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Precision management of post-COVID pain: An evidence and clinical-based approach

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Article Neurosciences

Sleep Quality Mediates the Effect of Sensitization-Associated Symptoms, Anxiety, and Depression on Quality of Life in Individuals with Post-COVID-19 Pain

Juan C. Pacho-Hernandez et al.

Summary: This study aimed to explore the relationship between biological and emotional variables associated with health-related quality of life in individuals with long-COVID. The results showed that sensitization-associated symptoms and mood disorders directly affected health-related quality of life, but these effects were not statistically significant when sleep quality was included. In fact, sleep quality mediated the relationship between sensitization-associated symptoms and mood disorders with health-related quality of life.

BRAIN SCIENCES (2022)

Article Public, Environmental & Occupational Health

Health-related quality of life in persons post-COVID-19 infection in comparison to normative controls and chronic pain patients

Maarten Moens et al.

Summary: The quality of life of post-COVID-19 infected persons is severely impacted, with symptoms of pain, fatigue, and limitations in daily activities. Their quality of life is lower compared to the general population and patients with chronic pain, but better compared to patients with chronic pain after spinal surgery.

FRONTIERS IN PUBLIC HEALTH (2022)

Review Biochemistry & Molecular Biology

Phenotyping Post-COVID Pain as a Nociceptive, Neuropathic, or Nociplastic Pain Condition

Cesar Fernandez-de-las-Penas et al.

Summary: Pain after COVID-19 infection has become a healthcare emergency. Precision medicine can group patients based on their symptoms and diagnosis for tailored treatments. There are different types of pain after COVID-19, each requiring different treatment approaches. Classifying patients into different pain types is crucial for successful treatment outcomes.

BIOMEDICINES (2022)

Article Pathology

New Clinical Phenotype of the Post-Covid Syndrome: Fibromyalgia and Joint Hypermobility Condition

Natalia Gavrilova et al.

Summary: This article explores the definition of fibromyalgia and the lack of understanding of its etiology and pathophysiology, pointing out the need to reconsider the causes of the disease development in patients after COVID-19. Through clinical case studies, a common combination of symptoms was identified, suggesting a potential link between fibromyalgia development and factors such as joint hypermobility and COVID-19.

PATHOPHYSIOLOGY (2022)

Review Medicine, General & Internal

Deciphering the COVID-19 cytokine storm: Systematic review and meta-analysis

Rubina Mulchandani et al.

Summary: Studies have shown significantly elevated levels of pro-inflammatory cytokines and reduced T lymphocytes in severe COVID-19 cases. However, there is heterogeneity across studies due to small sample sizes, nonuniform outcome assessment, and varied definitions of disease severity, indicating a need for well-designed and adequately powered prospective studies for more definitive answers.

EUROPEAN JOURNAL OF CLINICAL INVESTIGATION (2021)

Review Anesthesiology

Prescription of exercises for the treatment of chronic pain along the continuum of nociplastic pain: A systematic review with meta-analysis

Katherinne Ferro Moura Franco et al.

Summary: This study compared different exercise prescriptions for patients with chronic pain, focusing on fibromyalgia, chronic whiplash-associated disorders (CWAD), and chronic idiopathic neck pain (CINP). The results showed that for fibromyalgia, aerobic strengthening exercises were most effective, while for CWAD, body awareness exercises were similar to combined exercises. In CINP cases, motor control exercises and nonspecific muscle strengthening had a similar effect.

EUROPEAN JOURNAL OF PAIN (2021)

Article Anesthesiology

Prevalence and characteristics of new-onset pain in COVID-19 survivours, a controlled study

Felipe Henriques Carvalho Soares et al.

Summary: COVID-19 patients have significantly higher prevalence of de novo CP, chronic daily headache, and new-onset pain in general, which is associated with persistent anosmia.

EUROPEAN JOURNAL OF PAIN (2021)

Article Cell Biology

Long-lasting analgesia via targeted in situ repression of NaV1.7 in mice

Ana M. Moreno et al.

Summary: This study demonstrated successful targeted repression of Nav1.7 in mouse pain models through epigenome engineering approaches, leading to significant reduction in thermal hyperalgesia in inflammatory states and tactile allodynia in neuropathic pain without affecting normal motor function. The long-lasting analgesia achieved through this in vivo epigenetic repression of Nav1.7 methodology, named pain LATER, holds therapeutic potential in management of persistent pain states.

SCIENCE TRANSLATIONAL MEDICINE (2021)

Editorial Material Medicine, General & Internal

Approach to Headache in Patients with COVID-19

Andreia Costa et al.

ACTA MEDICA PORTUGUESA (2021)

Article Psychiatry

Do Anxiety and Depression Predict Persistent Physical Symptoms After a Severe COVID-19 Episode? A Prospective Study

Hugo Bottemanne et al.

Summary: Contrary to anxiety, depression after an acute COVID-19 episode may be associated with an increased risk of some persistent physical symptoms, including pain and dyspnea.

