In this issue of the Scandinavian Journal of Pain, Kehua Zhou and co-workers present a case report on two patients treated for several years with intrathecal (IT) morphine due to chronic pain after multiple failed spinal operations . Despite this treatment, the patients had insufficient pain relief and compromised function for activities of daily living. This was emphasized by the use of additional opioids (per oral, transdermal) and willingness to undergo further back surgery during the ongoing IT morphine treatment. Additionally, the patients experienced severe side effects, including respiratory complications that caused visits at hospital emergency departments. One of the patients was also transferred to a nursing home after developing dementia-like symptoms. The two patients were finally included in a pain programme based on education, physiotherapy and tapering of opioids via conversion to methadone. After discontinuation of opioids both interestingly described better pain-control and improved function, and the patient showing symptoms of dementia improved and could be discharged home.1Post-surgical chronic back and leg pain (CBLP)The term post-surgical CBLP, formerly known as failed back surgery syndrome, describes a condition with persistent or recurring low back pain, with or without sciatica following one or more spine surgeries . The condition is
Scandinavian Journal of Pain – de Gruyter
Published: Dec 29, 2017
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.
All for just $49/month
Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.
Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.
It’s easy to organize your research with our built-in tools.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera