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Commentary on: Lou J, Li J, Fan Y, et al. Effects of virtual reality on analgesia in wound care and physical therapy for burn patients: a systematic review and meta-analysis. Pain Manag Nursing. 2024; 25(4):377–388.
Implications for practice and research Virtual reality (VR) is a promising distraction intervention for pain and anxiety. Which type of VR and most effective length of exposure to reduce symptom burden is unknown. Future research must address this gap to discover best practices for the frequency, intensity and duration of VR therapy for analgesia.
Over the past 20 years, virtual reality (VR) has emerged in culture and healthcare providing a virtual world with audio and visual stimuli that can be immersive or non-immersive. Immersive VR has headsets with motion detectors that enable a multidimensional environmental experience with sensory feedback. Non-immersive VR provides a one-dimensional digital environment observed...
Commentary on: Timmins KA, Hales TG, Macfarlane GJ, et al. Childhood maltreatment and chronic ‘all over’ body pain in adulthood: a counterfactual analysis using UK Biobank. Pain. Published Online First: 15 November 2024. doi: 10.1097/j.pain.0000000000003457
Implications for practice and research Healthcare providers should routinely screen for childhood maltreatment in patients with chronic pain and integrate targeted mental health interventions. Future research should prioritise longitudinal studies to establish clearer interactions between childhood maltreatment, mental health, adult stressors and chronic pain development.
Adverse childhood experiences (ACEs), including maltreatment (abuse, neglect) and household challenges, have been identified as risk factors for various health conditions in adulthood.
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.
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%.
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.
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.
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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