FRONTIERS IN PSYCHIATRY (2021)

Article Medicine, General & Internal

Is Central Sensitisation the Missing Link of Persisting Symptoms after COVID-19 Infection?

Lisa Goudman et al.

Summary: The study found that over 70% of patients post COVID-19 infection exhibit symptoms of central sensitisation, suggesting the need for patient education and multimodal rehabilitation to address nociplastic pain.

JOURNAL OF CLINICAL MEDICINE (2021)

Review Medicine, General & Internal

Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus

Yong-Hui Zhang et al.

Summary: Exercise is an effective alternative treatment or complementary therapy for neuropathic pain, with recommendations including muscle stretching, strengthening/resistance exercise, aerobic exercise, motor control/stabilization training, and mind-body exercises like Tai Chi and yoga. Regular updates are needed for the consensus statement every five to ten years.

FRONTIERS IN MEDICINE (2021)

Review Medicine, General & Internal

More Than 100 Persistent Symptoms of SARS-CoV-2 (Long COVID): A Scoping Review

Lawrence D. Hayes et al.

Summary: With the spread of the COVID-19 pandemic, more and more attention has been drawn to the persistent symptoms of long COVID, yet systematic reviews on the type and prevalence of symptoms are lacking. A study found that there are over 100 different symptoms reported in long COVID patients, with significant variations in prevalence, potentially related to unknown factors.

FRONTIERS IN MEDICINE (2021)

Article Nutrition & Dietetics

COVID-19 Outcome Relates With Circulating BDNF, According to Patient Adiposity and Age

Luciele Guerra Minuzzi et al.

Summary: The study showed that BDNF levels can predict the need for intensive care in COVID-19 patients, particularly in those over 60 years of age. Leptin and adiponectin concentrations were not associated with patient outcomes, while the BDNF/adiponectin ratio was closely linked to worsened prognosis.

FRONTIERS IN NUTRITION (2021)

Article Anesthesiology

Myalgia as a symptom at hospital admission by severe acute respiratory syndrome coronavirus 2 infection is associated with persistent musculoskeletal pain as long-term post-COVID sequelae: a case-control study

Cesar Fernandez-de-las-Penas et al.

Summary: This study found an association between COVID-related myalgia at hospital admission and musculoskeletal pain as long-term post-COVID sequelae. Additionally, fifty percent of patients with preexisting musculoskeletal pain experienced a worsening of symptoms after COVID-19.
Review Psychiatry

Biobehavioral Aspects of the COVID-19 Pandemic: A Review

Peter A. Hall et al.

Summary: The review highlights the importance of understanding the interaction between biological and behavioral factors with societal processes during the COVID-19 pandemic. It emphasizes the need for empirical research to examine mechanistic pathways from infection to outcomes, and for insights on how emotional and behavioral factors contribute to and are impacted by the pandemic.

PSYCHOSOMATIC MEDICINE (2021)

Review Environmental Sciences

Post-COVID-19 Syndrome and the Potential Benefits of Exercise

Amaya Jimeno-Almazan et al.

Summary: Post-COVID-19 syndrome poses a serious challenge, with patients potentially experiencing effects of the disease beyond 12 weeks. While there are concerns about diagnostic identification, regular exercise can help improve many symptoms and reduce the long-term effects of COVID-19.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Clinical Neurology

The presence of headache at onset in SARS-CoV-2 infection is associated with long-term post-COVID headache and fatigue: A case-control study

Cesar Fernandez-de-las-Penas et al.

Summary: The study found that headache during the acute phase of SARS-CoV-2 infection was associated with long-term post-COVID headache and other symptoms, such as fatigue. Patients with headache at onset had a higher prevalence of post-COVID symptoms, including headache and fatigue. Monitoring headache during the acute phase could help identify patients at risk of developing long-term post-COVID symptoms.

CEPHALALGIA (2021)

Review Medicine, General & Internal

Prevalence of post-COVID-19 symptoms in hospitalized and non-hospitalized COVID-19 survivors: A systematic review and meta-analysis

Cesar Fernandez-de-las-Penas et al.

Summary: This meta-analysis revealed that more than 60% of patients with SARS-CoV-2 infection experienced post-COVID-19 symptoms. Fatigue and dyspnea were the most prevalent post-COVID-19 symptoms, especially at 60 and >= 90 days after onset.

EUROPEAN JOURNAL OF INTERNAL MEDICINE (2021)

Article Clinical Neurology

Headache as an acute and post-COVID-19 symptom in COVID-19 survivors: A meta-analysis of the current literature

Cesar Fernandez-de-las-Penas et al.

Summary: This study analyzed the prevalence of post-COVID headache in COVID-19 survivors, finding that the prevalence of headache was around 47.1% at onset or hospital admission, 10.2% at 30 days, 16.5% at 60 days, 10.6% at 90 days, and 8.4% at >=180 days. Headache as a symptom at the acute phase was more prevalent in non-hospitalized patients compared to hospitalized patients.

