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An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
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Looking Back, Moving Forward in Pain Medicine.
Antonella Paladini1, Christopher Gharibo2, Sonia Khalbous3
1Life, Health, and Environmental Sciences (MESVA), University of L'Aquila, L'Aquila, ITA.
Cureus
|October 9, 2023
Summary
Pain management has evolved from historical opioid use and misuse to a biopsychosocial approach. Future directions include new therapies, interventional techniques, and patient education for better pain control and functional enablement.
Area of Science:
- Pain medicine
- Medical history
- Public health
Background:
- Opioid overprescription in the 1980s-90s led to a public health crisis, impacting current prescribing practices.
- Cannabinoids, once widely used, were restricted but are now re-emerging as potential analgesics.
- The understanding of pain has shifted from a purely physical to a biopsychosocial phenomenon within a cultural context.
Purpose of the Study:
- To review the historical trajectory of pain medicine.
- To explore current and future trends in pain management.
- To emphasize the importance of a biopsychosocial approach and interdisciplinary care.
Main Methods:
- Review of historical data and recent congress presentations (May 2023).
- Synthesis of authors' research, views, and opinions.
- Discussion of evolving therapeutic targets, drugs, and technologies.
Main Results:
- Opioid crisis highlighted risks of over/under-prescription.
- Cannabinoids show potential as analgesic agents.
- Interventional pain medicine and interdisciplinary clinics are growing.
- Ultrasound is increasingly used in pain diagnosis and therapy.
- Pain is recognized as a complex biopsychosocial issue.
Conclusions:
- Pain management is a critical subspecialty for functional enablement and population health.
- Future pain control involves early intervention, patient education, and minimizing acute to chronic pain transition.
- New therapeutic targets, drugs, routes of administration, and technologies are advancing the field.
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