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June 2010 Briefing - Pain Management

Here are what the editors at HealthDay consider to be the most important developments in Pain Management for June 2010. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Cardio Exercise Safe, Beneficial in Rheumatoid Arthritis

WEDNESDAY, June 30 (HealthDay News) -- Cardiorespiratory aerobic exercise is safe for rheumatoid arthritis (RA) patients and leads to improved function and quality of life, though its effect is small, according to a meta-analysis published in the July issue of Arthritis Care & Research.

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End-of-Life Hospital Care Has Room for Improvement

TUESDAY, June 29 (HealthDay News) -- In U.S. hospitals, the care of patients at end of life nearly always includes close attention to pain management and efforts to ease breathing, but there are other areas of care that need improvement, according to research published in the June 28 issue of the Archives of Internal Medicine.

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Doctors Agree Malpractice Fears Drive Overuse of Tests

MONDAY, June 28 (HealthDay News) -- A large majority of physicians agree that the practice of defensive medicine -- stemming from malpractice concerns -- is responsible for an overuse of medical tests and procedures, according to a research letter in the June 28 issue of the Archives of Internal Medicine.

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Spinal Kinematics Unlikely Marker for Teen Back Pain

FRIDAY, June 25 (HealthDay News) -- Spinal kinematics may not effectively distinguish adolescents with nonspecific chronic low back pain (NSCLBP) from their pain-free counterparts unless those with NSCLBP are subclassified, according to a study in the June 15 issue of Spine.

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Updated Recommendations for Endometriosis Released

FRIDAY, June 25 (HealthDay News) -- Women who suffer from endometriosis-related pain should be treated first with conservative, non-surgical approaches and then with more invasive options if pain does not resolve, and hysterectomy only as a last resort, according to a practice bulletin issued by the American College of Obstetricians and Gynecologists (ACOG) and published in the July issue of Obstetrics & Gynecology.

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Recent Low Back Pain Guidelines Offer Similar Advice

FRIDAY, June 25 (HealthDay News) -- Recent clinical practice guidelines offer similar recommendations for assessing and managing low back pain, and clinicians can improve patient care by adopting these recommendations, according to a review published in the June issue of The Spine Journal.

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ER Visits for Prescription Drug Misuse Climbing

FRIDAY, June 18 (HealthDay News) -- From 2004 to 2008, emergency department visits involving the non-medical use of prescription drugs increased substantially in the United States, according to research published in the June 18 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Celecoxib Linked to Lower Rate of Gastrointestinal Events

THURSDAY, June 17 (HealthDay News) -- The cyclooxygenase (COX)-2 selective nonsteroidal anti-inflammatory drug (NSAID) celecoxib is associated with a lower risk of gastrointestinal adverse events than the NSAID diclofenac plus the proton pump inhibitor (PPI) omeprazole in patients with osteoarthritis or rheumatoid arthritis, according to a study published online June 17 in The Lancet.

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Duloxetine Beneficial in Treating Chronic Low Back Pain

THURSDAY, June 17 (HealthDay News) -- Duloxetine appears to significantly reduce pain and improve functioning in nondepressed individuals with non-neuropathic chronic low back pain (CLBP), according to a study published in the June 1 issue of Spine, though during the study, more subjects on duloxetine discontinued treatment because of adverse events than those on placebo.

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Psychological Variables Predict Disability From Back Pain

THURSDAY, June 17 (HealthDay News) -- Long-term disability from low back pain (LBP) may be prevented by targeting interventions to several psychological variables, according to research published in the June 1 issue of Spine.

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Music Decreases Pain, Anxiety During Bone Marrow Biopsy

FRIDAY, June 11 (HealthDay News) -- Listening to music during bone marrow biopsy and aspiration can reduce both anxiety and pain intensity during the procedure, according to research published in the June issue of the AORN Journal.

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Care Costs Substantial Before Lumbar Discectomy

FRIDAY, June 11 (HealthDay News) -- Patients with lumbar disc herniation incur substantial charges for preoperative care in the months before discectomy -- during a period of conservative management -- which are roughly equally divided between diagnostic charges and therapeutic charges, according to research published in the June issue of The Spine Journal.

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Study Assesses Improvement Scores After Cervical Fusion

THURSDAY, June 10 (HealthDay News) -- Following cervical fusion for degenerative disorders, patients may notice a minimally clinically important change if they have an eight-point decrease in Neck Disability Index (NDI) or a three-point decrease in arm or neck pain, according to research published in the June issue of The Spine Journal.

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Lifestyle, Behaviors Affect Headache Risk in Adolescents

WEDNESDAY, June 9 (HealthDay News) -- High consumption of alcoholic drinks, coffee drinking, smoking, and lack of physical activity are all associated with headaches in adolescents, according to a study published online June 7 in Headache.

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Pediatric Migraine Treatment Practices Vary Widely in ER

WEDNESDAY, June 9 (HealthDay News) -- In a sample of Canadian emergency departments, children seen for migraine headaches reported frequent occurrence of attacks, and were subject to significant treatment variations by emergency department physicians, according to research published online June 7 in Pediatrics.

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CDC: Many U.S. Teens Have Abused Prescription Drugs

THURSDAY, June 3 (HealthDay News) -- One in five students high school students in the United States has abused prescription drugs at some point, according to the 2009 National Youth Risk Behavior Survey, released June 3 by the U.S. Centers for Disease Control and Prevention.

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Case Study Shows Poor Results of Back Pain Overtreatment

THURSDAY, June 3 (HealthDay News) -- For low back pain, overly aggressive surgical treatment and overtreatment with narcotics can result in severely adverse outcomes for the patient, including increased pain, loss of functionality and drug addiction, according to a case report in the May 20 issue of Spine.

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Risk of GI Bleeding Varies by NSAID Type, Dosage

WEDNESDAY, June 2 (HealthDay News) -- The risk of gastrointestinal (GI) complications due to nonsteroidal anti-inflammatory drug (NSAID) use varies by the specific drug used and by dosage, and those with a slow-release formulation or long half-life are associated with a greater risk, according to research published in the June issue of Arthritis & Rheumatism.

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RA Patients and Physicians Differ on Disease Severity

WEDNESDAY, June 2 (HealthDay News) -- Nearly one-third of rheumatoid arthritis (RA) patients assess the severity of their disease differently than their rheumatologists do, with the disparity most pronounced for patients with higher depressive symptoms, according to a study in the June issue of Arthritis Care & Research.

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Exercise Offers Benefits After Low Back Rehabilitation

WEDNESDAY, June 2 (HealthDay News) -- Patients with chronic low back pain who participate in a post-rehabilitation exercise program enjoy benefits in trunk muscle endurance and level of disability compared to patients who receive usual care, according to a study in the May 20 issue of Spine.

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