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May 2010   The E-newsletter of the American Academy of Pain Management

          Conference Abstracts Now a Part of Currents
Starting in 2010, selected abstracts of papers and posters presented at pain management conferences and symposia have been added to the "Research Abstracts" section of Currents. This new service provides readers of Currents with unique access to these essential medical documents.

 

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American Academy of Pain Management
21st Annual Clinical Meeting


September 21-24, 2010, Caesars Palace, Las Vegas, Nevada
This E-newsletter is made possible, in part, by educational grants from the following sponsors:

Call for Poster Abstracts 2010!

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The American
Academy of
Pain Management

The American Academy of Pain Management is an inclusive, interdisciplinary/ integrative organization serving clinicians who treat people with pain through education, setting standards of care, and advocacy.

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News

 Pain Studies In The News

Personalized genetic pain treatment may not be far away
May 7, 2010 Source: American Pain Society
In the not too distant future, it may be possible to discern an individual's genetic predisposition to chronic pain conditions and treat them proactively to prevent lifetime afflictions, according to new research. Published studies have shown the genetic risks for several types of pain conditions. Two studies of identical twins exposed to experimental pain stimuli showed heritability rates ranging from 22 percent to 60 percent for various pain sensations.
[Story]

 

Physical and psychological functioning important to patient coping and appraisal of disease-related pain
May 7, 2010 Source: American Pain Society
Growing evidence suggests that how individuals cope with and appraise disease-related pain, such as arthritis or cancer, is related not only to their experience with pain but also to their physical and psychological functioning. Pain catastrophizing, in particular, appears to be crucial to understanding chronic pain.
[Story]

 

More Pain Studies In The News

Non-Academy News


Fibromyalgia Syndrome: Practical Strategies For Improving Diagnosis And Patient Outcomes
An Interactive Symposium With Patient Case Videos

This case-based, interactive CME program is designed to provide clinicians with new insights and strategies for the appropriate, effective diagnosis and management of fibromyalgia syndrome. Video-based doctor-patient case simulations are presented and discussed.

This activity was originally presented as a satellite symposium at the 20th Annual Clinical Meeting in Phoenix and was adapted for release on January 18, 2010. The symposium was supported by an educational grant from Forest Laboratories, Inc.
[More information]


Florida Academy of Pain Medicine Annual Meeting and Tradeshow
July 16-18, 2010 The Breakers, Palm Beach
[More information]


Subscribe to The Pain Practitioner!
See sample article below:



Chronic Fatigue Syndrome by K. Kimberly McCleary and Suzanne D. Vernon, PhD (article)
If you are a member of the Academy, you are entitled to many excellent benefits including The Pain Practitioner, our quarterly magazine. If you are not an Academy member, you can subscribe for just $35 a year!
[Subscribe!]

 

 

 Stories

Multi-symptom pain disorders plague returning service men and women
May 7, 2010 Source: American Pain Society
Nine in 10 Iraq and Afghanistan veterans return with some form of pain and about 60 percent have significant pain, mainly from the cumulative effect of exposure to recurring blasts which cause unimaginable injuries. The severity and breadth of the problem has been aggravated by the prevalence of multiple tours of duty for many service members and a 90 percent injury survivor rate from these conflicts compared with only 40 percent in the Vietnam War.
[Story]

 

Video games and virtual reality experiences prove helpful as pain relievers in children and adults
May 7, 2010 Source: American Pain Society
When children and adults with acute and chronic pain become immersed in video game action, they receive some analgesic benefit. Virtual reality is proving to be effective in reducing anxiety and acute pain caused by painful medical procedures and could be useful for treating chronic pain. The focus is drawn to the game not the pain or the medical procedure, while the virtual reality experience engages visual and other senses.
[Story]

 

More Pain Stories In The News

 For Your Patients

Prevention and non-surgical treatment effective for most people suffering from low back pain says the AANS
April 23, 2010 Source: American Association of Neurological Surgeons
Although more than 75 percent of Americans will experience some back pain during their lifetime, about 90 percent of cases are resolved without surgery. The American Association of Neurological Surgeons offers tips to prevent low back pain and protect your spine. Recommendations include maintaining proper posture while sitting and walking, doing exercises that stretch and strengthen the muscles of your abdomen and spine, and maintaining a healthy body weight
[Story]

