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Special Issue "Emerging Topics in Pain Medicine"

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Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy
Interests: critical care; back pain; pain medicine; emergency management

Dr. Alessandro Vittori

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Department of Anesthesia and Critical Care, ARCO ROMA, Ospedale Pediatrico Bambino Gesù IRCCS, Piazza S. Onofrio 4, 00165 Rome, Italy
Interests: pediatric anesthesia; pediatric critical care; pain; pediatric pain; chronic pain; cancer pain; telemedicine; burnout; opioids; health policies; invasive analgesic procedures; acupuncture; artificial intelligence
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Dr. Emiliano Petrucci

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Department of Anesthesia and Intensive Care Unit, San Salvatore Academic Hospital of L'Aquila, L'Aquila, Italy
Interests: locoregional anesthesia; intensive-care medicine; pain medicine; prehospital emergency medicine
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Special Issue Information

Dear Colleagues,

Pain is a difficult and demanding research field involving numerous professional figures. In recent years the mere measurement of pain has shown all its limits, unable to explain even the relapses in the life of a relationship. On the other hand, the biopsychosocial model places the measurement of pain within a more global assessment of the patient of a holistic type. This is the new challenge of pain therapy: to reduce pain and evaluate the patient's functional recovery. For these reasons, this Special Issue intends to involve all professionals who care for the patient with pain in an interdisciplinary context. In this view, all opinions and points of view are welcome because it is only through the integration of the individual disciplines that pain therapy can be carried out according to the biopsychosocial model.

Prof. Dr. Franco Marinangeli
Dr. Alessandro Vittori
Dr. Emiliano Petrucci
Guest Editors

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Keywords

pain
telemedicine
cancer pain
pediatric pain
psychology
artificial intelligence
functional recovery
chronic pain
headache
rehabilitation

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Open AccessEditorial

“Emerging Topics in Pain Medicine”: Advancing Research and Patient-Centered Health Strategies

and

J. Pers. Med. 2023, 13(8), 1246; https://doi.org/10.3390/jpm13081246 - 10 Aug 2023

Viewed by 327

Abstract

Pain, in all its various forms and manifestations, impacts the lives of millions worldwide [...] Full article

(This article belongs to the Special Issue Emerging Topics in Pain Medicine)

Research

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Open AccessArticle

Pain in High-Dose-Rate Brachytherapy for Cervical Cancer: A Retrospective Cohort Study

Ángel Becerra-Bolaños

Miriam Jiménez-Gil

Mario Federico

Yurena Domínguez-Díaz

Lucía Valencia

and

Aurelio Rodríguez-Pérez

J. Pers. Med. 2023, 13(8), 1187; https://doi.org/10.3390/jpm13081187 - 26 Jul 2023

Cited by 1 | Viewed by 571

Abstract

High-dose-rate brachytherapy (HDR) is part of the main treatment for locally advanced uterine cervical cancer. Our aim was to evaluate the incidence and intensity of pain and patients’ satisfaction during HDR. Risk factors for suffering pain were also analyzed. A retrospective study was carried out by extracting data from patients who had received HDR treatment for five years. Postoperative analgesia had been administered using pre-established analgesic protocols for 48 h. Pain assessment was collected according to a protocol by the acute pain unit. Analgesic assessment was compared according to analgesic protocol administered, number of needles implanted, and type of anesthesia performed during the procedure. From 172 patients treated, data from 247 treatments were analyzed. Pain was considered moderate in 18.2% of the patients, and 43.3% of the patients required at least one analgesic rescue. Patients receiving major opioids reported worse pain control. No differences were found regarding the analgesic management according to the intraprocedural anesthesia used or the patients’ characteristics. The number of inserted needles did not influence the postoperative analgesic assessment. Continuous intravenous infusion of tramadol and metamizole made peri-procedural pain during HDR mild in most cases. Many patients still suffered from moderate pain. Full article

(This article belongs to the Special Issue Emerging Topics in Pain Medicine)

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Open AccessArticle

Investigating Functional Impairment in Chronic Low Back Pain: A Qualitative Study from the Patients and Specialists’ Perspectives

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J. Pers. Med. 2023, 13(6), 1012; https://doi.org/10.3390/jpm13061012 - 19 Jun 2023

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Abstract

Prompt and appropriate treatment of chronic low back pain (cLBP) is of the utmost importance for preventing relevant disability, high burden of disease, and increasing costs for the healthcare system. Recently, the concept of functional impairment has been associated with any type of chronic pain, and mounting attention has been paid to extending the aims of treatment beyond mere pain remission, including restoration of working capacity, everyday functioning, mobility, and quality of life. Nevertheless, a shared definition of functionality is still lacking. Notably, different specialists involved in the treatment of cLBP such as general practitioners, orthopedists, pain therapists, and physiatrists, and patients themselves have different opinions on what “functional impairment” actually means. On these premises, a qualitative interview study was performed to investigate how the concept of “functionality” is interpreted by different specialists involved in the management of cLBP, and by patients. Overall, all different specialists agreed that functionality should be assessed in clinical practice. However, in spite of several instruments available for evaluating functionality, no homogeneity of behavior is observable. Full article

(This article belongs to the Special Issue Emerging Topics in Pain Medicine)

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