Corrigendum

from European Journal of Pain http://ift.tt/1QhjN55
via IFTTT

Shared and Unique Mechanisms Underlying Binge Eating Disorder and Addictive Disorders

WHO analgesic ladder and chronic pain: the need to search for treatable causes

Ballantyne and colleagues’ important message on the overuse of opioids in treating chronic pain is long overdue.1 As they point out, opioids are usually ineffective and they have major potential...

from Latest headlines from BMJ http://ift.tt/1o9FcXf
via IFTTT

Well-Demarcated, Scaly Plaques

A 46-year-old woman presented with well-demarcated erythematous scaly plaques, with central clearing, on her chest, back, flanks, and groin. She reported that the eruption worsens with warmer weather but reported no other pain or rash. What would you do next?

from JAMA Current Issue http://ift.tt/1P3qWIm
via IFTTT

Abdominal pain in a 31 year old woman

A 31 year old white woman presented with recurrent abdominal pain and distention. A barium follow through examination was performed. What is the diagnosis?bmj;352/feb02_1/i524/FAF1faAnswerCongenital...

from Latest headlines from BMJ http://ift.tt/1POFJUD
via IFTTT

The relationship between overactivity and opioid use in chronic pain: a 5-day observational study

Abstract: With increasing concerns about the potential harm of long-term opioid therapy, there is a need for the development and implementation of alternative treatment strategies for patients with chronic pain who have been using opioids for a prolonged period of time. Based on the findings from a recent qualitative investigation that suggested there may be a bidirectional association between opioid reliance and habitual overactivity behaviour (activity engagement that significantly exacerbates pain), this study was designed to quantitatively investigate the association between opioid use and habitual overactivity over a 5-day period in a group of chronic pain patients. Participants provided a list of their prescribed pain medication, completed a self-report measure of habitual overactivity, and then commenced 5 days of data collection. Data collection required participants to wear an activity monitor and to complete a diary that detailed their daily activities and the time at which they took medication. Individuals reporting higher levels of habitual overactivity were more likely to be prescribed opioids. In addition, higher levels of habitual overactivity were associated with more frequent pro re nata (“as needed”) opioid use over the 5 days, and with a discrepancy between the prescribed and actual oral morphine-equivalent daily dose, where more medication was taken than was prescribed. There was no predominant context for pro re nata use. The results of this study support the idea that habitual overactivity behaviour may play a role in the development of reliance on opioid medication and that such an association may provide a potential treatment target for opioid therapy rationalisation.

from PAIN - Featured Articles - Current Issue Highlights http://ift.tt/1SAzEjP
via IFTTT

Can patients' daily behaviour patterns contribute to overuse of opioids?

No abstract available

from PAIN - Featured Articles - Current Issue Highlights http://ift.tt/1SAzBEC
via IFTTT