• To evaluate the prevalence of disability in patients with non-specific chronic low back pain and associated factors, including the impacts of low back pain and psychosocial factors linked to kinesiophobia, catastrophism, anxiety, and depression. (bvsalud.org)
  • The patients answered previously validated questionnaires, namely the Brief Pain Inventory, the Roland-Morris Disability Questionnaire, the Pain Catastrophizing Scale, the Tampa Kinesiophobia Scale, and the Hospital Anxiety and Depression Scale. (bvsalud.org)
  • Although pain intensity and other domains of the Brief Pain Inventory, like anxiety, depression, and severe kinesiophobia were significant in the bivariate analyses, they were not associated with disability in the multivariate analysis. (bvsalud.org)
  • The purpose of this chapter is to describe some of the common meanings of pain in patients with DPNP, as currently reported in the literature, how these meanings interact with other common factors in pain experience, including specific negative emotions or moods (depression, anxiety, anger), or the psychosocial context surrounding pain, and to describe available evidence on the effectiveness of cognitive behavioral therapy (CBT) for patients with DPNP. (researchgate.net)
  • Primary outcome was the mean change between baseline and end-of-program in self-reported Numerical Pain Rating Scale (NPRS) score and secondary outcomes were change in analgesic consumption, intention to undergo surgery, anxiety (GAD-7), depression (PHQ-9), fear-avoidance beliefs (FABQ-PA), work productivity (WPAI-GH) and engagement. (biomedcentral.com)
  • Since numerous studies have demonstrated that depression, anxiety and other psychological co-morbidities (e.g. catastrophization, poor coping skills) are risk factors for pain chronification [ 7 , 12 , 18 ], there is also a need to address these aspects. (biomedcentral.com)
  • Depressive anxiety and psychosocial factors (including how well an individual copes with fear of pain moving (kinesiophobia), pain catastrophization low self-efficacy and passive pain coping pathways) are important areas to consider when assessing the suitability of these patients to return to work. (ptpainite.com)
  • Increasingly, psychosocial factors such as anxiety and catastrophizing are being revealed as crucial contributors to individual differences in pain processing and outcomes. (johnshopkins.edu)
  • Pain thresholds were positively associated with dissociation levels and negatively associated with anxiety sensitivity levels. (iucc.ac.il)
  • Experimental pain ratings were positively associated with anxiety sensitivity and negatively related to dissociation levels. (iucc.ac.il)
  • Chronic pain intensity was associated with anxiety, anxiety sensitivity, and pain catastrophizing. (iucc.ac.il)
  • It appears that reduced conscious attention toward incoming stimuli, resulting from dissociation, causes delayed response in pain threshold measurement, whereas biases toward threatening stimuli and decreased inhibition, possibly caused by increased anxiety, are responsible for the intensification of experimental and chronic pain. (iucc.ac.il)
  • depression, anxiety and catastrophizing behavior - and the risk of developing chronic pain. (rsyd.dk)
  • Chronic cancer pain: defined as cancer or treatment related visceral (within the internal organs), musculoskeletal, or bony pain. (wikipedia.org)
  • Chronic musculoskeletal pain: pain originating in the bones, muscles, joints or connective tissue. (wikipedia.org)
  • Acute musculoskeletal (MSK) pain is very common and associated with impaired productivity and high economic burden. (biomedcentral.com)
  • Patients with chronic musculoskeletal conditions are more likely to be inactive (i.e. 40% likely to work full-time) than people with other medical conditions such as diabetic heart and lung conditions (i.e. 50% likely to be employable). (ptpainite.com)
  • In general, patients with chronic nonspecific musculoskeletal pain who are still working report poor to moderate work capacity and performance, De Vries and colleagues report. (ptpainite.com)
  • Black and colleagues also noted a positive relationship between high self-efficacy and return-to-work outcomes in patients with upper-body musculoskeletal and psychological impairments. (ptpainite.com)
  • What I found funny with this, though, when you think about it, you know, you think about medicine, and you think about musculoskeletal care and MSK pain and, and whatnot. (themtdc.com)
  • In medicine, the distinction between acute and chronic pain is sometimes determined by the amount of time since onset. (wikipedia.org)