 Product News/Clinical Trial Results

Medtronic announces clinical trial for breakthrough technology in neurostimulation therapy for intractable chronic pain
May 7, 2010 Source: Medtronic
Medtronic, Inc. announced the initiation of a prospective, multi-center, randomized U.S. clinical trial for the RestoreSensor™ neurostimulator that adapts therapy to the changing needs of chronic pain patients by responding automatically to changes in body position and activity in an upright position. The RestoreSensor neurostimulator received CE Mark approval in Europe and is under investigational use in the United States.
[Story]

 

Data comparing NUCYNTA(R) (tapentadol) tablets to oxycodone immediate release tablets presented at 2010 American Pain Society Annual Meeting
May 7, 2010 Source: PriCara
A post-hoc analysis of a Phase 3 safety study demonstrated that NUCYNTA® (tapentadol) tablets were associated with a lower incidence of nausea, vomiting and constipation when compared to oxycodone immediate release (IR) tablets in elderly patients with moderate to severe low-back or osteoarthritis pain.
[Story]

 

More Product News/Clinical Trial Results

 Prescription Addiction, Diversion, and Abuse

Canadian practice guideline to combat improper use of opioids
May 4, 2010 Source: American Pain Society
Canada is now the world's third-largest opioid consumer per capita. Increases in opioid prescriptions, leading to increased misuse, serious injuries, and overdose deaths have spurred Canadian colleges of physicians and surgeons to create a new guideline for opioid use with chronic non-cancer pain. The Canadian Guideline targets primary-care physicians and medical and surgical specialists who manage patients with chronic non-cancer pain.
[Story]

 

States want to share patient Rx use to curb abuse
May 2, 2010 Source: The Associated Press
Although a state online drug database went into effect last year in California to thwart addicts who bounce from doctor to doctor to feed a habit or make a small fortune peddling meds, there's now a push to extend it beyond state lines to snare so-called doctor shoppers and curb drug abuse. Forty states have passed legislation to allow prescription drug monitoring programs, but only 34 are operating.
[Story]


Research

Research Abstracts

Stay up-to-date on the latest research! This section offers complete abstracts on a wide variety of pain and pain management topics that have been selected from the National Library of Medicine.
[All Abstracts]

Some include:

Li Y, Yu F, Chen S.
Can essential oil massage reduce the pain of cancer patients?
16th Biennial International Conference on Cancer Nursing (ICCN) (Atlanta, GA: March 7, 2010)
[Abstract]

 

Tavee J, Rensel M, Pope Planchon S, et al.
Effects of meditation on pain and quality of life in multiple sclerosis and polyneuropathy: a controlled study
62nd Annual Meeting of the American Academy of Neurology (AAN) (Toronto, Canada: April 10, 2010)
[Abstract]

 

Nieminen TH, Hagelberg NM, Saari TI, et al
Grapefruit juice enhances the exposure to oral oxycodone.
Basic & clinical pharmacology & toxicology. 2010 Apr 15. [forthcoming]
[Abstract]

 

Obuchi M, Sumitani M, Hirai A, et al
Spinal cord stimulation ameliorates neuropathic pain related sleep disorders
84th Annual Clinical and Scientific Congress of the International Anesthesia Research Society (IARS) (Honolulu, HI: March 20, 2010)
[Abstract]

 

Schmidtko A, Lötsch J, Freynhagen R, et al.
Ziconotide for treatment of severe chronic pain.
Lancet. 2010 Apr 20. [forthcoming]
[Abstract]

More Research Abstracts

 

Legislation

Legislative Updates

State/Branch of Government: Florida. Senate
Title: SB 2272
Summary: Relates to pain management; requires the Department of Health and applicable boards within it to approve a mandatory continuing education course for any practitioner who prescribes, administers, or dispenses controlled substances that are listed in Schedule II, Schedule III, or Schedule IV of ch. 893, F.S. Provides that pain-management clinics are business establishments subject to licensure by the Department of Health; provides for requirements for the registration of pain-management clinics.
Latest Action: 04/26/2010 Passed Senate. To House
04/28/2010 Passed House
04/29/2010 Senate concurred in House amendments.
04/29/2010 Senate orders bill engrossed, then enrolled.
Sponsor: Fasano
Full Text

 

State/Branch of Government: Georgia. House
Title: HB 1119
Summary: Relates to health; provides for a short title; provides for legislative findings and purposes; provides for the development and implementation of an arthritis prevention and control program; provides for related matters; repeals conflicting laws.
Latest Action: 04/21/2010 Passed Senate
Sponsor: Harbin
Full Text

