DOCSLIB.ORG

35Th Annual Scientific Meeting of the Canadian Pain Society: Abstracts

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
35Th Annual Scientific Meeting of the Canadian Pain Society: Abstracts 35TH ANNUAL SCIENTIFIC MEETING OF THE CANADIAN pain SOCIETY: ABSTRACTS 2. Discussing the prevalence and psychosocial predictors of genito-pelvic pain WEDNESDAY MAY 21, 2014 in women during pregnancy and three months postpartum. SCIENTIFIC PROGRAM, DAY ONE 3. Examining the profile of risk factors and resiliencies important for 9:00 am – 9:45 am adjustment to pain among older adults. 2A 1 AN OVERVIEW OF HOW pediatric pain RESEARCH HAS Keynote SPEAKER: Mary ELLEN JEANS LECTURE GROWN SINCE 1975 LOST IN SPACE? DISRUPTION AND treatment OF Line Caes CORTICAL MAPS OF space AND Body IN PEOPLE WITH Centre for Pediatric Pain Research, IWK Health Centre, Halifax, CHRONIC pain Nova Scotia The field of pediatric pain research has grown tremendously since the first Chair: Jeffrey S Mogil articles on the topic were published in the 1970-80’s, yet no research has EP Taylor Professor of Pain Studies, Canada Research Chair in the been conducted to systematically examine the trends and contributions to Genetics of Pain (Tier I), Department of Psychology and Alan the pediatric pain literature since the early 1990’s. The presentation will Edwards Centre for Pain Research, McGill University, Montreal, focus on a study that employs bibliometric analysis to quantitatively analyze Quebec scientific literature in order to document the impact and trends in pediatric Invited Speaker: G Lorimer Moseley pain research. The goal of the current bibliometric analysis is to provide an Professor of Clinical Neurosciences, Foundation Chair in overview of research on pediatric pain published in peer-reviewed journals Physiotherapy & NHMRC Principal Research Fellow; The University between 1975 and 2010. A title search, conducted in Web of Science in of South Australia, Adelaide & Neuroscience Research Australia, January 2013 by using developmental and pain-related search terms, resulted Sydney, Australia in a total of 7677 articles. Two individuals independently screened these The brain holds maps of the body and the space around it. These maps titles to ensure eligibility for inclusion (ie, only original research articles and subserve the regulation and protection of our body, and the space around reviews related to pediatric pain with an English abstract were retained) it, both physiological and psychologically. That is, these maps are inte- resulting into 5693 articles to be included in the analysis. Moreover, 82% of grated with motor, sensory, and homeostatic functions as well as with the the articles were published since 1990, indicating a substantial increase of feelings we have of our body – its perceived size, location and temperature; pediatric pain publications since the last bibliometric analysis. The abstracts that we own it and have agency over it. A growing body of literature sug- of the selected articles have been retrieved and are currently being coded on gests that many of these maps are disrupted in people with chronic pain. authors’ country, citation score, type of journal and article, objective, age and Our conventional understanding of how these maps would predict that type of sample, and pain stimulus. The results of this bibliometric analysis their disruption simply reflects disrupted peripheral input– a purely ‘bot- will provide a comprehensive examination of important trends and contribu- tom-up’ phenomenon. However, recent experiments clearly reveal ‘top- tions in the field of pediatric pain research over the last 35 years and high- down’ effects as well, which implies that disrupted cortical maps of space light areas in need of more research. and body might contribute to the development or maintenance of chronic pain. That would raise the tantalizing possibility that these disrupted maps might be viable targets for treatment. Indeed, several treatments have been 2B developed and preliminary results appear promising. This lecture will dis- PREVALENCE OF genito-PELVIC pain IN PREGNANCY cuss the current state of research in this area, from the studies that under- AND THREE MONTHS postpartUM AND THE pin the idea of ‘training the brain’ for chronic pain, to the current state of PROSPECTIVE impact OF FEAR-AVoidance evidence for their effectiveness. Maria Glowacka Learning Objectives: Dalhousie University, Halifax, Nova Scotia 1. To understand the idea of cortical maps of the body and space around it. There is limited knowledge regarding the presence, onset, and location of 2. To understand the evidence that these cortical maps are disrupted in people genito-pelvic pain in pregnancy