Pain medicine : the official journal of the American Academy of Pain Medicine
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Comparative Study Observational Study
Procedural Pain During Lumbar Medial Branch Blocks With and Without Skin Wheal Anesthesia: A Prospective Comparative Observational Study.
To determine if skin wheals reduce procedural pain associated with lumbar medial branch blocks (MBBs) performed with 25-gauge needles. ⋯ Skin wheals do not reduce and may increase procedural pain associated with lumbar MBBs performed with 25-gauge needles.
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Clinical Trial
The Art of Analgesia: A Pilot Study of Art Museum Tours to Decrease Pain and Social Disconnection Among Individuals with Chronic Pain.
This mixed-methods study examines the feasibility of art museum tours (Art Rx) as an intervention for individuals with chronic pain. ⋯ Art museum tours for individuals with chronic pain are feasible, and participants reported positive effects on perceived social disconnection and pain.
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To implement a skills-based faculty development program (FDP) to improve Internal Medicine faculty's clinical skills and resident teaching about safe opioid prescribing. ⋯ A skills-based faculty development program that includes a lecture followed by an OSCE can improve Internal Medicine faculty safe opioid prescribing knowledge, attitudes, and clinical and teaching confidence. Improving resident teaching may require additional training in safe opioid prescribing teaching skills.
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The safety and efficacy of long-term opioid treatment for chronic noncancer pain (CNCP) remains controversial. This study examined whether patients who report problematic opioid use sought help and/or perceived barriers to help-seeking. ⋯ The PODS is effective in identifying patients who are concerned about their opioid use. Strategies to address stigma related to drug treatment, including better integration of primary health, specialist pain, and addiction services, are important in reducing opioid-related harm.