Category Archives: Chronic Pain

The mysterious rise in knee osteoarthritis

The mysterious rise in knee osteoarthritis – Harvard Health Blog – Harvard Health Publishing

Osteoarthritis is the form of joint disease that’s often called “wear-and-tear” or “age-related,” although it’s more complicated than that.

While it tends to affect older adults, it is not a matter of “wearing out” your joints the way tires on your car wear out over time. Your genes, your weight, and other factors contribute to the development of osteoarthritis.

Since genes don’t change quickly across populations, the rise in prevalence of osteoarthritis in recent generations suggests an environmental factor, such as activity, diet, or weight.   Continue reading

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Survey on Complimentary Therapy for EDS

Study Title: Use of Complementary Therapies for Pain Management in Patients with Ehlers-Danlos and Hypermobility Spectrum Disorders – Principal Investigator: Jessica Demes

The purpose of our study is to learn more about how adult patients manage their pain when affected by Ehlers Danlos or a Hypermobility Spectrum Disorder. We are hoping that you could provide your opinions and perspectives in this survey.

To join the study, we will ask you to complete a survey with questions about hypermobility and how you experience and manage any pain you have. These questions may take approximately 30-45 minutes to complete.

The Orphaned Patient with Chronic Pain

The Orphaned Patient: Treating Chronic Pain with Opioids | Harvard Medical School | Lean Forward By Peter Grinspoon, M.D. – February 1, 2018

The commonly cited proverb, “The road to hell is paved with good intentions,” was coined in the twelfth century by a French abbot named Bernard of Clairvaux. In no case is this adage more apt than as applies to chronic pain patients, who have been cut off from their longstanding and stable supplies of opiates by

physicians who have been convinced, cajoled, intimidated, mandated, and cowed into no longer prescribing high-dose opiates for chronic pain patients in response to the current opiate epidemic.   Continue reading

Suicides from forced Opioid Reductions

Suicides Associated with
forced Opioid Pain Medication Reductions
2015 – Sept 2017

1.

Phillip Kuykendall from Statesville, North Carolina was a 63 yr old man, an active member of society and hobbyist whose doctor refused to prescribe medication for his pain disease. After a stay in the hospital near Statesville where he went to have his pain disease assessed, he was discharged with no pain medicine.   Continue reading

Postoperative Pain Risk Linked to Genetics

Chronic Postoperative Pain Risk Linked to Gene Polymorphisms – Jan 2018

Genetics may be a factor in the experience of chronic pain post surgery, according to a study published online in Anesthesiology.

Yuanyuan Tian, PhD, from the Chinese University of Hong Kong, and colleagues genotyped 638 polymorphisms within 54 pain-related genes in 1152 surgical patients who were enrolled in the Persistent Pain after Surgery Study. 

Polymorphisms were validated in a matched cohort of 103 patients with chronic postsurgical pain and 103 pain-free patients.  Continue reading

New Type of Chronic Daily Headache

New Type of Chronic Daily Headache Described in Case Series – MPR – Diana Ernst, RPh – September 26, 2017

A case series published in the Journal of Women’s Health describes a new subtype of chronic daily headache that appears to be associated with elevated cerebrospinal fluid (CSF) pressure.

The eight women included in this review

  • were older (average age of onset: 57 years),
  • were mostly overweight or obese (6 out of 8), had a
  • history of episodic migraine (migraines were well-controlled or had ceased prior to new headache onset), and
  • were either perimenopausal or in menopause.   Continue reading

Different Disorders, Same Pain

Brain Changes May Explain Chronic Pain Symptoms in Different Disorders – August 23, 2017 In Fibromyalgia, Newsby Patricia Inacio, PhD

Even though fibromyalgia and urological chronic pelvic pain syndrome (UCPPS) are different disorders, new research suggests that patients suffering from these conditions may actually share alterations to the brain, perhaps explaining why certain UCPPS patients exhibit fibromyalgia characteristics, such as widespread pain.

The study “Brain signature and functional impact of centralized pain: a multidisciplinary approach to the study of chronic pelvic pain (MAPP) network study” was published in the journal Pain.   Continue reading

What We Lose When We Undertreat Pain

What We Lose When We Undertreat Pain | Kate Nicholson | TEDxBoulder – YouTube

I’m not a big fan of getting information from videos, but this one is worth watching and sharing with people who don’t understand how well opioids can work and why we would want to take them.

Kate Nicholson was working as a civil rights attorney for the Justice Department when a surgical error left her unable to sit or stand, largely bedridden, and in severe pain for almost 20 years.

Using opioids as an appropriate pain management tool, she continued to function as a high-level federal prosecutor. Continue reading

Pain – Thomas Dikel

Pain – Thomas Dikel – Medium

Pain is largely a misunderstood construct.

This is odd, as everyone has experience with pain, and it has been studied extensively. Nevertheless, it remains a mystery, even to those who believe they know it best.

What we understand as pain is not a unilateral function. There are in fact two basic and primary components to pain.   Continue reading