and postpartum. Further, greater fear-avoid- with chronic pain. ance (pain-related anxiety, catastrophizing, hypervigilance to pain) has been 3. To understand the current evidence concerning treatments that aim to associated with increased genital pain intensity in women, unrelated to correct these disruptions as a way of treating chronic pain. childbirth. These relationships have not been examined in postpartum popu- lations, or prospectively. We examined the prevalence, onset, and location of genito-pelvic pain during pregnancy and at three months postpartum, and Session 101: 10:45 am – 12:15 pm the impact of fear-avoidance in pregnancy on the intensity and unpleasant- ness of genito-pelvic pain at three months postpartum. First-time expectant 2 mothers (n=150) completed measures of pain-related anxiety, catastrophiz- ing and hypervigilance to pain. Those reporting genito-pelvic pain in preg- PAIN IN VULNERABLE POPULations: WHat IS KNOWN nancy and/or at three months postpartum completed measures of the onset, AND WHERE to GO NEXT? location, intensity, and unpleasantness of their pain. Of 150 women, 73/150 Chair: Line Caes (49%) reported genito-pelvic pain in pregnancy. The pain resolved for 43 of IWK Health Centre, Centre for Pediatric Pain Research, Halifax, 73 women and persisted for 30 of 73, and 11 women reported a new onset of Nova Scotia genito-pelvic pain after childbirth. Pain-related anxiety in pregnancy was Speakers: Line Caes, Maria Glowacka, Lucia Gagliese the only independent predictor of both the intensity and unpleasantness of WORKSHOP OBJECTIVE: genito-pelvic pain postpartum. Results suggest that about half of women may To identify challenges associated with research on and treatment of pain in develop genito-pelvic pain during pregnancy, but that this pain will resolve vulnerable samples across the life span, including children, women and for many, persist for about a third, and a significant subset of women will older patients. newly develop pain after childbirth. Pain-related anxiety in pregnancy may Learning Objectives: increase the risk for greater postpartum genito-pelvic pain. Findings may 1. Providing an overview of trends and contributions in the field of pediatric help health care providers identify and offer early intervention to women pain research over the last 35 years. who are at risk for experiencing this pain postpartum. Pain Res Manag Vol 19 No 3 May/June 2014 e31 Abstracts 2C The third component is the genetic makeup of the individual, a factor MORE THAN JUST A NUMBER: HETEROGENEITY AND thought to be key in the development of chronic pain states. These bio- VULNERABILITY to pain AMONG OLDER PEOPLE logical components of pain perception will be discussed as part of a wider discussion on the current state of the biopsychosocial model of pain. Lucia Gagliese York University and University Health Network, Toronto, Ontario Pain is highly prevalent among older people in the community and across 3B care settings. It has been repeatedly shown that older people are at risk for Not Practicing WHat WE PREACH: CHALLENGES IN under-treatment of postoperative, chronic nonmalignant and cancer pain. PUTTING THE BiopsycHosocaL MODEL OF PAIN into Unrelieved pain in older people is associated with negative impacts across PRACTICE IN Pediatric PAIN RESEARCH many domains of function and quality of life. However, older people are Christine T Chambers not a homogeneous group. In fact, heterogeneity in function and adapta- Departments of Pediatrics and Psychology, Dalhousie University tion increase with age. As such, rather than thinking of all people over a and Centre for Pediatric Pain Research, IWK Health Centre, Halifax, certain age – an age that has yet to be agreed upon by researchers – as Nova Scotia members of a vulnerable group, it may be more heuristic to begin to ask Despite widespread acceptance of the importance of a biopsychosocial what the profile of biopsychosocial vulnerabilities is that increases some model in studying pain, research that exemplifies this truly integrated older people’s risk for pain, poor adaptation and under-treatment. approach is scarce. Using pediatric pain as an example, where research Conversely, it is also important to ask what resiliencies may operate as buf- continues to focus on biological, psychological, and social factors in isola- fers of the impact of pain on function and quality of life in other older tion of one another, barriers (eg, practical, ethical, disciplinary) to con- people. This presentation will consider these questions in light of emerging ducting research within an integrative biopsychosocial framework will be data about the role of age-related factors, such as health status, social con- discussed. Research examining the role of psychological factors in chil- text, and cognitive and psychological function, in pain interference and dren’s pain will be summarized, including the role of psychological vari- adaptation. It will be suggested that understanding the risks and buffers of ables
