With evidence on the detrimental effects of catastrophizing on chronic pain well documented and ever increasing, researchers are making headway in refining the tools needed to measure the highly subjective symptom. The current gold standard in measuring catastrophizing, the Pain Catastrophizing Scale (PCS), a validated 13-item instrument, considers factors including rumination, helplessness, and magnification, but […]
Read MoreAre low-dose ketamine infusions for analgesia safe for patients who are not in a setting with continuous monitoring? The answer is yes, according to a small retrospective study. Lt. Cmdr. Jeffrey M. Carness, MD, and his colleagues at the Naval Medical Center Portsmouth, in Virginia, have long recognized the efficacy of ketamine in subanesthetic doses […]
Read MoreAmong inpatients aged 45 years or older having noncardiac surgery, 9% will experience myocardial injury within the 30 days after the procedure. About 80% of these injuries are clinically silent, detected only by troponin elevation. Mortality, however, is nearly identical for symptomatic and asymptomatic troponin elevations. Within 30 days of surgery, 10% of patients with […]
Read MorePatients receiving liposomal bupivacaine (Exparel, Pacira) injection after total knee arthroplasty (TKA) spent less time in the hospital and were significantly less likely to need to go to a rehabilitation center after discharge, a recent study found. Patients given liposomal bupivacaine spent a half-day less in the hospital than those administered routine, opioid-based pain medications, […]
Read MoreBMC Musculoskelet Disord. 2016; 17: 279. Authors: Shlomo Moshe et al Background Low back pain (LBP) is a leading cause of referral to occupational health clinics and of consequent work absenteeism. There is lack of data concerning ages 18–21. The objective of our study was to evaluate the occurrence of newly diagnosed LBP and the […]
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