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Pain Management on the Battlefield

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Handbook of Pain and Palliative Care

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Abstract

Military conflicts, by their nature, inflict enormous physical, mental, and emotional scars on the combatants. The injuries range from multi-trauma combat injuries to noncombat-related overuse injuries and accidents. This chapter will review the injury patterns and the current state of treatment for these conditions.

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References

  • Adams, E., Breiner, S., et al. (2006). A comparison of the abuse liability of tramadol, NSAIDs, and hydrocodone in patients with chronic pain. Journal of Pain and Symptom Management, 31, 465–476.

    Article  PubMed  Google Scholar 

  • Afridi, S. K., Giffin, N. J., Kaube, H., et al. (2013). A randomized controlled trial of intranasal ketamine in migraine with prolonged aura. Neurology, 80(7), 642–647.

    Article  PubMed  Google Scholar 

  • Amin, M., Parisi, J., et al. (2010). War-related illness symptoms among operation Iraqi freedom/operation enduring freedom returnees. Military Medicine, 175(3), 155–157.

    Article  PubMed  Google Scholar 

  • Angst, M., & Clark, J. (2006). Opioid-induced hyperalgesia: A qualitative systematic review. Anesthesiology, 104, 570–587.

    Article  PubMed  Google Scholar 

  • Aprill, C., & Bogduk, N. (1992). The prevalence of cervical zygapophyseal joint pain. A first approximation. Spine, 17, 744–747.

    Article  PubMed  Google Scholar 

  • Army Surgeon General’s pain medicine task force. Retrieved February 10, 2010, from http://www.armymedicine.army.mil/reports/reports.html

  • Auroy, Y., Benhamou, D., et al. (2002). Major complications of regional anesthesia in France: The SOS Regional Anesthesia Hotline Service. Anesthesiology, 97, 1274–1280.

    Article  PubMed  Google Scholar 

  • Bach, S., Noreng, M., et al. (1988). Phantom limb pain in amputees during the first 12 months following limb amputation, after preoperative lumbar epidural blockade. Pain, 33, 297–301.

    Article  PubMed  Google Scholar 

  • Baker, R., Dreyfuss, P., et al. (2003). Cervical transforaminal injection of corticosteroids into a radicular artery: A possible mechanism for spinal cord injury. Pain, 103, 211–215.

    Article  PubMed  Google Scholar 

  • Ballantyne, J., & Shin, N. (2008). Efficacy of opioids for chronic pain: A review of the evidence. The Clinical Journal of Pain, 24, 469–478.

    Article  PubMed  Google Scholar 

  • Barrett, D., Doebbeling, C., et al. (2002). Posttraumatic stress disorder and self-reported physical health status among U.S. Military personnel serving during the Gulf War period: A population-based study. Psychosomatics, 43, 195–205.

    Article  PubMed  Google Scholar 

  • Bellamy, R. (1995). Combat trauma overview. In R. Zaitchuk & R. F. Bellamy (Eds.), Textbook of military medicine. Part IV: Anesthesia and perioperative care of the combat casualty (pp. 1–42). Falls Church: Office of the Surgeon General.

    Google Scholar 

  • Benzon, H. (1986). Epidural steroid injections for low back pain and lumbosacal radiculopathy. Pain, 24, 277–295.

    Article  PubMed  Google Scholar 

  • Benzon, H., Connis, R., et al. (2010). Practice guidelines for chronic pain management: An updated report by the American Society of Anesthesiologists Task Force on Chronic Pain Management and the American Society of Regional Anesthesia and Pain Medicine. Anesthesiology, 112(4), 810–833.

    Article  Google Scholar 

  • Bird, P., Oakley, S., et al. (2001). Prospective evaluation of magnetic resonance imaging and physical examination findings in patients with greater trochanteric pain syndrome. Arthritis and Rheumatism, 44, 2138–2145.

    Article  PubMed  Google Scholar 

  • Black, I. H., & McManus, J. (2009). Pain management in current combat operations. Prehospital Emergency Care, 13(2), 223–227.

    Article  PubMed  Google Scholar 

  • Blansfiled, J. (1999). The origins of casualty evacuation and Echelons of care: Lessons learned from the American Civil War. International Journal of Emergency Nursing, 5, 5–9.

    Google Scholar 

  • Bogduk, N. (1997). International Spinal Injection Society guidelines for the performance of spinal injection procedures. Part 1: Zygapophysial joint blocks. The Clinical Journal of Pain, 13, 285–302.

    Article  PubMed  Google Scholar 

  • Bray, R. M., Hourani, L. L., & Williams, J. (2011). Substance use and mental health risk factors for service members: Findings from U.S. Department of Defense health related behavior surveys. www.dtic.mil/get-tr-doc/pdf?AD=ADA582878. Accessed 18 July 2011.

  • Buckenmaier, C., McKnight, G., et al. (2005). Continuous peripheral nerve block for battlefield anesthesia and evacuation. Regional Anesthesia and Pain Medicine, 30, 202–205.

    Article  PubMed  Google Scholar 

  • Buckenmaier, C., Shields, C., et al. (2006). Continuous peripheral nerve block in combat casualties receiving low-molecular weight heparin. British Journal of Anaesthesia, 97, 874–877.

    Article  PubMed  Google Scholar 

  • Butterman, G. (2004). Treatment of lumbar disc herniation: Epidural steroid injection compared with discectomy. A prospective, randomized study. Journal of Bone and Joint Surgery, 86A, 670–679.

    Article  Google Scholar 

  • Callander, B., & Hebert, A. (2006). The 90 percent solution. Air Force Magazine (Online). Retrieved October 23, 2010. Available at: http://www.afa.org/magazine/oct2006/1006solution.asp

  • Carette, S., Leclaire, R., et al. (1997). Epidural corticosteroid injections for sciatica due to herniated nucleus pulposus. The New England Journal of Medicine, 336, 1634–1640.

    Article  PubMed  Google Scholar 

  • Carey, M. (1996). Analysis of wounds incurred by U.S. Army Seventh Corps personnel treated in Corps hospitals during Operation Desert Storm, February 20 to March 10, 1991. The Journal of Trauma, 40, S165–S169.

    Article  PubMed  Google Scholar 

  • Carragee, E. (2005). Clinical practice. Persistent low back pain. The New England Journal of Medicine, 352, 1891–1898.

    Article  PubMed  Google Scholar 

  • Carragee, E. J., & Cohen, S. P. (2009). Lifetime asymptomatic for back pain: The validity of self-report measures in soldiers. Spine (Phila Pa 1976), 34(9), 978–983.

    Google Scholar 

  • Castro-Alves, L. J., Oliveira de Medeiros, A. C., Neves, S. P., et al. (2016). Perioperative duloxetine to improve postoperative recovery after abdominal hysterectomy: A prospective, randomized, double-blinded, placebo-controlled study. Anesthesia and Analgesia, 122(1), 98–104.

    Article  PubMed  Google Scholar 

  • Chang-Chien, G. C., Knezevic, N. N., McCormick, Z., et al. (2014). Transforaminal versus interlaminar approaches to epidural steroid injections: A systematic review of comparative studies for lumbosacral radicular pain. Pain Physician, 17(4), E509–E524.

    PubMed  Google Scholar 

  • Chou, R., Fanciullo, G., et al. (2009). Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. The Journal of Pain, 10(2), 113–130.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cohen, S. (2005). Sacroiliac joint pain: A comprehensive review of anatomy, diagnosis, and treatment. Anesthesia and Analgesia, 101, 1440–1453.

    Article  PubMed  Google Scholar 

  • Cohen, S. P., & Abdi, S. (2003). Lateral branch blocks as a treatment for sacroiliac joint pain: A pilot study. Regional Anesthesia and Pain Medicine, 28, 113–119.

    Article  PubMed  Google Scholar 

  • Cohen, S. P., & Hooten, W. M. (2017). Advances in the diagnosis and management of neck pain. BMJ, 358, j3221.

    Article  PubMed  Google Scholar 

  • Cohen, S. P., & Raja, S. (2007). Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain. Anesthesiology, 106, 591–614.

    Article  PubMed  Google Scholar 

  • Cohen, S. P., Narvaez, J. C., Lebovits, A. H., & Stojanovic, M. P. (2005a). Corticosteroid injections for trochanteric bursitis: Is fluoroscopy necessary? A pilot study. British Journal of Anaesthesia, 94(1), 100–106.

    Article  PubMed  Google Scholar 

  • Cohen, S. P., Griffith, S., et al. (2005b). Presentation, diagnosis, mechanisms of injury, and treatment of soldiers injured in Operation Iraqi Freedom: An epidemiological study conducted at two military pain management centers. Anesthesia and Analgesia, 101, 1098–1103.

    Article  PubMed  Google Scholar 

  • Cohen, S. P., Argoff, C. E., & Carragee E. J. (2008). Management of low back pain. BMJ, 337, a2718. https://doi.org/10.1136/bmj.a2718.

    Article  PubMed  Google Scholar 

  • Cohen, S. P., Strassels, S. A., et al. (2009). Comparison of fluoroscopically guided and blind corticosteroid injections for greater trochanteric pain syndrome: multicentre randomised controlled trial. BMJ, 338, b1088.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cohen, S. P., Kapoor, S. G., Nguyen, C. et al. (2010). Neck pain during combat operations: An epidemiological study analyzing clinical and prognostic factors. Spine (Phila Pa 1976.), 35(7), 758–763.

    Article  PubMed  Google Scholar 

  • Cohen, S. P., Plunkett, A. R., Wilkinson, I., et al. (2012). Headaches during war: Analysis of presentation, treatment, and factors associated with outcome. Cephalalgia, 32(2), 94–108.

    Article  PubMed  Google Scholar 

  • Cohen, S. P., Hayek, S., Semenov, Y., et al. (2014). Epidural steroid injections, conservative treatment, or combination treatment for cervical radicular pain: A multicenter, randomized, comparative-effectiveness study. Anesthesiology, 121(5), 1045–1055.

    Article  PubMed  Google Scholar 

  • Cohen, S. P., Peterlin, B. L., Fulton, L., et al. (2015). Randomized, double-blind, comparative-effectiveness study comparing pulsed radiofrequency to steroid injections for occipital neuralgia or migraine with occipital nerve tenderness. Pain, 156(12), 2585–2594.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cohen, S. P., Bicket, M. C., et al. (2018). Fluoroscopically-guided vs. landmark-guided sacroiliac joint injections: A double-blind, randomized, controlled study. Mayo Clinic Proceedings (in press).

    Google Scholar 

  • Crowell, M. D., Jones, M. P., Harris, L. A., Dineen, T. N., Schettler, V. A., & Olden, K. W. (2004). Antidepressants in the treatment of irritable bowel syndrome and visceral pain syndromes. Current Opinion in Investigational Drugs, 5(7), 736–742 Review.

    PubMed  Google Scholar 

  • Daniel, H. (2002). Hypogonadism in men consuming sustained-action oral opioids. The Journal of Pain, 3, 377–384.

    Article  Google Scholar 

  • Danelson, K. A., Frounfelker, P., Pizzolato-Heine, K., Valentine, R., Watkins, L. C., Tegtmeyer, M., Bolte, J. H., Hardy, W. N., & Loftis, K. L. (2019, March 1). A military case review method to determine and record the mechanism of injury (BioTab) from in-theater attacks. Military Medicine, 184(Supplement_1), 374–378. https://doi.org/10.1093/milmed/usy396.

    Article  PubMed  Google Scholar 

  • Davis, M. (2010). Recent development in therapeutics for breakthrough pain. Expert Review of Neurotherapeutics, 10, 757–773.

    Article  PubMed  Google Scholar 

  • De Kock, M. (2009). Expanding our horizons: Transition of acute pain to persistent pain and establishment of chronic postsurgical pain services. Anesthesiology, 111, 461–463.

    Article  PubMed  Google Scholar 

  • Department of Veterans Affairs and Department of Defense. (2017). VA/DoD clinical practice guideline for opioid therapy for chronic pain. https://www.healthquality.va.gov/guidelines/Pain/cot/VADoDOTCPGProviderSummary022817.pdf. Last accessed 1 Jan 2018.

  • Desborough, J. (2000). The stress response to trauma and surgery. British Journal of Anaesthesia, 85, 109–117.

    Article  PubMed  Google Scholar 

  • Donovan, K. A., Thompson, L. M. A., & Jacobsen, P. B. (2013). Pain, depression and anxiety in cancer. In R. J. Moore (Ed.), Handbook of pain and palliative care: Biobehavioral approaches for the life course. New York: Springer.

    Google Scholar 

  • Dragovich, A., & Trainer, R. J. 2011. A report of 3 soldiers returned to full duty after lumbar radiofrequency facet denervation in a theater of war. Pain Medicine,12(4), 679–681. https://doi.org/10.1111/j.1526-4637.2010.01041.x. Epub 11 Jan 2011.

    Article  PubMed  Google Scholar 

  • Egan, T., Sharma, A., et al. (2000). Multiple dose pharmacokinetics of oral transmucosal fentanyl citrate in healthy volunteers. Anesthesiology, 92, 665–673.

    Article  PubMed  Google Scholar 

  • Eichenberger, U., Greher, M., et al. (2006). Ultrasound-guided blocks of the ilioinguinal and iliohypogastric nerve: Accuracy of a selective new technique confirmed by anatomical dissection. British Journal of Anaesthesia, 97, 238–243.

    Article  PubMed  Google Scholar 

  • Elizaga, A., Smith, D., et al. (1994). Continuous regional analgesia by intraneural block: Effect on postoperative opioid requirements and phantom limb pain following amputation. Journal of Rehabilitation Research and Development, 1994, 179–187.

    Google Scholar 

  • Elkayam, O., Ben Itzhak, S., et al. (1996). Multidisciplinary approach to chronic back pain: Prognostic elements of the outcome. Clinical and Experimental Rheumatology, 14(3), 281–288.

    PubMed  Google Scholar 

  • Faccenda, K., & Finucane, B. (2001). Complications of regional anaesthesia. Incidence and prevention. Drug Safety, 24, 413–442.

    Article  PubMed  Google Scholar 

  • Fassoulaki, A., Sarantopoulos, C., et al. (2001). Regional block and mexiletine: The effect on pain after cancer breast surgery. Regional Anesthesia and Pain Medicine, 26, 223–228.

    PubMed  Google Scholar 

  • Fassoulaki, A., Patris, K., et al. (2002). The analgesic effect of gabapentin and mexiletine after breast surgery for cancer. Anesthesia and Analgesia, 95, 985–991.

    PubMed  Google Scholar 

  • Fine, P., & Streisand, J. (1998). A review of oral transmucosal fentanyl citrate: Potent, rapid and noninvasive opioid analgesia. Journal of Palliative Medicine, 1, 55–63.