Load more

Recommended publications
  • Laura Charlton Corrected Thesis
    DOES SOCIAL CONTRACTING INFLUENCE THE JUDGEMENT OF CHILDREN’S PAIN? Laura Charlton Submitted in accordance with the requirements for the degree of Doctor of Clinical Psychology (D. Clin. Psychol.) The University of Leeds Academic Unit of Psychiatry and Behavioural Sciences School of Medicine September 2011 2 The candidate confirms that the work submitted is her own and that appropriate credit has been given where reference has been made to the work of others This copy has been supplied on the understanding that it is copyright material and that no quotation from the thesis may be published without proper acknowledgement. 3 ACKNOWLEDGEMENTS I would like to thank my supervisors Professor Stephen Morley and Professor José Closs for taking on this project and helping me to make my project ideas into a reality. Thank you for being accepting of my last minute style and tolerating my procrastination techniques, which included getting engaged and married when I should have been collecting data. Secondly, I would like to thank the nursing students for their participation in my project. The School of Healthcare were very accommodating and I would like to acknowledge and thank Mandy Driffield, Michelle Green and Melanie Robbins for helping me recruit participants and allowing me time to carry out my project during the busy nursing timetable. I am extremely grateful to Dr Leisbet Goubert and Dr Tine Vervoort for providing the images that were needed for this project in such a timely fashion. I would also like to thank Dr Amanda C de C Williams for the helpful comments on my project.
    [Show full text]
  • BMJ Open Is Committed to Open Peer Review. As Part of This Commitment We Make the Peer Review History of Every Article We Publish Publicly Available
    BMJ Open: first published as 10.1136/bmjopen-2020-043675 on 16 February 2021. Downloaded from BMJ Open is committed to open peer review. As part of this commitment we make the peer review history of every article we publish publicly available. When an article is published we post the peer reviewers’ comments and the authors’ responses online. We also post the versions of the paper that were used during peer review. These are the versions that the peer review comments apply to. The versions of the paper that follow are the versions that were submitted during the peer review process. They are not the versions of record or the final published versions. They should not be cited or distributed as the published version of this manuscript. BMJ Open is an open access journal and the full, final, typeset and author-corrected version of record of the manuscript is available on our site with no access controls, subscription charges or pay-per-view fees (http://bmjopen.bmj.com). If you have any questions on BMJ Open’s open peer review process please email [email protected] http://bmjopen.bmj.com/ on September 23, 2021 by guest. Protected copyright. BMJ Open BMJ Open: first published as 10.1136/bmjopen-2020-043675 on 16 February 2021. Downloaded from The Epidemiology of Chronic Pain in Children and Adolescents: A Protocol for a Systematic Review Update Journal: BMJ Open ManuscriptFor ID peerbmjopen-2020-043675 review only Article Type: Protocol Date Submitted by the 11-Aug-2020 Author: Complete List of Authors: Langley, Charlotte; IWK Health Centre,
    [Show full text]
  • Children and Adolescents with Pain in Primary Care
    ! "# $%!!&"#! ' ( ) ( (''( * ""#!% ! "#$ % $ $& ' $ ()* + ,+ ) # - . /0 ', 1 %2 () 3 ,) !)4 - +& & )5 $ + 0) "66) ) #- ),57"86" 99!6"9) & % % % : $ $ % $ )& % $ $$ $ + : $$ $ % $ + % + ; )* + + % $ + $ $ % $ % 0 % ; % ) , $ 0 % $ $ % + ) * + $ $ 0$ % ) % )< % $ ; % + % % % %) 5 % % + + + $ $ + % )* % $ + $$ $ $$ $ )* $ + +%$ % $ %$ ) = % % + % % + % % )* % %+ + $ 0 % ) 0 % $ $ + + ) *$ %%% $ $ % % ) !"#$ %&"'()*+*,- >, 3 ! ,,7 ?9 ?? ,57"86" 99!6"9 # ### "98' #@@ )0)@ A B # ### "98( To Hanna, Max and Ellen List of Papers This thesis is based on the following papers, referred to in the text by their Roman numerals: I Holm S, Ljungman G, Söderlund A. Pain in children and adolescents in primary care; chronic and recurrent pain is common. Acta Paediatrica. 2012; 101:1246-5. II Holm S, Ljungman G, Åsenlof P, Söderlund A. How children and ado- lescents in primary care cope with pain and the biopsychosocial factors that correlate with pain-related disability.
