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October 2017 Briefing – Pain Management

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Here are what the editors at HealthDay consider to be the most important developments in Pain Management for October 2017. This roundup includes the...
Two simple tests can indicate a probable diagnosis of fibromyalgia in patients with chronic pain

Two Simple Tests Can ID Fibromyalgia in Pain Patients

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Pain on pinching Achilles tendon and endorsement of single question regarding pain point to fibromyalgia
Maternal use of acetaminophen in pregnancy is associated with attention-deficit/hyperactivity disorder in offspring

Maternal Use of Acetaminophen Linked to ADHD in Offspring

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Link seen after adjustment for maternal use before pregnancy, familial risk for ADHD
For patients undergoing total knee or hip arthroplasty

ASA: Fewer Opioids Being Used for Post-Op Pain After TKA, THA

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Increase in proportion of patients receiving one, two, more than two analgesic modes
For patients using chronic opioids

ACG: Diphenhydramine Ups Sedation in Chronic Opioid Users

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Improvement in sedation scores for patients using chronic opioids scheduled to undergo colonoscopy
In 2015

Serious Suffering Affects Almost Half of Those Who Die Yearly

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Vast majority who experience serious health-related suffering have no palliative care, pain relief
For patients with discogenic low back pain

Intradiscal Electrothermal Therapy Cost-Effective

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Findings based on comparison to femoral ring allograft for discogenic low back pain
For patients with noncancer pain and opioid-induced constipation

Naloxegol Has No Effect on Opioid Dose in Opioid-Tied Constipation

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Centrally-mediated analgesia was maintained during treatment with naloxegol in noncancer pain, OIC
Vitamin D deficiency may be associated with increased neuropathic pain in patients with rheumatoid arthritis

Vitamin D Deficiency Tied to Neuropathic Pain

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Findings among patients diagnosed with rheumatoid arthritis
A 10-mL 1 percent lidocaine paracervical nerve block reduces pain during intrauterine device insertion

Lidocaine Nerve Block Reduces Pain During IUD Insertion

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Pain score lower among patients who receive lidocaine than those who receive placebo