EUROPEAN JOURNAL OF NEUROLOGY (2021)

Article Medicine, General & Internal

Musculoskeletal symptoms and related factors in postacute COVID-19 patients

Fulya Bakilan et al.

Summary: This study aimed to evaluate the musculoskeletal symptoms and related factors in postacute COVID-19 patients. The most common symptoms were fatigue, spine pain, and myalgia, with back pain being the most frequent pain region. Factors such as chronic diseases, duration of hospital stay, back pain during acute COVID-19, CT findings, and d-dimer levels were associated with post-COVID-19 musculoskeletal symptoms.

INTERNATIONAL JOURNAL OF CLINICAL PRACTICE (2021)

Review Biochemistry & Molecular Biology

Emerging SARS-CoV-2 Variants of Concern (VOCs): An Impending Global Crisis

Angel Yun-Kuan Thye et al.

Summary: The battle against the SARS-CoV-2 virus continues globally, with various clinically significant variants emerging, including Alpha, Beta, Delta, and Gamma. These variants possess key mutations on the spike protein, which contribute to increased transmissibility and evasion of the host immune response, leading to detrimental effects on public health.

BIOMEDICINES (2021)

Review Anesthesiology

Methods to discriminate between mechanism-based categories of pain experienced in the musculoskeletal system: a systematic review

Muath A. Shraim et al.

Summary: Mechanism-based classification of pain is advocated to tailor interventions for persistent musculoskeletal pain. However, discrimination between nociceptive, neuropathic, and nociplastic pain categories remains challenging. Few validated methods exist, with recommendations for a combination of features and methods for discrimination.
Review Medicine, General & Internal

Characteristics and predictors of acute and chronic post-COVID syndrome: A systematic review and meta-analysis

Fahad M. Iqbal et al.

Summary: This study aimed to investigate the prevalence of clinical characteristics of acute and chronic post-COVID syndrome, finding that fatigue and dyspnoea were the most prevalent symptoms in acute stage, while fatigue and sleep disturbance were the most prevalent symptoms in chronic stage. However, the overall quality of available evidence is poor, with significant risk of bias.

ECLINICALMEDICINE (2021)

Review Psychiatry

Biobehavioral Aspects of the COVID-19 Pandemic: A Review

Peter A. Hall et al.

Summary: The review highlights the impact of the COVID-19 pandemic in terms of biological, behavioral, and societal processes globally. Factors such as affective, cognitive, behavioral, socioeconomic, and technological factors play significant roles in the spread of infection and outcomes of mitigation efforts. The pandemic emphasizes the importance of understanding the interaction between biological, behavioral, and societal factors in managing infectious diseases.

PSYCHOSOMATIC MEDICINE (2021)

Review Rheumatology

Central sensitisation in chronic pain conditions: latest discoveries and their potential for precision medicine

Jo Nijs et al.

Summary: Chronic pain is a major cause of disability and high healthcare costs globally. Central sensitisation, amplification of neural signalling in the CNS leading to pain hypersensitivity, has been investigated as a reason for discrepancy between tissue damage extent and pain severity. Central sensitisation varies among patients with different pain conditions, predicting poor treatment outcomes and suggesting the importance of individual assessment and treatment strategies.

LANCET RHEUMATOLOGY (2021)

Review Immunology

Precision medicine and management of rheumatoid arthritis

Daniel Aletaha

JOURNAL OF AUTOIMMUNITY (2020)

Review Virology

Interleukin-6 in Covid-19: A systematic review andmeta-analysis

Eric A. Coomes et al.

REVIEWS IN MEDICAL VIROLOGY (2020)

Review Anesthesiology

Chronic pain: a review of its epidemiology and associated factors in population-based studies

Sarah E. E. Mills et al.

BRITISH JOURNAL OF ANAESTHESIA (2019)

Review Pharmacology & Pharmacy

Treatment of central sensitization in patients with chronic pain: time for change?

Jo Nijs et al.

EXPERT OPINION ON PHARMACOTHERAPY (2019)

Review Obstetrics & Gynecology

Personalized medicine: motivation, challenges, and progress

Laura H. Goetz et al.

FERTILITY AND STERILITY (2018)

Review Neurosciences

INSIGHTS INTO THE MECHANISMS AND THE EMERGENCE OF SEX-DIFFERENCES IN PAIN

Meggane Melchior et al.

NEUROSCIENCE (2016)

Review Neurosciences

GENETIC PREDICTORS OF HUMAN CHRONIC PAIN CONDITIONS

Katerina Zorina-Lichtenwalter et al.

NEUROSCIENCE (2016)

Review Clinical Neurology

The Association of Sleep and Pain: An Update and a Path Forward

Patrick H. Finan et al.

JOURNAL OF PAIN (2013)

Review Biotechnology & Applied Microbiology

Catechol-O-methyltransferase gene polymorphism and chronic human pain: a systematic review and meta-analysis

Anne Tammimaki et al.

PHARMACOGENETICS AND GENOMICS (2012)