    [Show full text]
  • Managing Pain in Children
    Managing Pain in Children Managing Pain in Children A Clinical Guide for Nurses and Healthcare Professionals Second edition Edited by Alison Twycross Head of Department, Children’s Nursing; Reader, Children’s Pain Management, London South Bank University, United Kingdom Stephanie Dowden Clinical Nurse Consultant, Paediatric Palliative Care Princess Margaret Hospital for Children, Perth, Australia and Jennifer Stinson Nurse Clinician Scientist and Nurse Practitioner, Chronic Pain Programme, The Hospital for Sick Children; Associate Professor of Nursing, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada This edition first published 2014 © 2014 by John Wiley & Sons, Ltd. First edition published 2009, © Blackwell Publishing Ltd. Registered office: John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial offices: 9600 Garsington Road, Oxford, OX4 2DQ, UK 111 River Street, Hoboken, NJ 07030-5774, USA For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www .wiley.com/wiley-blackwell The right of the author to be identified as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or oth- erwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Designations used by companies to distinguish their products are often claimed as trademarks.
    [Show full text]
  • Cochrane Library
    Cochrane Library Cochrane Database of Systematic Reviews Psychological therapies for the management of chronic and recurrent pain in children and adolescents (Review) Fisher E, Law E, Dudeney J, Palermo TM, Stewart G, Eccleston C Fisher E, Law E, Dudeney J, Palermo TM, Stewart G, Eccleston C. Psychological therapies for the management of chronic and recurrent pain in children and adolescents. Cochrane Database of Systematic Reviews 2018, Issue 9. Art. No.: CD003968. DOI: 10.1002/14651858.CD003968.pub5. www.cochranelibrary.com Psychological therapies for the management of chronic and recurrent pain in children and adolescents (Review) Copyright © 2019 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Cochrane Trusted evidence. Informed decisions. Library Better health. Cochrane Database of Systematic Reviews T A B L E O F C O N T E N T S HEADER......................................................................................................................................................................................................... 1 ABSTRACT..................................................................................................................................................................................................... 1 PLAIN LANGUAGE SUMMARY....................................................................................................................................................................... 2 SUMMARY OF FINDINGS.............................................................................................................................................................................
    [Show full text]
  • Canadian Pain Society Conference May 12 – 15, 2010, Calgary, Alberta
    Canadian Pain Society Conference May 12 – 15, 2010, Calgary, Alberta WEDNESDAY MAY 12, 2010 1C BREAKTHROUGH IN TREATING BREAKTHROUGH CANCER PAIN – A NEW THERAPEUTIC OPTION 5:15 PM – SYMPOSIUM Neil Hagen, MD 1 Head, Cancer Pain and Symptom Control Clinic, Tom Baker Cancer BREAKING BARRIERS IN BREAKTHROUGH CANCER PAIN Centre, Professor and Head, Division of Palliative Medicine, University of Calgary, Calgary, Alberta Chair: Neil Hagen Speakers: Neil Hagen, MD; Dr Dwight Moulin, MD; Dr Bruno Gagnon, MD PAIN EDUCATION DAY Neil Hagen, MD, Head, Cancer Pain and Symptom Control Clinic, THURSDAY MAY 13, 2010 Tom Baker Cancer Centre, Professor and Head, Division of Palliative Medicine, University of Calgary, Calgary, Alberta; Dwight Moulin, MD, Professor, Departments of Clinical Neurosciences/Oncology, 9:15 AM – KEYNOTE SPEAKER Earl Russell Chair Pain Research, University of Western Ontario; Medical Director of Pain and Symptom Management, London 2 Regional Cancer Program, Head of the Division of Neurology, PHENOMICS OF PAIN IN HUMANS AND RODENT MODELS Victoria Campus, London Health Sciences Centre, London, Ontario; Chair: Michael McGillion Bruno Gagnon, MD, Assistant Professor, Department of Medicine, Speaker: Ze’ev Seltzer Clinical Scientist, Division of Clinical Epidemiology, McGill Ze’ev Seltzer, Professor of Genetics, Faculty of Dentistry, Professor University, Montreal, Quebec of Physiology, Faculty of Medicine (X-appt), University of Toronto Centre for the Study of Pain; University of Toronto Centre for Learning Objectives: International Health (Dalla Lana School of Public Health); Toronto 1. Review the pathophysiology and characteristics of breakthrough cancer pain, its Rehabilitation Institute, Toronto, Ontario prevalence and its distinction from baseline pain. 2. Discuss the current management of breakthrough cancer pain in Canada, its Learning Objectives: strengths and its limitations.