 

More Legislative Updates

 

Guidelines

Guidelines

Back Pain
Author: National Collaborating Centre for Primary Care (U.K.)
Title: Low back pain. Early management of persistent non-specific low back pain
Summary

 

Complex Regional Pain Syndromes
Author: Perez RS, Zollinger PE, Dijkstra PU, et al
Title: Evidence based guidelines for complex regional pain syndrome type 1
Summary

 

Nervous System Diseases
Author: British National Formulary
Title: Neuropathic pain
Summary

 

Clinical Trials

Clinical Trials

Arizona
Back Pain
City: Tempe
Summary: A study evaluating the efficacy and safety of bupivacaine TTS (bupivacaine patch) compared to placebo in patients with chronic low back pain.

 

California
Arthritis
City: Palo Alto
Summary: A study to evaluate the safety and efficacy of intraarticular BMP-7 for the treatment of osteoarthritis of the knee.


More New Clinical Trials

 

Books

Books

Mechanisms and Management of Pain for the Physical Therapist
Editor: Kathleen A. Sluka

 

About the Author:


Kathleen A. Sluka, PT, PhD, is a professor in the Physical Therapy and Rehabilitation Science Graduate Program at the University of Iowa. She is also a member of the Pain Research Program and the Neuroscience Graduate Program. She received a physical therapy degree from Georgia State University and practiced physical therapy pain management in Houston, Texas, before obtaining a PhD in Anatomy from the University of Texas Medical Branch in Galveston. After a postdoctoral fellowship with Dr. William D. Willis, she joined the faculty at the University of Iowa. Dr. Sluka developed and currently teaches a course in the doctoral of physical therapy curriculum on Mechanisms and Management of Pain, which served as the basis for this text.

 

Dr. Sluka s research focuses on the neurobiology of musculoskeletal pain as well as the mechanisms and effectiveness of nonpharmacological pain treatments commonly used by physical therapists. She has published over 100 peer-reviewed manuscripts and numerous book chapters and reviews. Dr. Sluka has been awarded the Distinguished Service Award from the American Pain Society and received the prestigious Marian Williams Research Award from the American Physical Therapy Association.

 

Dr. Sluka is actively involved in the International Association for the Study of Pain (IASP) and its local chapter, the American Pain Society, as well as the American Physical Therapy Association. Currently, Dr. Sluka is a councilor of the IASP and serves on the board of the American Pain Society. Dr. Sluka reviews for more than 20 journals and holds editorships as follows: U.S. Section Head, Pain and Analgesia, Rheumatology and Clinical Immunology, and Faculty of 1000 Medicine; Editorial Board for Journal of Pain; and Associate Editorial Board for PAIN.


[To Order:]

 

Lagniappe

Lagniappe

Scientists learn to block pain at its source: new non-addictive painkillers from substance similar to ingredient in hot chili peppers
April 27, 2010 Source: University of Texas Health Science Center at San Antonio
A substance similar to capsaicin, which gives chili peppers their heat, is generated at the site of pain in the human body. Scientists have discovered how to block these capsaicin-like molecules and created a new class of non-addictive painkillers. Their discovery could lead to new therapies and pharmacological interventions for various inflammatory diseases and pain disorders such as arthritis, fibromyalgia and others, including pain associated with cancer.
[Story]

 

Handling money could bring pain relief
April 09, 2010 Source: Discovery News
New research suggests that money can blunt pain. In one study, participants who thought they were involved in a hand-eye coordination exercise counted paper bills. They fingered it with no expectation of keeping it, but the soothing effects lingered. When the money-fondling research subjects' hands were then placed in near-scalding water, they deemed the experience merely unpleasant. But for another group that didn't handle money, the hot-water experience was deemed much more painful.
[Story]

 

How to handle a fibber [free registration required]
March 25, 2010 Source: MD-Rap
In this article, Dr. Eric Grief describes the 'sixth sense' he has developed over the years that helps him discern deceptive drug-seeking patients from truthful ones. He also shares his opinion on the proper reaction to patient dishonesty.
[Story]

 

The American Academy of Pain Management is the nation's largest interdisciplinary/integrative organization serving clinicians
who treat people with pain through education, setting standards of care, and advocacy.

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© 2010 American Academy of Pain Management