Current Pain and Headache Reports当前疼痛与头痛报告
Current Pain and Headache Reports(英文缩写 CURR PAIN HEADACHE R),ISSN 1531-3433,eISSN 1534-3081,中文译名:当前疼痛与头痛报告 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-28 至 2026-09-28，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 3.904 | Q2 |
| 2022 | 3.700 | Q2 |
| 2023 | 3.200 | Q2 |
| 2024 | 3.500 | Q2 |
| 2025 | 4.800 | Q1 |
Current Pain and Headache Reports 最新收录文献
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1. A Global Perspective on Migraine Attack Triggers: Understanding Differences Across Lifestyles, Religions, and Regions.
PMID:日期:2026-09-25This review aims to summarize migraine attack triggers and understand variance across lifestyles, religions, and regions. Experts from 11 countries collaborated to suggest a definition of migraine attack triggers. After investigating the geographical distribution of various triggers, referring to an earlier review written by the International Headache Academy (iHEAD) of the International Headache Society, we collected literature and summarized findings on both globally observed triggers and region- or culture-specific triggers. The most common triggers included stress, menstruation, and sleep disturbances. Several triggers were observed only in certain cultural contexts, such as fasting during Ramadan or Yom Kippur, or in specific regions, including barometric pressure in Eastern Asia, Lodos winds in Türkiye, midnight sun in the Arctic region, and watermelon consumption in Brazil. We summarized migraine attack triggers reported universally and specifically in different settings. In addition to using conventional methodology, future studies should address the mechanisms and causality of these triggers.
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2. Minimally Invasive Surgery for the Treatment of Lumbar Spinal Stenosis: A Comprehensive Review.
PMID:日期:2026-09-23Lumbar spinal stenosis (LSS) is a prevalent and debilitating condition characterized by the narrowing of the spinal canal, leading to pain and neurogenic claudication. While open laminectomy is the gold standard for severe cases, it carries significant risks, especially for older patients. The variable success of non-surgical conservative treatments highlights the need for l minimally invasive interventions. This review compares available surgical options for LSS, with a focus on percutaneous image-Guided lumbar decompression (PILD) and minimally invasive spine (MIS) procedures. A literature review of clinical studies on MIS procedures for lumbar stenosis published between 2000 and 2025 was conducted via PubMed. The PILD procedure, which involves the percutaneous removal of hypertrophied ligamentum flavum, has demonstrated statistically significant reductions in pain and improvements in functional mobility in multiple studies, including three Level 1 randomized controlled trials. Pain relief emerges as early as six weeks and is sustained for up to two years, with a low rate of minor complications. Other MIS options include interspinous spacers and endoscopic decompression, which also show positive outcomes in select patient populations. The PILD procedure is a safe and effective MIS treatment for LSS specifically caused by ligamentum flavum hypertrophy in patients who have failed conservative care. While offering reduced morbidity compared to open surgery, its long-term efficacy relative to other MIS and traditional techniques requires further investigation.
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3. Perioperative Pain in the Era of Emerging and Unregulated Substances: Recognition, Risk Assessment, and Management.
PMID:日期:2026-09-21This review examines the perioperative implications of selected substances in the contemporary unregulated drug supply and outlines a physiology-based approach to preoperative assessment, risk recognition, and postoperative pain management. Patients may be exposed intentionally or unknowingly to fentanyl and nitazenes, xylazine and medetomidine, kratom and concentrated 7-hydroxymitragynine products, tianeptine, phenibut, and other psychoactive substances. Clinically important patterns include respiratory depression, prolonged sedation, bradycardia, hypotension, opioid tolerance, withdrawal, and difficult postoperative pain. Polysubstance exposure, uncertain product composition, and limitations of routine toxicology screening may complicate identification of the responsible substance. Perioperative assessment should emphasize specific, nonjudgmental history taking, recognition of physiologic patterns, and individualized risk stratification rather than reliance on identification of a specific substance. Perioperative planning should integrate physiologic findings with the limitations of toxicology testing and distinguish surgical pain from tolerance, withdrawal, opioid-induced hyperalgesia, and delirium. Awareness of a geographically variable and rapidly evolving drug supply is increasingly important for safe perioperative care.
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4. Mapping Review on Characteristics of Publications on Modifiable Psychosocial Factors in Headache Diseases.