    [Show full text]
  • ACPA Resource Guide 2017 Edition
    ACPA Resource Guide To Chronic Pain Management An Integrated Guide to Medical, Interventional, Behavioral, Pharmacologic and Rehabilitation Therapies 2017 Edition American Chronic Pain Association P.O. Box 850 Rocklin, CA 95677 Tel 800-533-3231 Fax 916-652-8190 E-mail [email protected] Web Site http://www.theacpa.org Copyright 2017 American Chronic Pain Association, Inc. All rights reserved. No portion of this book may be reproduced without permission of the American Chronic Pain Association, Inc. 2 Table of Contents Introduction ................................................................................................................................................................... 6 Chronic Pain Treatment Overview ................................................................................................................................ 8 Pain Types & Chronic Pain Classification................................................................................................................. 9 Pain in Children ....................................................................................................................................................... 11 Pain in Older Persons .............................................................................................................................................. 12 Active Interventions - Interdisciplinary ....................................................................................................................... 13 Functional Restoration Programs & Approaches
    [Show full text]
  • Tonya M. Palermo, Ph.D
    CURRICULUM VITAE Tonya M. Palermo, Ph.D. Office Address: Seattle Children’s Research Institute, P.O. Box 5371, M/S CW8-6, Suite 400, Seattle, WA 98145-5005, 206.884.4208 (tel); [email protected] Education: 1988-1990 University of California, Santa Barbara 1990-1992 University of California, Los Angeles B.A., Psychology 1993-1998 Case Western Reserve University, Cleveland, OH M.A., Ph.D., Clinical Psychology Postgraduate Training: 1997-1998 Children’s Hospital, The Ohio State University Internship Pediatric Psychology Columbus, OH 1998-1999 Rainbow Babies & Children’s Hospital, Fellowship Pediatric Psychology, Cleveland, OH Pain Management Faculty Positions Held: 1999 – 2000 Clinical Instructor, Department of Pediatrics, Rainbow Babies & Children’s Hospital, Case Western Reserve University School of Medicine, Cleveland, OH 2000 – 2004 Assistant Professor, Department of Pediatrics, Rainbow Babies & Children’s Hospital, Case Western Reserve University School of Medicine, Cleveland, OH; Secondary appointment: Department of Psychology, Case Western Reserve University, Cleveland, OH 2004 - 2007 Assistant Professor, Department of Anesthesiology and Peri-Operative Medicine, Oregon Health and Science University, Portland, OR; Secondary appointment: Department of Psychiatry 2007 - 2010 Associate Professor, Department of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, OR; Secondary appointment: Department of Psychiatry 2010 - Professor, Department of Anesthesiology and Pain Medicine, University
    [Show full text]
  • Alternative Formats If You Require This Document in an Alternative Format, Please Contact: [email protected]
    Citation for published version: Eccleston, C, Fisher, E, Cooper, TE, Grégoire, MC, Heathcote, LC, Krane, E, Lord, SM, Sethna, NF, Anderson, AK, Anderson, B, Clinch, J, Gray, AL, Gold, JI, Howard, RF, Ljungman, G, Moore, RA, Schechter, N, Wiffen, PJ, Wilkinson, NMR, Williams, DG, Wood, C, van Tilburg, MAL & Zernikow, B 2019, 'Pharmacological interventions for chronic pain in children: an overview of systematic reviews', Pain, vol. 160, no. 8, pp. 1698-1707. https://doi.org/10.1097/j.pain.0000000000001609 DOI: 10.1097/j.pain.0000000000001609 Publication date: 2019 Document Version Peer reviewed version Link to publication This is the authors' accepted manuscript of an article published in final form as Eccleston, C, Fisher, E, Cooper, TE, Grégoire, MC, Heathcote, LC, Krane, E, Lord, SM, Sethna, NF, Anderson, AK, Anderson, B, Clinch, J, Gray, AL, Gold, JI, Howard, RF, Ljungman, G, Moore, RA, Schechter, N, Wiffen, PJ, Wilkinson, NMR, Williams, DG, Wood, C, van Tilburg, MAL & Zernikow, B 2019, 'Pharmacological interventions for chronic pain in children: an overview of systematic reviews', Pain, vol. 160, no. 8, pp. 1698-1707.and available online via: https://doi.org/10.1097/j.pain.0000000000001609 University of Bath Alternative formats If you require this document in an alternative format, please contact: [email protected] General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.
