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Exploring the delivery of care to people living with chronic pain and opioid use disorder in a western population

Por: Galligan · M.

Commentary on:Archambault et al (2024) The current state of knowledge on care for co-occurring chronic pain and opioid use disorders: a scoping review.

IMPLICATIONS FOR PRACTICE AND RESEARCH

  • Research is needed to explore the impact of combined management of opioid use disorder (OUD) and chronic non-cancer pain.

  • There is a need to support healthcare professionals when caring for those with OUD and chronic non-cancer pain to ensure they have adequate knowledge and awareness of treatment options.

  • Context

    Over the last decade, there has been a growing focus on the use of opioids in the management of pain across clinical practice and media outlets. The incidence of chronic non-cancer pain is estimated between 35% and 51%.1 It is estimated that around 22% of patients with chronic non-cancer pain received a prescription for an opioid, with 8%–12% showing signs of OUD.2...

    Cold pain tolerance mediates the effect of physical activity on lowering risks of moderate-to-severe chronic pain in the general population

    Por: Hu · J. · Kang · J.

    Commentary on: Årnes AP, Fjeld MK, Stigum H, Nielsen CS, Stubhaug A, Johansen A, Hopstock LA, Morseth B, Wilsgaard T, Steingrímsdóttir ÓA. Does pain tolerance mediate the effect of physical activity on chronic pain in the general population? The Tromsø Study. Pain. 2024 Mar 5. doi: 10.1097/j.pain.0000000000003209. Epub ahead of print. PMID: 38442413.

    Implications for practice and research

  • Further studies are warranted to investigate the pain sensitivity-related mechanisms of the risk-reducing effects of physical activity on moderate-to-severe chronic pain with other potential indirect pathways, such as impacts on inflammatory markers or psychosocial and behavioural components.

  • Integrating tailored physical activity programmes into chronic pain management protocols is strongly recommended to enhance patient outcomes.

  • Context

    Chronic pain, defined as pain persisting for more than 3 months, significantly impacts the quality of life and contributes to substantial healthcare costs globally. Despite its prevalence, effective management remains a challenge,...

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