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Chronic Pain Blog

Steroids No Better for Sciatica Pain Than Placebo, Study Finds

Posted 4 days ago by Drugs.com

TUESDAY, May 19, 2015 – Doctors often prescribe steroid pills to ease the discomfort of sciatica – back and leg pain usually caused by a herniated disk in the lower back. But a new study finds steroids are no more effective than a placebo pill for the pain and provide only modest improvement in function. Sciatica affects about one in 10 people in their lifetime, the researchers said. For this study, 269 people with sciatica were randomly assigned to take an oral steroid (prednisone) or a placebo (a dummy medication) for 15 days. The participants were followed for up to a year. "When we compared the prednisone to placebo, there was a modest improvement in function," said study researcher Dr. Harley Goldberg, director of spine care services at Kaiser Permanente San Jose Medical Center in California. People reported they could go about their daily activities somewhat better than before. ... Read more

Related support groups: Pain, Back Pain, Prednisone, Chronic Pain, Neuralgia, Sciatica, Breakthrough Pain, Methylprednisolone, Prednisolone, Cortisone, Medrol, Hydrocortisone, Dexamethasone, Triamcinolone, Betamethasone, Neuropathic Pain, Budesonide, Decadron, Entocort, Solu-Medrol

Insomniacs May Be More Sensitive to Pain

Posted 11 days ago by Drugs.com

TUESDAY, May 12, 2015 – People with insomnia or poor sleep quality may be less tolerant of pain, new research suggests. The more frequent and severe the insomnia, the greater the sensitivity to pain, the Norwegian study showed. Additionally, the researchers noted that people with insomnia who also suffer from chronic pain have an even lower threshold for physical discomfort. It's important to note, however, that while the study found an association between a lack of quality sleep and increased pain sensitivity, it wasn't designed to show a cause-and-effect relationship. The study, led by Borge Sivertsen, of the Norwegian Institute of Public Health in Bergen, involved more than 10,000 adults. The study participants all underwent a standard test of pain sensitivity by dunking their hands in a bath of cold water for 106 seconds. The volunteers were also asked about their sleep quality. ... Read more

Related support groups: Pain, Suboxone, Headache, Back Pain, Sleep Disorders, Tramadol, Oxycodone, Insomnia, Methadone, Percocet, Hydrocodone, OxyContin, Vicodin, Chronic Pain, Morphine, Norco, Fentanyl, Tylenol, Lortab, Codeine

Spinal Stimulation System Relieves Pain Without Tingling

Posted 12 days ago by Drugs.com

MONDAY, May 11, 2015 – The Senza spinal cord stimulation system has been approved by the U.S. Food and Drug Administration to treat chronic back pain without the tingling sensation that characterizes more traditional pain-relieving methods. The implanted device uses high-frequency stimulation to avoid the tingling sensation known as "paresthesia," the agency said in a news release. Spinal pain could be characterized by conditions including failed back surgery syndrome, low back pain and leg pain. Before treatment with Senza begins, potential users are treated with a trial system for a week or two, the FDA said. Once a physician determines that the trial device has worked, patients have minimally invasive surgery to implant Senza in the upper buttocks or abdomen. The device includes a patient-operated remote control. Senza's safety and effectiveness were clinically evaluated in a study ... Read more

Related support groups: Pain, Suboxone, Back Pain, Tramadol, Oxycodone, Methadone, Percocet, Hydrocodone, OxyContin, Vicodin, Chronic Pain, Morphine, Norco, Fentanyl, Lortab, Codeine, Opana, Ibuprofen, Subutex, Naproxen

One-Quarter of Narcotic Painkillers Misused, Study Shows

Posted 1 Apr 2015 by Drugs.com

WEDNESDAY, April 1, 2015 – Almost a quarter of powerful narcotic painkillers that are prescribed for chronic pain are misused, and the rate of addiction among patients hovers near 10 percent, a new review shows. The findings raise questions about the benefits of widespread use of these painkillers to treat chronic pain, the researchers said. "On average, misuse was documented in approximately one out of four or five patients, and addiction [was found] in approximately one out of 10 or 11 patients," who were prescribed the drugs as part of their treatment for chronic pain, wrote Kevin Vowles, from the University of New Mexico, and colleagues. In the new review, researchers analyzed 38 published studies, 35 of which were conducted in the United States. The average rates of misuse were 21 percent to 29 percent, while the average rates of addiction were 8 percent to 12 percent, according ... Read more

Related support groups: Pain, Oxycodone, Percocet, Hydrocodone, OxyContin, Vicodin, Chronic Pain, Morphine, Norco, Lortab, Codeine, Roxicodone, MS Contin, Endocet, Kadian, Cheratussin AC, Hydromet, Acetaminophen/Hydrocodone, Tylenol with Codeine, Vicoprofen

Brain Scans Give New Clues to Chronic Pain

Posted 12 Jan 2015 by Drugs.com

MONDAY, Jan. 12, 2015 – The causes and treatment of chronic pain are often elusive. However, a small study provides the first evidence that inflammation in key regions of the brain might play a role in ongoing discomfort. The findings illuminate possible sources of chronic pain, and might also point the way to potential treatments, experts say. In the study, a team led by Marco Loggia of Massachusetts General Hospital in Boston conducted brain scans of 10 people with chronic lower back pain and nine people with no pain. Those with chronic pain had elevated levels of an inflammation-linked "translocator" protein in areas of the brain known to be involved in the transmission of pain, the study found. "Finding increased levels of the translocator protein in regions like the thalamus – the brain's sensory gateway for pain and other stimuli – is important," Loggia said in a hospital news ... Read more

