Pain

Concordance of shoulder symptoms and imaging findings: a protocol for the Finnish Imaging of Shoulder (FIMAGE) study – Thomas Ibounig et al.

2024-02-11T14:42:33+11:00Imaging, Musculoskeletal, Pain, Publications, Radiology reports, Shoulder|

Shoulder pain is a substantial medical and socioeconomic problem in most societies, affecting the ability to work or carry out leisure time activities as well as subsequently influencing physical and psychological well-being. According to a nationwide survey in Finland, 27% of the population reported shoulder [...]

Education can reassure people with rotator cuff–related shoulder pain: a 3-arm, randomised, online experiment – Joshua R. Zadro et al.

2024-02-11T14:37:27+11:00Clinical guidelines, Musculoskeletal, Pain, Publications, Shoulder, Treatment|

We aimed to investigate the immediate effect of best practice education (with and without pain science messages) and structure-focused education on reassurance among people with rotator cuff–related shoulder pain. We conducted a 3-arm, parallel-group, randomised experiment. People with rotator cuff–related shoulder pain were randomised (1:1:1) [...]

Opioid analgesics for nociceptive cancer pain: A comprehensive review – Christina Abdel Shaheed et al.

2024-02-11T13:40:24+11:00Cancer, Opioids, Pain, Prescribing, Publications, Treatment|

Pain is one of the most burdensome symptoms in people with cancer, and opioid analgesics are considered the mainstay of cancer pain management. For this review, the authors evaluated the efficacy and toxicities of opioid analgesics compared with placebo, other opioids, nonopioid analgesics, and nonpharmacologic [...]

Changes in opioid agonist treatment initiation among people prescribed opioids for pain following voluntary and mandatory prescription drug monitoring program implementation: A time series analysis – Louisa Picco et al.

2023-12-04T14:13:26+11:00Health policy, Mental Health, Opioids, Pain, Prescribing, Publications, Risk|

Prescription drug monitoring programs (PDMP) are increasingly used to identify people prescribed high-dose opioids. However, little is known about whether PDMPs impact opioid agonist treatment (OAT) uptake, the gold standard for opioid use disorder. This study examined the impact of PDMP implementation on OAT initiation [...]

General practitioners’ decision-making process to prescribe pain medicines for low back pain: a qualitative study – Giovanni E Ferreira et al.

2023-12-04T13:22:01+11:00Back pain, General Practice, Low back pain, Musculoskeletal, Opioids, Pain, Primary Care, Publications|

Pain medicines are widely prescribed by general practitioners (GPs) when managing people with low back pain (LBP), but little is known about what drives decisions to prescribe these medicines. The aim of this study was to investigate what influences GPs' decision to prescribe pain medicines [...]

Clinical Observation, Management and Function Of low back pain Relief Therapies (COMFORT): A cluster randomised controlled trial protocol – Christina Abdel Shaheed et al.

2023-12-04T13:11:20+11:00Back pain, Low back pain, Musculoskeletal, Opioids, Pain, Prescribing, Publications|

Low back pain (LBP) is commonly treated with opioid analgesics despite evidence that these medicines provide minimal or no benefit for LBP and have an established profile of harms. International guidelines discourage or urge caution with the use of opioids for back pain; however, doctors [...]

Understanding general practitioners’ prescribing choices to patients with chronic low back pain: a discrete choice experiment – Melanie Hamilton et al.

2023-12-01T15:27:59+11:00Clinical guidelines, Low back pain, Musculoskeletal, Opioids, Pain, Prescribing, Primary Care, Publications|

Although NSAIDs are recommended as a first line analgesic treatment, opioids are very commonly prescribed to patients with low back pain (LBP) despite risks of harms. This study aimed to determine factors contributing to general practitioners’ (GPs’) prescribing choices to patients with chronic LBP in [...]

Patients’ experiences of subacute pain management following total hip or knee arthroplasty: A qualitative study – Shania Liu et al.

2023-12-01T15:10:18+11:00Hip, Knee, Musculoskeletal, Opioids, Pain, Publications, Surgery|

Total hip and knee arthroplasties are common surgeries performed worldwide, but the management of pain during the subacute period (defined as hospital discharge to 3 months postoperatively) is poorly understood. This study aimed to determine patients' experiences, facilitators and barriers to subacute pain management following total [...]

Red flags to screen for vertebral fracture in patients presenting with low-back pain – Christopher M. Williams et al.

2023-12-01T14:06:58+11:00Back pain, Imaging, Low back pain, Musculoskeletal, Overtreatment, Pain, Publications, Spinal|

Low‐back pain (LBP) is a common condition seen in primary care. A principal aim during a clinical examination is to identify patients with a higher likelihood of underlying serious pathology, such as vertebral fracture, who may require additional investigation and specific treatment. All 'evidence‐based' clinical [...]

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