    Article  PubMed  Google Scholar 

  • Finnerup, N. B., Attal, N., et al. (2015). Pharmacotherapy for neuropathic pain in adults: a systematic review and meta-analysis. Lancet Neurolology, 14, 162–173.

    Google Scholar 

  • Fischer, B., & Argento, E. (2012). Prescription opioid related misuse, harms, diversion and interventions in Canada: A review. Pain Physician, 15(3 Suppl), ES191–ES203.

    PubMed  Google Scholar 

  • Fishbain, D. A. (1999). Approaches to treatment decisions for psychiatric comorbidity in the management of the chronic pain patient. Medical Clinics of North America, 83(3), 737–760 vii.

    Article  Google Scholar 

  • Fishbain, D. A., Rosomoff, H., et al. (1992). Drug abuse, dependence, and addiction in chronic pain patients. The Clinical Journal of Pain, 8, 77–85.

    Article  PubMed  Google Scholar 

  • Fisher, A. D., Rippee, B., Shehan, H., et al. (2014). Prehospital analgesia with ketamine for combat wounds: A case series. Journal of Special Operations Medicine, 14(4), 11–17.

    PubMed  Google Scholar 

  • Fleming, M. F., Balousek, S. L., Klessig, C. L., et al. (2007). Substance use disorders in a primary care sample receiving daily opioid therapy. Journal of Pain, 8(7), 573–582.

    Article  Google Scholar 

  • Foell, J., & Flor, H. (2013). Phantom limb pain. In R. J. Moore (Ed.), Handbook of pain and palliative care: Biobehavioral approaches for the life course. New York: Springer.

    Google Scholar 

  • Forristall RM, Marsh HO, Pay NT. (1988). Magnetic resonance imaging and contrast CT of the lumbar spine. Comparison of diagnostic methods and correlation with surgical findings. Spine (Phila PA 1976) 13, 1049–54.

    Article  PubMed  Google Scholar 

  • Fredman, B., Nun, M., et al. (1999). Epidural steroids for treating “failed back surgery syndrome”: Is fluoroscopy really necessary? Anesthesia and Analgesia, 88, 367–372.

    PubMed  Google Scholar 

  • Fukuda, K., Nisenbaum, R., et al. (1998). Chronic multisymptom illness affecting Air Force veterans of the Gulf War. Journal of American Medical Association, 280, 981–988.

    Article  Google Scholar 

  • Gabriel, R., & Metz, K. (2007). A short history of war: The evolution of warfare and weapons. In Proceeding of the Read Mil Strat Strategic Studies Institute. Carlisle Barracks: US Army War College.

    Google Scholar 

  • Gironda, R., Clark, M., et al. (2006). Pain among veterans of operations enduring freedom and Iraqi freedom. Pain Medicine, 7, 339–343.

    Article  PubMed  Google Scholar 

  • Goldberg, M. (2010). Death and injury rates of U.S. military personnel in Iraq. Military Medicine, 175, 220–226.

    Article  PubMed  Google Scholar 

  • Grass, J. (1993). Surgical outcome: Regional anesthesia and analgesia versus general anesthesia. Anesthesia Review, 20, 117–125.

    Google Scholar 

  • Greco, T., Ferguson, L., Giza, C., & Prins, M. L. (2019, March 7). Mechanisms underlying vulnerabilities after repeat mild traumatic brain injuries. Experimental Neurology. pii: S0014–4886(19)30012–3. https://doi.org/10.1016/j.expneurol.2019.01.012, [Epub ahead of print].

    PubMed  Google Scholar 

  • Greensmith, J., & Murray, W. (2006). Complications of regional anesthesia. Current Opinion in Anaesthesiology, 19, 531–537.

    Article  PubMed  Google Scholar 

  • Guez, M., Hildingsson, C., et al. (2003). Chronic neck pain of traumatic and non-traumatic origin: A population-based study. Acta Orthopaedica Scandinavica, 74, 576–579.

    Article  PubMed  Google Scholar 

  • Guinard, J., Mavrocordatos, P., et al. (1992). A randomized comparison of intravenous versus lumbar and thoracic epidural fentanyl for analgesia after thoracotomy. Anesthesiology, 77, 1108–1115.

    Article  PubMed  Google Scholar 

  • Hall, A., Logan, J., et al. (2008). Patterns of abuse among unintentional pharmaceutical overdose fatalities. Journal of American Medical Association, 300, 2613–2620.

    Article  Google Scholar 

  • Hartung, W., Ross, C. J., Straub, R., et al. (2010). Ultrasound-guided sacroiliac joint injection in patients with established sacroiliitis: Precise IA injection verified by MRI scanning does not predict clinical outcome. Rheumatology (Oxford), 49(8), 1479–1482.

    Article  Google Scholar 

  • Hauret, K. G., Taylor, B. J., Clemmons, N. S., et al. (2010). Frequency and causes of nonbattle injuries air evacuated from operations Iraqi freedom and enduring freedom, U.S. Army, 2001–2006. American Journal of Preventive Medicine, 38(1 Suppl), S94–S107.