  • Furthermore, differences in patients' responses to standardized quantitative sensory testing (QST) may aid in the discernment of who is at risk for acute and chronic pain after surgery. (johnshopkins.edu)
  • People with chronic pain tend to have higher rates of depression and although the exact connection between the comorbidities is unclear, a 2017 study on neuroplasticity found that "injury sensory pathways of body pains have been shown to share the same brain regions involved in mood management. (wikipedia.org)
  • Significant improvements were seen in the PCS, PDAS, and ODI scores in the pain relief group, and in the HADS depression scores in the prolonged pain group. (elsevierpure.com)
  • On univariate and multiple regression analysis, HADS depression scores were identified as a factor related to prolonged pain after treatment. (elsevierpure.com)
  • Conclusions The results of the present study suggest that severe depression at the initial visit to the liaison outpatient clinic was an exacerbating factor for prolonged pain after treatment. (elsevierpure.com)
  • Studies have shown a link between vitamin D deficiency, persistent pain, and depression. (pelvichealthsolutions.ca)
  • One approach to predicting a person's experience of chronic pain is the biopsychosocial model, according to which an individual's experience of chronic pain may be affected by a complex mixture of their biology, psychology, and their social environment. (wikipedia.org)
  • Spinal pain has been conceptualized to the biopsychosocial model and several systematic reviews have disclosed strong relationships between a number of psychological factors - eg. (rsyd.dk)
  • According to the biopsychosocial model of health, informa¬tion was collected in SpineData across the broad health domains of pain, activity limitation, work participation, psychological factors, physical impairment, and contextual factors. (rsyd.dk)
  • As somebody who just turned 47 years old, I can't quite remember things that happened 40 years ago, but the biopsychosocial model of pain has been around for about 40 years now. (themtdc.com)
  • The aim of this retrospective study was to investigate the exacerbating factors of prolonged, intractable pain among patients being treated at a pain liaison clinic. (elsevierpure.com)
  • Demographic and clinical information was obtained from all patients at baseline. (elsevierpure.com)
  • Clinical Implications: Pain in patients with DPNP involves a range of threatening pain sensations, including sensations with burning, shooting, tingling, or cramping qualities, and additional more cognitive meanings linked to persistent pain, including a sense that pain disrupts daily life in an intrusive way. (researchgate.net)
  • Given the heavy personal burden that DPNP imposes on patients and the considerable challenge of managing the condition pharmacologically, clinical use of non-pharmacological therapies such as CBT for painful diabetic neuropathy might be warranted in individual patients. (researchgate.net)
  • The ABHF is a 501C3 non profit whose mission is to maximize the neurological health of all future, current, and former athletes of all types and levels via objective collation and application of science, clinical experience and the patient perspective. (pt2go.co)
  • Although laboratory and clinical studies both suggest that catastrophizing enhances pain, the interaction of catastrophizing and clinical pain on pain sensitivity has received little attention. (nyu.edu)
  • Psychological treatments including cognitive behavioral therapy and acceptance and commitment therapy may be effective for improving quality of life in those with chronic pain. (wikipedia.org)
  • There is a strong tradition of therapy development and evaluation in the field of psychological interventions for chronic pain. (researchgate.net)
  • Advancing psychological therapies for chronic pain will come from a radical re-imagining of the content, delivery, place, and control of therapy. (researchgate.net)
  • The aim of this prospective cohort study has been to collate relevant individual patient data over a decade in order to illuminate both the overall group data developments as well as developments relating to individual usage of opioids during this period and to correlate these findings with the individual patient's physical, psychological, and social data over a ten-year period. (rsyd.dk)
  • At the same time, data from our own studies indicate that the premorbid individual psychological status may impact the individual prognostic course following the first spinal pain episode. (rsyd.dk)
  • Chronic primary pain: defined by 3 months of persistent pain in one or more regions of the body that is unexplainable by another pain condition. (wikipedia.org)
  • Under persistent activation, the transmission of pain signals to the dorsal horn may produce a pain wind-up phenomenon. (wikipedia.org)