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Health Tip: Coping With Chronic Pain

Posted 23 Oct 2014 by Drugs.com

-- Chronic pain can interfere with daily life, making it difficult to assume daily responsibilities. The Cleveland Clinic offers these suggestions to help manage chronic pain: Be an educated patient. Learn about your condition and speak with your doctor about your concerns. Each day, schedule time for exercise, rest and relaxation. When you're having a good day, remember not to overdo it. Make sure your goals are realistic. Think positively. Join a support group for people with chronic pain. Quit smoking and avoid alcohol, which can affect sleep. Read more

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FDA Approves Targiniq ER Extended-Release Oxycodone with Abuse-Deterrent Properties

Posted 23 Jul 2014 by Drugs.com

July 23, 2014 – Today, the U.S. Food and Drug Administration approved Targiniq ER (oxycodone hydrochloride and naloxone hydrochloride extended-release tablets), an extended-release/long-acting (ER/LA) opioid analgesic to treat pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate. Targiniq ER is the second ER/LA opioid analgesic with FDA-approved labeling describing the product’s abuse-deterrent properties consistentwith the FDA’s 2013 draft guidance for industry, Abuse-Deterrent Opioids – Evaluation and Labeling. Targiniq ER has properties that are expected to deter, but not totally prevent, abuse of the drug by snorting and injection. When crushed and snorted, or crushed, dissolved and injected, the naloxone in Targiniq ER blocks the euphoric effects of oxycodone, making it less liked by abusers th ... Read more

Related support groups: Pain, Oxycodone, Chronic Pain, Severe Pain, Naloxone

Chronic Pain Is Often a Family Affair, Study Finds

Posted 19 Nov 2012 by Drugs.com

MONDAY, Nov. 19 – The teenage children of people who suffer chronic pain are at higher risk of suffering from such pain themselves, a new study finds. The study tracked more than 5,300 teens (aged 13 to 18) in Norway and their parents and found that teens were more likely to have chronic nonspecific pain and chronic multisite pain if one or both of their parents had chronic pain. The risk of chronic pain in teens was greater if both parents had chronic pain, according to the study published online Nov. 19 in the journal Archives of Pediatrics & Adolescent Medicine. Adjusting for socioeconomic and psychosocial factors did not change the findings, but different types of family structure did have an effect, said Dr. Gry Hoftun, of the Norwegian University of Science and Technology, and colleagues. For example, among teens who lived primarily with their mothers, those whose mothers had ... Read more

Related support groups: Pain, Chronic Pain

Tainted Steroid Injections May Affect Those Treated for Joint Pain

Posted 16 Oct 2012 by Drugs.com

TUESDAY, Oct. 16 – The nationwide meningitis outbreak linked to contaminated steroid injections has so far been focused on back pain patients. Far less attention has been paid to those patients who got injections of methylprednisolone acetate to ease chronic pain in joints such as knees, shoulders and hips. The U.S. Centers for Disease Control and Prevention is now reporting that two people who received a steroid injection for pain in a joint – rather than the back – may have come down with a fungal infection. One case is in Michigan, the other New Hampshire, but it will take time to confirm they are fungal infections, agency spokeswoman Melissa Dankel said Monday. People with chronic pain in ankles, knees, shoulders, hips and thumbs commonly get injections of methylprednisolone acetate in the troubled joint to relieve inflammation that causes discomfort and limits movement. Unlike ... Read more

Related support groups: Back Pain, Chronic Pain, Methylprednisolone, Medrol, Meningitis, Solu-Medrol, Medrol Dosepak, Depo-Medrol, A-methapred, Methylpred DP, Medralone 80, Depopred, M-Prednisolone, Methacort 80, Adlone-80, Medipred, Depmedalone, Methylcotolone, Medralone 40, Depoject-80

Chronic Pain May Cost U.S. $635 Billion a Year

Posted 14 Sep 2012 by Drugs.com

FRIDAY, Sept. 14 – Americans spend as much as $635 billion each year on the direct and indirect costs associated with chronic pain, according to a new study. That's more than the annual costs associated with cancer, heart disease and diabetes, said study authors Darrell Gaskin and Patrick Richard, health economists at Johns Hopkins University. They based their estimate on health care costs and lost worker productivity associated with chronic pain. The researches analyzed the 2008 Medical Expenditure Panel Survey to measure the incremental health care costs for people affected by chronic pain – including pain that interferes with work, joint pain, arthritis and disabilities – and compared them to costs for people without chronic pain. The study involved more than 20,200 U.S. adults. The costs of certain conditions were calculated for a variety of payers of health care services, the ... Read more

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More Evidence Acupuncture Can Ease Chronic Pain

Posted 10 Sep 2012 by Drugs.com

MONDAY, Sept. 10 – When it comes to the relief of chronic pain, acupuncture is indeed effective, a sweeping review of previous research finds. The conclusion stems from a fresh analysis of initial raw data that had been collected by 29 studies previously conducted in Germany, Spain, Sweden, the United States and the United Kingdom. Collectively, these past investigations had involved nearly 18,000 patients. "We looked at only the best-quality studies," said study author Andrew Vickers, an attending research methodologist and statistician at the Memorial Sloan-Kettering Cancer Center, in New York City. "So I can say with confidence that what we found is the strongest evidence to date supporting the effectiveness of acupuncture." The study appeared online Sept. 10 in the Archives of Internal Medicine. Acupuncture is age-old Chinese medicinal practice of carefully targeted needle ... Read more

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