    Article  PubMed  Google Scholar 

  • Higgins, D. M., Kerns, R. D., Brandt, C. A., et al. (2014). Persistent pain and comorbidity among operation enduring freedom/operation Iraqi freedom/operation new dawn veterans. Pain Medicine, 15(5), 782–790.

    Article  PubMed  Google Scholar 

  • Hines, L. A., Sundin, J., Rona, R. J., et al. (2014). Posttraumatic stress disorder post Iraq and Afghanistan: Prevalence among military subgroups. Canadian Journal of Psychiatry, 59(9), 468–479.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hoge, C., Castro, C., et al. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. The New England Journal of Medicine, 351, 13–22.

    Article  PubMed  Google Scholar 

  • Holbrook, T., Galarneau, M., et al. (2010). Morphine use after combat injury in Iraq and post-traumatic stress disorder. The New England Journal of Medicine, 362, 110–117.

    Article  PubMed  Google Scholar 

  • Hoppenfeld, S. (1976). Physical examination of the spine and extremities (pp. 261–262). Upper Saddle River: Prentice-Hall.

    Google Scholar 

  • Hurley, R., Cohen, S., et al. (2006). The analgesic effects of perioperative gabapentin on postoperative pain: A meta-analysis. Regional Anesthesia and Pain Medicine, 31, 237–247.

    PubMed  Google Scholar 

  • Islinger, R., Kuklo, T., et al. (2000). A review of orthopedic injuries in three recent U.S. military conflicts. Military Medicine, 165, 463–465.

    Article  PubMed  Google Scholar 

  • Ives, T., Chelminski, P., et al. (2006). Predictors of opioid misuse in patients with chronic pain: A prospective cohort study. BMC Health Services Research, 4, 46.

    Article  Google Scholar 

  • Jahangir, M., Bradley, J., et al. (1994). Prevention of phantom pain after major lower limb amputation by epidural infusion of diamorphine, clonidine and bupivacaine. Annals of the Royal College of Surgeons of England, 76, 324–326.

    Google Scholar 

  • Johnson, B., Carmack, D., et al. (2005). Operation Iraqi Freedom: The Landstuhl Region Medical Center experience. The Journal of Foot and Ankle Surgery, 44, 177–183.

    Article  PubMed  Google Scholar 

  • Jowitt, M., & Knight, R. (1983). Anaesthesia during the Falklands campaign. The land battles. Anaesthesia, 38, 776–783.

    Article  PubMed  Google Scholar 

  • Kang, H., Li, B., et al. (2009). Health of US veterans of 1991 Gulf War: A follow-up survey in 10 years. Journal of Occupational and Environmental Medicine, 51, 401–410.

    Article  PubMed  Google Scholar 

  • Kelhet, H., Jensen, T., et al. (2006). Persistent post surgical pain: Risk factors and prevention. Lancet, 367, 1618–1625.

    Article  Google Scholar 

  • Kharasch, E., Hoffer, C., et al. (2004). Influence of age on the pharmacokinetics and pharmacodynamics of oral transmucosal fentanyl citrate. Anesthesiology, 101, 738–743.

    Article  PubMed  Google Scholar 

  • Kingzett-Taylor, A., Tirman, P., et al. (1999). Tendinosis and tears of gluteus medius and minimus muscles as a cause of hip pain: MR imaging findings. AJR American Journal of Roentgenology, 173, 1123–1126.

    Article  PubMed  Google Scholar 

  • Koes, B., van Tulder, M., et al. (2006). Diagnosis and treatment of low back pain. British Medical Journal, 332, 332.

    Article  Google Scholar 

  • Kotwal, R., O’Connor, K., et al. (2004). A novel pain management strategy for combat casualty care. Annals of Emergency Medicine, 44, 121–127.

    Article  PubMed  Google Scholar 

  • Lievense, A., Bierma-Zeinstra, S., et al. (2005). Prognosis of trochanteric pain in primary care. British Journal of General Practice, 55, 199–204.

    Google Scholar 

  • Liu, S., Carpenter, R., et al. (1995). Effects of perioperative analgesic technique on rate of recovery after colon surgery. Anesthesiology, 83, 757–765.

    Article  PubMed  Google Scholar 

  • Liu, R., Kurihara, C., Tsai, H. T., et al. (2017). Classification and treatment of chronic neck pain: A longitudinal cohort study. Regional Anesthesia and Pain Medicine, 42(1), 52–61.

    Article  PubMed  Google Scholar 

  • Long, D., BenDebba, M., et al. (1996). Persistent back pain and sciatica in the United States: Patient characteristics. Journal of Spinal Disorders, 9, 40–58.

    Article  PubMed  Google Scholar 

  • Losing, A. K., Jones, J. M., Keric, A., et al. (2016). Ketamine infusion therapy as an alternative pain control strategy in patients with multi-trauma including rib fracture; case report and literature review. Bulletin of Emergency and Trauma, 4(3), 165–169.