  • Persistent postmastectomy pain (PPMP) is a major individual and public health problem. (johnshopkins.edu)
  • It's also been a delight to meet concussion thrivers and TBI survivors living with persistent symptoms who learn to cope and advocate for themselves and future patients through incredible resiliency and grit. (pt2go.co)
  • How are nutrition and persistent pain related? (pelvichealthsolutions.ca)
  • Pain intensity, pain control, and resilience to pain can be influenced by different levels and types of social support that a person with chronic pain receives, and are also influenced by the person's socioeconomic status. (wikipedia.org)
  • In order to be included in the study, patients had to have completed the registry questionnaires with no missing data related to pain intensity. (rsyd.dk)
  • The intensity of the pain is related to the brain's perception of the problem. (pelvichealthsolutions.ca)
  • Chronic neuropathic pain: pain caused by damage to the somatosensory nervous system. (wikipedia.org)
  • Neuropathic pain is divided into "peripheral" (originating in the peripheral nervous system) and "central" (originating in the brain or spinal cord). (wikipedia.org)
  • Thus, the pain literature includes limited information about the common meanings of living with diabetic peripheral neuropathic pain (DPNP) from the perspective of patients. (researchgate.net)
  • Introduction: Diabetic peripheral neuropathy (DPN) affects almost 30% to 50% of patients with diabetes, 40% to 60% of whom suffer from diabetic peripheral neuropathic pain (DPNP). (researchgate.net)
  • Chronic post-traumatic pain: pain lasting 3 months after an injury or surgery, excluding infectious or pre-existing conditions. (wikipedia.org)
  • Conclusion: Pain catastrophization and impact on gait were associated with disability in individuals with non-specific chronic low back pain. (bvsalud.org)
  • Conclusion: This study revealed that the majority of patients carry significant concerns about becoming a burden on their family and are afraid of becoming dependent on others because of DPNP. (researchgate.net)
  • Introduction and objectives: Chronic low back pain is the main cause of disability worldwide, generating high costs for society. (bvsalud.org)
  • Osteoarthritis (OA) is a major cause of pain and disability in daily life, and a heavy healthcare expense as well. (news-medical.net)
  • Spinal pain is the leading worldwide cause of patient years lived with chronic pain and disability. (rsyd.dk)
  • Patients with PTSD (n = 32) and healthy control individuals (n = 43) underwent psychophysical testing and completed questionnaires. (iucc.ac.il)
  • Wherever possible, the choice of questions and questionnaires was based on evidence of their role in the diagnosis, prognosis, or treat¬ment of spinal pain. (rsyd.dk)
  • At the inclusion consultation, the patient completed a battery of baseline questionnaires. (rsyd.dk)
  • Cortisol production is usually suppressed at night, but chronic stress disrupts this suppression. (pelvichealthsolutions.ca)
  • The International Association for the Study of Pain (IASP) defines pain as, "…an unpleasant sensory and emotional experience as a result of actual or potential tissue damage. (pelvichealthsolutions.ca)
  • But each individual's unique response to his or her pain will affect his or her prognosis. (ptpainite.com)
  • This triggers changes that lower the threshold for pain signals to be transmitted. (wikipedia.org)
  • Thermal pain threshold and tolerance, as well as self-reported catastrophizing, were determined in 46 dental patients (15 men and 31 women) experiencing pain as a result of acute pulpitis. (nyu.edu)
  • Once patients were pain free, catastrophizing showed significant inverse associations with measures of thermal pain threshold and tolerance. (nyu.edu)
  • In addition, catastrophizing was a robust predictor of changes in thermal pain responses across sessions, with higher baseline catastrophizing predicting reductions or relatively smaller increases in pain threshold and tolerance after successful treatment of acute pain. (nyu.edu)
  • Patients with PTSD had higher pain thresholds and higher pain ratings to suprathreshold stimuli than control individuals. (iucc.ac.il)
  • Thermal pain thresholds increased on resolution of acute dental pain, whereas levels of catastrophizing did not change from pretreatment to post-treatment. (nyu.edu)
  • to analyze the influence of meditation associated with pain neuroscience education in pain perception, sleep and functional capacity of adults with fibromyalgia. (bvsalud.org)
