorders.
The use of cannabis may have a negative impact on outcomes for a common bypass surgery, a study suggests. Patients who used cannabis prior to lower extremity bypass had decreased patency, meaning the graft had a higher chance of becoming blocked or occluded, higher rate of amputation and opioid use after discharge.
Don’t spank your kids. That’s the conventional wisdom that has emerged from decades of research linking corporal punishment to a decline in adolescent health and negative effects on behavior, including an increased risk for anxiety and depression.
The University of Texas MD Anderson Cancer Center’s Research Highlights provides a glimpse into recent basic, translational and clinical cancer research from MD Anderson experts. Current advances include a promising targeted therapy combination for patients with relapsed/refractory acute myeloid leukemia (AML), a link between the gut microbiome and therapy-related neutropenic fever, a novel therapeutic target for immunotherapy-related colitis, a telementoring model for training providers on cervical cancer prevention in limited-resource areas, a new understanding of the prognostic value of RUNX1 mutations in AML, and insights into the effects of opioid use on the pain sensitivity pathway.
Investigators at Hospital for Special Surgery (HSS) have discovered that at the time of total knee replacement, women have significantly increased levels of immune cells called mast cells in synovial tissue surrounding the knee joint than men. Their findings, presented today at the annual meeting of the American College of Rheumatology, ACR Convergence 2022, may help future research explore why women with knee osteoarthritis report worse pain than men.
Epidural steroid injections and epidural blood patches are procedures performed by pain medicine physicians to deliver medication into the spine to provide quick pain relief to patients. During these procedures, a small amount of dye is injected to identify the epidural space, a small space in the spine.
Naltrexone was originally used to help treat alcohol and opioid abuse. However, at lose doses, naltrexone has been found to help with chronic pain stemming from various conditions including fibromyalgia, Crohn’s disease, diabetic neuropathy, axial low back pain, rheumatoid arthritis, and complex region pain syndrome.
Spinal cord stimulation (SCS) is an effective and proven treatment for chronic nerve pain, and it is often used to treat persistent pain after previous back surgery. However, before SCS can be implemented, physicians are required to conduct a prognostic “trial,” which carries an average price tag of $10,000.
Stanford University researchers recently conducted a systematic review of studies on cervical radiculopathy, commonly referred to as “pinched nerve,” to determine if steroids are a safe and effective treatment.
Effectively treating chronic pain is challenging because pain experiences are highly subjective. To select the best treatments, physicians rely on patient perceptions, costly tests, and lengthy examinations.