    PubMed  PubMed Central  Google Scholar 

  • MacGregor, A. J., Shaffer, R. A., et al. (2010). Prevalence and psychological correlates of traumatic brain injury in Operation Iraqi Freedom. Journal of Head Trauma Rehabilitation, 25, 1–8.

    Article  Google Scholar 

  • Malchow, R., & Black, I. (2008). The evolution of pain management in the critically ill trauma patient: Emerging concepts from the global war on terrorism. Critical Care Medicine, 36, S346–S357.

    Article  PubMed  Google Scholar 

  • Manchikanti, L., & Singh, V. (2004). Managing phantom pain. Pain Physician, 7, 365–375.

    PubMed  Google Scholar 

  • Manchikanti, L., Singh, V., et al. (2002). Prevalence of cervical facet joint pain in chronic neck pain. Pain Physician, 5, 243–249.

    PubMed  Google Scholar 

  • Mathieson, S., Maher, C. G., McLachlan, A. J., et al. (2017). Trial of pregabalin for acute and chronic sciatica. The New England Journal of Medicine, 376(12), 1111–1120.

    Article  PubMed  Google Scholar 

  • McLain, R., Kapural, L., et al. (2005). Epidural steroid therapy for back and leg pain: Mechanisms of action and efficacy. The Spine Journal, 5(2), 191–201.

    Article  PubMed  Google Scholar 

  • Moore, R. A., Tramèr, M. R., et al. (1998). Quantitative systematic review of topically applied non-steroidal anti-inflammatory drugs. BMJ, 316, 333–338.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nakahura, T., Griswold, W., et al. (1998). Nonsteroidal anti-inflammatory drug use in adolescence. The Journal of Adolescent Health, 23, 307–310.

    Article  PubMed  Google Scholar 

  • Nampiaparampil, D. E. (2008). Prevalence of chronic pain after traumatic brain injury: A systematic review. JAMA, 300(6), 711–719.

    Article  PubMed  Google Scholar 

  • Newcomer, K., Shelerud, R., et al. (2010). Anxiety levels, fear-avoidance beliefs, and disability levels at baseline and at 1 year among subjects with acute and chronic low back pain. Physical Medicine and Rehabilitation, 2, 514–520.

    Google Scholar 

  • Nikolajsen, L., Ilkjaer, S., et al. (1997). Randomised trial of epidural bupivacaine and morphine in prevention of stump and phantom pain in lower-limb amputation. Lancet, 350, 1353–1357.

    Article  PubMed  Google Scholar 

  • OTSG Office of the Surgeon General. Retrieved October 23, 2010. Available at: http://armymedicine@army.mil

    Google Scholar 

  • Outcalt, S. D., Ang, D. C., Wu, J., et al. (2014). Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress. Journal of Rehabilitation Research and Development, 51(4), 559–570.

    Article  PubMed  Google Scholar 

  • Page, G. (2005). Immunologic effects of opioids in the presence or absence of pain. Journal of Pain and Symptom Management, 29, S25–S31.

    Article  PubMed  Google Scholar 

  • Pal, S., Cortiella, J., et al. (1997). Adjunctive methods of pain control in burns. Burns, 23, 404–412.

    Article  PubMed  Google Scholar 

  • Patel, A. A., Hauret, K. G., Taylor, B. J., et al. (2017). Non-battle injuries among U.S. Army soldiers deployed to Afghanistan and Iraq, 2001–2013. Journal of Safety Research, 60, 29–34.

    Article  PubMed  Google Scholar 

  • Penprase, B., Brunetto, E., Dahmani, E., et al. (2015). The efficacy of preemptive analgesia for postoperative pain control: A systematic review of the literature. Association of Operating Room Nurses Journal, 101(1), 94–105.

    Article  PubMed  Google Scholar 

  • Pinzur, M., Garla, P., et al. (1996). Continuous postoperative infusion of a regional anaesthetic after an amputation of the lower extremity. Journal of Bone and Joint Surgery, 79, 1752–1753.

    Google Scholar 

  • Pneumaticos, S., Chatziioannou, S., et al. (2006). Low back pain: Prediction of short-term outcome of facet joint injection with bone scintigraphy. Radiology, 238, 693–698.

    Article  PubMed  Google Scholar 

  • Portenoy, R., & Foley, K. (1986). Chronic use of opioid analgesics in non-malignant pain: Report of 38 cases. Pain, 25, 171–186.

    Article  PubMed  Google Scholar 

  • Pozek, J. P., Beausang, D., Baratta, J. L., et al. (2016). The acute to chronic pain transition: Can chronic pain be prevented? The Medical Clinics of North America, 100(1), 17–30.

    Article  PubMed  Google Scholar 

  • Qi, R. R., Wang, J. Q., Pan, L. L., et al. (2016). Descriptive epidemiology of deployment-related medical conditions and shipboard training-related injuries in a Chinese Navy population. Public Health, 141, 170–177.