  • Here we are, Adriaan teaching Therapeutic Neuroscience Education (TNE) through The International Spine and Pain Institute (ISPI) , and me promoting his work to my colleagues. (themanualtherapist.com)
  • Finally, QST in nonsurgical body areas revealed increased sensitivity to mechanical stimulation among PPMP cases, while thermal pain responses were not different between the groups. (johnshopkins.edu)
  • The present study evaluated the extent to which catastrophizing influenced laboratory thermal pain responses during and after the resolution of acute dental pain. (nyu.edu)
  • Catastrophizing was unrelated to thermal pain responses in the presence of acute dental pain (ie, during the first session). (nyu.edu)
  • mindfulness-based interventions and education in pain neurosciences proved to be effective in improving the condition of patients with fibromyalgia. (bvsalud.org)
  • Patients: A cross-sectional study was carried out with 108 adult individuals who had non-specific chronic low back pain. (bvsalud.org)
  • It has been reported, for example, that about 31% of patients do not fully recover from low back pain within 6 months [ 10 ] and that 45 to 55% of acute knee injuries develop into a long-term medical condition [ 11 ]. (biomedcentral.com)
  • Despite the increasing time dependence risk of change in behavior and associated treatment complications most back pain cohorts do not include follow up data beyond a 1-year period. (rsyd.dk)
  • The patient could visualise the area of pain on the screen and choose between neck pain, mid-back pain and lower back pain. (rsyd.dk)
  • The questions vary across the three spinal regions of principal complaint: neck pain, mid-back pain, and low back pain. (rsyd.dk)
  • They observed that many of their patients with low back pain didn't improve after corrective surgery. (themtdc.com)
  • These data suggest that catastrophizing is prospectively associated with enhanced sensitivity to and reduced tolerance for thermal pain. (nyu.edu)
  • Further quantitative, qualitative or mixed methods research is needed to more fully understand common experiences of pain in patients with DPNP, and the common meanings ascribed to these experiences. (researchgate.net)
  • Chronic pain is classified as pain that lasts longer than three months. (wikipedia.org)
  • Others apply the term acute to pain that lasts less than 30 days, chronic to pain of more than six months duration, and subacute to pain that lasts from one to six months. (wikipedia.org)
  • This pain lasts for longer than three months, and the body is unable to return to its normal physiological function. (pelvichealthsolutions.ca)
  • Regular checkups should be part of dealing with this chronic condition, to avoid long-term preventable complications and to adjust medications as required. (news-medical.net)
  • Two commonly used markers are pain that continues at three months and six months since onset, but some theorists and researchers have placed the transition from acute to chronic pain at twelve months. (wikipedia.org)
  • Pain was assessed using the breast cancer pain questionnaire to determine the presence and extent of PPMP. (johnshopkins.edu)
  • A healthy diet is important for patients with a health condition such as osteoarthritis. (news-medical.net)
  • The use of catastrophizing as a coping strategy might interfere with the resolution of sensitization after cessation of an acutely painful condition, or it might be associated with magnified experimental pain responses across time. (nyu.edu)
  • An example of acute, recurrent pain condition is rheumatoid arthritis. (pelvichealthsolutions.ca)
  • This may account for the often-perceived need to rest, pace activity and protect the joints and the poor adherence to exercise- and lifestyle-mediated improvements that actually reduce joint pain and improve joint function. (news-medical.net)
  • this is an experimental, controlled, randomized study whose participants were divided into two groups: mindfulness group and mindfulness group and education in pain neuroscience. (bvsalud.org)
  • Chronic headache and orofacial pain: pain that originates in the head or face, and occurs for 50% or more days over a 3 months period. (wikipedia.org)
  • The paradoxical facets of PTSD and their particular influences over pain perception seem to reinforce the coexistence of PTSD and chronic pain, and should be considered when treating traumatized individuals. (iucc.ac.il)
  • Various non-opioid medicines are initially recommended to treat chronic pain, depending on whether the pain is due to tissue damage or is neuropathic. (wikipedia.org)
  • We can see how understanding pain can have profound impacts regarding recovery, yet the converse can lead to a debilitating cycle. (themanualtherapist.com)
