Pain medicine : the official journal of the American Academy of Pain Medicine
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Multicenter Study
Barriers and facilitators to chronic pain self-management: a qualitative study of primary care patients with comorbid musculoskeletal pain and depression.
To identify barriers and facilitators to self-management of chronic musculoskeletal pain among patients with comorbid pain and depression. ⋯ Future research is needed to confirm these findings and to design interventions that capitalize on the facilitators identified while at the same time addressing the barriers to pain self-management.
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Multicenter Study Comparative Study
Exploring alternative approaches to routine outpatient pain screening.
To evaluate potential alternatives to the numeric rating scale (NRS) for routine pain screening. ⋯ Alternative single or combined pain screening strategies assessing pain-related bother may improve routine pain detection.
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To provide an overview of the role of voltage-gated sodium channels in pathophysiology of acquired and inherited pain states, and of recent developments that validate these channels as therapeutic targets for treating chronic pain. ⋯ These studies suggest that isoform-specific blockers of these channels or targeting of their modulators may provide novel approaches to treatment of pain.
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Case Reports
The development of an integrated treatment for veterans with comorbid chronic pain and posttraumatic stress disorder.
The purpose of this article is to describe the development of the first integrated treatment for Veterans with comorbid chronic pain and posttraumatic stress disorder (PTSD). ⋯ Participants appeared to benefit from receiving the integrated treatment for pain and PTSD. A randomized clinical trial is currently being conducted to evaluate the efficacy of this treatment approach.
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Review Meta Analysis
Systematic review of the literature on pain in patients with polytrauma including traumatic brain injury.
To review the literature addressing the assessment and management of pain in patients with polytraumatic injuries including traumatic brain injury (TBI) and blast-related headache, and to identify patient, clinician and systems factors associated with pain-related outcomes. ⋯ Very little evidence is currently available to guide pain assessment and treatment approaches in patients with polytrauma. Further research employing systematic observational as well as controlled intervention designs is clearly indicated.