    Article  PubMed  Google Scholar 

  • Ramasamy, A., Hill, A., et al. (2009). Improvised explosive devices: Pathophysiology, injury profiles and current medical management. Journal of the Royal Army Medical Corps, 155, 265–272.

    Article  PubMed  Google Scholar 

  • Ramirez, S., Bebarta, V. S., Varney, S. M., et al. (2017). Misuse of prescribed pain medication in a military population-a self-reported survey to assess a correlation with age, deployment, combat illnesses, or injury? American Journal of Therapeutics, 24(2), e150–e156.

    Article  PubMed  Google Scholar 

  • Rawal, N., Sjostrand, U., et al. (1984). Comparison of intramuscular and epidural morphine for postoperative analgesia in the grossly obese: Influence on postoperative ambulation and pulmonary function. Anesthesia and Analgesia, 63, 583–592.

    PubMed  Google Scholar 

  • Renfrew, D., Moore, T., et al. (1991). Correct placement of epidural steroid injections: Fluoroscopic guidance and contrast administration. American Journal of Neuroradiology, 12, 1003–1007.

    PubMed  PubMed Central  Google Scholar 

  • Riew, K., Park, J., et al. (2006). Nerve root blocks in the treatment of lumbar radicular pain. A minimum five-year follow-up. Journal of Bone and Joint Surgery, 88, 1722–1725.

    Article  Google Scholar 

  • Rooney, B., Crown, E., et al. (2007). Preemptive analgesia with lidocaine prevents failed back surgery syndrome. Experimental Neurology, 204, 589–596.

    Article  PubMed  Google Scholar 

  • Rosenberg, J., Quint, T., et al. (2000). Computerized tomographic localization of clinically-guided sacroiliac joint injections. The Clinical Journal of Pain, 16, 18–21.

    Article  PubMed  Google Scholar 

  • Rozenberg, S., Dubourg, G., et al. (1999). Efficacy of epidural steroids in low back pain and sciatica. A critical appraisal by a French task force of randomized trials. Revue du Rhumatisme, 66, 79–85.

    PubMed  Google Scholar 

  • Saxe, G., Stoddard, F., et al. (2001). Relationship between acute morphine and the course of PTSD in children with burns. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 915–921.

    Article  PubMed  Google Scholar 

  • Schricker, T., Meterissian, S., et al. (2004). Postoperative protein sparing with epidural analgesia and hypocaloric dextrose. Annals of Surgery, 240, 916–921.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schwenk, E., Viscusi, E. R., et al. (2018). Consensus guidelines on the use of intravenous ketamine infusions for acute pain management from the American Society of Regional Anesthesia and Pain Medicine (ASRA), American Academy of Pain Medicine (AAPM) and the American Society of Anesthesiologists (ASA). Regional Anesthesia and Pain Medicine, 43, 456–466.

    Google Scholar 

  • Seal, K. H., Bertenthal, D., Barnes, D. E., et al. (2017). Association of traumatic brain injury with chronic pain in Iraq and Afghanistan veterans: Effect of comorbid mental health conditions. Archives of Physical Medicine and Rehabilitation, 98(8), 1636–1645.

    Article  PubMed  Google Scholar 

  • Segal, N., Felson, D., et al. (2007). Greater trochanteric pain syndrome: Epidemiology and associated factors. Archives of Physical Medicine and Rehabilitation, 88, 988–992.

    Article  PubMed  PubMed Central  Google Scholar 

  • Short, R., & Vetter, T. R. (2013). Acute to chronic pain: Transitions in the post surgical patient. In R. J. Moore (Ed.), Handbook of pain and palliative care: Biobehavioral approaches for the life course. New York: Springer.

    Google Scholar 

  • Sirratt, D., Ozanian, A., & Traenkner, B. (2012). Epidemiology and prevention of substance use disorders in the military. Military Medicine, 177(8 Suppl), 21–28.

    Article  PubMed  Google Scholar 

  • Sorenson, R., & Pace, N. (1992). Anesthetic techniques during surgical repair of femoral neck fractures. A meta-analysis. Anesthesiology, 77, 1095–1104.

    Article  PubMed  Google Scholar 

  • Stan, T., Krantz, M., et al. (1995). The incidence of neurovascular complications following axillary brachial plexus block using a transarterial approach. A prospective study of 1,000 consecutive patients. Regional Anesthesia, 20, 486–492.

    PubMed  Google Scholar 

  • Sterling, M. (2011). Pain, Whiplash disorder and traffic safety. In R. J. Moore (Ed.), Handbook of pain and palliative care: Biobehavioral approaches for the life course. New York: Springer.

    Google Scholar 

  • Stitz, M., & Sommer, H. (1999). Accuracy of blind versus fluoroscopically guided caudal epidural injections. Spine, 24, 1371–1376.

    Article  PubMed  Google Scholar 

  • Stojanovic, M., Vu, T., et al. (2002). The role of fluoroscopy in cervical epidural steroid injections: An analysis of contrast dispersal patterns. Spine, 27, 509–514.