    [Show full text]
  • Practical Treatment Options for Chronic Pain in Children and Adolescents
    Michael Dobe · Boris Zernikow Editors Practical Treatment Options for Chronic Pain in Children and Adolescents An Interdisciplinary Therapy Manual 123 Practical Treatment Options for Chronic Pain in Children and Adolescents Michael Dobe • Boris Zernikow Editors Practical Treatment Options for Chronic Pain in Children and Adolescents An Interdisciplinary Therapy Manual Editors Michael Dobe Boris Zernikow German Paediatric Pain Centre (GPPC) German Paediatric Pain Centre (GPPC) Children’s and Adolescents’ Hospital Children’s and Adolescents’ Hospital Witten/Herdecke University Witten/Herdecke University Datteln Datteln Germany Germany Chair Children’s Pain Therapy and Paediatric Palliative Care Witten/Herdecke University School of Medicine Datteln Germany ISBN 978-3-642-37815-7 ISBN 978-3-642-37816-4 (eBook) DOI 10.1007/978-3-642-37816-4 Springer Heidelberg New York Dordrecht London Library of Congress Control Number: 2013944046 © Springer-Verlag Berlin Heidelberg 2013 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, speci fi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on micro fi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied speci fi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer.
    [Show full text]
  • Treatment of Acute and Chronic Pain in the Outpatient Setting
    2 Treatment of Acute and Chronic Pain in the Outpatient Setting Neil L. Schechter Summary Although there have been dramatic changes in attitude and practice in the treatment of children’s pain in the hospital, pain management in outpatient settings is treated essentially the way it was 20 years ago. It is quite remarkable that many common illnesses and pro- cedures universally acknowledged to be associated with significant discomfort and anxiety have received minimal research attention. In this chapter, some of the more common pain problems (minor procedures and acute illnesses) encountered in office practice are reviewed, and suggestions for pain relief based on the limited literature are offered. The following areas are addressed: (1) pain associated with immunization, the most common painful procedure in office practice; (2) pain associated with common illnesses, specifi- cally otitis media, pharyngitis, and viral mouth infections; and (3) chronic and recurrent pains, which require an alternative paradigm than acute pain. Through the uniform use of relatively simple strategies, much of the pain associated with these common problems can be significantly reduced. Key Words: Chronic pain; immunization; otitis media, pharyngitis. 1. Introduction The past 20 years have been witness to a revolution in the way pain is con- ceptualized and managed in children. This change is most evident in the treat- ment of hospitalized children with significant pain problems. The treatment of postoperative pain, for example, is dramatically different from what it was two decades ago, when it was essentially ignored or at best addressed haphazardly (1). The outpouring of research attention that has been given to this problem coupled with the recognition that untreated pain may have negative conse- quences for the child (2,3) has been largely responsible for this change in prac- tice.
    [Show full text]
  • ACPA Resource Guide
    ACPA Resource Guide To Chronic Pain Medication & Treatment 2014 Edition American Chronic Pain Association P.O. Box 850 Rocklin, CA 95677 Tel 800-533-3231 Fax 916-632-3208 E-mail [email protected] Web Site http://www.theacpa.org Copyright 2014 American Chronic Pain Association, Inc. All rights reserved. No portion of this book may be reproduced without permission of the American Chronic Pain Association, Inc. 2 Table of Contents INTRODUCTION & ADVICE FROM THE ACPA ............................................................................................................. 6 PAIN TREATMENT OVERVIEW...................................................................................................................................... 8 PAIN TYPES & CHRONIC PAIN CLASSIFICATION ......................................................................................................... 8 PAIN IN CHILDREN ...................................................................................................................................................... 9 PAIN IN OLDER PERSONS ............................................................................................................................................ 9 CLINICAL TRIALS ..................................................................................................................................................... 10 MEDICATIONS IN GENERAL ....................................................................................................................................... 11 MEDICATIONS
    [Show full text]