The multicenter, randomized, unblinded, crossover Success Using Neuromodulation with BURST (SUNBURST) study sought to determine the safety and efficacy of a device delivering both traditional tonic stimulation and burst stimulation to patients with chronic pain of the trunk and/or limbs. This brief article outlines the method and outcomes of the study. Read the Article (34kb)
Development of an Interdisciplinary Pediatric Pain Rehabilitation Program: The First 1000 Consecutive Patients
Chronic pain is common in paediatric patients. Approximately 25% to 37% of children and adolescents report frequent and severe pain. Some of these patients have pain-related disability, absences from school and social activities, and disrupted eating routines, sleep, and mood. An interdisciplinary approach to pain rehabilitation was developed more than 40 years ago and has been…
Unravelling the Relationship Between Parent and Child PTSD and Pediatric Chronic Pain: the Mediating Role of Pain Catastrophizing
Clinically elevated rates of post-traumatic stress disorder (PTSD) symptoms are found among many youth with chronic pain and their parents and are linked to worse child pain outcomes. Conceptual models of mutual maintenance in paediatric PTSD and chronic pain posit that child and parent pain catastrophizing are key mechanisms underlying this co-occurrence. This current study is…
Novel 10-kHz High-frequency Therapy (HF10 Therapy) Is Superior to Traditional Low-frequency Spinal Cord Stimulation for the Treatment of Chronic Back and Leg Pain
Current treatments for chronic pain have limited effectiveness and commonly known side effects. Given the prevalence and burden of intractable pain, additional therapeutic approaches are desired. Spinal cord stimulation (SCS) delivered at 10kHz (as in HF10 therapy) may provide pain relief without the paresthesias typical of traditional low-frequency SCS. The objective of this randomised, parallel-arm,…
Confronting Complex Regional Pain Syndrome (CRPS)
Complex Regional Pain Syndrome (CRPS) is a perplexing, debilitating, rare syndrome that typically occurs after surgery, and causes pain out of proportion to the original cause. This fact sheet provides patients with information about this syndrome and what treatments are currently being used to help manage the symptoms as well as provide long term outcomes….
A Mind–Body Approach to Pediatric Pain Management
Pain is a significant public health problem that affects all populations and has significant financial, physical and psychological impact. Opioid medications, once the mainstay of pain therapy across the spectrum, can be associated with significant morbidity and mortality. Centers for Disease and Control (CDC) guidelines recommend that non-opioid pain medications are preferred for chronic pain…
Chronic Pain in Children and Adolescents: Diagnosis and Treatment of Primary Pain Disorders in Head, Abdomen, Muscles and Joints
Primary pain disorders (formerly “functional pain syndromes”) are common, under-diagnosed and under-treated in children and teenagers. This article reviews key aspects which support understanding the development of paediatric chronic pain, points to the current paediatric chronic pain terminology, addresses effective treatment strategies, and discusses the evidence-based use of pharmacology. Common symptoms of an underlying pain…