    Article  PubMed  Google Scholar 

  • Sun, Y., Li, T., et al. (2012). Perioperative systemic lidocaine for postoperative analgesia and recovery after abdominal surgery: A meta-analysis of randomized controlled trials. Diseases of the Colon and Rectum, 55, 1183–1194.

    Article  PubMed  Google Scholar 

  • Tatli, Y., & Kapasi, S. (2009). The real risks of steroid injection for plantar fasciitis, with a review of conservative therapies. Current Reviews in Musculoskeletal Medicine, 2, 3–9.

    Article  PubMed  Google Scholar 

  • The War List. (2007). Available at: http://ptsd.combat.blogspot.com/2007/03/war-list-oefoif-statistics.html

  • Toblin, R. L., Mack, K. A., Perveen, G., et al. (2011). A population-based survey of chronic pain and its treatment with prescription drugs. Pain, 152(6), 1249–1255.

    Article  PubMed  Google Scholar 

  • Toblin, R. L., Quartana, P. J., Riviere, L. A., et al. (2014). Chronic pain and opioid use in US soldiers after combat deployment. Journal of the American Medical Association Internal Medicine, 174(8), 1400–1401.

    PubMed  Google Scholar 

  • Towheed, T., Maxwell, L., et al. (2006). Acetaminophen for osteoarthritis. Cochrane Database Systemic Review, 25, CD004257.

    Google Scholar 

  • Trescot, A., Boswell, M., et al. (2006). Opioid guidelines in the management of chronic non-cancer pain. Pain Physician, 9, 1–39.

    PubMed  Google Scholar 

  • Tuman, K., McCarthy, R., et al. (1991). Effects of epidural anesthesia and analgesia on coagulation and outcome after major vascular surgery. Anesthesia and Analgesia, 73, 696–704.

    Article  PubMed  Google Scholar 

  • Vanelderen, P., Lataster, A., et al. (2010). Occipital neuralgia. Pain Practice, 10(2), 137–144.

    Article  PubMed  Google Scholar 

  • Vetter, T. R. (2013). Pediatric chronic pain. In R. J. Moore (Ed.), Handbook of pain and palliative care: Biobehavioral approaches for the life course. New York: Springer.

    Google Scholar 

  • Wall, C., Lynch, J., et al. (2010). Clinical practice guidelines for the management of acute limb compartment syndrome following trauma. ANZ Journal of Surgery, 80, 151–156.

    Article  PubMed  Google Scholar 

  • Wedmore, I., Johnson, T., et al. (2005). Pain management in the wilderness and operational setting. Emergency Medicine Clinics of North America, 23, 585–601.

    Article  PubMed  Google Scholar 

  • Wedmore, I. S., Kotwal, R. S., McManus, J. G., et al. (2012). Safety and efficacy of oral transmucosal fentanyl citrate for prehospital pain control on the battlefield. The Journal of Trauma and Acute Care Surgery, 73(6 Suppl 5), S490–S495.

    Article  PubMed  Google Scholar 

  • White, R., & Cohen, S. (2007). Return-to-duty rates among coalition forces treated in a forward-deployed pain treatment center: A prospective observational study. Anesthesiology, 107, 1003–1008.

    Article  PubMed  Google Scholar 

  • Wu, C., Hurley, R., et al. (2004). Effect of postoperative epidural analgesia on morbidity and mortality following surgery in medicare patients. Regional Anesthesia and Pain Medicine, 29, 525–533.

    Article  PubMed  Google Scholar 

  • Wu, C., Sapirstein, A., et al. (2006). Effect of postoperative epidural analgesia on morbidity and mortality after lung resection in medicare patients. Journal of Clinical Anesthesia, 18, 515–520.

    Article  PubMed  Google Scholar 

  • Yang, L., Zhang, J., Zhang, Z., et al. (2014). Preemptive analgesia effects of ketamine in patients undergoing surgery. A meta-analysis. Acta Cirurgica Brasileira, 29(12), 819–825.

    Article  PubMed  Google Scholar 

  • Yeager, M., Glass, D., et al. (1987). Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology, 66, 729–736.

    Article  PubMed  Google Scholar 

  • Zouris, J., Walker, G., et al. (2006). Wounding patterns for U.S. Marines and sailors during Operation Iraqi Freedom, major combat phase. Military Medicine, 171, 246–252.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Anesthesiology, Walter Reed National Military Medical Center, Bethesda, MD, USA

    Rich Liu MD, Crevan O. Reid MD & Steven P. Cohen MD

  2. Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, MD, USA

    Rich Liu MD, Crevan O. Reid MD & Steven P. Cohen MD

  3. Departments of Anesthesiology, Neurology and Physical Medicine & Rehabilitation, Johns Hopkins School of Medicine, Baltimore, MD, USA

    Steven P. Cohen MD

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Correspondence to Steven P. Cohen MD .

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    Rhonda J. Moore

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Liu, R., Reid, C.O., Cohen, S.P. (2018). Pain Management on the Battlefield. In: Moore, R. (eds) Handbook of Pain and Palliative Care. Springer, Cham. https://doi.org/10.1007/978-3-319-95369-4_13

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