4. 头痛疾病中可改变心理社会因素相关出版物特征的映射综述PMID:日期:2026-09-16Modifiable psychosocial risk factors are associated with and may contribute to the chronification of headache diseases. Assessing such factors is an integral part of multidimensional pain management. However, an overview of modifiable psychosocial risk factors and their role (e.g., chronification, prevalence, association, comorbidity) in migraine (MGR), tension-type headache (TTH), and cervicogenic headache (CeH) is missing. The present mapping review aimed to provide an overview of characteristics of modifiable psychosocial risk factors in MGR, TTH, and CeH. A total of 522 studies were included, mostly focussing on MGR (n = 681) followed by TTH (n = 95). A disproportionate focus on psychological rather than social factors (n = 28) was observed across studies. Emphasis was on associations with headache (n = 181), comorbidities (n = 102), and prevalence of psychosocial factors in people with headache (n = 63). Cross-sectional designs dominated (64%). Research was concentrated in North America (n = 182), Europe (n = 201), and Asia (n = 90). Generalization was limited by study heterogeneity. Most research focussed on comorbidities, associations, and prevalence of modifiable psychosocial risk factors in MGR and to a lesser extent TTH. Studies were mainly conducted in Europe and North America. Key gaps were identified, including (1) insufficient investigation of psychosocial factors in TTH and CeH, (2) a narrow focus on psychological factors in MGR, (3) underrepresentation of research from the African continent, and (4) a scarcity of longitudinal designs to elucidate the role of psychosocial factors in headache chronification. Addressing these gaps is essential within a multidimensional framework for MGR, TTH, and CeH.
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5. Erector Spinae Plane Block vs. Intercostal Nerve Block for Pain Management in Thoracic Surgeries and Chest Wall Traumas: A Meta-Analysis.
PMID:日期:2026-09-16Thoracic surgeries and chest wall traumas often result in severe postoperative pain, leading to significant morbidity and prolonged hospital stays. Intercostal nerve blocks have been a common strategy for managing this pain. In this regard, the ESPB is being utilized increasingly as a promising alternative as it offers more extensive pain relief and has a better safety profile. A meta-analysis comparing analgesic efficacy, measured by pain scores and opioid consumption, as well as hospital length of stay and time spent under analgesia, between ESPB and ICNB in patients undergoing thoracic surgeries and chest wall trauma was performed. A systematic literature search was conducted across three databases, identifying 2,141 potential studies. After eliminating duplicates (n = 728), the remaining studies were screened in two stages: initially by reviewing abstracts and titles (n = 1,413), followed by a full-text review of the remaining studies (n = 10). These selected studies assessed postoperative pain scores and opioid consumption. Pain was measured using the Numeric Rating Scale (NRS) and Visual Analog Scale (VAS) at 1 h, 24 h, and 48 h postoperatively, while opioid consumption was quantified in intravenous morphine milligram equivalents at 24 and 48 h. The ESPB demonstrated significantly lower pain scores at 1 h (P < 0.00001), 24 h (P < 0.00001), and 48 h (P = 0.0008) postoperatively compared to the ICNB. Postoperative opioid consumption, measured in intravenous morphine milligram equivalents at 24 h (P = 0.10) and 48 h (P = 0.20) showed no significant difference between the two groups. Additionally, there were no significant differences observed in hospital stay duration (P = 0.06) or time spent under analgesia (P = 0.33). While ESPB provides superior pain relief at all measured time points postoperatively, there were no significant differences in postoperative opioid consumption, hospital stay, or time under analgesia between ESPB and ICNB. Both techniques effectively manage thoracic pain, but ESPB offers enhanced analgesic effects. Further research is necessary to refine these techniques and establish clearer guidelines for their use in specific clinical contexts.
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6. Paracetamol: A History of Assumptions, Errors, and Evidence Reversals in Pain Management.
PMID:日期:2026-09-12Paracetamol (acetaminophen) is among the most widely used medications in the history of humanity for treatment of pain conditions. For more than half a century, it has occupied a unique position as the archetypal first-line analgesic and antipyretic, recommended across age groups, clinical settings, and healthcare systems. Its remarkable success has been based on three fundamental assumptions: it is effective for common painful conditions, substantially safer than alternative analgesics, and suitable for broad population use with minimal restrictions. Over the last two decades, however, these assumptions have been increasingly challenged by accumulating evidence from randomized trials, systematic reviews, pharmaco-epidemiological studies, and regulatory analyses. The history of paracetamol represents an instructive example of evidence reversal in modern medicine and pain management. Originally introduced as a safer successor to phenacetin, paracetamol benefited from a favorable safety reputation that often exceeded the available scientific evidence. Subsequent investigations have revealed a more complex reality. Hepatotoxicity has emerged as a leading cause of acute liver failure worldwide, efficacy in chronic musculoskeletal disorders has proved substantially lower than previously assumed, and concerns regarding long-term safety and use during pregnancy have generated ongoing scientific debate. Simultaneously, clinical practice and prescribing habits remained largely unchanged despite evolving evidence and repeated modifications of international guidelines. By examining major assumptions, scientific misconceptions, regulatory decisions, and evidence reversals, this review explores how one of medicine's most familiar drugs in pain medicine became a paradigm of the challenges inherent in translating evolving scientific evidence into clinical practice. Beyond paracetamol itself, this story provides broader lessons regarding therapeutic inertia, medical dogma, risk perception, and the dynamic nature of evidence-based medicine.
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7. The Evolving Role of Peripheral Nerve Stimulation in Postoperative Analgesia and Recovery.
