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May 2010 Briefing - Pain Management

Here are what the editors at HealthDay consider to be the most important developments in Pain Management for May 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.

Most Lumbar Disc Herniation Occurs Spontaneously

FRIDAY, May 28 (HealthDay News) -- Lumbar disc herniation (LDH) usually occurs without any inciting event, and when there is an inciting event, it is not associated with a more severe presentation, according to a study in the May issue of The Spine Journal.

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New Tramadol Label Warns of Suicide, Overdose Risks

WEDNESDAY, May 26 (HealthDay News) -- The U.S. Food and Drug Administration and Ortho-McNeil-Janssen have alerted health care professionals of changes to the prescribing information warnings section for tramadol, a centrally acting synthetic opioid analgesic used to manage moderate to moderately severe chronic pain.

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Muscle Fatigue Linked to Decreased Postural Stability

THURSDAY, May 20 (HealthDay News) -- Patients with no low back pain who have had inspiratory muscles fatigue (IMF) use a postural control strategy similar to that of patients with low back pain, resulting in decreased postural stability and suggesting that IMF might have a role in the high recurrence rate of low back pain (LBP), according to research published in the May 1 issue of Spine.

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Nonorganic Pain Drawings Linked to Inferior Outcomes

THURSDAY, May 20 (HealthDay News) -- A nonorganic pain drawing used during lumbar spinal fusion surgery is a significant risk factor for inferior outcome, according to a study published in the May issue of The Spine Journal.

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Depression Common at End of Terminal Cancer

THURSDAY, May 20 (HealthDay News) -- Depression is a common condition among patients with metastatic cancer, and those with a combination of psychosocial vulnerability and greater physical suffering are at the highest risk, according to a study in the Journal of Clinical Oncology.

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Sprix Approved for Moderate-to-Severe Pain

MONDAY, May 17 (HealthDay News) -- Roxro Pharma's Sprix (ketorolac tromethamine) nasal spray has been approved by the U.S. Food and Drug Administration for the short-term treatment of moderate to moderately severe pain, the manufacturer said Monday in a news release.

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Neuropathic Pain Increases Related Medical Costs

FRIDAY, May 14 (HealthDay News) -- Common types of neuropathic pain, such as that associated with herpes zoster or diabetes, can add substantially to health care costs related to those conditions, according to a study reported in the April issue of the Journal of Pain.

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Sucrose or Glucose Before Shots Reduces Infants' Crying

THURSDAY, May 13 (HealthDay News) -- The administration of sucrose or glucose prior to immunization in infants aged 1 to 12 months reduces the incidence and duration of crying as well as pain scores, according to research published online May 12 in the Archives of Disease in Childhood.

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New FDA Program Targets Misleading Drug Advertising

WEDNESDAY, May 12 (HealthDay News) -- The U.S. Food and Drug Administration has announced the launch of a new program to educate health care providers regarding their role in making certain that advertisements and promotions for prescription drugs are truthful and not misleading.

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Opioid Therapy Linked to Avoidance of Some Screenings

WEDNESDAY, May 12 (HealthDay News) -- Patients using chronic opioid therapy for non-cancer pain may have a lower likelihood of receiving some preventive services, according to a study published in the May/June issue of the Annals of Family Medicine.

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Restless Legs Syndrome Is Frequently Familial

TUESDAY, May 11 (HealthDay News) -- Restless legs syndrome (RLS) has a high familial rate, and siblings of those who are severely affected by the disease appear to be at increased risk of developing it themselves, according to research published in the May issue of the Archives of Neurology.

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Opioid Misuse Risk Factors Differ for Men and Women

MONDAY, May 10 (HealthDay News) -- Men at risk for the misuse of prescription opioids taken for pain are more likely to have legal and behavioral problems, while women who misuse are more likely to have emotional or psychological issues, according to a study in the April issue of the Journal of Pain.

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High Body Mass Index Linked to Low Back Pain

THURSDAY, May 6 (HealthDay News) -- A high body mass index is associated with an increased prevalence of low back pain, especially in women, according to a study published in the April 1 issue of Spine.

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Bar-Code Technology Reduces Medication Errors in Hospitals

WEDNESDAY, May 5 (HealthDay News) -- Use of bar-code verification technology can substantially decrease both transcription errors and medication administration errors in hospitals, according to research published in the May 6 issue of the New England Journal of Medicine.

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FDA Orders Recall of Colleague Volumetric Infusion Pumps

WEDNESDAY, May 5 (HealthDay News) -- The U.S. Food and Drug Administration has notified Baxter Healthcare Corp. that the company must recall and destroy all Colleague Volumetric Infusion Pumps currently being used in the United States, which may number 200,000.

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Cost Barriers Hamper Herpes Zoster Vaccination of Seniors

TUESDAY, May 4 (HealthDay News) -- Though most physicians recommend the use of herpes zoster vaccine in older adults, they are hampered by its financial barriers, according to survey results published in the May 4 issue of the Annals of Internal Medicine. A study in the same issue found that the vaccine is well tolerated in older adults.

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