  • People with non-cancer pain who have not been helped by non-opioid medicines might be recommended to try opioids if there is no history of substance use disorder and no current mental illness. (wikipedia.org)
  • yet, preference for biomedical explanation of pain in the field has meant that attention to the personal experience of pain and to the meanings of pain experience remain a blind spot in knowledge. (researchgate.net)
  • Chronic pain may be divided into "nociceptive" (caused by inflamed or damaged tissue activating specialized pain sensors called nociceptors), and "neuropathic" (caused by damage to or malfunction of the nervous system). (wikipedia.org)
  • Perspective In the presence of acute pain, catastrophizing may contribute to lasting alterations in the central nervous system that promote sensitization-like processes. (nyu.edu)
  • Previously, patients with PTSD with chronic pain were found to demonstrate a unique paradoxical pain profile: hyperresponsiveness together with hyposensitivity to pain. (iucc.ac.il)
  • Epidemiological studies have found that 8-11.2% of people in various countries have chronic widespread pain. (wikipedia.org)
  • Few studies have focused on individual experiences of DPNP in patients with diabetes. (researchgate.net)
  • The International Association for the Study of Pain defines chronic pain as pain with no biological value, that persists past normal tissue healing. (wikipedia.org)
  • Methods The participants of this study were 94 outpatients (32 men, 62 women) with chronic intractable pain who visited our hospital between April 2013 and February 2015. (elsevierpure.com)
  • The purpose of this qualitative study was to elucidate the effects of DPNP on daily life and individual feelings regarding living with DPNP from the perspective of Turkish patients. (researchgate.net)
  • Interventional single-arm study of individuals applying for digital care programs for acute MSK pain. (biomedcentral.com)
  • This is the first longitudinal study demonstrating the feasibility of a DCP for patients with acute MSK conditions involving several body areas. (biomedcentral.com)
  • With chronic exposure to stress, there is a continued increase in our production of cortisol that can lead to health conditions such as diabetes, PCOS, weight gain, and chronic inflammation. (pelvichealthsolutions.ca)
  • Some people with chronic pain may benefit from opioid treatment while others can be harmed by it. (wikipedia.org)
  • All participants were then divided into two groups based on their self-reported pain after treatment: a pain relief group (n = 70) and a prolonged pain group (n = 24). (elsevierpure.com)
  • The exacerbating factors of prolonged pain after treatment in the pain liaison outpatient clinic were analyzed using univariate and multiple logistic regression analysis. (elsevierpure.com)
  • After treatment, 24 (25.5%) of the 94 patients reported having prolonged pain. (elsevierpure.com)
  • Motor control thoughts and behaviors during functional activities were considered to be relevant aspects for the better assessment and treatment of these patients. (bvsalud.org)
  • the first took place immediately before endodontic treatment for relief of pulpal pain, and the second session occurred when patients were pain free, approximately 1 to 2 weeks later. (nyu.edu)
  • It does not respond to treatment like acute pain. (pelvichealthsolutions.ca)
  • Social support systems are crucial in relieving such financial distress and making it possible for the patients and their families to cope while they look for alternative means of livelihood. (news-medical.net)
  • So the pain cannot be attributed to only biological influences. (themtdc.com)
  • Hundreds of clinician-researchers from all over the world gathered in Park City, Utah for the Athlete Brain Health Foundation's Inaugural Congress to move interdisciplinary concussion and brain injury care for our patients forward. (pt2go.co)
  • The approach of this conference was to break a group of interdisciplinary clinicians and professionals including lawyers, athletic trainers, and patients into small working groups to formulate questions that can be solved and opening up the floor for clinician researchers and patients who dedicate their lives to helping one of the most underserved, underfunded, and under appreciated groups in need…brain Injured patients. (pt2go.co)
  • These factors can continually perpetuate the pain cycle. (themanualtherapist.com)
  • The best that can be done is to manage the threats you are able to influence and educate the patient on understanding other possible factors. (themanualtherapist.com)
  • 8] From this point of view, the individual Work-related factors can affect work ability and performance, not just pain. (ptpainite.com)