PMID:日期:2026-09-11Acute postoperative pain has traditionally been managed with opioids and regional nerve blocks, both of which are associated with limitations including drug-related adverse effects and motor blockade. This narrative review evaluates temporary percutaneous peripheral nerve stimulation (PNS) as an advanced, opioid- and motor-sparing neuromodulation strategy for postoperative pain management. Temporary PNS selectively targets sensory afferent fibers to provide immediate nociceptive inhibition while promoting neuroplastic changes that reverse central sensitization, resulting in sustained analgesia beyond device removal. Unlike regional anesthesia, temporary PNS preserves motor function, facilitating early mobilization and rehabilitation. Clinical evidence across multiple surgical specialties demonstrates that 14- to 60-day temporary PNS significantly reduces postoperative pain scores and cumulative opioid consumption while maintaining a favorable safety profile, with adverse events primarily limited to mild insertion-site reactions. Temporary percutaneous PNS represents an important advancement in postoperative pain management by providing targeted analgesia without motor impairment or opioid-related adverse effects. Its ability to support Enhanced Recovery After Surgery (ERAS) pathways while potentially reducing the risk of persistent postsurgical pain highlights its growing clinical value. Further studies are needed to optimize stimulation parameters, refine patient selection, and determine its long-term role in preventing the transition from acute to chronic postsurgical pain.
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8. Meaningful Measurable Quality Outcomes in Headache Management.
PMID:日期:2026-09-11In this review, we explore the multitude of metrics used to measure the impact of acute and preventive treatments for headache disorders. These measurements seek to quantify the headache experience and changes in that experience through not only pure numerical measures of headache characteristics but also computed patient-reported outcome measures, assessments of participation in activities, and economic evaluations. The 2018-2023 release of CGRP-targeted therapies provided ample opportunity to showcase the current array of outcome metrics. Notable measures include the impact of treatment on physical activity and the change in comorbid symptoms after initiation of effective headache preventive medications. As headache therapeutics continue to advance, finding the best way to measure the benefit of these treatments allows clinicians to select the optimal treatment for their patients.
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9. Peripheral Nerve Stimulation of C2-C3 Nerves for Management of Headaches: A Description of a Novel Technique.
PMID:日期:2026-09-11Chronic headaches and occipital neuralgia are important yet frequently underrecognized causes of head and upper cervical pain. This review describes a peripheral nerve stimulation (PNS) technique targeting the C2-C3 nerves for the management of refractory headache disorders and highlights key anatomical considerations to improve procedural accuracy. Peripheral nerve stimulation of the occipital region has demonstrated efficacy in reducing pain associated with chronic headache disorders and occipital neuralgia. The described technique utilizes two Tuohy needles inserted in a caudal-to-cephalad trajectory, with lead placement adjacent to the C2 and C3 medial branches. Advances in wireless neuromodulation systems have reduced complications associated with implanted pulse generators, including infection, pocket pain, and the need for replacement procedures. Despite these improvements, technical challenges such as anatomic variability, lead migration, and lead dislodgement remain important considerations. PNS targeting the C2-C3 nerves represents a minimally invasive treatment option for patients with refractory chronic headaches and occipital neuralgia. Careful anatomical localization and confirmation of stimulation coverage are critical for optimizing outcomes and minimizing complications. Emerging wireless neuromodulation technologies may further improve the safety and practicality of occipital nerve stimulation in appropriately selected patients.
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10. Neuroimmune Phenotyping as the Next Frontier in Chronic Pain Medicine for Musculoskeletal Back Pain.
PMID:日期:2026-09-05Chronic low back pain encompasses heterogeneous mechanical, neuropathic, nociplastic, and myofascial presentations that may reflect distinct neuroimmune mechanisms. We synthesized evidence linking these phenotypes to measurable biological features and clinically relevant treatment strategies. We conducted a structured literature search of MEDLINE, Scopus, Web of Science, and the Cochrane Central Register of Controlled Trials for studies published from January 2005 through January 2025. Systematic reviews, randomized controlled trials, and mechanistic studies addressing neuroinflammation, glial activation, central sensitization, biomarkers, or imaging were organized according to four clinically relevant pain phenotypes and translational readiness. Neuroimmune findings differed across axial mechanical, radicular neuropathic, nociplastic, and myofascial pain. Imaging of the 18-kDa translocator protein demonstrated phenotype-associated neuroinflammatory patterns, whereas shear wave elastography provided an objective measure of myofascial trigger-point stiffness. Combining inflammatory biomarkers with psychosocial characteristics improved chronic pain prediction, with reported areas under the receiver operating characteristic curve ranging from 0.69 to 0.92. Evidence also supported phenotype-aligned approaches including targeted rehabilitation, ultrasound-guided dry needling, dorsal root ganglion stimulation, and spinal cord stimulation. However, biomarker validation, imaging standardization, and clinical availability varied substantially. Neuroimmune phenotyping provides a framework for connecting pain mechanisms with diagnostic and therapeutic strategies in chronic low back pain. Shear wave elastography and selected inflammatory measures appear closest to clinical implementation, while advanced neuroimaging and multi-omic approaches remain investigational. Phenotype-enriched prospective trials are needed before routine precision-guided management can be established.