Internal Med Medical News about Chronic Osteoarthritis Pain; Opioid Analgesics

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Sleep as a Marker in the Effective Management of Chronic Osteoarthritis Pain with Opioid Analgesics
Seminars in Arthritis and Rheumatism, 06/29/09

Turk DC et al. - In each of the 10 placebo-controlled studies identified, concurrent improvements in pain intensity and measured sleep disturbances were observed in patients receiving the long-acting opioid analgesics under study. Improved overall sleep quality, reduced awakenings from pain, and increased duration of sleep were among the favorable changes observed in patients with OA treated with long-acting opioids. Current evidence suggests that various long-acting opioid analgesics simultaneously achieve pain control and improve sleep. However, the complex interaction between reduced pain and improved sleep requires further study.

Brain Gray Matter Decrease in Chronic Pain Is the Consequence and Not the Cause of Pain
Journal of Neuroscience, 11/10/09 Relevance Score: 83%

Review: limited evidence that psychological therapies are of benefit for adults with chronic pain
Evidence-Based Mental Health, 10/28/09 Relevance Score: 82%

Characteristics of patients with chronic pain accessing treatment with medical cannabis in Washington State
Journal of Opioid Management, 11/03/09 Relevance Score: 81%

Pain and rheumatology: An overview of the problem
European Journal of Pain, 11/17/09 Relevance Score: 80%

The Efficacy and Duration of Intra-articular Corticosteroid Injection for Knee Osteoarthritis: A Systematic Review of Level I Studies
Journal of the American Academy of Orthopedic Surgeons, 10/01/09 Relevance Score: 80%